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Urinary System
Lecture 33-36
44
Anatomy
Undergraduate 3
05/01/2012

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Term
nephron
Definition
The functional unit of the kidney. Includes the glomerulus, Bowman's capsule, proximal convoluted tubule, Loop of Henle, distal convoluted tubule, and collecting duct.
Term
afferent arteriole
Definition

carries blood to the glomerullus

 

surrounded by smooth muscle

Term
efferent arteriole
Definition

carries blood filtered in the glomerulus back to the ret of the body. It carries back the formed elemetns.

 

surrounded by smooth muscle

Term
juxtaglomerular apparatus (JGA)
Definition

A positive feedback when bp and volume in kidneys gets too low for filtration --> secretes renin

 

Forms a cuff-like arrangement of muscle cells at the point where each arteriole enters.

 

juxta(close to)glomerular(glomerulus)

 

It has 3 cellular components: mascula densa cells, extraglomerular mesangial cells, and granular cells.

Term
Juxtaglomerular Apparatus - mascula densa
Definition

Function as chemoreceptors or osmoreceptors

  • Purposes:
    • Allows more reapsorptionof Na and Cl, less reabsorption of NaCl in the ascending loop so less NaCL conc. at mascula densa
    • Decreases resistance to blood flow in the A arterioles which increases glomerular hydrostatic pressureand in turn returns GFR to normal
    • increases renin release from juxtaglomerular cells
Term
Juxtaglomerular Apparatus - granular/juxtaglomerular cells
Definition

Responsible for the production and secretion of renin involved in the renin-angiotensin system.

 

In afferent and afferent arteriole, enlarged smooth muscle cell.

Term
Juxtaglomerular Apparatus - Mesangial Cells
Definition

Have phagocytic and contractile properto to apropriately filter.

 

Influences capillary function

 

vasopressin/angiotensin II affect mesnagial cell contraction

 

when cells are relaxed, surface area is maximal

 

when cells constrict, less surface area

Term
baroreceptor
Definition
detects pressure of blood flowing past them
Term
What percentage of blood are RBC?
Definition
50%
Term
vasa recta
Definition
A series of straight capillaries that lie parallel to the loop of Henle. These vessels brach off the efferent arterioles, that carry blood back to the rest of the body, and absorb what is meant to be reabsorbed into the blood
Term
Where are substances reabsorbed?
Definition
Substances that are meant to be reabsorbed into the blood are sent into the [b]peritubular fluid[/b] and then reabsorbed into [b]peritubular capillaries[/b] or the [b]vasa recta[/b], each series of capilalaries. The peritubular capillaries surround cortical nephrons (cortical-->cortex)and the vasa recta surrounds juxtamedullary nephrons.
Term
Where are substances secreted?
Definition
into the [b]lumen[/b] of the convoluted tubules to be lost in urine
Term
transport maximum (Tm)
Definition

When  the number substances to be absorbed exceeds the amount of carriers in the tubules needed to take out the substances.

Actively absorbed compounds are impacted by the number of carriers in the tubules that are available.

Term
Function of renal corpuscle
Definition
filtration of plasma
Term
Function of proximal tubule
Definition
reabsorption of ions, organic molecules, vitamins, and water (most imp. things come first). secretion of drugs, toxins, acids
Term
Function Loop of Henle - descending
Definition
reabsorption of water
Term
Function Loop of Henle - Ascending
Definition
reabsorption of ions, mainly salts
Term
Function of distal tubule
Definition

reabsorption of Na and Ca

secretion of drugs, ammonia, acids, and toxins

Term
Function of Collecting Duct
Definition

rebsorption of water (save best/most imp for last) and Na

secretion of acids, ammonia, drugs, and toxins

Term
Cell Types in Glomerulus?
Definition
podocytes, they wrap around the glomerular capillary
Term
Cell Types in Proximal Tubule?
Definition

Cuboidal cells with microvilli

 

Cuboidal because things are being secreted and microvillik because of reabsorption.

 

Also the preence of vaculoue separate the proximal from distal tube.

Term
Cell Types in Loop of Henle?
Definition

squamous in thin ascending (good for releasing things for reabsorption)

 

 cuboidal in thick ascending

 

Term
Cell types in Distal Tubule?
Definition

cuboidal cells with much fewer microvillie than the proximal tubule

 

(cuboidal for reabsorption)

Term
Cell types in collecting duct?
Definition

mainly columnar cells, cuboidal as well.

 

Because it is carrying substances away.

 

Collecting ducts are characterized by clear-staining cytoplasm and a defined cell border.

Term
Why does the glomerulus have a much higher blood pressure than other capillary beds?
Definition
Because the diameter of the efferent arteriole through which blood leaves the glomerulus has a much smaller diameter than the afferent arteriole though which the blood enters. The blood backs up in the glomerulus creating a higher pressure.
Term
Podocytes
Definition
  • Wrap around the glomerular capillary.
  • Podocyes confer size selectivty of the filtrates from its many cell-surface proteins which ensure tha tlarge proteins remain  in the bloodstream and don't pass through.
  • Podocytes also help regulate glomerular filtration rate, when podocyes contract they cause closure of the filtration slits thus decreasing the GFR
  • Have a high endocytic activity (process by which cells absorb molecules) due to many coated vesicles and pits, a large number of mulivesicular bodies and othe lysosomal components.
    • They also contain an ER and a large Golgi apparatus, indicative of a higih capcity for protein synthesis and post-translational modifications
  • "Pedicels" (or "foot processes") extend from the podocyte and increase the surface area.
Term
Filtration Membrane
Definition

Filter that lies between the blood and the interior of the glomerular capsule

 

Layers:

  • Fenestrated capillary endothelium - of the glomerular capillaries
  • basement membrane - composed of fused basal laminae of the otherlayers, restricts all but the smallest proteins
  • Visceral membrane - of the glomerular capsule (podocytes)
Term
How to Change the GFR
Definition
  • Change diameter of afferent arteriole (increasing the diamter increases GFR)
  • Change diameter of efferent arteriole (decreaseing the diameter increases GFR)
  • Change podocyte permeability
  • Alter blood pressure
  • Capsular Hydrostatic Pressure and Blood Colloidal Osmotic Pressure decrease GFR
Term
primary regulator of GFR?
Definition
the glomerular (blood) hydrostatic pressure
Term
Vesicoureteral Reflux (VUR)
Definition
A condition whre urine backs up from the bladder into the ureters and often up into the kidney. Can cause kidney infection or damage.
Term
where is the right kidney in relateion to the left kidney?
Definition
it is lower than the left kidney
Term
Are most nephrons cortical or juxtamedullary?
Definition
85% are cortical (located in the cortex of the nephron)
Term

Why does filtrate osmolarity increase from 300 mOsm in the proximal tubule to 1200 mOsm after the descending Loop of Henele.

Definition
Because a lot of H2O is leaving in the descending loop of Henle causing the filtrate to become increasingly concentrated.
Term
Why does the filtrate become increasingly dilute going up the ascending Loop of Henle?
Definition
Because NaCl is being reabsorbed out.
Term

Where is the fitlrate most concentrated in a nephron?

 

Where is it least concentrated?

Definition

most concentrated - at the end of the descending Loop of Henle (b/c H2O is being reabsorbed out)

 

least concentration - after ascending Loop of Henle (b/c NaCl is being reabsorbed out)

Term
Is filtrate more concentrated in the cortex or medulla?
Definition
the medulla where the end of the descending loop of henle is.
Term
what substance is secreted  to rid the body of unwanted drugs?
Definition
penicilin
Term
How to tell difference between procimal convoluted tubule and the distal convoluted tubule?
Definition
the PCT has clear vaculous, taller epitheilum, and many more microvilli
Term
neural regulation of bfr
Definition
neurons in afferent arteriole stimulate smooth muscle to constrict, reducing GFR
Term
hormal regulation of gfr
Definition
A decrease in blood volume or bp causes juxtaglomerular cells to release renin in bloodstream and produce angiotensin II which causes blood vessels to constrict and increase systemic bp which increases gfr
Term
autoregulation of gfr
Definition

maintains adequate gfr despite changes in bp and blood flow

 

smooth muscle cells: afferent and efferent arteriole feedback mechanisms - mechanorecetpor

 

tubular mechanism: distal tubule filtrate

Term

Renin-Angiotensin System

Definition

increases/restores gfr by increasing bp

 

Renin, produced by juxtaglomerular cells, enzymatically changes aniotensinogen to angioten I. Aniotensin I travels to the lungs where it is converted to angiotensin II by the enzyme ACE. Angiotensin II is a vaoconstrictor - blood ressure rises. It's secretion stimulates - increases secretion of ADH, stimulates the adrenal cortex to produce aldosterone , and stimulates the hypothalamus to activate the thirst reflex all of which increases bp.

Term
aldosterone
Definition
increases Na and Cl reabsorption and K excretion; leads to water retention
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