LOH, DCT and collecting duct Flashcards

(31 cards)

1
Q

what are limits for the osmolarity of urine determined by

A

osmolarity of the renal medulla

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2
Q

what is the loop of henle

A

juxtamedullary nephrons drop down into the renal medulla and then return to the cortex

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3
Q

characteristics of descending limb of LOH

A

lacks ion pumps
expresses lots of aquaporins
very permeable to water

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4
Q

permeability of thick and thin ascending limb of LOH

A

not permeable to water

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5
Q

what does active transport of ions out of the thick ascending limb lead to

A

osmotic transport of water out of the descending limb

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6
Q

2 steps in the loop of henle

A

static effect
fluid flow

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7
Q

what is the static effect

A

active transport if solute out of ascending limb to make interstitial space hyperosmotic and draws water out of descending limb making filtrate more concentrated

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8
Q

what is fluid flow

A

as filtrate is continually produced, new tubular fluid enters the descending limb and pushes the fluid at higher osmolarity down the tube

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9
Q

effect on osmotic gradient as static effect and fluid flow steps repeated

A

steadily multiplies down the tube

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10
Q

what is the capillary network surrounding the juxtamedullary LOH called

A

vasa recta

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11
Q

function of the vasa recta

A

supply oxygen and nutrients to the medulla

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12
Q

where does the vasa recta run

A

parallel to the limbs of the LOH

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13
Q

blood flow in the vasa recta

A

blood flows in opposite direction to the filtrate and hairpin loop slows blood flow down

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14
Q

components of the counter-current multiplier

A

specialised peritubular capillaries (vasa recta)
loop of henle

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15
Q

what allows urea to escape the collecting duct and be recaptured by the descending LOH

A

urea channels in the medulla

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16
Q

what is responsible for 50% of the osmotic gradient

A

urea recycling

17
Q

recycling process of urea

A

antidiuretic hormone upregulates urea channels in the inner medullary collecting ducts allowing more urea to flow passively into the interstitial fluid and back into thin descending LOH

18
Q

what controls water balance

A

endocrine
ADH

19
Q

where is ADH made and packaged

20
Q

where is ADH stored

A

posterior pituitary

21
Q

what does ADH do

A

binds to specific membrane receptor
receptor activates cAMP 2nd messenger system
cell inserts aquaporins into apical membrane
water absorbed by osmosis into the blood

22
Q

characteristics of diluted urine

A

excessive drinking
no ADH
no aquaporins

23
Q

characteristics of concentrated urine

A

dehydration
increased ADH
increased aquaporins

24
Q

enzyme that maintains sodium-potassium gradient

A

sodium potassium ATPases

25
what allows passive diffusion of ions between principle cells and filtrate
leak channels on apical side of principle cells
26
characteristics of principle cells
asymmetrical arrangement of Na, K ATPase no microvilli impermeable to water without ADH - not linked to reabsorption of sodium
27
what regulates the secretion of K and reabsorption of NA in principle cells
aldosterone
28
what does the zona glomerulosa secrete
mineralocorticoids
29
what hormone is released in response to decreased calcium in the blood
parathyroid hormone = PTH
30
what does PTH decrease in the proximal tubule
reabsorption of phosphate
31
what does PTH increase in the ascending loop of henle, distal tubule and collecting tubule
reabsorption of calcium