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Questions and Answers
What is the primary function of the macula densa in the juxta-glomerular apparatus?
What is the primary function of the macula densa in the juxta-glomerular apparatus?
- Monitor sodium chloride concentration (correct)
- Facilitate filtration at Bowman’s capsule
- Secrete renin into the bloodstream
- Regulate blood flow in the efferent arteriole
Which structure is involved in the secretion of renin?
Which structure is involved in the secretion of renin?
- Podocyte
- Smooth muscle cells
- Granular cells (correct)
- Macula densa
Which component of the juxta-glomerular apparatus monitors the flow within the afferent arteriole?
Which component of the juxta-glomerular apparatus monitors the flow within the afferent arteriole?
- Podocyte
- Granular cell (correct)
- Distal convoluted tubule
- Macula densa
What effect does increased sodium chloride transport in the distal convoluted tubule lead to?
What effect does increased sodium chloride transport in the distal convoluted tubule lead to?
Which vessel branches directly from the renal artery and carries blood towards the glomerulus?
Which vessel branches directly from the renal artery and carries blood towards the glomerulus?
What is the primary metabolic waste excreted by the kidneys?
What is the primary metabolic waste excreted by the kidneys?
What hormone secreted by the kidneys is essential for red blood cell production?
What hormone secreted by the kidneys is essential for red blood cell production?
Which of the following factors inhibits renin secretion?
Which of the following factors inhibits renin secretion?
Which enzyme is responsible for converting 25 hydroxycholecalciferol to its active form?
Which enzyme is responsible for converting 25 hydroxycholecalciferol to its active form?
Which substance do prostaglandins secreted by the kidneys act as?
Which substance do prostaglandins secreted by the kidneys act as?
In which condition might the kidneys synthesize glucose from amino acids?
In which condition might the kidneys synthesize glucose from amino acids?
What is the main action of renin in the body?
What is the main action of renin in the body?
Which of the following does NOT play a role in the regulation of blood pressure through the kidneys?
Which of the following does NOT play a role in the regulation of blood pressure through the kidneys?
What is the primary functional unit of the kidney?
What is the primary functional unit of the kidney?
What are the two main types of nephrons?
What are the two main types of nephrons?
What is the role of the Juxtaglomerular apparatus?
What is the role of the Juxtaglomerular apparatus?
Which segment of the nephron is primarily responsible for reabsorption?
Which segment of the nephron is primarily responsible for reabsorption?
Where in the nephron does filtration occur?
Where in the nephron does filtration occur?
Which function is associated with juxtamedullary nephrons?
Which function is associated with juxtamedullary nephrons?
What type of capillaries surround the nephron tubules and participate in reabsorption?
What type of capillaries surround the nephron tubules and participate in reabsorption?
Which component of the kidney is involved in maintaining the acid-base balance?
Which component of the kidney is involved in maintaining the acid-base balance?
What is produced as a result of the functional loss of more than ¼ of kidney nephrons?
What is produced as a result of the functional loss of more than ¼ of kidney nephrons?
Which part of the nephron contains a brush border for increased reabsorption surface area?
Which part of the nephron contains a brush border for increased reabsorption surface area?
How do juxtamedullary nephrons differ from cortical nephrons?
How do juxtamedullary nephrons differ from cortical nephrons?
Which part of the nephron is primarily involved with secretion rather than reabsorption?
Which part of the nephron is primarily involved with secretion rather than reabsorption?
What is the main function of the renal pelvis?
What is the main function of the renal pelvis?
Flashcards
Juxta-glomerular Apparatus (JGA)
Juxta-glomerular Apparatus (JGA)
A specialized structure within the kidney that regulates blood pressure and filtration rate. It directly controls the release of renin from the granular cells.
Macula Densa
Macula Densa
Modified cells lining the distal convoluted tubule (DCT) which monitor the flow rate of fluid in the tubule. Increased NaCl levels in the DCT cause them to release adenosine, leading to vasoconstriction of the afferent arteriole.
Granular Cells
Granular Cells
Modified smooth muscle cells in the wall of the afferent arteriole that secrete renin. They are stimulated by decreased blood pressure and decreased flow rate in the afferent arteriole.
Glomerular Capillaries
Glomerular Capillaries
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Efferent Arteriole
Efferent Arteriole
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Kidney Excretion
Kidney Excretion
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Gluconeogenesis in the Kidney
Gluconeogenesis in the Kidney
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Renin and Blood Pressure Regulation
Renin and Blood Pressure Regulation
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Kidney's Role in Erythropoiesis
Kidney's Role in Erythropoiesis
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Kidney's Role in Vitamin D Metabolism
Kidney's Role in Vitamin D Metabolism
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Kidney's Role in Acid-Base Balance
Kidney's Role in Acid-Base Balance
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Prostaglandins in the Kidney
Prostaglandins in the Kidney
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Kidney's Role in Vitamin D Activation
Kidney's Role in Vitamin D Activation
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Nephron
Nephron
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Renal Corpuscle
Renal Corpuscle
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Renal Tubule
Renal Tubule
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Proximal Convoluted Tubule (PCT)
Proximal Convoluted Tubule (PCT)
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Distal Convoluted Tubule (DCT)
Distal Convoluted Tubule (DCT)
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Loop of Henle
Loop of Henle
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Juxtaglomerular Apparatus
Juxtaglomerular Apparatus
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Renal Cortex
Renal Cortex
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Renal Medulla
Renal Medulla
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Renal Pelvis
Renal Pelvis
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Cortical Nephron
Cortical Nephron
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Juxtamedullary Nephron
Juxtamedullary Nephron
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Peritubular Capillaries
Peritubular Capillaries
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Vasa Recta
Vasa Recta
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Urine Formation
Urine Formation
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Homeostasis of ECF
Homeostasis of ECF
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Study Notes
Renal Module Information
- Course code: IMP-07- 20318
- Phase: I
- Year/semester: 2nd year / Semester 3
- Academic year: 2022-2023
Lecture 1: Endocrine Function of the Kidney
- Intended Learning Outcomes (ILOs):
- Describe functions of the renal system.
- Identify types of nephrons and their functions.
- Describe the juxtaglomerular apparatus and its significance.
Structure of the Urinary System
- The urinary system comprises the kidneys, renal arteries, renal veins, aorta, ureters, urinary bladder, and urethra.
Kidney Composition
- Composed of 6-18 lobes.
- Each lobe consists of a pyramid of medulla covered by cortex.
Nephron
- Functional unit of the kidney.
- Each kidney has one million nephrons.
- 1/4 of kidney nephrons can carry the function; more loss causes renal disorders.
- Divided into renal corpuscles (filtering) and renal tubules (reabsorption & secretion).
- Renal corpuscles:
- Glomerulus (ball of capillaries)
- Bowman's capsule (expanded, double-walled cup)
- Renal tubules:
- Proximal convoluted tubules (PCT)
- Loop of Henle
- Distal convoluted tubules (DCT)
- Collecting tubules (CT)
- Renal corpuscles:
Types of Nephrons
- Cortical nephrons (80%): Glomeruli close to the surface, short loops of Henle.
- Juxtamedullary nephrons (20%): Glomeruli near the medulla, long loops of Henle.
Kidney Functions
- Homeostasis of ECF: Maintains water, electrolyte balance, and pH & osmolarity.
- Excretion of metabolic wastes: Removes urea, uric acid, creatinine, and foreign compounds (e.g., drugs).
- Gluconeogenesis: Synthesizes glucose from amino acids during prolonged fasting.
- Regulation of arterial blood pressure: Secretes renin.
Endocrine Functions
- Secretion of erythropoietin.
- Secretion of renin.
- Conversion of vitamin D into active form.
- Secretion of prostaglandins (PGE2 & PGI2).
- Vasodilator (PGE2)
- Vasoconstrictor (PGA2)
- Regulation of acid-base balance.
- Regulation of body buffer stores.
Renin
- Hormone secreted by the juxtaglomerular apparatus.
- Important for salt conservation, regulating blood volume and blood pressure.
- Stimuli for Renin secretion:
- Renal ischemia
- Hypotension
- Hemorrhage
- Sympathetic stimulation
- Increased blood catecholamines
- Inhibitors for Renin secretion:
- Increased blood pressure
- Increased NaCl or Na reabsorption across the macula densa
- Angiotensin II
- Vasopressin (ADH)
- Aldosterone
- Stimuli for Renin secretion:
- Renin-angiotensin-aldosterone system (RAAS): The most crucial hormonal system for sodium level regulation.
Erythropoietin
- Hormone secreted by peritubular capillaries in response to hypoxia (low oxygen).
- Stimulates red bone marrow to produce red blood cells (RBCs).
- Kidney plays a vital role in erythropoiesis.
- About 85% of the body's erythropoietin is produced by the kidneys.
Prostaglandins
- Secreted by the kidney as PGE2 & PGI2.
- Regulates glomerular filtration rate (GFR) and renal blood flow.
- Locally acting in the kidney.
Regulation of 1,25-dihydroxy vitamin D3
- 1α-hydroxylase enzyme converts 25-hydroxycholecalciferol into 1,25 dihydroxycholecalciferol (calcitriol).
- Essential for calcium homeostasis and bone formation.
- Regulation in renal diseases is critical as it prevents bone decalcification.
Juxtaglomerular Apparatus (JGA)
- Structure that lies between the afferent arteriole and the distal convoluted tubule (DCT).
- Two main cell types:
- Macula densa: Cells in the DCT wall that monitor sodium chloride (NaCl) concentration in the tubular fluid.
- Granular cells: Cells in the afferent arteriole wall that secrete renin.
- Monitors blood flow and plays a crucial role in regulating blood pressure.
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