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LSS 2 - Urinary - Laz > Structural Basis of Kidney Function > Flashcards

Flashcards in Structural Basis of Kidney Function Deck (13)
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1

State some endocrine functions of the kidneys.

Production of erythropoietin
Hydroxylation of 25-hydroxycholecalciferol to 1,25-dihydroxycholecalciferol by 1 alpha hydroxylase (in other words: production of calcitriol)
Activation of the renin-angiotension system by secreting renin

2

What is the renal corpuscle?


The glomerulus and bowman's capsule

3

Describe some features of the glomerulus.

The capillaries are fenestrated. There is a specialised basal lamina that filters the blood.

4

State the five stages of urine production.


Ultrafiltration
Selective Reabsorption
Creation of hyper-osmotic ECF
Adjustment of ion concentration in urine
Final adjustments of urine concentration

5

Where does most reabsorption take place?

Proximal convoluted tubule (70% reabsorbed)

6

State some features of the proximal convoluted tubule.


Larger diameter than the distal convoluted tubule
Brush border
Abundant mitochondria
CUBOIDAL epithelium sealed with tight junctions
Aquaporins
Basolateral interdigitations

7

What mechanism creates the hyperosmotic extracellular fluid?

Countercurrent mechanism

8

Describe features of the descending and ascending limbs of the loop of Henle.


Descending
Thin, squamous epithelium
Permeable to water
Ascending
Thick, cuboidal epithelium
Few microvilli
Prominent mitochondria (for active transport of ions)
Na+ and Cl- are pumped out into the ECF
Water impermeable

9

State some features of the distal convoluted tubule. Which features are different from the proximal convoluted tubule?

Smaller diameter than the proximal convoluted tubule
Few microvilli
Numerous mitochondria
Complex lateral membrane interdigitations
Adjusts Na+, K+, H+ and NH4+ under the influence of aldosterone
Macula densa cells

10

What is the role of the collecting duct?




Final adjustment of urine concentration

11

Which transporters are involved in the movement of water into the cell via the apical membrane and out of the cell via the basolateral membrane?

Aquaporin 2 - apical membrane
Aquaporin 3 - basolateral membrane (not affected by vasopressin)

12

What type of epithelium do the calyces and the renal pelvis have and what are its properties?

Urothelium - resistant to urine, ability to stretch, low permeability

13

What does the juxtaglomerular apparatus respond to? What does it do?

Macula Densa - detects NaCl concentration
Juxtaglomerular Cells - detect stretch in afferent arterioles (renal perfusion pressure)
Leads to secretion of renin resulting in angiotensin II production