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Summary of Functions of Major Nephron Segments
Questions on Costanzo's Table 6-7
15
Medical
Graduate
04/17/2011

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Term
This portion(s) of the nephron functions in isoosmotic reabsorption of solute and water.
Definition
-Early proximal tubule
-Late proximal tubule
Term
What is the mechanism by which the early proximal tubule is able to isosmotically reabsorb solute and water?
Definition
-Na-glucose, Na-amino acid, Na-phosphate and Na-citrate cotransporters along with Na-H exchangers bring Na into the cell and then water freely follows.
Term
What effects does parathyroid hormone have on the renal system and what is the mechanism for this?
Definition
-Increases Calcium reabsorption
-Increases phosphate excretion by inhibiting Na-phosphate cotransport
Term
What hormones act on the early proximal convoluted tubule? What are their effects?
Definition
PTH- inhibits Na-phosphate cotransport
Angiotensin II-stimulates Na-H exchange which would increase water retention
Term
What is the major function of the late proximal tubule?
Definition
Isosmotic reabsorption of solute and water
Term
By what mechanism does the later proximal convoluted tubes isosmotically reabsorb water and solute?
Definition
A chloride gradient drives NaCl reabsorption via Cl- formate anioin exhangers, paracellular Cl- diffusion, and also NaH exhanger. The PCT is freely permeable to water so water follows the solute.
Term
What are the major functions of the thick ascending loop of Henle?
Definition
-Reabsorption of NaCl without water
-Dilution of tubular fluid
-Single effect of countercurrent multiplication
-Reabsorption of Ca and Mg which is driven by lumen-positive potential
Term
What is the mechanism by which the thick asending limb of the loop of henle is able to reabsorb NaCl? How is the energy for this generated?
Definition
Na-K-2Cl cotransport with the energy derived from the Na gradient.
Term
What hormones act on the Thick ascending limb of the loop of henle?
Definition
ADH stimulates NaK2Cl cotransport which would decrease water excretion.
Term
What is the major function of the early distal tubule?
Definition
Reabsorbes NaCl without water thereby diluting the tubular fluid.
Term
What mechanism allows the early distal tubule to dilute the tubular fluid?
Definition
The early distal tubule is impermeable to water therefor the Na-Cl cotransporter can move solute across the membrane and water is unable to follow.
Term
What effect does PTH have on the early distal tubule?
Definition
PTH stimulates Calcium reabsorption
Term
What are the major functions of principal cells of the late distal tubule and collecting ducts?
Definition
-Reabsorption of NaCl
-K+ secretion
-variable water reabsorption
Term
What mechanisms do the principal cells use to reabsorb NaCl and secrete K+ in the late DCT and CDs?
Definition
-Na+ channels
-K+ channels
Neither require energy
Term
Other than reabsorbing NaCl and secreting K+ what else are the late DCT and CD responsible for? What is the mechanism for this?
Definition
Variable water reabsorption through water channels when stimulated by ADH.
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