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D3.3 Homeostasis

Understandings:

  • D3.3.7—Role of the kidney in osmoregulation and excretion
  • D3.3.8—Role of the glomerulus, Bowman’s capsule and proximal convoluted tubule in excretion
  • D3.3.9—Role of the loop of Henle
  • D3.3.10—Osmoregulation by water reabsorption in the collecting ducts
  • D3.3.11—Changes in blood supply to organs in response to changes in activity

Continuity and change

Organisms

D3

HL

Key words:

Excretion

Osmoregulation

Ammonia

Urea

Uric acid

Cortex

Medulla

Pelvis

Nephron

Cortical

Juxtamedullary

Glomerulus

Bowman’s capsule

Afferent arteriole

Efferent arteriole

Proximal convoluted tubule

Loop of Henlé

Distal convoluted tubule

Collecting duct

Ultrafiltration

Selective reabsorption

Podocyte

Microvilli

Countercurrent multiplier

ADH

Aquaporins

Osmoreceptors

Hypothalamus

Pituitary gland

Vasoconstriction

Vasodilation

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D3.3.7—Role of the kidney in osmoregulation and excretion

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The kidneys have two major roles in the body:

Excretion - removal of waste products

Osmoregulation - balance of water potential

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What are the three main macromolecules in human diet?

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What are the three main macromolecules in human diet?

Carbohydrates, Lipids, Proteins

How are excess molecules stored?

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What are the three main macromolecules in human diet?

Carbohydrates, Lipids, Proteins

How are excess molecules stored?

Carbohydrates - glycogen or triglycerides

Lipids - triglycerides

Proteins - carbohydrates or fats + toxic ammonia!!!

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Excess amino acids are broken down into ammonia.

Ammonia is toxic and is converted into either urea or uric acid.

Mammals excrete urea

Birds and reptiles excrete uric acid

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Are you kid(ney)ing?

Kidneys can hold 22% of your blood at any given moment!

Around 1L of blood passes through kidneys every minute!

Kidneys filter 200L of fluid every day!

25% of oxygen absorbed through lungs is used to make ATP in the kidneys!

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Three main structures of the kidney:

Cortex - Outer 1/5th of kidney - contains glomeruli

Medulla - Contains pyramids where tubules and blood vessels found

Pelvis - Where urine is collected before leaving via urethra

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Copy and label

Note: Renal artery should have smaller diameter than renal vein.

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Nephron

Functional unit

A before E

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Cortical 85%

Juxtamedullary 15%

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D3.3.8—Role of the glomerulus, Bowman’s capsule and proximal convoluted tubule in excretion

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How do you clean the fridge?

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Ultrafiltration - take everything out of the fridge

Selective reabsorption - put back the things that you want to keep

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Ultrafiltration

Glomerulus = capillary

Glomerulus + bowman’s capsule = renal corpuscle / malpighian body

A comes before E

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Podocytes allow small molecules through but not larger molecules

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How is a high pressure created in the glomerulus?

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How is a high pressure created in the glomerulus?

Wide afferent, narrow efferent arteriole

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Copy and label

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If the 1l of blood passes through the kidney every minute and the glomerulus filters 1/5th of the blood that passes through it. Why do we not produce more urine?

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If the 1l of blood passes through the kidney every minute and the glomerulus filters 1/5th of the blood that passes through it. Why do we not produce more urine?

Around 99% of filtrate reabsorbed!

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Selective reabsorption

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The proximal convoluted tubule selectively reabsorbs useful substances by active transport.

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Copy and label

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Proximal Convoluted Tubule

80% of filtrate reabsorbed

(100% glucose, 100% amino acids, 65% water, Na, K, Cl)

3Na-2K-ATPase

Microvilli increase surface area

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Secondary active transport

The sodium potassium pump actively pumps sodium out of the cell.

Sodium passes passively through cotransporter down concentration gradient.

Glucose is cotransported against its concentration gradient

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D3.3.9—Role of the loop of Henle

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The loop of Henle maintains hypertonic conditions in the medulla.

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Loop of Henle

Countercurrent multiplier

Descending vs ascending limb

The renal medulla is very salty!

The deeper into the medulla, the saltier it becomes.

Increase in osmolarity

Osmotic gradient allows reabsorption of water and concentration of urine!

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Descending limb is permeable to water but impermeable to ions

Ascending limb is impermeable to water but permeable to ions

Ascending limb carries out active transport

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The more concentrated, the quicker the sodium is pumped out

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The more concentrated, the quicker the sodium is pumped out

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The more concentrated, the quicker the sodium is pumped out

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Interstitium becomes more concentrated

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Interstitium becomes more concentrated

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Interstitium becomes more concentrated

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Water moves via osmosis, increasing concentration

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Water moves via osmosis, increasing concentration

Interstitium becomes more dilute

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Filtrate at bottom of loop is now more concentrated

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Filtrate at higher concentration is able to pump even more sodium

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Filtrate at higher concentration is able to pump even more sodium

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Increasing the interstitial concentration

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Which continues along the ascending limb

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Water then moves via osmosis into the interstitium

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Water then moves via osmosis into the interstitium

Which decreases the concentration in the interstitium

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The bottom of the loop is now even more concentrated

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Continues multiplying until maximal gradient established

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Summary

Ascending limb is IMPERMEABLE to water and actively transports ions OUT - increasing the osmolality of tissue fluid (decreasing osmolality of filtrate/ urine)

Descending limb is PERMEABLE to water - increasing the osmolality of the filtrate/ urine

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D3.3.10—Osmoregulation by water reabsorption in the collecting ducts

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ADH controls reabsorption of water in the collecting duct.

Distal convoluted tubule and collecting duct

Regulates the urine produced to maintain osmoregulation

Sodium can be actively pumped out.

ADH stimulates insertion of aquaporins into membrane increasing water reabsorption

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Collecting duct

Many nephrons drain into collecting duct

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The Kidneys are essential to maintain the osmotic potential of the blood

Osmoreceptors found in Hypothalamus

ADH produced by Hypothalamus (and stored in posterior pituitary gland)

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_______ osmolarity of blood detected by _____________ of __________

_______osmolarity of blood detected by _____________ of __________

___ released from _______ _______

___not released from _______ _______

___ binds _______ in nephron

___ does not bind _______ in nephron

New ________ inserted into membrane of _______ _________ _____ and ________ _____

New ________ not inserted. Already present ________ in ______ _________ _____ and ________ _____ may be removed

Concentrated urine

Dilute urine

_________ in osmolarity of blood

_________ in osmolarity of blood

Normal blood osmolarity

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Increased osmolarity of blood detected by osmoreceptors of hypothalamus

Decreased osmolarity of blood detected by osmoreceptors of hypothalamus

ADH released from posterior pituitary

ADH not released from posterior pituitary

ADH binds receptors in nephron

ADH does not bind receptors in nephron

New aquaporins inserted into membrane of distal convoluted tubule and collecting duct

New aquaporins not inserted and present aquaporins in distal convoluted tubule and collecting duct may be removed

Concentrated urine

Dilute urine

Decrease in osmolarity of blood

Increase in osmolarity of blood

Normal blood osmolarity

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What should the kidneys do if suffering from blood loss?

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What should the kidneys do if suffering from blood loss?

ADH release also affected by changes in blood pressure.

Where are these changes sensed?

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What should the kidneys do if suffering from blood loss?

ADH release also affected by changes in blood pressure.

Where are these changes sensed?

Baroreceptors of aorta and carotid arteries

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Clinical case

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Relation between plasma arginine vasopressin (AVP) and plasma osmolality following hypertonic 5% saline infusion.

Peter H Baylis, and Tim Cheetham Arch Dis Child 1998;79:84-89

Copyright © BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health. All rights reserved.

Relation between plasma arginine vasopressin (AVP), also known as ADH, and plasma osmolality following hypertonic 5% saline infusion. The shaded area is the normal response.

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Relation between urine osmolality and plasma arginine vasopressin (AVP) after a period of fluid restriction.

Peter H Baylis, and Tim Cheetham Arch Dis Child 1998;79:84-89

Copyright © BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health. All rights reserved.

Relation between urine osmolality and plasma arginine vasopressin (AVP), also known as ADH, after a period of fluid restriction. The shaded area represents the normal relation.

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The length of the loop of Henle is positively correlated with the need for water conservation in animals.

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D3.3.11—Changes in blood supply to organs in response to changes in activity

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Can you explain this graph?

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Vascular shunt mechanism

Blood flow to non essential organs will be reduced via vasoconstriction

Blood flow to essential organs will be increased via vasodilation

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Can you…

Name the two main functions of the kidney?

Label both a kidney and a nephron?

Explain the processes of ultrafiltration and selective reabsorption?

Explain the role of the loop of Henle in water reabsorption?

Explain the role of ADH in osmoregulation?

Describe the changes in blood flow with different levels of activity?