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Kidney - Ultrafiltration

What is ultrafiltration?

Filtering of the blood at a molecular level

Where does ultrafiltration occur?

Bowman's capsule

Afferent and Efferent arteriole

  • Afferent arteriole brings blood in at a higher pressure

  • Efferent arteriole has blood leave at a lower pressure

Afferent arteriole Lumen

The afferent arteriole has wider lumen. Therefore there is a higher hydrostatic pressure generated in the glomerulus.

What are the endothelium of capillaries made of?

Squamous epithelium

Does the capillary endothelium have small pores/fenestrations?

Yes

Pressure difference

Pressure is higher in the glomerulus than in the Bowman' capsule, which pushes the fluid out into the renal capsule.

What are the substances that are filtered out and into the renal capsule called?

Glomerular filtrate

The barrier between the capillary and lumen of the Bowman's capsule consists of...

3 layers

  • Endothelium

  • Basement membrane

  • Podocytes

Endothelium

Contains pore called fenestrations, narrow gaps which allow blood plasma and substances to pass through

Basement membrane

Stops the removal of large substances from the blood

Podocytes

  • Specialised cells

  • Finger like projections (pedicels) that wrap around the capillaries to ensure any cells, platelets, or large plasma proteins that have managed to get through the epithelial cells and the basement membrane do not get in the tubule itself.

Molecules below what molecular mass can pass between the pedicels of podocytes during ultrafiltration?

69,000

Where does the filtrate go once its passed the 3 layers?

It enters the capsule

Is ultrafiltration efficient?

Yes

Up to 20% of the water and solutes are removed from the plasma as it passes through the glomerulus.

How does a given volume of blood leaving the glomerulus differ from the same volume of blood entering the glomerulus?

  • Fewer dissolved ions

  • Lower water potential

Why does the blood leaving the glomerulus have fewer dissolved ions and a lower water potential?

When blood undergoes ultrafiltration, plasma proteins and RBCs are too large to pass out of the blood, but water and dissolved ions can.

Therefore, the blood leaving the glomerulus has a lower water potential and fewer dissolved ions

Why does higher blood pressure lead to an oedema?

Because the higher blood pressure forces too much fluid out into the glomerular filtrate.

Why would there be a lot of proteins in the urine?

If the basement membrane was damaged