Term
Glomerular filtration 1st step in urine formation |
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Definition
- filtrates is Free of blood cells & proteins
(proteinuria = renal injury)
- modified passing through nephron
- free passage of water, small solutes (glucose, aa, electrolytes)
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Term
What are the 3 distinct layers of the glomerular membrane? (capillary to bowman's space) |
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Definition
- Fenstrated capillary endothelium- permeable to water & dissolved solutes
- Glomerular basement membrane- collagen, glycoproteins contain anionic charges
- Podocyte epithelium- slit pores b/w podocytes restricts large molecules
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Term
What is the impact of electrostatic charge on filtering of large molecules? |
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Definition
- cations- flow the fastest w/respects to comparative radius size
- neutral
- anions- remember that on Glomerular BM the proteins contain anionic charges (repel)
* majority of proteins in blood act like anions
* DN apply to small electrolytes (pass freely)
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Term
GFR is the product of 3 physical factors... |
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Definition
- hydraulic permeability- of glomerular mem
- Surface Area for filtration
--> product of 1 & 2= ultrafiltration coefficient Kf
3. Capillary ultrafiltration pressure (UP)-driving force, determined by hydrostatic & colloid osmotic pressures in glomerular cap
GFR= Kf * UP |
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Term
Mechanisms for altering GFR
(GFR= Kf * UP) |
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Definition
- Altered Kf: mesangial cell contraction, located w/in glomerular capillary loops, contraction shortens the loop, lowers Kf
- Altered UP: changesin Pgc (pressure in glom capillary)
- Pgc determined by 3 factors:
- renal arterial BP
- afferent arteriolar resistance
-efferent arteriolar resistance
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Term
Afferent arteriolar constriction causes... |
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Definition
- greater prssure drop upstream of glom. cap
- Pgc falls (lowers GFR)
- Renal blood flow falls (due to increased resistance)
- Pressure rises before and drops afterwards (include peritubular cap P)
* see slides 25, 26, 27 |
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Term
Efferent Arteriolar constriction causes... |
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Definition
- pooling of blood in glomerular capillaries
- increased Pgc (increases GFR)
- pressure drops downstream (includes peritubular cap P)
- affects on renal blood flow:
- severe blood becomes stagnant (GRF drops)
- moderate, will increase GFR
* see slides 25, 26, 27 |
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Term
2 mechanisms for Autoregulation of renal blood flow & GFR |
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Definition
- Myogenic- response to increased systemic arterial P , intrinsic property of vascular smooth musc to resist stretch (stretch causes contraction-> narrowing of vessels, decreased R, RBF, GFR)
- Tubuloglomerular feedback-involves the juxtaglomerular apparatus (JGA) responds to:
- increased GFR (w/increased BP, the Macula densa senses the increase in fluid deliver to prod vasoconstrictors to decrease fluid)
- decreased GFR (w/decreased renal BP, less Na, Cl filtered & delivered to MD, MD signals granular cells to secrete renin to produce angiotensin II)
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Term
juxtaglomerular apparatus (JGA) components... |
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Definition
- Macula densa- in end wall of thick ascending limb of Henle's loop
- Extraglomerular mesangial cells (AKA lacis cells)- communicates info from the MD to the smooth musc of the afferent arterioles
- juxtaglomerular (granular) cells - in afferent & efferent arteriole smooth musc
JGA responds to BP changes to maintain GFR nearly constant (minimal changes)
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Term
Angiotensin II in kidney does what? |
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Definition
- released in response to renin release by the MD due to decreased GFR
- it is a potent vasoconstrictor to restore the BP
- efferent arteriolar vasoconstrition:
- moderate causes minimizes fall in GFR
-severe GFR falls due to stagnant blood flow |
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Term
Prostaglandins role on smooth muscle in renal arterioles |
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Definition
- released by endothelial cells
- causes smooth musc vasodilation
- dampens the vasoconstriction by angiotensin II & SNS
- why is this important?
- to avoid such profound blood constriction to kidney, ischemia protection mechanism |
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Term
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Definition
- constriction of afferent (lesser extent efferent) arterioles to decrease RBF & GFR
- increase renin secretion by granular cells, which stimulates angiotensin II products to cause arteriolar constriction to raise BP and my stabilize GFR (if moderate degree)
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