Distal convoluted tubule
Distal convoluted tubule additional tweaking of* aldosterone acts right here causing* the H+ and K+ when adding last chance things to filtrate** called secretion
Secreting some more H+ and K+ into filtrate there that is helpful if blood is getting too acidic* just to connect it with someone with untreated diabetes making all kinds of ketone bodies going into ketoacidosis, their kidney is going insane trying to get rid of H+ may be not enough ppl with ketoacidosis still land in emergency room but distal tubule still pumping as hard as they can to get H+ out of filtrate
Only tiny part of NaCl being pumped out main thing is water
If there is ADH present then even more water would be reabsorbed, filtrate usally more concentrated then blood helps us conserve water which is adaptive** have a million of these nephrons in these kidneys, filtrate each nephron making is all pooling together, then filtrate really called urine at that point goes through tube left kidney and right kidney leading to bladder, uretehers then bladder then ureathra* if ADH is there all you need to know more aquaporins
Q. 14 A drug tht acts as an agonist of the aquaporin protein channel would likely result in which of the following?
a. a dec in blood volume
b. an increase in urine volume
c. an increase in blood pressure
d. increased secretion of ADH
e. all of the above
c. an increase in blood pressure
aquaporin channels allows water to be reabsorbed, more channels in means more reabsorption means more blood volume, so more blood pressure why C is the answer!
Tease apart MCAT logic- D is not a correct answer, if have a drug stimulating aquaporin channel, lots of aquaporin channels, your body wouldn’t also then secrete more adh, drug doing job of ADH, so not secrete more adh, if tell some exogenous agent like a drug doing that don’t simulatenously get upregulation of natural pathway, D says increased secretion of ADH, this drug raises people’s blood pressure which is great but suppresses natural pathway, natural pathway will nto do its thing, giving person drug because natural pathway isn’t working in the first place, bypassing what ADH would normally do
Answer is C- would promote frequency urination
Nonsense mutaitons- make nonfunctional proteins, introduce a premature stop codon
So nonfiunctional proteins are V2 receptors, right in there in pathway leads to more reabsorption, triggering G protein cacade, downstream effect more aquaporin channels more reabsorption!
If mutation in that pathway which leads to more reabsorption, so if suppress enzyme, mutate protein will get less reabsorption! If less reabsorption, water not going back to blood going out in urine, so answer choice C says more frequent urination or higher volume of urine, more peeing less reabsorption!
b wrong becuase wouldnt impace aldoserone secretion acts on V2 receptors, aldosterone already secreted and pathway is normal*
I was wrong answer is only a, not a and c
PROTEINS ALWAYS MADE N to C direction!!!!! not C to N
made on rough ER because a transmembrane
Rough ER contiguous with nuclear envelope
Part of endomembrane system
Site of synthesis for secreted proteins, transmembrane proteins, lysosomal proteins
b. an increase in aldosterone secretion
phosphodiesterase, on G protein coupled receptor pathway notes, the thing to know about this is that it is the enzyme that deactivates cyclic AMP, if crank off phosphodiesterase turn off pathway faster!
So if go back to the paragraphs on previous page this is cyclicamp pathway, even just skiming through this G protein cascade, elevated cyclic amp and downstream how get more aquaporins in walls of collecting duct, highly elevated phosphodiesterase means shut that down, less reabsorption of water at the collecting duct.
Inc makes ADH less effective, shutting down that pathway, causing there ot be less reabosprtion at collecting duct, because overlapping redundant ystems to absorb more water, something broken over there not allowing for enough reabsorption so secretes more aldosterone other trick it has up its sleeve for raising blood volume, reasoning is think water not being reabsorbed properly, body will try to do it a totally different way with this different hormone acting on distal tubule
answer: b. a drop in urine pH
Co2 is acidic in water is acidic, make blood acidic body really sentitive to blood pH has to keep it in tight range, if have to keep it acidic where does it put H+ to get rid of excess H+ by secreting it into distal tubule.
D. probably wouldn’t have huge impact on blood pressure, maybe change ion balance a little bit, but if anything getting ions out of blood into filtrate, H+ isn’t the most important blood pressure regulator more about pH
anser is a- nothing in the loop of henle is isotonic to blood but may be isotonic to interstal area in loop of henle TRICKY not blood the interstitial fluid!
a. collecting duct-stuff in collecting duct at beginning is iostonic to blood, but as go down lower and lower it is more salty isotonic to intestial fluid of medulla but not blood*

nephron and collecting duct
filtrate is the rough draft of what urine is going to be a lot of things in there that we don;t actually want to get rid of through excretion, do not want to get rid of gluocse and too much water
salt actively transported and water follows salt* so big mechanism that pump a solute like ion and water follows along, very very important mechanism for rebsorbing water. A lot of water is being conserved by being sent back to blood at this stage of hte process. at this end of proximal tubule no longer any more nutrients and a lot of things that we do not want to get rid of have been returned to the blood through reabsorption* some passive some active but overall lots of reabsorption*
THROUGHOUT THIS TIME THE FILTRATE IS ISOTONIC TO BLOOD, same concentration of blood and same concentration of immediate surroundings* the filtrate remains isotonic to its immediate surroundings but not in loop

Isotonic concentrations
as filtrate goes down the tube it stays isotonic to its surroundings whatever is right outside it does that by passively losing water, how walls of decending loopof henle permeable to water not salt, so water leaving and fitlrate is isotonic to surroundings fitlrate gets more and more concentraed as surrounding gets more salty so filtrate and kidney stay isotonic
as the filtrate moves up the environment outside of the loop of henle is more dilute, and filtrate still very salty so as it moves up and environment is mroe waterly some salt will go out so it matches environment interms of concentration moving into less salty region to keep pace with that gets rid of some of own salt as it moves its surroundings are changing in terms of saltiness

Concentrations 2
goes down collecting duct and gets more cocentraed as it goes* important moment for filtrate about to become urine to be very concentrated* because on tis way out at this point and you do nto want to lose too much water in that process*

Answer is b a dec in the tubular reabsorption of glucose could cause the apperance of glucose in the urine! Glomerular filtration of everything is dependent on blood pressure
inc blood pressure higher glomgerula filtration rate, bigger push causes all this stuff to
a. wrong becuase it says an inc in bp would decrease the glomerula filtration rate, it would be the opposite an inc in blood pressure would inc the glomerula filtration rate of glucose and eveyrhting because glomerula filtraiton rate can think of blood pressure as providing this big push so it would push a higher glomerula filtration**
b. if do not get full reabsorption in proximal tubile cannot get it anywhere else
c. glucose CANNOT be absorbed anywhere else! answer b.
B. NO would be stimulated!!!! low bp inc aldosterone*
aldosterone promotes Na+ reabsorption and then WATER FOLLOWS**** how it works
ADH does not promote Na+ reabsorption right? has nothing to do with Na+
Aquaporin
adh tells body to put aquaporins into membranea nd allows water ot move through membrane and be reabsorbed*
(like insulin tells cell to put more transporters into membrane and allows glucose to move)
an increase in aldosterone secretion
phosphidesterase
cAMP is part of pathway that puts aquaproins in membrane, so phosphdieseraste braks down cAMP and makes it 5’AMP
b. a drop in urine pH
- cannot change amount of H20
- would push to product side of Le Chatlier’s principle and increase H+ therefore decrease urine pH
- CO2 is not relevant at all to water balance* in real contrasts to what we were sayig with sodium hwere water follows the sodium that was a big mechanis, CO2 is not like that at all!
excretory system=
rid body of metabolic waste, big thing talked about before amino groups clipped off of amino acids, other soruces of nitrogen based waste, how do we deal with nitrogenous waste?!
answer is we send ammonia to kidney and convert to urea less toxic form but still have to get rid of it!
Kidney has big effect on blood volume which has a big effect on blood pressure –kidney is majorly important in regulating blood pressure, one of its top functions
excretory system 2
Rids body of metabolic wastes
Regulates osmolarity, blood volume and pressure
Main metabolic wastes are H2O, CO2, and urea
H2O and CO2 from respiration
Urea from nitrogen waste (amino acid deamination → ammonia → less toxic urea)
Skin, lungs, liver, and kidney are part of excretory system
Skin excretes sweat (H2O, salt, and urea)
Lungs give off CO2 and H2O vapor
Liver converts ammonia → urea
Kidney excretes urine (H2O, salt, urea)
Excretion contrasts with elimination (feces are undigested material)
Urea
Urea from nitrogen waste (amino acid deamination → ammonia → less toxic urea)
Liver converts ammonia → urea
Kidney excretes urine (H2O, salt, urea)
excretion contrasts with….
contrasts with elimination (feces are undigested material)
All of that is elimination/ waste products that come through the GI tract.
Elimination is different than excretion, excretion is urine! We are focusing on production of urine and excretion
=we really excrete urea, what we are focusing on! ex of excretion sweat, but here we are focusing on kidney
Kidney 1
major excretory organ
responsible for maintaining blood volume and pressure, governing concentrations of all different solutes in our blood
the main blood vessel bringing blood to kidney is renal artery
main vein bringing blood away from kidney, anything RENAL THINK OF KIDNEY
does all your blood go through kidney? = components of blood dont enter filtrate, but all blood needs ot be filtered**
Inner region of kidney
= medulla
Outer region of kidney
= cortex
Kidney 2
Maintains volume and osmolarity of blood and interstitial fluid
Maintains pH of blood and interstitial fluid
Filters blood plasma and removes metabolic wastes
Renal artery brings blood to kidney
Renal vein moves blood away from kidney
Collecting ducts empty into renal pelvis
Renal pelvis funnels urine into ureter
One ureter from each kidney flows to bladder
Bladder
Bladder is a pouch that stores urine
Surrounded by smooth muscle, can expand significantly
Urine enters via two ureters
Urine exits through urethra
Urination controlled by a sphincter
In males, urethra also carries semen