Anatomy of the Kidney

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Questions and Answers

What is the primary function of the microvilli in the Proximal Convoluted Tubule (PCT) cells?

  • To enhance the folding of the basolateral membrane
  • To facilitate the exocytosis of waste molecules
  • To regulate the tight junctions between adjacent cells
  • To increase the surface area for passive transport (correct)

What is the role of the filtration slits in the glomerulus?

  • To store waste molecules before excretion
  • To facilitate the passage of substances into the capsular space (correct)
  • To filter out large molecules from the bloodstream
  • To regulate the pressure of the glomerulus

What is the main function of the basement membrane in the glomerulus?

  • To facilitate the passage of substances through the filtration slits (correct)
  • To provide mechanical support to the podocytes
  • To regulate the flow of substances into the capsular space
  • To filter out small molecules from the bloodstream

What is the primary function of the mitochondria in the PCT cells?

<p>To generate ATP for active transport processes (C)</p> Signup and view all the answers

What is the main function of the tight junctions between adjacent PCT cells?

<p>To limit the escape of large molecules from the tubular lumen into the interstitial space (A)</p> Signup and view all the answers

What is the main characteristic of the PCT cells in terms of permeability?

<p>They are highly permeable to water and many solutes (A)</p> Signup and view all the answers

What is the function of the podocytes in the glomerulus?

<p>To form the filtration membrane along with the capillary endothelium and basement membrane (D)</p> Signup and view all the answers

What is the primary function of the fenestrations in the glomerulus?

<p>To allow the passage of substances through the filtration membrane (C)</p> Signup and view all the answers

Which structure is responsible for collecting urine from the renal pyramids before it is conveyed to the ureter?

<p>Renal pelvis (A)</p> Signup and view all the answers

What is the primary role of the peritubular capillaries in the kidney?

<p>Absorbing water and solutes from tubule cells (C)</p> Signup and view all the answers

Which structure carries blood away from the glomerulus?

<p>Efferent arteriole (B)</p> Signup and view all the answers

Which pathway does blood follow after leaving the vasa recta?

<p>Interlobular veins → arcuate veins → interlobar veins → renal vein (C)</p> Signup and view all the answers

What is the function of the renal columns?

<p>Providing a route for blood vessels and nerves to and from the cortex (B)</p> Signup and view all the answers

Why do the renal pyramids appear striated?

<p>Because they contain parallel bundles of ducts carrying urine (D)</p> Signup and view all the answers

Which blood vessels directly feed into the glomerulus?

<p>Afferent arterioles (D)</p> Signup and view all the answers

What is the sequence of urine flow from the renal pyramids to the bladder?

<p>Minor calyx → major calyx → renal pelvis (B)</p> Signup and view all the answers

Which cells of the Juxtaglomerular Apparatus serve as baroreceptors sensitive to blood pressure?

<p>Granular cells (A)</p> Signup and view all the answers

What structures deliver urine through papillae into minor calyces?

<p>Collecting ducts (D)</p> Signup and view all the answers

Which cells in the JGA possess secretory granules containing renin?

<p>Granular cells (C)</p> Signup and view all the answers

What is the primary function of macula densa cells in the JGA?

<p>Monitor and respond to changes in NaCl concentration (B)</p> Signup and view all the answers

What is the main characteristic of principal cells in the late distal convoluted tubule and cortical collecting duct?

<p>Have few microvilli and basolateral folds (C)</p> Signup and view all the answers

Which cell type in the JGA acts as mechanoreceptors sensing blood pressure in the afferent arterioles?

<p>Granular cells (C)</p> Signup and view all the answers

Which cells are interconnected by gap junctions in the JGA?

<p>Extraglomerular mesangial cells (A)</p> Signup and view all the answers

Where is the juxtaglomerular apparatus located in relation to the afferent and efferent arterioles?

<p>Between the thick ascending loop of Henle and the afferent and efferent arterioles (B)</p> Signup and view all the answers

Which is a function of intercalated cells in the kidneys?

<p>Secretion of hydrogen ions (A)</p> Signup and view all the answers

What is the primary role of the myogenic mechanism in renal autoregulation?

<p>Modifying the contraction of vascular smooth muscle cells in response to changes in blood pressure (C)</p> Signup and view all the answers

What is a key characteristic of principal cells in the medullary collecting duct?

<p>Relatively smooth membranes (D)</p> Signup and view all the answers

What happens to the afferent arteriole when blood pressure decreases?

<p>It dilates to increase blood flow (B)</p> Signup and view all the answers

What primarily regulates the permeability of principal cells to water and solutes?

<p>Hormones (C)</p> Signup and view all the answers

Which of the following best describes the effect of high blood pressure on the afferent arteriole?

<p>The vessel constricts to reduce blood flow (B)</p> Signup and view all the answers

In urine formation, what remains in the blood plasma after filtration?

<p>Proteins (A)</p> Signup and view all the answers

What is the main factor that the tubuloglomerular mechanism responds to?

<p>The osmolarity and/or the rate of filtrate flow in the terminal portion of the ascending loop of Henle (C)</p> Signup and view all the answers

Which of the following statements about urine formation is correct?

<p>It involves filtration, reabsorption, and secretion. (D)</p> Signup and view all the answers

Which cells are sensitive to filtrate NaCl osmolarity in the tubuloglomerular mechanism?

<p>Macula densa cells (D)</p> Signup and view all the answers

Where do large quantities of water and solutes initially pass into during urine formation?

<p>Glomerular capsule (C)</p> Signup and view all the answers

How does the myogenic mechanism help to regulate glomerular blood flow?

<p>By causing reflexive vasoconstriction or dilation of the afferent arteriole in response to blood pressure changes (D)</p> Signup and view all the answers

Which structural feature is NOT common between principal cells and intercalated cells?

<p>Smooth luminal membrane (A)</p> Signup and view all the answers

What percentage of the filtrate ultimately becomes urine?

<p>Less than 1% (C)</p> Signup and view all the answers

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Study Notes

The Juxtaglomerular Apparatus (JGA)

  • Located at the initial portion of the distal tubule where it passes between the afferent and efferent arterioles.
  • Forms a monitoring structure that includes cells from arterioles and the thick ascending loop of Henle.

Cell Populations of the JGA

  • Juxtaglomerular (JG) Cells: Modified smooth muscle cells in the afferent arteriole.
    • Act as baroreceptors for blood pressure detection.
    • Contain secretory granules with renin.
  • Macula Densa Cells: Located in the thick ascending loop.
    • Function as chemoreceptors monitoring NaCl levels in the filtrate.
  • Extraglomerular Mesangial Cells: Interconnected and may relay signals between the macula densa and granular cells.

Late Distal Convoluted Tubule (DCT) and Cortical Collecting Duct

  • Collecting ducts merge to deliver urine into minor calyces.
  • Two cell types:
    • Principal Cells: Fewer microvilli, respond to hormones regulating water and solute permeability.
    • Intercalated Cells: Secrete hydrogen ions for acid-base balance during increased body acidity.

Regulation of Glomerular Filtration Rate (GFR)

  • Myogenic Mechanism: Smooth muscle cells in the afferent arterioles contract or relax in response to blood pressure changes.

    • High blood pressure results in vasoconstriction; low blood pressure causes dilation.
  • Tubuloglomerular Feedback: Involves sensitivity of macula densa cells to filtrate NaCl osmolarity and flow rates.

Filtration Mechanism

  • Filtration membrane consists of capillary endothelium, basement membrane, and podocytes.
  • Filtration occurs through fenestrations, basement membranes, and filtration slits, allowing selective passage of substances into the capsular space.

Proximal Convoluted Tubule (PCT)

  • Composed of brush border cells with numerous microvilli for increased reabsorption surface area.
  • Tight junctions allow water passage but restrict large molecules.
  • Basolateral membrane features integral proteins for transport, supported by abundant mitochondria for ATP generation.

Renal Medulla

  • Contains renal pyramids that drain into minor calyces.
  • Renal columns are extensions of the cortex allowing for blood vessels and nerve passage.

Renal Pelvis

  • Funnel-shaped structure within the renal sinus collecting urine from pyramids and transporting it to the ureter.

Nephron Structure

  • Comprised of specialized tubular structures along with associated blood vessels.
    • Blood flow: Renal artery → segmental arteries → lobar arteries → interlobar arteries → arcuate arteries → interlobular arteries → afferent arterioles → glomerulus.
    • Efferent arterioles drain the glomeruli into peritubular capillaries and vasa recta.

Urine Formation Mechanisms

  • Kidneys filter the body’s plasma volume approximately 60 times daily.
  • Filtrate: Comprises everything in blood plasma minus proteins.
  • Urine: Less than 1% of total filtrate, primarily containing metabolic wastes and surplus substances.
  • Three key processes in urine formation:
    • Filtration
    • Reabsorption
    • Secretion

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