Renal Physiology: Juxtaglomerular Apparatus and Macula Densa
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Questions and Answers

What is the main function of the connecting tubule in the nephron?

  • Formation of papillary ducts
  • Transport of blood to the minor calyx
  • Reabsorption of water (correct)
  • Secretion of renin
  • Which part of the nephron merges to form the papillary duct?

  • Thin limbs
  • Tubular cells
  • Medullary collecting ducts (correct)
  • Vasa recta capillaries
  • Which type of epithelium is characteristic of the collecting ducts?

  • Stratified squamous
  • Stratified cuboidal
  • Simple squamous
  • Simple cuboidal (correct)
  • What is the average diameter of the collecting ducts in the medulla?

    <p>200 μm</p> Signup and view all the answers

    What happens to the secretion of renin by JG cells when blood pressure returns to normal?

    <p>It stops</p> Signup and view all the answers

    What is the role of the interstitial tissue in the kidney?

    <p>Helping maintain the osmolarity gradient in the nephron loop</p> Signup and view all the answers

    Which structure in the kidney forms an osmolarity gradient?

    <p>Thin limbs</p> Signup and view all the answers

    What is the point of contact between a nephron's distal tubule and the vascular pole of its glomerulus called?

    <p>Juxtaglomerular apparatus</p> Signup and view all the answers

    How does decreased arterial pressure affect the release of renin?

    <p>Increases the release of renin</p> Signup and view all the answers

    In what region do the smooth muscle cells of the afferent arteriole convert from a contractile to a secretory morphology?

    <p>Juxtaglomerular granule cells</p> Signup and view all the answers

    What is the function of angiotensin II in the body?

    <p>Raises systemic blood pressure</p> Signup and view all the answers

    Which cells are adjacent to the macula densa, the afferent arteriole, and the efferent arteriole in the kidney?

    <p>Lacis cells</p> Signup and view all the answers

    Which area in the kidney has very high interstitial osmolarity?

    <p>Medullary collecting ducts</p> Signup and view all the answers

    How does aldosterone impact tubular reabsorption in the kidney?

    <p>Increases Na+ and water reabsorption in tubules</p> Signup and view all the answers

    What is the final site of water reabsorption from the filtrate in the kidney?

    <p>Medullary collecting ducts</p> Signup and view all the answers

    How does the specialized nature of interstitial tissue support kidney function?

    <p>By maintaining osmolarity gradient in the nephron loop</p> Signup and view all the answers

    Which type of cells are mainly composed of pale-staining principal cells with few organelles, sparse microvilli, and distinct cell boundaries in the collecting tubules and ducts?

    <p>Juxtaglomerular granule cells</p> Signup and view all the answers

    What is the primary effect of renin on angiotensinogen?

    <p>Cleaves angiotensinogen into angiotensin I</p> Signup and view all the answers

    Study Notes

    The Interstitium and Epithelium

    • The interstitium has a slightly fibrous nature and contains sparse myofibroblast-like cells in a matrix rich in hydrophilic hyaluronate.
    • The simple squamous epithelium of the thin limbs is slightly thicker than that of the nearby vasa recta capillaries.

    Juxtaglomerular Apparatus

    • The Juxtaglomerular Apparatus (JGA) forms at the point of contact between a nephron's distal tubule and the vascular pole of its glomerulus.
    • The JGA consists of macula densa, juxtaglomerular granule cells, and lacis cells.
    • The macula densa is a thickened region of the distal tubule with columnar cells.
    • Juxtaglomerular granule cells are smooth muscle cells of the afferent arteriole's tunica media that are converted to a secretory morphology.
    • Lacis cells are extraglomerular mesangial cells adjacent to the macula densa, afferent arteriole, and efferent arteriole.

    Renin Release and Blood Pressure Regulation

    • Decreased arterial pressure leads to increased autonomic stimulation to the JGA, causing the release of renin.
    • Renin cleaves angiotensinogen into angiotensin I, which is then converted to angiotensin II by angiotensin-converting enzyme (ACE) on lung capillaries.
    • Angiotensin II is a potent vasoconstrictor that raises systemic blood pressure and stimulates the adrenals to secrete aldosterone.

    Collecting Ducts

    • The connecting tubule extends from each nephron and several join together to form collecting ducts of simple cuboidal epithelium.
    • In the medulla, collecting ducts merge further to form larger and straighter ducts with increasingly columnar cells.
    • Collecting ducts are composed mainly of pale-staining principal cells with few organelles, sparse microvilli, and unusually distinct cell boundaries.
    • Medullary collecting ducts are the final site of water reabsorption from the filtrate.

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    Description

    This quiz covers the structure and function of the Juxtaglomerular Apparatus (JGA), focusing on the interaction between the distal tubule, vascular pole of the glomerulus, macula densa, afferent arteriole, juxtaglomerular granule cells, and lacis cells. Test your knowledge on this intricate regulatory system in renal physiology.

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