Osmotic Regulation and the Urinary System. Chapter 50

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Transcription:

Osmotic Regulation and the Urinary System Chapter 50

Challenge Questions Indicate the areas of the nephron that the following hormones target, and describe when and how the hormones elicit their actions. Antidiuretic hormone Aldosterone Atrial natriuretic hormone 2

Challenge Questions John s doctor is concerned that John s kidneys may not be functioning properly due to a circulatory condition. The doctor wants to determine if the blood volume flowing through the kidneys (called renal blood flow rate) is within normal range. Calculate what would be a normal renal blood flow rate based on the following information: John weighs 90 kg. Assume a normal total blood volume is 80 ml/kg of body weight, and a normal heart pumps the total blood volume through the heart once per minute (cardiac output). Also assume that the normal renal blood flow rate is 21% of cardiac output. 3

Osmolarity and Osmotic Balance Water in a multicellular body distributed between Intracellular compartment Extracellular compartment Most vertebrates maintain homeostasis for Total solute concentration of their extracellular fluids Concentration of specific inorganic ions 4

Osmolarity and Osmotic Important ions Balance Sodium (Na + ) is the major cation in extracellular fluids Chloride (Cl ) is the major anion Divalent cations, calcium (Ca 2+ ) and magnesium (Mg 2 + ), the monovalent cation K +, as well as other ions, also have important functions and are maintained at constant levels 5

Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display. External environment Animal body H 2 O (Sweat) Solutes and H 2 O Solutes and H 2 O Intracellular compartment CO 2 and H 2 O O 2 Solutes and H 2 O Extracellular compartment (including blood) Solutes and H 2 O CO 2 and H 2 O O 2 Food and H 2 O Solutes and H 2 O Solutes and H 2 O Urine (excess H 2 O) Waste 6

Osmotic Pressure Osmotic pressure Measure of a solution s tendency to take in water by osmosis Osmolarity Number of osmotically active moles of solute per liter of solution Tonicity Measure of a solution s ability to change the volume of a cell by osmosis Solutions may be hypertonic, hypotonic, or isotonic 7

Osmolarity and Osmotic Balance Terrestrial vertebrates Higher concentration of water than surrounding air Tend to lose water by evaporation from skin and lungs Urinary/osmoregulatory systems have evolved in these vertebrates that help them retain water 8

Nitrogenous Wastes Amino acids and nucleic acids are catabolized into nitrogenous wastes Must be eliminated from the body Ammonia, Urea, and Uric Acid First step is deamination Removal of the amino ( NH 2 ) group Combined with H + to form ammonia (NH 3 ) in the liver Toxic to cells, and thus it is only safe in dilute concentrations 9

Nitrogenous Wastes Mammals also produce uric acid, but from degradation of purines, not amino acids Most have an enzyme called uricase, which convert uric acid into a more soluble derivative called allantoin Humans lack this enzyme Excessive accumulation of uric acid in joints causes gout 10

Osmoregulatory Organs In many animals, removal of water or salts is coupled with removal of metabolic wastes through the excretory system A variety of mechanisms have evolved to accomplish this Single-celled protists and sponges use contractile vacuoles Other multicellular animals have a system of excretory tubules to expel fluid and wastes 11

Osmoregulatory Organs Vertebrate kidneys Create a tubular fluid by filtering the blood under pressure through the glomerulus Filtrate contains many small molecules, in addition to water and waste products Most of these molecules and water are reabsorbed into the blood Selective reabsorption provides great flexibility Waste products are eliminated from the body in the form of urine 12

Evolution of the Vertebrate Kidney Made up of thousands of repeating units nephrons Although the same basic design has been retained in all vertebrate kidneys, a few modifications have occurred All vertebrates can produce a urine that is isotonic or hypotonic to blood Only birds and mammals can make a hypertonic urine 13

Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Proximal arm Distal arm Glomerulus H 2 O Glucose Amino acids Divalent ions H 2 O H 2 O H 2 O Na + and Cl Na + and Cl Collecting duct H 2 O Intermediate segment (loop of Henle) Organization of the vertebrate nephron 14

The Mammalian Kidney Each kidney receives blood from a renal artery Produces urine from this blood Urine drains from each kidney through a ureter into a urinary bladder Urine is passed out of the body through the urethra 15

The Mammalian Kidney Within the kidney, the mouth of the ureter flares open to form the renal pelvis Receives urine from the renal tissue Divided into an outer renal cortex and inner renal medulla 16

The Mammalian Kidney Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Renal cortex Inferior vena cava Adrenal gland Juxtamedullary Nephron nephron tubule Cortical nephron Renal artery and vein Aorta Ureter Renal cortex Ureter Urinary bladder b. Renal pelvis Renal medulla Collecting duct Renal medulla Urethra a. c. 17

The Mammalian Kidney The kidney has three basic functions Filtration Fluid in the blood is filtered out of the glomerulus into the tubule system Reabsorption Selective movement of solutes out of the filtrate back into the blood via peritubular capillaries Secretion Movement of substances from the blood into the extracellular fluid, then into the filtrate in the tubular system 18

Excretion Secretion from blood Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Filtration Glomerulus Bowman's capsule Afferent arteriole Reabsorption to blood Renal tubule Efferent arteriole 19

The Mammalian Kidney Each kidney is made up of about 1 million functioning nephrons Juxtamedullary nephrons have long loops that dip deeply into the medulla Cortical nephrons have shorter loops Blood is carried by an afferent arteriole to the glomerulus Blood is filtered as it is forced through porous capillary walls 20

The Mammalian Kidney Blood components that are not filtered drain into an efferent arteriole, which empties into peritubular capillaries Vasa recta in juxtamedullary nephrons Glomerular filtrate enters the first region of the nephron tubules Bowman s capsule Goes into the proximal convoluted tubule Then moves down the medulla and back up into cortex in the loop of Henle 21

The Mammalian Kidney After leaving the loop, the fluid is delivered to a distal convoluted tubule in the cortex Drains into a collecting duct Merges with other collecting ducts to empty its contents, now called urine, into the renal pelvis 22

Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Peritubular capillaries Glomerulus Distal convoluted tubule Proximal convoluted tubule Bowman s capsule Descending limb of loop of Henle Ascending limb of loop of Henle Renal artery Collecting duct Renal vein Loop of Henle Vasa recta To ureter Nephron in a mammalian kidney 23

Reabsorption and Secretion Approximately 2,000 L of blood passes through the kidneys each day 180 L of water leaves the blood and enters the glomerular filtrate Most of the water and dissolved solutes that enter the glomerular filtrate must be returned to the blood by reabsorption Water is reabsorbed by the proximal convoluted tubule, descending loop of Henle, and collecting duct 24

Reabsorption and Secretion Reabsorption of glucose and amino acids is driven by active transport and secondary active transport Maximum rate of transport Glucose remains in the urine of untreated diabetes mellitus patients Secretion of waste products involves transport across capillary membranes and kidney tubules into the filtrate Penicillin must be administered several times a day 25

Excretion Major function of the kidney is elimination of a variety of potentially harmful substances that animals eat and drink In addition, urine contains nitrogenous wastes, and may contain excess K +, H +, and other ions that are removed from blood Kidneys are critically involved in maintaining acid base balance of blood 26

Transport in the Nephron Proximal convoluted tubule Reabsorbs virtually all nutrient molecules in the filtrate, and two-thirds of the NaCl and water Because NaCl and water are removed from the filtrate in proportionate amounts, the filtrate that remains in the tubule is still isotonic to the blood plasma 27

Transport in the Nephron Loop of Henle Creates a gradient of increasing osmolarity from the cortex to the medulla Actively transports Na +, and Cl follows from the ascending loop Creates an osmotic gradient Allows reabsorption of water from descending loop and collecting duct Two limbs of the loop form a countercurrent multiplier system Creates a hypertonic renal medulla 28

Total solute concentration (mosm) Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Bowman s capsule Cl Proximal tubule Na+ Distal tubule H 2 O 300 Reabsorption of salt and water in mammalian kidney Glomerulus Cortex Collecting duct 600 H 2 O Outer medulla Na + Cl H 2 O Urea H 2 O loop of Henle H 2 O 1200 Inner medulla 29

Transport in the Nephron Distal convoluted tubule and collecting duct Filtrate that enters is hypotonic Hypertonic interstitial fluid of the renal medulla pulls water out of the collecting duct and into the surrounding blood vessels Permeability controlled by antidiuretic hormone (ADH) Kidneys also regulate electrolyte balance in the blood by reabsorption and secretion K +, H +, and HCO 3 30

Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Reabsorbed HCO 3 Reabsorbed K + Secreted H + Secreted K + K + Filtered H + K + H + Distal convoluted tubule HCO 3 Controlling salt balance 31

Hormones Control Osmoregulation Kidneys maintain relatively constant levels of blood volume, pressure, and osmolarity Also regulate the plasma K + and Na + concentrations and blood ph within narrow limits These homeostatic functions of kidneys are coordinated primarily by hormones 32

Hormones Control Osmoregulation Antidiuretic hormone (ADH) Produced by the hypothalamus and secreted by the posterior pituitary gland Stimulated by an increase in the osmolarity of blood Causes walls of distal tubule and collecting ducts to become more permeable to water Aquaporins More ADH increases reabsorption of water Makes a more concentrated urine 33

Antidiuretic hormone stimulates the reabsorption of water by the kidney Stimulus Dehydration; Increased osmolarity of plasma Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Negative feedback Sensor Osmoreceptors in hypothalamus ( ) ( ) Thirst Effector Posterior pituitary gland Response Increased reabsorption of water Response Increased water intake Increased ADH secretion 34

Aldosterone Hormones Control Osmoregulation Secreted by the adrenal cortex Stimulated by low levels of Na + in the blood Causes distal convoluted tubule and collecting ducts to reabsorb Na + Reabsorption of Cl and water follows Low levels of Na + in the blood are accompanied by a decrease in blood volume Renin-angiotensin-aldosterone system is activated 35

Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Stimulus Stimulus Low blood pressure 1 Low blood flow Effector Negative feedback ( ) Juxtaglomerular apparatus Sensor 2 3 Effector Renin Response Constrict blood vessels 5 Angiotensinogen 4 Effector Angiotensin II 6 Response Increased blood volume 8 Effector Effector Aldosterone Adrenal cortex Response Increased Na + and Cl, and H 2 O reabsorption 7 Kidney Lowering blood volume activates the renin angiotensin aldosterone system 36

Hormones Control Osmoregulation Atrial natriuretic hormone (ANH) Opposes the action of aldosterone in promoting salt and water retention Secreted by the right atrium of the heart in response to an increased blood volume Promotes the excretion of salt and water in the urine and lowering blood volume 37