Glomerular filtration (YT video) Flashcards

(34 cards)

1
Q

What is the renal Corpuscle?

A

1) Glomerulus
2) Bowman’s Capsule

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2
Q

What is the Glomerulus?

A

Tuft of Capillaries
Afferent arteriole feeds into it
Efferent Arteriole
(E for exit)

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3
Q

what type of capillaries are in the glomerulus?

A

Fenestrated capillaries
Approx 50-100 nanometres in diameter

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4
Q

What can filter through the fenestrations?

A

Small proteins
water
electrolytes (na, K, Ca)
Nutrients
waste products

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5
Q

What is the glomerular basement membrane?

A

Has 3 sub layers

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6
Q

What are the three layers of the basement membrane

A

Lamina Denza-Type 4 collagen and laminins> very dense
Endothelial slide-closest to the endothelial cells
Podocyte layer

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7
Q

Endothelial Layer (Lamina rara interna) and podocyte layer (Lamina rara externa)

A

Thinner layer
Negatively charged Heparin sulfate

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8
Q

Why is it important for the layers to be negatively charged?

A

Most plasma proteins are negatively charged (e.g albumin, Immunoglobulin g)
So they repel each other, and protein cannot pass through the filter
Positive charge particles (electrolytes) can easily move through

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9
Q

Glomerulus consists of :

A

Endothelial lining, Glomerular basememnt membrane

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10
Q

What is in the bowman’s capsule?

A

Parietal and Visceral (Podocytes)

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11
Q

What is inbetween the podocytes

A

Specific type of protein molecule interconnecting with each other
Called Nephrin

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12
Q

Why are mutations in nephrin significant

A

Very important to control what’s going through the layers

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13
Q

The space between podocytes?

A

Filtration slit
25-30 nanometres in diameter

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14
Q

Nephrin only allows ______ size through

A

7-9 nanometres or less through

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15
Q

What is nephrin called?

A

The slit diaphragm

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16
Q

What is the pareital layer of the bowman’s capsule

A

Collects everything filtered into the bowman’s space
Connected to visceral layer

17
Q

Where do they (substances) move into after being filtered?

A

Proximal Convolated tubule

18
Q

What happens if a macromolecule slips through?

A

Mesangial Cells phagocytose anything stuck on the slit diaphragm
He can contract the amount of blood flowing through afferent arteriole

19
Q

what else does the mesangial cell have?

A

Gap junctions that connect him to the Juxtaglomerular cells (these produce renin, baroreceptors)
Allows positively charged cells to flow and act upon the JG cells

20
Q

Net filtration pressure

A

Happens over a given period of time
Pressures forcing out - (minus) pressures pulling things in

21
Q

Glomerular Filtration rate

A

amount of plasma being filtered per minute
125ml/min
Around 1200ml of plasma flowing through glomerulus only 625 per minute are used in filtration process
575 leaving via efferent arteriole

22
Q

Factors affecting GFR

A

Glomerular hydrostatic pressure (GHP) -tries to push things out of capillary into bowman’s space- about 55mmHg
Colloid osmotic pressure (oncotic pressure) (COP)- exerted by plasma proteins trying to keep water in the blood- avg. 30mmHg
Capsular hydrostatic pressure (CHP)- pressure being exerted by the back pressure in the bowman’s capsule, pushing fluid out of it-15mmHg

23
Q

Total of pressure forcing out- total of pressure pulling in

A

(GHP)-(COP+CHP)
(55)-(30+15)
Net filtration pressure= 10 mmHg

24
Q

Net filtration pressure is directly proprotional to GFR

25
What else affects GFR?
Surface area Permeability of glomerulus
26
Surface area
Bigger arterioles means larger surface area for filtration
27
What could change this (SA)?
Thickening Diabetic nephropathy- thicker decreases GFR
28
Permeability
More channels= more ways for things to filter out
29
What could affect permeability?
Glomerulonephritis- higher GFR, losing a lot of proteins due to lots of channels
30
KF- Filtration Coefficient
Permeabilty and surface area together (total)
31
Equation for GFR?
GFR=NFP x KF
32
Things affecting GHP
Increased blood pressure- increase GHP Decreased Blood pressure-decrease GHP
33
Things that affect COP
Too many proteins in blood- holdin onto more water inblood COP increases low protein- diarrhoea- COP decreases
34
Things that affect CHP
Renal Calculi (stone) greater than 5 mm in diameter gettng stuck n nephron loop- pressure builds up, pushing things back into bowman capsule and beyond Increase CHP Less Net filtration