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UNIT 1
INTRODUCTION TO EXCRETION
Vasa Recta
FUNCTIONS OF THE KIDNEYS
Excretion -the kidneys are the main organs of excretion – they carry out three separate but related
processes:
• Ultra filtration –filtration under high pressure and at the molecular level- this takes place as substances
are forced out of the glomerulus and into the Bowman’s Capsule
• Selective Reabsorption – desirable ions and nutrients and most of the water are recaptured from the
filtrate and taken back into blood
• Secretion – as the filtrate travels along the nephron, additional substances are added to the filtrate from
blood.
Osmoregulation – the kidneys are largely responsible for maintaining the correct balance of water and
solutes by ensuring most of the water from the filtrate is absorbed and making adjustments based on the
neds of the body fluids
MICROGRAPH OF KIDNEY - CORTEX
MICROGRAPH – KIDNEY MEDULLA
ULTRAFILTRATI
ON
A high pressure is created by:
• The afferent arteriole is wider than the efferent
• The glomerulus is made of a tangle of
capillaries
• The capillaries themselves are very narrow
• Glucose, amino acids, some ions, vitamins and hormones enter by co-transport (symport) because of
Na+ pumps which pump Na+ ions into the lumen, allowing those substances to move along the gradient
created.
• Water moves by osmosis as the pumping out of NA+ ions lowers the water potential in the filtrate
• Fat soluble substances diffuse through the membrane, as they are non-polar
• Some urea also diffuse along their concentration gradient as they are relatively small molecules
To do this, the Loop employs the counter-current mechanism, in which salts are actively pumped out of the
ascending limb , lowering the salt concentration relative to the descending limb.
The overall effect is multiplied by the length of the loop, hence animals that need to conserve a lot of water have a
very long Loop of Henle and a deep medulla in their kidneys. The longer the Loop of Henle, the greater the
counter-current multiplier effect.
The capillaries in the medulla which make up the vasa recta, have the same loop shape and therefore also operate
on a counter current system, ensuring that the high concentration of salt in the medulla is not dissipated.
URINE CONCENTRATION IN THE NEPHRON
Glomerular filtrate enters the tubule at the same
osmolarity of blood (300mOsm/L)
The following take place:
• Na+ ions pumped out of ascending limb, Cl- follow
• Water moves out of descending limb by osmosis
• Water carried away by vasa recta
• Filtrate becomes more concentrated as it descends
• Most concentrated at the hairpin bend
• Becomes less concentrated as it ascends due to the
pumping out of ions
• At the top of the ascending limb, the filtrate is at its
most dilute
• Permeability of tubule to water determined by
amount of ADH (determined by concentration of
blood)
• As it travels through the DCT and collecting ducts
through the salty medulla, water is vigorously
drawn out and urine is concentrated (1200mOsm/L)
Note the thickness of the ascending limb-because of high
metabolic activity, also impermeability to water.
OSMOREGULATION
Not filtered –remain Filtered into tubule Reabsorbed from Secreted from blood Excreted as urine
in blood (RMM <69,000) tubule back into into tubule
blood
Erythrocytes Water SOME NH3 Water
Leucocytes Salts • Water Ca2+ Urea
Platelets Glucose • Salts K+ Salts
Plasma proteins e.g. Amino acids • Urea H+ Bile pigments
albumin, globulin, Urea • Vitamins Creatinine Bile salts all secreted
fibrinogen, Vitamins • Hormones Histamine substances
prothrombin Hormones • Small proteins penicillin
Small plasma ALL
proteins • Glucose
Bile salts and • Amino acids
pigments
TESTING BLOOD GLUCOSE LEVEL
All glucose should be reabsorbed, so there
should be none in urine, however the presence of
glucose in urine is more likely to be a problem
with the pancreas rather than the kidneys.
Proteins should not filter into nephrons as they are too large and
therefore should never be found in urine.
Proteinuria is therefore a sign of poor kidney functioning and can
range from simple to serious conditions including:
• Glomerulonephritis – inflammation of the kidneys
• Immune disorders e.g. lupus
• Cancer–multiple myeloma or kidney cancer
• Cardiovascular disease
• Abnormal blood pressure
• Trauma or stress
• Dehydration
• Blood thinners
• Congestive heart failure