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Acid/Base in Tubule Cells
How these are handled by the cells
20
Medical
Undergraduate 2
06/03/2015

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Term
Reabsorption of bicarbonate here is linked to reabsorption of Na+, and secretion of H+ and K+
Definition
Proximal convoluted tubule (PCT)
Term
Bicarbonate reabsorption is catalysed by the Na+/K+ATPase pump in the basolateral cell membrane here
Definition
Proximal convoluted tubule (PCT)
Term
Peritubular K+ is exchanged for intracellular Na+ to keep intracellular Na+ low here
Definition
Proximal convoluted tubule (PCT)
Term
Na+ enters the cell by moving down its concentration gradient here
Definition
Proximal convoluted tubule (PCT)
Term
H+ ions move out of the cell and into the tubular lumen via the H+/Na+ antiport here
Definition
Proximal convoluted tubule (PCT)
Term
HCO3- is transported down its concentration gradient into peritubular fluid here
Definition
Proximal convoluted tubule (PCT)
Term
CO2 diffuses down its concentration gradient into these cells and reacts with H2O to form HCO3- and H+ again
Definition
Proximal convoluted tubule (PCT)
Term
All H+ secreted here is regenerated into HCO3- and reabsorbed
Definition
Proximal convoluted tubule (PCT)
Term
Na+/K+ATPase pumps exchange Na+ for K+ to keep intracellular Na+ levels low here
Definition
Principal cells of the collecting duct
Term
Na+ is cycled into these cells in exchange for K+ via antiport here
Definition
Principal cells of the collecting duct
Term
Despite the exchange of Na+ for K+, a negative charge is created in the tubule lumen here
Definition
Principal cells of the collecting duct
Term
H+ is pumped out of these cells by the H+ proton pump in exchange for K+ to maintain neutrality here
Definition
Intercalated cells of the collecting duct
Term
H+ pumped out into the lumen via the proton pump is buffered by HPO4 and excreted as phosphate (a titratable acid) here
Definition
Alpha intercalated cells of the collecting duct
Term
Excess H+ in the capillary blood is buffered by HCO3-, lowering blood pH here
Definition
Collecting duct
Term
CO2 from the buffering reaction in the blood moved into these cells and is dissociated to HCO3- and H+ here
Definition
Intercalated cells of the collecting duct
Term
HCO3- diffuses down its gradient back into peritubular capillaries to raise blood pH again here
Definition
Intercalated cells of the collecting duct
Term
The ammonium buffer system is at work in this area
Definition
Proximal convoluted tubule (PCT)
Term
Glutamine diffuses into these cells to generate ammonia
Definition
Proximal convoluted tubule (PCT)
Term
NH3 diffuses into the tubule lumen and becomes acidified to ammonium in this area
Definition
Proximal convoluted tubule (PCT)
Term
NH4+ combined with Cl- to form NH4Cl (a form able to be excreted) here
Definition
Proximal convoluted tubule (PCT)
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