Homeostasis and the Kidney Flashcards

(57 cards)

1
Q

What is homeostasis?

A

The maintenance of constant internal conditions, controlled by the endocrine system.

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2
Q

Why is it useful to keep the concentration of body fluids at a constant and optimum level?

A

To protect cells from changes in the external environment, ensuring reactions continue at a constant and appropriate rate.

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3
Q

What is negative feedback?

A

Describes systems which reverse a change from a normal value.

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4
Q

Describe the series of steps of negative feedback

A
  1. The set point for a factor is the norm at which the system operates.
  2. A receptor detects the level of the factor and its deviation from the set point
  3. The receptor sends instructions to a co-ordinator or controller
  4. The co-ordinator communicates with one or more effectors which make responses that are corrective
  5. The factor returns to normal, monitored by the receptor and information is fed back to the corrector, which stops making the correction
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5
Q

What are the two main functions of the kidney?

A

Excretion- the removal of nitrogenous metabolic waste from the body.
Osmoregulation- the control of the water potential of the body’s fluids, such as plasma, tissue fluid and lymph, by the regulation of the water content in the body.

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6
Q

What happens to surplus amino acids in the body?

A

They are deaminated in the liver and the amino group is converted to ammonia, then to less toxic urea. The urea is carried in the plasma to the kidneys and excreted in urine.

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7
Q

Describe the structure of the kidney

A

A renal capsule covers each kidney. Each receives blood from a renal artery and returns blood through a renal vein. The blood from the renal artery is filtered in the cortex at the Bowman’s capsules. The medulla contains the long loop of Henle and the collecting ducts that carry urine to the renal pelvis. The pelvis empties urine into the ureter which carries it to the bladder.

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8
Q

What is a neprhon?

A

The functional unit within the kidney. There are one million in each.

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9
Q

Describe blood flow through the neprhon

A

An afferent arteriole brings blood to the nephron and divides into 50 parallel capillaries in the glomerulus. From there, the filtered blood is carried by an efferent arteriole to either a capillary network surrounding the proximal and distal convoluted tubules or the vasa recta, a capillary network surrounding the loop of Henle. The blood filtrate is diverted through the nephron and the collecting ducts of many nephrons join to carry urine to the pelvis and ureter.

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10
Q

Why does blood arriving in the glomerulus from the afferent arteriole have high pressure?

A

-The afferent arteriole has a wider diameter than the efferent arteriole
-The hearts contraction increases the pressure of arterial blood

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11
Q

What are the three layers separating the blood entering the glomerulus from the Bowman’s space?

A

-The wall of the capillary, which is a single layer of endothelium cells with pores called fenestrations.
-The basement membrane, an extra-cellular layer of proteins acting as a molecular filter between the capillary wall and the nephron.
-The wall of the Bowman’s capsule, made of squamous epithelial cells called podocytes

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12
Q

What is ultrafiltration?

A

Filtration under high pressure

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13
Q

Describe the ultrafiltration of blood in the glomerulus

A

The high pressure in the capillaries of the glomerulus forces water, glucose, salts, urea and amino acids through the fenestrations of the capillaries, the basement membrane and slits between pedicels into the Bowman’s capsule. Blood cells, platelets and large proteins remain in the blood as they are too large to pass through.

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14
Q

What is selective reabsorption?

A

The process by which useful products are reabsorbed back into to the blood, as the filtrate flows through the nephron.

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15
Q

Describe the adaptations of the proximal convoluted tubule for selective reabsorption

A

-Large surface area, as it is long and there are a million nephrons in each kidney
-Cuboidal epithelial cell walls, with their surface area increased by microvilli
-Contains many mitochondria, providing ATP for active transport
-Has a close association with capillaries and tight junctions between the cells.

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16
Q

How are glucose and amino acids reabsorbed back into the blood?

A

By co-transport with Na+ ions. The glucose or amino acid and two Na+ ions bind to a transporter proteins and enter the cell by facilitated diffusion, dissociate from the transporter and diffuse across.

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17
Q

How is water reabsorbed back into the blood?

A

By osmosis, passively, as the reabsorbed ions lower the water potential of the blood.

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18
Q

How is half the urea and small proteins reabsorbed back into the blood?

A

By diffusion, down a steep concentration gradient.

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19
Q

What is the filtrate isotonic to at the base of the proximal convoluted tubule?

A

The filtrate is isotonic with the blood plasma, as it has lost salts, water, urea, glucose and amino acids.

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20
Q

Why might the concentration of glucose in the body be high, causing it to be lost in the urine?

A

-The pancreas secretes too little insulin (type I diabetes)
-The response of liver cells to insulin is reduced because insulin receptors in surface membranes are damaged (type II or gestational diabetes)

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21
Q

Why do the distal convoluted tubule and collecting duct operate the fine control of the body’s water control?

A

As they can reabsorb varying volumes of water in response to the body’s needs.

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22
Q

How are the walls of the ascending limb of the loop of Henle adapted?

A

They are impermeable to water and actively transport Na+ and Cl- ions out of the filtrate in the tubule into the tissue fluid in the medulla.

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23
Q

How are the walls of the descending limb of the loop of Henle adapted?

A

They are permeable to water, and slightly permeable to Na+ and Cl- ions.

24
Q

Describe the passage of filtrate up the ascending limb of loop of Henle

A

The loops collectively concentrate salts in the tissue fluid, which has a lower water potential. As the filtrate travels up the bend in contains less and less ions, becomes increasingly dilute and its water potential increases.

25
Describe the passage of filtrate down the descending limb of loop of Henle
As the filtrate flows down the descending limb, water diffuses out by osmosis into the tissue fluid of the medulla, which has a low water potential and moves to the vasa recta. At the same time Na+ and Cl- ions diffuse into the descending limb. As the filtrate travels down it contains less and less water and more ions.
26
What does the filtrate look like at the bottom of the loop of Henle?
It is the most concentrated and has the lowest water potential here.
27
How do the two limbs of the loop of Henle act as a counter-current multiplier?
As the flow in the two limbs is in opposite directions, and the concentration of solutes is increased.
28
Describe the passage of filtrate down the collecting duct
The duct runs back down into the medulla, passing through a region of low water potential, so water diffuses out by osmosis down a water potential gradient. The filtrate becomes more concentrated than the blood and becomes urine as it reaches the base. The water is reabsorbed by the vasa recta and back into general circulation.
29
Describe the negative feedback system of osmoregulation
The hypothalamus is the receptor, as its osmoreceptors monitor the solute potential of the blood. It is also the co-ordinator and signals the effector, the posterior lobe of the pituitary gland to release anti-diuretic hormone. This returns the system to normal if it deviates too far by altering the permeability of the DCT and the collecting duct.
30
What happens when more ADH is secreted?
A small volume of concentrated urine is produced.
31
What happens when less ADH is secreted?
A large volume of dilute urine is produced.
32
What might a fall in water potential in the body be caused by?
-Reduced water intake -Sweating -Intake of large amounts of salt
33
What happens after reduced water potential is detected by osmoreceptors?
Secretory granules carry ADH along axons from the hypothalamus to the posterior lobe of the pituitary gland, which secretes ADH. This is carried to the kidneys.
34
35
What happens after ADH reaches the kidneys?
ADH increases the permeability of the walls of the DCT and CT to water. More water is reabsorbed from there into the region of high solute concentration, low water potential region of the medulla. More water is reabsorbed from the medulla into the blood in the capillaries. The water potential of the blood is restored to normal and the small volume of urine produced is relatively concentrated.
35
What acts as the receptor, co-ordinator and effector in osmoregulation?
Receptor- hypothalamus Co-ordinator- hypothalamus Effector- posterior pituitary gland
36
What are aquaporins?
Intrinsic membrane-spanning proteins with a pore through which water molecules move.
37
How are aquaporins introduced into the DCT and CT?
-An increased amount of ADH binds to membrane receptors -Adenyl cyclase catalyses the production of cyclic AMP -Cytoplasmic vesicles containing aquaporins move to and fuse with the cell membrane -Aquaporins are incorporated into the membrane -Water molecules move in through their pores into the cell, down a water potential gradient
38
How are aquaporins removed from the DCT and CT?
-No ADH to bind to membrane receptors -Production of cyclic AMP decreases -Aquaporins are removed from the cell membrane and accumulate again in vesicles
39
What are the commonest causes of kidney failure?
-Diabetes -High blood pressure -Autoimmune disease -Infection -Crushing injuries
40
How can solute concentration be regulated without the kidneys?
-Reducing intake of certain nutrients, such as protein, to reduce urea formation and ions -Using drugs to reduce blood pressure such as beta blockers and calcium channel blockers -Dialysis -Kidney treatment
41
Describe traditional dialysis
Dialysate flows in the opposite direction to the blood so equilibrium isn't reached and waste products can empty continuously into the dialysate. Dialysate contains normal water, nutrient and mineral ion levels with no urea.
42
What are the advantages and disadvantages of traditional dialysis?
Advantages: Counter-current flow maintains concentration gradient. Disadvantages: Takes four hours three times a week, diet and fluid intake are very restricted.
43
Describe peritoneal dialysis
Dialysate is introduced into the abdominal space. The peritoneum wall has a rich blood supply. Waste products diffuse from the blood into the dialysate over a number of hours before the dialysate is drained. Equilibrium will be reached between blood and dialysate solute concentration.
44
What are the advantages and disadvantages of peritoneal dialysis?
Advantages: Diet is not as restricted, less intrusive, takes forty minutes four times a day. Disadvantages: Concentration gradient not maintained so is less efficient and worse at removing waste.
45
What are the advantages and disadvantages of kidney transplants?
Advantages: Long-term benefits. Disadvantages: Shortage of donors and suitable donors, as they must be the same blood and tissue type, risk of rejection and risks associated with major surgery.
46
What is the nitrogenous compound excreted by fish and its toxicity and solubility levels?
Nitrogenous compound: Ammonia Toxicity: Very toxic Solubility: Highly soluble Easily diluted, requires little energy to excrete.
47
What is the nitrogenous compound excreted by birds and its toxicity and solubility levels?
Nitrogenous compound: Uric acid Toxicity: Lowest toxicity Solubility: Insoluble Requires little water for excretion.
48
What is the nitrogenous compound excreted by mammals and its toxicity and solubility levels?
Nitrogenous compound: Urea Toxicity: Less toxic Solubility: Fairly soluble Doesn't require large volumes of water for excretion.
49
What are the two types of neprhon?
Cortical nephrons and juxtamedullary nephrons.
50
Describe cortical nephrons
The glomerulus is in the outer cortex and they have a short loop of Henle, which just penetrates the medulla, near its boundary with the cortex.
51
Describe juxtamedullary nephrons
The glomerulus is closer to the cortex's boundary with the medulla and they have a long loop of Henle, which penetrates deep into the medulla.
52
What is the relationship between the length of the loop of Henle and water availabiltity?
The length of the loop is inversely proportional to the availability of water in the environment.
53
Where does a beaver live, and how does this relate to the length of the loop of Henle and the proportion of juxtamedullary nephrons?
They live in freshwater, so have a very short loop of Henle and a low proportion of juxtamedullary nephrons due to adequate water supply.
54
Where does a rabbit live, and how does this relate to the length of the loop of Henle and the proportion of juxtamedullary nephrons?
They live in a mesic environment, so have a short loop of Henle and an intermediate proportion of juxtamedullary neprhons.
55
Where does a kangaroo rat live, and how does this relate to the length of the loop of Henle and the proportion of juxtamedullary nephrons?
They live in the desert, so have a long loop of Henle and have a high proportion of juxtamedullary nephrons as they have a low water supply.
56
Why do lots of desert animals remain underground during the day, or are nocturnal?
They live in burrows which are cool and humid, or come out at lower temperatures to reduce water loss by evaporation.