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Urine Formation

AB
Plasma clearance isthe volume of plasma that is cleared of a specific substance each minute
Proteins and glucose havezero renal clearance
The site of the is major RBF pressure drop isthe afferent arteriole
The renal blood flow (RBF) at rest, equivalent to1 L/min
Autoregulation dampens systemic blood pressure changes byaltering the afferent arterioles diameters
Autoregulation occursbetween 70 and 210 mmHg
Autoregulation of RBFis by myogenic and tubuloglomerular feedback mechanisms
Tubuloglomerular feedback occurs betweenmacula densa (MD) cells and cells of the afferent arteriole
When fluid delivery and NaCl transport at MD increasethere are increases in cell Na and Ca
Renin is produced atthe granular cells of afferent arterioles
Angiotensin II acts on the adrenal cortex inducingthe release of aldosterone
GBM sieving functionallows free passage of neutral molecules up 18 micron radius
In kidney disease, proteinuria may be dueto loss of negative charge selectivity or to increasing numbers of large size pores of the basement membrane
The thin segment of the loop of Henle is specialized forpassive transport
Active transport movesproteins, amino acids, glucose, fructose, and sodium, potassium, calcium, bicarbonate and chloride ions
Passive transport moveswater, chloride and sodium ions, urea, and lipid-soluble compounds
About 75% of total water reabsorption occurs atthe proximal tubule
Cortical Loop of Henle is responsible forthe reabsorption of solute
Medullary Loop of Henle is responsible forthe concentrating urine
Distal tubule is responsible forthe pH regulation by secreting H+ into the urine
ADH increases water reabsorption and concentrates urine in theCollecting ducts
ADH release is stimulated byincreased blood osmolality or a decrease in blood pressure
The atrial natriuretic factorinhibits ADH production
the ascending limb of the loop of Henleis impermeable to water


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