Kidney function and nephrons
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Transcript of Kidney function and nephrons
![Page 1: Kidney function and nephrons](https://reader033.fdocuments.us/reader033/viewer/2022060115/5579b564d8b42aca7a8b47e9/html5/thumbnails/1.jpg)
How does the kidney work?What controls the rate and
concentration of urine?
Review nephron in kidney
Steps in urine formation and concentration
Glomerular filtration
Reabsorption
Tubular secretion
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Nephron is functional unit of kidneyOver 1 million nephrons in human kidneyGlomerulus is filtration site in cortexTubules form loop of Henle, extending a few centimeters into medullaReabsorption and secretion in tubules
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More realistic view of nephrons
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Filtration at GlomerulusFiltration membrane formed by podocyte cells lets all of plasma components of blood filter out of glomerular capillaries and into proximal convoluted tubule
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What happens to filtrate to make urine?Filtrate contains all non-protein and non-cellular parts of blood
WaterDissolved ionsDissolved glucoseAmino acidsNitrogenous wastes (nitrites, urea)No proteinsNo cells
Production of urine and thus control of blood chemistry involves three processes
Control over glomerular filtration rate (how fast is blood plasma filtering out of blood into tubules of kidneySubsequent movement of fluid and dissolved substances out of filtrate and back into blood by reabsorption Tubular secretion or further removal of certain substances from blood
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What controls glomerular filtration rate?
Locally, glomerular filtration depends on
Blood pressure in glomerular capillaries“Osmotic pressure” or amount of dissolved substances in blood versus amount of dissolved substances in surrounding glomerular tissues
Local changes in kidney arterial pressure (by smooth muscles in walls of vessels vaso-dilating) is main control of glomerular filtration rate
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But many external factors can also control glomerular filtration rate
How would caffeine affect glomerular filtration rate?
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Reabsorption, or how to concentrate the filtrate into urine
Countercurrent exchange mechanism creates sodium concentration gradient throughout kidney
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Reabsorption creates concentration gradient
•Reabsorption of sodium creates concentration gradient•Other substances, like glucose are also reabsorbed or pass back into blood across tubule membranes.•Urea, uric acid and creatinine, all nitrigenous waste productrs of the body’s metabolism, remain in filtrate
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Changes in permeability of collecting duct produce concentrated or non-concentrated urine
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Tubular secretionTubular secretion allows certain substances to be taken up directly from the blood into the tubules
This is especially important forH+ ions (thus maintaining blood pH
K+ ions (thus maintaining potassium balance)
Certain drugs that are not filtered across glomerulus
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Final composition of urine depends on
Glomerular filtration rate gives initial volume
Amount of reabsorption of water will affect final urine volume
Amount of reabsorption of sodium will affect final salinity or concentration of urine
Tubular secretion may add certain other substances to urine
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Signs of kidney problemsPresence of protein or cells in urine may indicate problems with glomerular filtration
Presence of glucose may indicate problems with tubular reabsorption or very high blood sugar levels that present full resabsorption