Loop Of Henle Flashcards

1
Q

What are the two parts of the loop of Henle?

A

Descending limb
ascending limb

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2
Q

What is a nephron?

A

Glomerulus+Bowman’s capsule+ proximal convoluted tubule + Loop of henle + distal convoluted tubule

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3
Q

How many nephrons are there typically?

A

2.4 million

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4
Q

What is the osmolality in the blood?

A

300 mosm

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5
Q

What is it when it leaves the PCT?

A

300 mosm

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6
Q

Why is it still 300 mosm?

A

65% was water 65% was sodium- reabsorbed same amount
It is isotonic with the blood plasma entering loop of henle mosm changes

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7
Q

What are the changes to osmolality in the renal medulla as we go down the loop of henle

A

It increases!
300–>500—>700—> 900 mosm—> 1200 mosm

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8
Q

What is happening to the plasma osmolality/medulla interstitial osmolality?

A

It’s getting saltier, more hypertonic as you go down the renal medulla.

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9
Q

Osmolality

A

High osmolality= high amounts of sodium and chorides/ solutes in the blood, and low water
Hypertonic^
Low osmolality= less solute, more water in the blood.
Hypotonic
solutes= water
Isotonic as it is the same

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10
Q

What does it mean when the osmolality is increasing as we go down the renal medulla?

A

Lot’s of solutes, very little water

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11
Q

Where are all these salts being pumped to?

A

Medullary interstitial space

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12
Q

How does this happen?

A

Sodium potassium 2 chloride co transporter!

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13
Q

how does the Sodium potassium 2 chloride co transporter work

A

Takes sodium, potasium, chlorine, from lumen of the filttrate into the tubule cell of the ascending limb
They have special channels on the basolateral membrane that correspond with the ions brought in
This causes the sodium, chlorine pushed out, and some potassium leaked out

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14
Q

What effect does this have?

A

It increases saltiness due to the transporter pumping out the salts

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15
Q

What part is this mechanism found in?

A

Ascending loop of henle

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16
Q

Descending limb

A

Water loves to follow the sodium and chlorine
If there is an accumulation of solutes outside the descending limb, water moves out of it

17
Q

How does the water leave

A

Starts flowing out due to the obligatory water reabsorption
Water leaves through Aquaporin I channels
These channels are always open

18
Q

What is the mechanism wherein water moves out in the descending limb, and solutes move out in the ascending limb?

A

Counter-Current Multiplier mechanism

19
Q

Why can’t solutes move out of the descending limb?

A

It is completely impermeable to solutes!

20
Q

What is special about the ascending limb?

A

Completely impermeable to water!

21
Q

How many chlorines move out via the transporter

A

2 chlorines

22
Q

How does osmolality inside the loop of henle change?

A

It equals the outside mosm (interstitial mosm)

23
Q

What is the osmolality inside the descending limb at the bottom before the ascending limb?

24
Q

What does it mean if it has a high osmolality?

A

Lots of solute, less water
hypertonic

25
What is the osmolality in the ascending limb before it enters the distal convoluted tubule?
around the same as blood plasma so like 120-200 mosm
26
Summary
At the bottom of the loop of henle it is hypertonic At the top of the ascending limb, it is hypotonic compared to plasma osmolality of 300.
27
What is the Vasa recta?
Branch of the efferent arteriole counter current exchanger Blood flow is very slow
28
What is the shape of the vasa recta
Like the loop of henle (u shape)
29
Concentration differences outside the vasa recta
(top)300 --> 500 --> 700 ---> 900 ---> 1200 (bottom)
30
What happens in descending?
Vasa recta picks up lots of sodium chloride as it goes down Water leaves to where its salty
31
What happens in the ascending vasa recta?
As plasma osmolality starts decreasing going up sodium chloride leaves and water moves back in 325 MOSM at the end
32
What is the significance?
Vasa recta is preventing rapid removal of sodium chloride, maintains medullar interstitial space maintains salinity gradient Carries oxygen-delivers nutrients and oxygen to the tubular cells
33
How many chlorides are pumped out by the co transporter?
2
33
What happens to some of the potassium?
Pushed out into lumen causes depolarisation of inner membrane in ascending limb Assists in paracellular transport of magnesium and calcium letting them into medullar interstitial space
34