Proximal Tubule Reabsorption Quiz
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Questions and Answers

What type of reabsorption occurs in the proximal tubule with respect to fluid and electrolytes?

  • Hypertonic reabsorption
  • Isotonic reabsorption (correct)
  • Anisotonic reabsorption
  • Hypotonic reabsorption
  • How is the transepithelial flux of sodium, water, and other solutes primarily facilitated in the proximal tubule?

  • Through hormonal regulation
  • Via aquaporin-1 water channels
  • By carbonic acid hydration
  • Through gaps between the cells (the 'shunt' pathway) (correct)
  • Which water channels in the proximal tubule are not sensitive to hormonal regulation?

  • Aquaporin-1 (AQP-1) (correct)
  • Aquaporin-4 (AQP-4)
  • Aquaporin-2 (AQP-2)
  • Aquaporin-3 (AQP-3)
  • What is the primary source of the intracellular H+ ions in the proximal tubule?

    <p>Carbonic acid from carbonic anhydrase</p> Signup and view all the answers

    What is the primary function of aquaporin-1 (AQP-1) water channels in the proximal tubule?

    <p>Enabling isotonic reabsorption of fluid and electrolytes</p> Signup and view all the answers

    What is the enzyme responsible for producing carbonic acid in the proximal tubule?

    <p>Carbonic anhydrase</p> Signup and view all the answers

    How does the 'shunt' pathway primarily contribute to transepithelial flux in the proximal tubule?

    <p>By allowing passage of water through the cells</p> Signup and view all the answers

    Study Notes

    Reabsorption in the Proximal Tubule

    • The proximal tubule executes isotonic reabsorption, recovering approximately 65-70% of filtered water and electrolytes.
    • Key electrolytes reabsorbed include sodium, chloride, bicarbonate, and glucose.

    Transepithelial Flux Mechanisms

    • Sodium, water, and other solutes transit via a combination of active transport and passive diffusion, facilitated by:
      • Sodium-potassium ATPase pumps on the basolateral membrane.
      • Co-transporters and exchangers on the apical membrane.

    Water Channels

    • The aquaporin-1 (AQP-1) water channels operate without hormonal influence, allowing for baseline permeability to water.

    Sources of Intracellular H+ Ions

    • The primary source of intracellular H+ ions is from cellular metabolism, particularly through the oxidation of organic compounds.

    Function of Aquaporin-1

    • The primary role of AQP-1 water channels is to facilitate rapid water reabsorption, ensuring fluid balance in the proximal tubule.

    Enzyme for Carbonic Acid Production

    • The enzyme carbonic anhydrase is responsible for catalyzing the formation of carbonic acid from carbon dioxide and water in the proximal tubule.

    Shunt Pathway Role

    • The 'shunt' pathway contributes to transepithelial flux primarily through paracellular transport, enabling solutes to diffuse between adjacent cells and aiding in Na+ and water reabsorption.

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    Description

    Test your knowledge on the mechanisms of fluid and electrolyte reabsorption in the proximal tubule of the kidney. Assess your understanding of processes such as carbonic acid conversion, sodium flux, and water reabsorption.

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