GFR and Filtration Flashcards

1
Q

In order what is the blood supply to and through the kidney?

A
Aorta, 
renal A, 
segmental A, 
lobar A, 
arcuate A,  
interlobular A, 
afferent arteriole, 
glomerulus, 
efferent arteriole, 
peritubular capillaries --> interlobular vein
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2
Q

Describe the cortical nephron

A

Start high in the cortex

Short loop of Henle = does not penetrate deep into medulla

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3
Q

Describe the juxtamedullary nephrons

A

Start low in the cortex near the medulla

Long loop of Henle = penetrates deeply into medulla

Loop of Henle surrounded by vasa recta

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4
Q

What is the vasa recta?

A

Straight arterioles of the juxtamedullary nephrons

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5
Q

What is renal blood flow?

A

~1.1L/Min

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6
Q

What is renal plasma flow?

A

Volume of blood plasma delivered to the kidneys per unit time

605 mL/min

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7
Q

How much blood at any one time is filtered in the glomerulus?

A

20% filtered

80% leaves via efferent arteriole

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8
Q

What is the renal corpuscle?

A

Glomerulus + bowmans capsule

Site of filtration of blood plasma

Function = prod ultra filtrate of plasma

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9
Q

Why is it important that the DCT sits back up against it own glomerulus?

A

Regulatory ability

Communication between

Tubular glomerular feedback

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10
Q

What arrangement makes up the glomerula tuft?

A

Capillary

Surrounded by basement mem

On which sit podocytes that have projections (pedicels), with filtration slips between

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11
Q

Briefly outline the selective process of glomerular filtration

A

Freely ass = water, salts, small molecules

Dont get filtered = cells, large proteins

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12
Q

What are the layers of the filtration barrier?

A

1) capillary endo = permeable
2) basement mem = acellular gelatinous, permeable to small proteins, glycoprotein -ve charge repel protein movement
3) podocyte layer = pseudopodia interdigitate

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13
Q

What is the effect of charge and size of filtration selectivity?

A

Size = bigger, less go through

Charge = adding +ve charge mean filtration can tolerate bigger molecules as not repelled by -ve glycoproteins

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14
Q

What is proteinuria?

A

Presence of protein in the urine due to high levels of protein

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15
Q

What are the physical forces involved in filtering of plasma to form ultra filtrate?

A

Hydrostatic pressure in capillary (Pgc) = favours filtration

Hydrostatic pressure in bowmans capsule (Pbc) = opposes filtration

Oncotic pressure diff between capillary and tubular lumen (pie gc) = opposes filtration

Net driving force = inward movement to the bowmans capsule

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16
Q

How is GFR regulated?

A

Auto-regulation = myogenic, TG feedback, glomerular tubular balance

Neural regulation

17
Q

Outline the renal myogenic mechanism

A

Smooth muscle in afferent artery responds to increases and decreases in vascular wall tension

Want decreased GFR = constrict AA, dilate EA

Want increased GFR = constrict EA, dilate AA

18
Q

Outline the tubular glomerular feedback

A

Responds to acute changes

Macula densa = detect NaCl changes in DCT = stim juxtaglomerular to prod chems

Adenosine = constrict AA dilate EA

Prostaglandins = relax AA

19
Q

Outline glomerulotubular balance

A

Phenomenon whereby a constant fraction of the filtered load of the nephron is resorbed across a range of = ~67%

20
Q

How can neural regulation control GFR?

A

Sympathetic nerve fibres innervate AA and EA = vasoconstriction to counteract haemorrhage

Para = release of NO, vasodilation