The correct sequence in which a drop of water entering the nephron would encounter the structures is: afferent arteriole, glomerulus, Bowman's capsule, proximal convoluted tubule, loop of Henle, distal convoluted tubule, collecting duct, and renal pelvis. This sequence follows the path of filtrate formation and movement through the nephron, starting from the entry of blood through the afferent arteriole into the glomerulus where ultrafiltration occurs, then through Bowman's capsule where the filtrate is collected, followed by selective reabsorption in the proximal convoluted tubule, concentration of urine in the loop of Henle, further modification in the distal convoluted tubule, and finally collection and storage in the collecting duct before the urine is transported to the renal pelvis.
The three filtration barriers that solutes must cross as they move from the plasma in the glomerulus to the lumen of Bowman's capsule are the glomerular capillary endothelium, the basal lamina or basement membrane, and the epithelium of Bowman's capsule. The glomerular capillary endothelium is the innermost layer consisting of endothelial cells with fenestrations or pores that allow small molecules to pass through. The basal lamina is a non-cellular layer of proteins and carbohydrates that acts as a selective filter. The epithelium of Bowman's capsule forms the outermost layer with specialized cells called podocytes that have filtration slits. These three layers work together to form a selective barrier that allows small solutes such as glucose, ions, urea, and water to pass through while excluding larger molecules. Blood corpuscles including red blood cells, white blood cells, and platelets are too large to pass through the filtration barrier and are retained in the blood. Similarly, plasma proteins such as albumin, globulins, and fibrinogen are also excluded due to their large size and negative charge, which prevents them from crossing the basement membrane.
- Glomerulus hydrostatic pressure
- Glomerulus pressure
- Opposing pressure: Colloidal osmotic pressure, Capsular hydrostatic pressure
- Net filtration pressure = Glomerular hydrostatic pressure – (Colloidal osmotic pressure + capsular hydrostatic pressure.
1. Juxtaglomerular apparatus:
Juxtaglomerular apparatus is a specialized tissue in the afferent arteriole of the nephron that consists of macula densa and granular cells. The macula densa cells sense distal tubular flow and affect afferent arteriole diameter. The granular cells secrete an enzyme called renin. It plays an important role in reabsorption of water, Na + and excretion of K +.
2. Podocytes:
The visceral layer of the Bowman’s capsule is made up of epithelial cells called podocytes. The podocytes end in foot processes which cling to the basement membrane of the glomerulus. The openings between the foot processes are called filtration slits. It is important for glomerular filtration.
3. Sphincters in the bladders:
Sphincter muscles in the bladder controls the flow of urine from the bladder. When urinary bladder is filled with urine, it stretches and stimulates the central nervous system through the sensory neurons of the parasympathetic nervous system and brings about contraction of the bladder.
Simultaneously, somatic motor neurons induce the sphincters to close. Smooth muscles contracts resulting in the opening of the internal sphincters passively and relaxing the external sphincter. When the stimulatory and inhibitory controls exceed the threshold, the sphincter opens and the urine is expelled out.
4. Renal cortex:
The outer portion of the kidney is the renal cortex. It contains renal corpuscles and the proximal and distal tubules. It is thin and fibrous.
The proximal convoluted tubule (PCT) is the segment of the nephron where most of the reabsorption of useful substances takes place. In this region, selective reabsorption occurs through both active transport and passive transport mechanisms. Glucose, amino acids, ions, and water are reabsorbed from the filtrate back into the blood through the capillary network surrounding the proximal convoluted tubule. The cells lining the proximal convoluted tubule are specialized with numerous mitochondria to provide energy for active transport and microvilli to increase the surface area for reabsorption.
When a molecule or ion is reabsorbed from the lumen of the nephron, it is transported back into the bloodstream. The reabsorbed substances move across the epithelial cells lining the nephron tubule and enter the peritubular capillaries, which are part of the network of blood vessels surrounding the nephron. These capillaries eventually merge to form the efferent arteriole, which carries blood enriched with reabsorbed substances away from the glomerulus. The reabsorbed molecules and ions are thus returned to the general circulation. In contrast, if a solute is filtered from the blood into the nephron but is not reabsorbed from the tubule, it remains in the filtrate and is excreted along with urine through the collecting duct, ureter, and urethra.
The distal tubule and collecting duct are the segments of the renal tubule that are the primary sites of secretion and regulated reabsorption of ions, as well as pH homeostasis. In these segments, hydrogen ions (H+) and ammonium ions (NH4+) are actively secreted from the blood into the tubular lumen and are subsequently excreted in the urine, thereby maintaining acid-base balance in the body. For each hydrogen ion secreted from the filtrate, one sodium ion (Na+) is reabsorbed in the tubules through an exchange mechanism, allowing the body to conserve essential sodium while eliminating excess acid. The secreted bicarbonate ions (HCO3-), phosphate ions (PO4-), and ammonia (NH3) combine with hydrogen ions to form carbonic acid and phosphoric acid, which serve as buffers in the urine. This buffering system prevents excessive acidification of the urine and helps maintain the pH of body fluids within the narrow range required for normal physiological function. Through these mechanisms of selective secretion and reabsorption, the distal tubule and collecting duct play a crucial role in maintaining both electrolyte balance and acid-base homeostasis in the body.
- The glomerulus filtrate consists of water glucose amino acids creatinine protein salts and urea.
- These solutes decide the glomerular filtration rate.
The parasympathetic nervous system is the part of the autonomic nervous system involved in the micturition process. The parasympathetic fibers, which originate from the sacral spinal cord, innervate the detrusor muscle of the urinary bladder and the internal sphincter. When the bladder becomes full, stretch receptors send signals to the sacral spinal cord, which then sends parasympathetic signals back to the bladder, causing the detrusor muscle to contract and the internal sphincter to relax, allowing urine to be expelled.
- Blood enters the glomerulus faster with greater force through the afferent arteriole and leaves the glomerulus through the efferent arterioles much slower.
- Because afferent arteriole is wider than efferent arteriole.
- The constriction of this does not affect the rate of filtration.
The concentration of urine depends upon the length of Henle's loop. The loop of Henle, particularly its descending and ascending limbs, plays a crucial role in the countercurrent multiplier mechanism that allows the kidney to produce concentrated urine. The longer the loop of Henle, the greater the concentration gradient that can be established in the medulla, enabling the production of more concentrated urine. This is why desert-dwelling animals and other organisms adapted to arid environments have longer loops of Henle compared to aquatic animals, allowing them to conserve water by producing highly concentrated urine.
d) The urine will be more dilute
a) Micturition will continue
c) Urea
b) DCT – Absorption of glucose
b) Inner wall of Bowman’s capsule
c) Blood with proteins but without cells
d) Calcium oxalate
c) Uricotelic
a) Aquaporins
c) Antidiuretic hormone
c) Haemolymph
- A liquid which gathers in the bladder – Urine
- Produced when blood is filtered in a Bowman’s capsule – Glomerular filtrate
- The temporary storage of urine – Urinary bladder
- A ball of intertwined capillaries – Glomerulus
- Removal of unwanted substances from the body – Excretion
- Each contains a glomerulus – Bowman’s Capsule
- Carry urine from the kidneys to the bladder – Ureter
- The scientific term for urination – Micturition
- Regulation of water and dissolved substances in the blood and tissue fluid – Osmoregulation
- Consists of the kidneys ureters and bladder Excretory system
- Removal of useful substances from glomerular filtrate reabsorption
- What solute does blood contain that is not present in the glomerular filtrate? – Plasma Protein
The type of nitrogenous end product excreted by an animal depends primarily on its habitat and the availability of water. Ammonia is highly toxic and requires large amounts of water for dilution, making it suitable only for aquatic animals. Animals that excrete most of their nitrogen in the form of ammonia are called ammonotelic, and examples include most fishes and aquatic amphibians. These animals can afford to produce dilute urine because they live in or near water. Urea is less toxic than ammonia and requires moderate amounts of water for dilution. Mammals and terrestrial amphibians excrete urea and are called ureotelic. Urea is an ideal nitrogenous waste for terrestrial animals as it requires less water than ammonia but is still readily soluble. Uric acid is the least toxic and can be eliminated with minimal loss of water, making it highly suitable for animals in arid environments. Animals that excrete uric acid are called uricotelic, and examples include reptiles, birds, insects, and some terrestrial arthropods. This adaptation allows these animals to conserve water while still effectively removing nitrogenous wastes from their bodies.
Protonephridia and metanephridia are two types of excretory organs found in different organisms. Protonephridia, found in organisms like platyhelminthes (flatworms), are networks of dead-end tubules that lack internal openings. They contain flame cells as their excretory structures, which are specialized cells with beating flagella that help move excretory products through the tubules. The excretory products are filtered and selectively reabsorbed within the system before being excreted through nephridiopores. Protonephridia primarily function as osmoregulators. Metanephridia, found in organisms like earthworms and other annelids, have tubular structures with internal openings called nephrostomes that allow direct communication with the body cavity. The excretory products are collected from the coelom through the nephrostomes and are excreted through nephridiopores. Metanephridia function both as osmoregulators and as organs of excretion, playing a more comprehensive role in maintaining water balance and removing metabolic wastes from the organism.
Amphibian larvae and adult amphibians produce different nitrogenous wastes. Amphibian larvae, which are aquatic organisms, excrete ammonia as their primary nitrogenous waste product. Ammonia is highly soluble in water and can be easily diluted and excreted in the aquatic environment without requiring much energy for conversion. Adult amphibians, which are terrestrial or semi-aquatic organisms, excrete urea as their primary nitrogenous waste product. Urea is less toxic than ammonia and requires less water for dilution and excretion, making it more suitable for life on land where water conservation is important. This change in the type of nitrogenous waste excreted reflects the transition from an aquatic larval stage to a terrestrial adult stage in the amphibian life cycle.
Urine formation involves three main processes namely Glomerular Alteration, tubular reabsorption and tubular secretion.
I. Glomerular filtration:
* Blood enters the kidney from the renal artery into the glomerulus.
* Blood is composed of water colloidal proteins, sugars and nitrogenous end product.
* The filteration is started in the glomerulus. The fluid that leaves the glomerular capillaries and enters the Bowman’s capsule is called the glomerular filtrate. It formed 170-180 litre within 24 hours.
* Glomerular membrane has large surface area. Blood enters the glomerulus faster with greater force through the afferent arteriole and leaves the glomerulus through the efferent arterioles much slower.
* This is because afferent arteriole is wider than efferent arteriole and the glomerular hydrostatic pressure is around 55 mm Hg.
* Molecules larger than 5mm are barred from entering the tubule.
The two opposing forces are contributed by the plasma proteins in the capillaries.
* Colloidal osmotic pressure – 30 mm Hg
* Hydrostatic pressure -15 mm Hg
Both pressures combine. 30 mm Hg + 15mm Hg = 45mm Hg
* The net filtration pressure of 10mm Hg is responsible for the renal filtration.
* Net filtration pressure – Glomerular
* Hydrostatic Pressure – Colloidal Osmotic pressure + Capsular hydrostatic pressure.
Net filteration pressure = 55 mm Hg – (30mm Hg +15mm Hg) = 10mm Hg
Substance
Concentration in blood Plasm / g dm -3
Concentration in glomerular filtrate / g dm -3
Water
900
900
Proteins
80.
0.05
Aminoacids
0.5
0.5
Glucose
1.0
1.0
Substance
Concentration in blood PIasm /gdm -3
Concentration glomerular filtrate/gdm -3
Urea
0.3
0.3
Uric Acid
0.04
0.04
Creatinine
0.01
0.01
Inorganic ions (mainly (Na +, K + and Cl – )
7.2
7.2
II. Tubular reabsorption:
* The volume of filtrate formed per day is around 170 – 180l.
* Urine released is around 1.51 per day. 99% of the glomerular filtrate is reabsorbed by the renal tubules.
Reabsorption in proximal convoluted tubule:
* Glucose lactate amino acids Na in the filtrate are reabsorbed in the PCT.
* Sodium is reabsorbed by active transport through a sodium-potassium pump in the PCT.
* Small amounts of urea and uric acid are reabsorbed.
Reabsorption in Henle Loop:
* Descending limb of Henle’s loop is permeable to water due to the presence of aqua porlns but not permeable to salts.
* Water is lost in the descending limb. Hence Na and Cl get concentrated in the filtrate.
* Ascending limb of Henle’s loop is impermeable to water but permeable to Na +, Cl – andK +.
Distal Convoluted Tubule:
* It recovers water and secretes potassium into tubule.
* Na +, Cl -, and water remain in the DCT.
* Reabsorption of HCO 3 takes place to regulate the blood pH.
* Collecting the tubule is permeable to water potassium ions are actively transported into the tubule and Na + to produce concentrated urine.
Tubular Secretion:
* Once it enters the collecting duct water is absorbed and concentrated hypertonic urine is formed.
* For every H secreted into the tubular filtrate, a Na + is absorbed by the tubular cell.
* The H + secreted combines with HCO + 3, HPO – 3, and NH + and gets fixed as H 2 CO 3, H 2 PO 3, and NH 4 +.
* Since H + gets fixed in the fluid reabsorption of H + is prevented.
- (a) Urea
- (b) Uric acid
- (c) Ammonia
- (d) creatinine
(c) ammonia
b) I – True, II – True, III – False, IV- False
- (a) Flatworms
- (b) Molluscs
- (c) Insects
- (d) Amphioxus
(d) amphioxus
d) Ureoteles – Earthworm (When it is in water)
- (a) Insects
- (b) Annelids
- (c) Crustaceans
- (d) Flatworms
(c) Crustaceans
c) Concentrated
b) Equal to the concentration of body
- (a) Hypotonic
- (b) Hyperosmotic
- (c) Isoosmotic
- (d) None of the above
(c) Isoosmotic
The correct answer is d) Renal fascia, perirenal fat capsule, fibrous capsule. The kidney is protected by three layers of covering from outside to inside. The outermost layer is the renal fascia, which is a tough connective tissue layer that anchors the kidney to the posterior abdominal wall. The middle layer is the perirenal fat capsule, also called adipose capsule, which provides cushioning and protection to the kidney. The innermost layer is the fibrous capsule, a smooth membrane that directly covers the kidney surface and helps maintain the kidney's shape. These three layers together protect the kidney from mechanical injury and maintain its position in the retroperitoneal space.
d) Glomerulus and Henle’s loop
d) Proximal convoluted tubule, thin descending limb, thick ascending limb, distal convoluted tubule. This is the correct sequence of structures within the renal tubule. The proximal convoluted tubule is the first segment where selective reabsorption occurs. The thin descending limb of Henle's loop is permeable to water, allowing water reabsorption. The thick ascending limb is impermeable to water but actively transports ions, creating the osmotic gradient necessary for urine concentration. The distal convoluted tubule follows and is involved in further selective reabsorption and secretion under hormonal control.
- (a) descending limb of Henle’s loop
- (b) ascending limb of Henle’s loop
- (c) proximal convoluted tubule
- (d) distal convoluted tubule
(c) Proximal convoluted tubule
a) 55 mm Hg
b) 180l
- (a) 7.5
- (b) 6.0
- (c) 4.3
- (d) 9.5
(a) 6.0
c) 55 mm Hg
a) 30mmHg;15mmHg
b) 55 mm Hg – (30 mm Hg + 15 mm Hg) = 10 mm Hg. Net filtration pressure is calculated by subtracting the opposing forces from the glomerular hydrostatic pressure. The glomerular hydrostatic pressure is 55 mm Hg, the colloidal osmotic pressure is 30 mm Hg, and the capsular hydrostatic pressure is 15 mm Hg. Therefore, the net filtration pressure equals 55 minus the sum of 30 and 15, which gives 10 mm Hg. This positive pressure drives the filtration of water and small solutes from the blood into Bowman's capsule.
c) 120 ml -125 ml
- (a) Ketone bodies
- (b) Glucose
- (c) Amino acids
- (d) Urea
(d) Urea
a) 1.5l
b) (i) and (iii)
The correct answer is d) All the above. Aquaporins are water channel proteins that facilitate the rapid transport of water molecules across cell membranes. These proteins are present in multiple segments of the renal tubule to enable efficient water reabsorption. Aquaporins are found in the proximal convoluted tubule where they facilitate water reabsorption along with solutes. They are also present in the descending limb of the loop of Henle, which is highly permeable to water, allowing water to move out of the filtrate into the surrounding hypertonic medullary interstitium. Additionally, aquaporins are present in the distal convoluted tubule and the collecting duct, where their presence is regulated by antidiuretic hormone to control water reabsorption based on the body's hydration status. Therefore, aquaporins are distributed throughout these segments to optimize water reabsorption at different points in the nephron.
a) Vasopressin
a) Afferent arteriole
a) Renin
The correct answer is a) Excretion of urine from the urinary bladder. Micturition is the process of voluntary expulsion or elimination of urine from the urinary bladder through the urethra to the outside of the body. It is a reflex action that can be controlled voluntarily in humans. When the urinary bladder fills with urine and reaches a certain threshold of distension, stretch receptors in the bladder wall send signals to the micturition center in the sacral spinal cord. This triggers the micturition reflex, which causes contraction of the detrusor muscle of the bladder wall and relaxation of the internal urethral sphincter, allowing urine to be expelled. The external urethral sphincter, which is under voluntary control, can be consciously relaxed or contracted to initiate or inhibit micturition. This process occurs typically four to eight times per day in healthy individuals.
c) pH 4.5-8.0
a) Urochrome
a) pH 6.0
c) 18l
a) Statement A-True B-True
c) Statement S-True T-True
The correct answer is a) Statement A – True, Statement B explains the symptom of A. Statement A is true because kidney infections, also known as pyelonephritis, do lead to inflammation of both the kidney and the urinary bladder. When pathogenic bacteria, usually from the lower urinary tract, ascend through the ureters and reach the kidney, they cause infection and inflammation of the renal tissue. This infection can spread to involve the bladder as well, causing cystitis. Statement B is also true and directly explains the symptoms that result from the kidney infection mentioned in Statement A. The symptoms listed—urination with pain (dysuria), urinary urgency, and blood-tinged urine (hematuria)—are characteristic manifestations of urinary tract infection involving both the kidney and bladder. Pain during urination occurs due to inflammation of the urethral and bladder tissues, urinary urgency results from bladder irritation, and blood-tinged urine indicates tissue damage and bleeding in the urinary tract. Therefore, Statement B provides a clear explanation of the clinical symptoms that arise from the kidney infection described in Statement A.
a) 17-30mg/100ml
c) Deficiency of ADH – Urine output decreases. This is the wrong pair. When there is a deficiency of antidiuretic hormone (ADH), the distal convoluted tubule and collecting duct become less permeable to water, resulting in decreased water reabsorption and increased urine output, not decreased output. The other pairs are correct: renal stones are indeed called nephrolithiasis, urochrome is the pigment that gives urine its characteristic color, and the skin does excrete lactic acid along with other substances through sweat glands.
The correct answer is b) Statement A True, B explains the A. Statement A is true because Bright's disease, also known as acute glomerulonephritis, is indeed caused by streptococcal infection, particularly Group A Streptococcus, and it commonly affects children. This disease typically develops as a post-infectious complication, usually following a streptococcal throat infection or skin infection. Statement B is also true and provides the pathological explanation for Statement A. The streptococcal infection triggers an immune response that leads to inflammation of the glomerulus, the filtering unit of the nephron. Immune complexes form and deposit in the glomerular basement membrane, activating complement and causing inflammation. This glomerulonephritis results in damage to the glomerular filtration barrier, leading to proteinuria, hematuria, and reduced glomerular filtration rate. Therefore, Statement B correctly explains the mechanism by which streptococcal infection causes the clinical manifestations of Bright's disease described in Statement A.
c) Primary kidney – Meso nephridia
a) 300-600 ml
c) 5 hours
a) Detrusor muscle
c) 1 – III, 2- IV, 3 – II, 4 – I
a) Urea
c) Aquatic amphibians
c) Amphioxus – Mesonephridia
b) Green glands
c) Hypotonic
a) 1-d 2-a 3-b 4-c
b)300-600ml
b) Detrusor muscle
b) Cortical nephron
c) Vasarecta
b) Ornithine cycle
b) 55 mm Hg
b) Primary urine
c) Assertion True The Reason does not explains the statement
The correct answer is c) Na and Cl– gets concentrated in the filtrate. In the descending limb of the loop of Henle, the filtrate becomes progressively more concentrated as it moves deeper into the medulla. The descending limb is highly permeable to water but relatively impermeable to solutes like sodium and chloride ions. As the filtrate moves down the descending limb, water moves out of the tubule into the surrounding hypertonic medullary interstitium through osmosis, driven by the high concentration of solutes in the interstitium. This movement of water out of the filtrate causes the concentration of sodium ions and chloride ions within the filtrate to increase. The solutes remain in the filtrate because the descending limb wall is not permeable to these ions, so they cannot follow the water out of the tubule. By the time the filtrate reaches the bottom of the loop of Henle, it becomes hypertonic with respect to blood plasma due to this concentration of Na+ and Cl– ions.
- a) Due to glucose reabsorption
- b) Due to the reabsorption of HCO3-
- c) Due to the reabsorption of Na+
- d) Due to the reabsorption of Cl-
b) Due to the reabsorption of HCO3-
- I. Potassium
- II. Water
- III. Glucose
- IV. Na+, Cl-, K+
- 1. Descending limb of Henle
- 2. Active transport
- 3. Proximal convoluted tubule
- 4. Aquaporin
a) I-2, II-4, III-3, IV-1
Cortical nephrons and medullary nephrons differ in their anatomical location and the extent of their loop of Henle. Cortical nephrons have their renal corpuscle and convoluted tubules located in the cortex of the kidney, and their loop of Henle is short, extending only minimally into the medulla. These nephrons lack a well-developed vasa recta, or the vasa recta is very short or absent. Cortical nephrons are more numerous and are primarily involved in the filtration and reabsorption of small amounts of solutes and water. In contrast, medullary nephrons, also called juxtamedullary nephrons, have their renal corpuscle located near the corticomedullary junction, and they possess a long loop of Henle that extends deep into the medulla, sometimes reaching the papilla. Medullary nephrons have an extensive vasa recta that runs parallel to the loop of Henle, forming a countercurrent multiplier system. This anatomical arrangement allows medullary nephrons to generate and maintain the osmotic gradient in the medullary interstitium, which is essential for the concentration of urine and water conservation. Although fewer in number, medullary nephrons play a crucial role in producing concentrated urine when the body needs to conserve water.
The renal arteries, specifically the right and left renal arteries, carry blood to the kidneys. These are large arteries that branch directly from the abdominal aorta, with the right renal artery typically arising slightly lower than the left due to the position of the inferior vena cava. The blood carried by the renal arteries is arterial blood, meaning it is oxygenated blood with high oxygen content and relatively low carbon dioxide content. This oxygenated arterial blood is essential for meeting the high metabolic demands of the kidney tissue, as the kidneys are metabolically very active organs involved in filtration, reabsorption, and secretion. The renal arteries branch progressively into smaller arteries within the kidney, eventually forming the afferent arterioles that supply the glomeruli for ultrafiltration.
The renal veins drain the filtered blood from the kidneys. After blood is filtered in the glomeruli and the filtrate is processed through the renal tubules, the remaining blood, now depleted of some water and solutes but still containing essential nutrients and proteins, is collected in the peritubular capillaries and venules. This blood then flows into the renal veins, which are the major venous vessels leaving the kidney. The right and left renal veins carry the filtered blood from their respective kidneys and drain directly into the inferior vena cava, which is the major vein that returns deoxygenated blood to the heart. The renal veins thus complete the vascular pathway through the kidney, returning the blood that has been processed by the nephrons back to the systemic circulation.
Tubular secretion is the active transport process by which specific substances are moved from the blood in the peritubular capillaries into the tubular fluid or filtrate within the renal tubules. Unlike glomerular filtration, which is a passive process, tubular secretion is an active process that requires energy in the form of ATP and can move substances against their concentration gradient. The substances secreted through the renal tubules include hydrogen ions (H+), potassium ions (K+), ammonium ions (NH4+), creatinine, and organic acids such as uric acid and certain drugs. These substances are secreted primarily in the proximal convoluted tubule and the distal convoluted tubule. Tubular secretion serves important functions including the regulation of blood pH by secreting excess hydrogen ions, the regulation of potassium levels in the blood, the elimination of metabolic wastes like creatinine and uric acid, and the excretion of foreign substances and drugs. This process ensures that potentially harmful substances are removed from the blood and added to the urine for elimination from the body.
- When the volume of blood decreases the flow pressure, decreases.
- This can be sensed by the hypothalamus and osmoreceptors are stimulated and the antidiuretic hormone is secreted from the neurohypophysis.
- The aquaporins in the proximal convoluted tubules and collecting tubule reabsorb water. Hence the blood volume increases and the blood pressure increases.
- Renin
- Angio Tensin I
- Angiotensin II
- ADH which is also called vasopressin or Antidiuretic hormone is secreted from the neurohypophysis.
- Fluid loss or if blood pressure increases the osmoreceptors of the hypothalamus is stimulated and hence neurohypophysis is stimulated and secretes ADH.
- When the fluid level and pressure are maintained due to the negative feedback mechanism ADH secretion stops.
- Due to the stimulation of Angiotensin II the adrenal cortex secretes aldosterone. That causes reabsorption of Na +, K + excretion, and absorption of water from distal convoluted tubule and collecting tubule.
- This mechanism is known as Renin – Angiotensin Aldosterone System.
The heart plays an important role in regulating renal function through the secretion of atrial natriuretic peptide (ANP), also called atrial natriuretic factor (ANF). When blood volume increases, excessive stretching of the cardiac atrial cells triggers the release of ANP into the bloodstream. This hormone travels to the kidneys where it acts on the afferent and efferent arterioles of the glomerulus. ANP functions as a vasodilator on the afferent arteriole, increasing blood flow into the glomerulus, and as a vasoconstrictor on the efferent arteriole, further increasing glomerular filtration pressure. Additionally, ANP increases sodium ion excretion in the kidneys and promotes increased blood flow to the glomerulus, thereby enhancing the filtration rate. This mechanism helps reduce blood volume and blood pressure when they are elevated, making ANP an important natriuretic hormone that works in conjunction with other regulatory mechanisms to maintain homeostasis.
Osmotic regulation is the physiological process by which organisms control and maintain the osmotic pressure of their body fluids and tissues. Osmotic pressure is the pressure exerted by solutes dissolved in a solution, and it acts as a driving force for the movement of water across biological membranes through osmosis. In the kidneys, osmotic regulation involves the regulation of water and solute balance to maintain the osmotic concentration of blood and tissue fluids within a narrow range, typically around 300 milliosmoles per liter. This is achieved through the coordinated action of the loop of Henle, which creates an osmotic gradient in the medullary interstitium, and the collecting duct, whose permeability to water is regulated by antidiuretic hormone. When blood osmotic pressure increases due to dehydration or increased solute concentration, osmoreceptors in the hypothalamus detect this change and stimulate the release of antidiuretic hormone, which increases water reabsorption in the collecting duct, diluting the blood and restoring osmotic balance. Conversely, when blood osmotic pressure decreases, antidiuretic hormone secretion is inhibited, reducing water reabsorption and allowing more dilute urine to be produced. This homeostatic mechanism is essential for maintaining proper cellular function and preventing dehydration or overhydration.
Euryhaline animals are organisms that possess the physiological ability to tolerate and survive in environments with wide fluctuations in salt or salinity concentrations. These animals can adapt to both freshwater and saltwater environments, or to environments where the salt concentration varies significantly over time. Examples of euryhaline animals include salmon, which migrate between freshwater rivers and saltwater oceans during their life cycle, and tilapia, which can survive in both freshwater and brackish water environments. Euryhaline animals have developed specialized osmoregulatory mechanisms that allow them to maintain their internal osmotic balance despite external changes in salinity. In freshwater, they conserve salts and excrete dilute urine to prevent excessive water uptake and salt loss. In saltwater, they drink seawater and excrete concentrated urine while actively transporting excess salt through their gills or other specialized tissues. This physiological flexibility makes euryhaline animals well-suited to environments where salinity is variable or unpredictable, in contrast to stenohaline animals, which can only tolerate a narrow range of salt concentrations.
Excretion is the process by which the body eliminates nitrogenous waste products generated from protein metabolism. This process is essential for maintaining homeostasis and removing metabolic byproducts that would otherwise accumulate and become toxic to the organism. The nitrogenous wastes are produced during the breakdown of amino acids and nucleic acids, and their removal is crucial for the proper functioning of various body systems.
- Ammonia
- Urea
- Uric acid
Various animals produce different nitrogenous waste products depending on their habitat and metabolic requirements. In addition to ammonia, urea, and uric acid, marine teleosts produce trimethylamine oxide (TMO), which helps them maintain osmotic balance in saltwater environments. Spiders excrete guanine as their primary nitrogenous waste. Mammals, reptiles, and other vertebrates produce hippuric acid as a nitrogenous waste product. Other nitrogenous wastes found in different animals include allantonin and allantoic acid, which are produced during purine metabolism. Additional nitrogenous compounds excreted by various organisms include ornithiuric acid, creatinine, creatine, purines, pyrimidines, and pterines. The type of nitrogenous waste produced by an animal reflects its evolutionary adaptation to its specific environment and its metabolic pathways.
The renal hilum is a notch or depression located at the centre of the inner concave surface of the kidney. This is an important structural feature through which the ureter, blood vessels, and nerves enter and exit the kidney to innervate it. The renal hilum serves as the main portal for the passage of these vital structures that are essential for kidney function and urine transport.
The renal corpuscle, also known as the malpighian capsule, is a functional unit composed of two main structures: the Bowman's capsule and the glomerulus. The Bowman's capsule is a cup-shaped structure that surrounds the glomerulus, which is a network of capillaries. Together, these two structures form the initial filtering apparatus of the nephron where ultrafiltration of blood occurs.
Reptiles and mammals show significant differences in their nephron structure and function. Reptiles have a reduced glomerulus or may lack a glomerulus entirely, and they lack the loop of Henle, which is a characteristic feature of mammalian nephrons. In contrast, mammals possess a long loop of Henle that extends deep into the medulla of the kidney. These structural differences result in different urine concentrations: reptiles produce hypotonic urine that is dilute, whereas mammals produce hypertonic urine that is highly concentrated. These adaptations reflect the different water conservation needs of these animals in their respective environments.
Juxtamedullary nephrons are specialized nephrons that possess a very long loop of Henle extending deep into the medulla of the kidney. These nephrons are particularly important for the concentration of urine and are more abundant in mammals that need to conserve water. The long loop of Henle in juxtamedullary nephrons allows for more efficient countercurrent multiplication, enabling the production of highly concentrated urine.
The vasa recta are specialized blood vessels that arise from the efferent arteriole serving the juxtamedullary nephron. These vessels form bundles of long, straight capillaries that run parallel to the loop of Henle. The vasa recta play a crucial role in the countercurrent exchange mechanism, helping to maintain the osmotic gradient in the medulla and facilitating the reabsorption of water and solutes from the filtrate.
- Glomerulus filtration
- Tubular reabsorption
- Tubular secretion
Glomerular filtrate is the fluid that is filtered from the blood in the glomerulus and enters the Bowman's capsule during the process of ultrafiltration. The composition of glomerular filtrate includes water, glucose, amino acids, ions, and nitrogenous wastes such as urea and uric acid. Notably, glomerular filtrate does not contain large molecules such as plasma proteins and blood cells, which are retained in the blood due to their size and cannot pass through the filtration barrier.
Net filtration pressure is the effective pressure that drives the filtration of water and small solutes from the blood in the glomerulus into Bowman's capsule. It is calculated by considering three opposing forces: the glomerular hydrostatic pressure, which favors filtration, and two forces that oppose filtration, namely the colloidal osmotic pressure of blood and the capsular hydrostatic pressure. The formula for net filtration pressure is: Glomerular Hydrostatic Pressure minus Colloidal Osmotic Pressure minus Capsular Hydrostatic Pressure. Using the standard values, the calculation is 55 mm Hg minus 30 mm Hg minus 15 mm Hg, which equals 10 mm Hg. This positive net filtration pressure of 10 mm Hg is responsible for forcing water, glucose, amino acids, urea, and other small molecules out of the glomerular capillaries into the capsular space, initiating the process of urine formation.
The glomerular filtration rate (GFR) is defined as the volume of filtrate that is formed per minute in all the nephrons of both kidneys combined. It is an important indicator of kidney function and represents the total amount of blood filtered by the kidneys in a given time period. The GFR is used clinically to assess the overall filtering capacity of the kidneys.
In healthy adults, the glomerular filtration rate (GFR) is approximately 120 to 125 millilitres per minute. This represents the total volume of filtrate produced by both kidneys in one minute under normal physiological conditions. This high filtration rate ensures efficient removal of metabolic wastes while allowing for selective reabsorption of useful substances in the subsequent segments of the nephron.
Primary filtrate is the filtrate that is initially formed when blood is filtered from the glomerulus and enters the Bowman's capsule. It is called primary filtrate because it is the first filtrate produced and undergoes further modification as it passes through the different segments of the nephron. The primary filtrate contains water, glucose, amino acids, ions, and nitrogenous wastes, but lacks large plasma proteins and blood cells.
Glomerular filtrate resembles blood plasma in its composition because it contains most of the same dissolved substances present in blood plasma. Both contain water, glucose, amino acids, ions, vitamins, and nitrogenous wastes. The key difference is that glomerular filtrate lacks the large plasma proteins such as albumin, globulins, and fibrinogen, as well as blood cells including red blood cells, white blood cells, and platelets. These larger molecules cannot pass through the filtration barrier due to their size, while smaller molecules and ions freely pass through during ultrafiltration.
The amount of filtrate formed in one day is approximately 170 to 180 liters. This large volume of filtrate is produced by the continuous filtration of blood through the glomeruli of all the nephrons in both kidneys. However, most of this filtrate is reabsorbed in the renal tubules and collecting ducts, and only about 1 to 2 liters of urine is normally excreted per day, demonstrating the efficiency of the kidney's reabsorption mechanisms.
- Some substances present in the glomerular filtrate is essential for our body.
- Hence these molecules are reabsorbed in a tubules. This process is called as selective reabsorption.
- Passive transport
- Active transport
- Diffusion
- Osmosis
Aquaporins are membrane transport proteins that facilitate the rapid movement of water molecules across the epithelial cells of the kidney tubules and collecting ducts. These channel proteins are essential for osmotic water reabsorption, particularly in the collecting duct where they respond to antidiuretic hormone (ADH) signals. Aquaporins allow water to pass through the cell membrane much faster than it would through simple diffusion, making them crucial for the concentration of urine and maintenance of water balance in the body.
Micturition, also called urination, is the process of voluntary release and expulsion of urine from the urinary bladder through the urethra to the outside of the body. This process is controlled by both involuntary reflex mechanisms and voluntary neural control. When the bladder fills to a certain capacity, stretch receptors send signals to the micturition center in the spinal cord, triggering the micturition reflex which causes contraction of the detrusor muscle of the bladder wall and relaxation of the internal urethral sphincter, allowing urine to be expelled.
An isotonic solution is one in which the solute concentration is equal to that of another solution separated by a semi-permeable membrane, resulting in no net movement of water across the membrane. In an isotonic condition, the osmotic potential on both sides of the membrane is the same, so water molecules move equally in both directions, maintaining equilibrium. This means there is no change in the volume or turgor of cells placed in an isotonic solution, as the rate of water entry equals the rate of water exit.
A hypotonic solution is one in which the solute concentration is lower than that of another solution separated by a semi-permeable membrane, causing water to move from the hypotonic solution into the more concentrated solution. In a hypotonic environment, cells experience a net loss of water through osmosis, which can lead to cell shrinkage or crenation. The solution with lower solute concentration has a higher water potential, so water molecules move out of the hypotonic solution toward the area of lower water potential across the semi-permeable membrane.
A hypertonic solution is one in which the solute concentration is higher than that of another solution separated by a semi-permeable membrane. When two solutions A and B are separated by a semi-permeable membrane, if water moves from solution A to solution B across the membrane, then solution B is hypertonic and solution A is hypotonic. In a hypertonic solution, the higher concentration of solutes creates a lower water potential, causing water to move into this solution by osmosis. Cells placed in a hypertonic solution lose water and undergo crenation or plasmolysis. The hypertonic solution has a greater osmotic potential, drawing water molecules from the hypotonic solution across the semi-permeable membrane until equilibrium is reached or the cell becomes severely dehydrated.
- Heart
- Kidney
- Brain
- Adrenal cortex
- Excess glucose and ketone bodies in the urine
- Poly dipsia – Excessive drinking of water
- Polyurea – Excretion of large quantities of urea
- Polyphagia – Excessive appetite
- Lungs
- Liver
- Skin
- Sweat produced by the sweat glands helps to cool the body.
- It excretes Na + and Cl – small quantities of urea and lactate.
Nephrolithiasis is a medical condition characterized by the formation of hard, stone-like masses composed of mineral salts and other substances in the renal tubules or renal pelvis of the kidney. These kidney stones form when certain substances such as calcium oxalate, calcium phosphate, or uric acid become concentrated and crystallize within the urinary system. Nephrolithiasis can cause severe pain, urinary obstruction, and damage to kidney tissue if left untreated, and the stones may need to be removed surgically or through other medical interventions.
Pyelothotomy and lithotripsy are two techniques used for the removal of renal stones or kidney stones. Pyelothotomy is a surgical procedure in which an incision is made into the renal pelvis to directly remove the stone. Lithotripsy, also called extracorporeal shock wave lithotripsy (ESWL), is a non-invasive technique that uses shock waves to break down kidney stones into smaller fragments that can be passed out of the body through the urine. Lithotripsy is often preferred as it avoids the need for major surgery and has a shorter recovery time compared to pyelothotomy.
Bright's disease is an inflammatory condition of the glomeruli of both kidneys, typically occurring in children following a streptococcal infection, particularly streptococcal pharyngitis or skin infection. This condition, also known as acute glomerulonephritis, results from an immune response to the streptococcal antigens. The inflammation of the glomeruli leads to reduced filtration capacity, resulting in proteinuria, hematuria, and reduced urine output. Bright's disease can cause symptoms such as edema, hypertension, and in severe cases, acute kidney injury, though many cases resolve spontaneously with supportive treatment.
Haemodialysis is a medical procedure used to remove toxic metabolic wastes, particularly urea, and excess water from the blood of patients with renal failure or severely compromised kidney function. In this process, the patient's blood is circulated through a dialysis machine containing a semi-permeable membrane that separates the blood from a dialysate solution. Waste products and excess ions diffuse from the blood into the dialysate solution due to concentration gradients, while essential substances are retained. Haemodialysis typically requires three to four sessions per week, each lasting several hours, and serves as a life-sustaining treatment for patients with end-stage renal disease until kidney transplantation is possible.
Females are more prone to recurring urinary tract infections than males primarily because they have a shorter urethra compared to males. The shorter length of the female urethra allows bacteria, particularly Escherichia coli from the intestinal flora, to ascend more easily from the urethral opening to the bladder and cause infection. Additionally, the proximity of the urethral opening to the anus in females increases the risk of bacterial contamination. The wider diameter of the female urethra also facilitates bacterial entry, whereas the longer male urethra provides a greater barrier to bacterial ascension.
In old age, men often experience difficulty in urination because the prostate gland, which surrounds the urethra, tends to enlarge with advancing age in a condition called benign prostatic hyperplasia (BPH). As the prostate enlarges, it compresses and narrows the urethra, restricting the normal flow of urine from the bladder. This results in symptoms such as weak urine stream, difficulty initiating urination, incomplete emptying of the bladder, and increased frequency of urination, particularly at night. The enlarged prostate may also obstruct the flow of urine, leading to urinary retention and potential complications if left untreated.
When there is a deficiency of ADH (antidiuretic hormone), the reabsorption of water from the collecting duct of the nephron decreases significantly, leading to the formation of dilute urine. ADH normally acts on the collecting duct cells to increase the permeability of the epithelium to water by promoting the insertion of aquaporin water channel proteins into the cell membrane. Without adequate ADH, these water channels are not inserted, so water cannot be reabsorbed efficiently from the filtrate. As a result, large volumes of dilute urine are produced, a condition that can lead to excessive water loss and dehydration if fluid intake is not increased accordingly. This deficiency of ADH causes a condition known as diabetes insipidus.
- When we drink or eat salty products the Na+ enters into the body fluids.
- The sodium ions helps in the reabsorption of water
- But when we drink only water as there is no sodium ions the tubules cannot reabsorb water.
- Hence there is an increase in the urine output.
Malfunction of the kidneys can lead to accumulation of urea and other toxic substances, leading to kidney failure. In such patients, toxic urea can be removed from the blood by a process called hemodialysis. A dialyzing machine or an artificial kidney is connected to the patient’s body. A dialyzing machine consists of a long cellulose tube surrounded by the dialyzing fluid in a water bath.
The patient’s blood is drawn from a convenient artery and pumped into the dialyzing unit after adding an anticoagulant like heparin. The tiny pores in the dialysis tube allow small molecules such as glucose, salts, and urea to enter the water bath, whereas blood cells and protein molecules do not enter these pores.
This stage is similar to the filtration process in the glomerulus. The dialyzing liquid in the water bath consists of a solution of salt and sugar in the correct proportion in order to prevent loss of glucose and essential salts from the blood. The cleared blood is then pumped back to the body through a vein.
- The blood vessels supplies to skin constricts and thus there is a decrease in the secretion of sweat prevents loss of water.
- There is a reduction in the glomerular blood pressure and the rate of filtration decreases.
- The reaborption of water in the proximal distal convoluted tubules increase.
- There is absorption of water from the small intestine and large intestine and thus increases the water content in the blood.
- The solute concentration of a solution of water is known as osmolarity,
- The unit is millosmoles / litre (mOsm /l)
Aquaporins are water-permeable channel proteins present in cell membranes that facilitate the rapid transport of water molecules across epithelial cells. These channels are integral membrane proteins that allow water to move passively in response to osmotic gradients without requiring metabolic energy. The primary function of aquaporins is to enable water movement from the lumen of the nephron to the interstitial fluid surrounding the peritubular capillaries, thereby facilitating water reabsorption. In the kidney, aquaporins are particularly abundant in the collecting duct and proximal convoluted tubule, where they play a crucial role in concentrating urine and maintaining water balance in the body. The movement of water through aquaporins is driven by the osmotic difference created by the active reabsorption of solutes such as sodium ions and glucose, allowing the kidney to regulate body fluid osmolarity and conserve water when necessary.
An efficient glomerular filtration can be measured by comparing the renal clearance with the glomerular filtration rate. If the renal clearance of a substance is equal to the glomerular filtration rate, it indicates that the substance is being filtered at the glomerulus with little or no reabsorption and secretion occurring in the renal tubules. This equality demonstrates that the kidney is functioning efficiently in removing that particular substance from the blood and excreting it in the urine without significant modification during its passage through the tubular system.
- The main function of Henle’s loop is to reabsorb water from filtrate.
- If the length of the loop is longer then there is more reabsorption of water and if the lengh of Henle’s loop is shorter then the reabsorption of water is less.
The capsular membrane of Bowman's capsule acts as a selective barrier during ultrafiltration. Blood cells such as red blood cells and white blood cells, along with most blood proteins including albumin and other large plasma proteins, are too large to cross the capsular membrane and therefore remain in the blood within the glomerular capillaries. However, the membrane possesses numerous slits and pores that allow smaller molecules to pass through into the capsular space. These smaller molecules include water, mineral salts such as sodium and potassium ions, glucose, amino acids, polypeptides, and various waste products including urea, ammonia, and creatinine. This selective permeability ensures that useful substances and cells are retained in the blood while waste products are filtered out to form the glomerular filtrate.
Blood enters the glomerulus through the afferent arteriole, which branches from the renal artery. The afferent arteriole is wider in diameter than the efferent arteriole that exits the glomerulus, creating a pressure gradient that forces blood into the knot of capillaries forming the glomerulus. The blood enters at high hydrostatic pressure, which is sufficient to force water and other small solutes such as glucose, amino acids, urea, and ions out of the capillaries into the capsular space of Bowman's capsule. This process is called ultrafiltration and is the first step in urine formation. The large proteins and blood cells remain in the capillaries because they are too large to pass through the filtration barrier.
The proximal convoluted tubule is the region of the nephron located immediately after Bowman's capsule. This tubule is lined with cuboidal epithelial cells that possess numerous mitochondria and microvilli, providing a large surface area for selective reabsorption. In this region, much of the water filtered from the blood is reabsorbed back into the surrounding peritubular capillaries through osmosis. Additionally, useful substances such as glucose, amino acids, mineral salts including sodium and potassium ions, and vitamins are selectively reabsorbed from the filtrate into the blood through both active transport and facilitated diffusion. This selective reabsorption ensures that essential nutrients and water are conserved and returned to the bloodstream, while waste products remain in the filtrate to be excreted.
The peritubular capillaries, also called the vasa recta, form a network of blood vessels that surrounds the renal tubules. These capillaries play a crucial role in reabsorption, recovering up to 99 percent of the water that was initially filtered into the tubule. The peritubular capillaries reabsorb various useful substances from the filtrate including glucose, amino acids, and mineral salts through both passive and active transport mechanisms. Active transport pumps in the capillary endothelium actively transport sodium ions from the blood into the tubular fluid while simultaneously reabsorbing other ions and water back into the blood. This bidirectional movement of substances helps maintain the osmotic gradient necessary for water reabsorption and ensures efficient recovery of essential substances while concentrating the remaining waste products in the urine.
- As the loop of the Henle dipsin to the renal medcula more water moves from the tubule into the blood as well as small amounts of salts and some urea and creatinine.
- Some acids and amines may move into the tubule in which ammonia cango in both the direction.
- Distal tubule is far from capsule. This region may see water go in or out of the tubule depending on the concentration of water already in the tubule/ while hydrogen and potassium ions move to regulate both blood and urine pH.
- Acids amines and ammonia compounds may also transported into the tubule.
- Fine adjustment of urine composition continues into the collecting duct system.
- About 5 percent of all the water and sodium being reabsorbed into the blood is recovered here.
- Blood flowing away from the nephrons carries 99 % of its orginal water.
- 98% of its sodium calcium and cholrides and about 40% of its urea.
Although urea is not consumed in the diet, it is continuously produced in the body as a result of protein metabolism. When amino acids are broken down through deamination, the amino groups are removed and converted into ammonia, which is toxic to cells. The liver detoxifies this ammonia through the ornithine cycle, also known as the urea cycle, where ammonia is converted into urea. This urea is then transported through the bloodstream to the kidneys, where it is filtered out and excreted in the urine. Therefore, urea production is an essential metabolic process that allows the body to safely eliminate nitrogenous waste products generated from the continuous breakdown and turnover of proteins.
Ionic regulation refers to the physiological process of controlling and maintaining the ionic composition of body fluids, including blood plasma and tissue fluid. This involves regulating the concentration of various ions such as sodium, potassium, calcium, chloride, and bicarbonate to maintain proper osmotic balance and ensure optimal functioning of cells and organs. The kidneys play a primary role in ionic regulation through selective reabsorption and secretion of ions in the renal tubules.
Stenohaline animals are organisms that can tolerate only narrow and limited fluctuations in the salt concentration of their environment. These animals have a restricted range of salinity tolerance and cannot survive in environments where the salt concentration varies significantly from their optimal range. Examples of stenohaline animals include goldfish, which are freshwater fish adapted to low-salinity environments and cannot tolerate high salt concentrations, and many marine fish that are adapted to specific ocean salinity levels and cannot survive in freshwater or brackish water.
- They are able to tolerate wide fluctuations in the salt concentrations. Ex: Artemia Salmons.
- Acids amines and ammonia compounds may also transported into the tubule.
The three major nitrogenous wastes produced during protein metabolism are ammonia, urea, and uric acid. Ammonia is produced directly from the deamination of amino acids, urea is formed in the liver through the ornithine cycle as a less toxic form of nitrogen waste, and uric acid is produced from the metabolism of nucleic acids and purines.
In addition to the major nitrogenous wastes, other nitrogenous waste products of protein and nucleic acid metabolism include allantoin, allantoic acid, ornithuriacid, creatinine, creatine, purines, pyrimidines, and pterines. These compounds are produced in smaller quantities during various metabolic pathways and are also excreted by the kidneys or other excretory organs depending on the organism.
Ammonoteles are animals that excrete most of their nitrogenous waste in the form of ammonia. These animals, which include most aquatic animals such as fish and aquatic invertebrates, produce ammonia as their primary nitrogenous waste product. Ammonia is highly soluble in water and can be rapidly diluted and removed from the body through diffusion across the gills or body surface into the surrounding aquatic environment, making this form of excretion efficient for aquatic organisms.
Animals that excrete uric acid crystals with minimum loss of water are called uricoteles. These organisms, which include birds, reptiles, and insects, have evolved this mode of nitrogen excretion as an adaptation to conserved water in dry terrestrial environments. Uric acid is less soluble and requires very little water for its elimination, making it an efficient nitrogenous waste product for water conservation.
Mammals and terrestrial amphibians that mainly excrete urea as their primary nitrogenous waste product are called ureoteles. Urea is less toxic than ammonia and requires less water for excretion compared to ammonia, but more water than uric acid. This mode of excretion represents an intermediate adaptation between ammonotelic aquatic animals and uricotelic animals that live in arid environments.
Reptiles produce very little hypotonic urine because they have a reduced glomerulus or lack a glomerulus entirely, and they also lack Henle's loop in their nephrons. The absence of these filtration and concentration mechanisms means that reptiles cannot produce large volumes of dilute urine. Instead, they conserve water by producing minimal urine and excreting nitrogenous wastes primarily as uric acid crystals.
Mammalian kidneys produce concentrated urine due to the presence of Henle's loop, which is a specialized U-shaped portion of the renal tubule. The Henle's loop functions as a countercurrent multiplier system that creates an osmotic gradient in the medulla of the kidney. This gradient allows water to be reabsorbed from the collecting duct, resulting in the production of highly concentrated urine that conserves body water.
- Renal facia
- Perirenal fat capsule
- Fibrous capsule
The medulla is divided into a few conical tissue masses called medullary pyramids. These pyramids are composed primarily of the loops of Henle and the collecting ducts of the nephrons. The medullary pyramids appear striated due to the parallel arrangement of these tubular structures and are separated from each other by extensions of the renal cortex called renal columns.
The part of the cortex that extends in between the medullary pyramids is called the renal columns of Bertini. These columns are continuous with the outer cortex and contain portions of the proximal and distal convoluted tubules as well as the collecting ducts. The renal columns serve to separate the medullary pyramids and provide structural support to the kidney.
A broad funnel-shaped space located inner to the hilum is called the renal pelvis. The renal pelvis serves as a collecting chamber that receives urine from the collecting ducts through the calyces. It is continuous with the ureter, which transports the urine from the kidney to the urinary bladder for temporary storage.
The projections in the pelvis that collect urine from the collecting ducts are called calyces. These funnel-shaped structures are typically two or three in number and converge to form the renal pelvis. The calyces help to channel urine from the medullary pyramids into the renal pelvis and then into the ureter.
Cortical nephrons are nephrons in which the loop of Henle is too short and extends only very little into the medulla. These nephrons make up the majority of nephrons in the kidney and have their glomeruli located in the outer region of the cortex. Cortical nephrons are less efficient at concentrating urine compared to juxtamedullary nephrons.
Some nephrons have a very long loop of Henle that runs deep into the medulla and are called juxtamedullary nephrons. These nephrons have their glomeruli located near the corticomedullary junction and are particularly important for producing concentrated urine. The long loops of Henle in juxtamedullary nephrons create a more pronounced osmotic gradient in the medulla, allowing for greater water reabsorption.
Aquaporins are water channel proteins that function to allow water molecules to move across the epithelial cells of the kidney tubules in relation to the osmotic difference between the filtrate and the interstitial fluid. These specialized proteins facilitate rapid water transport without requiring water to dissolve in the lipid bilayer of the cell membrane. Aquaporins are particularly abundant in the collecting duct and play a crucial role in the concentration of urine.
The juxtaglomerular apparatus is a specialized tissue located in the afferent arteriole of the nephron that consists of macula densa cells and granular cells. The macula densa cells are modified epithelial cells of the distal convoluted tubule that monitor the sodium chloride concentration in the filtrate, while the granular cells are modified smooth muscle cells of the afferent arteriole that secrete renin. Together, these components help regulate blood pressure and glomerular filtration rate through the renin-angiotensin system.
Micturition is the process of voluntary release and expulsion of urine from the urinary bladder through the urethra. It is a reflex action that involves the contraction of the detrusor muscle of the bladder wall and relaxation of the urethral sphincters, allowing urine stored in the bladder to be discharged from the body. This process is controlled by both parasympathetic and somatic nervous systems and typically occurs when the bladder reaches a certain level of fullness.
The lungs act as an excretory organ by removing large quantities of carbon dioxide, approximately 180 to 200 liters per day, which is a major nitrogenous waste product of cellular respiration. Additionally, the lungs excrete significant quantities of water vapor every day through the process of respiration. When air is exhaled, it carries away these gaseous and volatile waste products, helping to maintain the pH and osmotic balance of the blood. This makes the lungs an important excretory organ alongside the kidneys and skin in maintaining homeostasis.
Renal clearance is the volume of blood plasma from which a particular solute is completely removed or cleared by the kidneys per unit time, usually expressed in milliliters per minute. It represents the amount of plasma that is filtered and the solute is excreted in the urine during a given period. Renal clearance is calculated using the formula: Renal clearance = (Urine concentration of substance × Urine volume per minute) / Plasma concentration of substance. This measurement helps assess kidney function and the rate at which kidneys eliminate specific substances from the blood.
The efficiency of the kidney can be estimated by calculating the renal clearance, which is the volume of blood completely cleared of a particular substance per unit time. If the renal clearance of a substance is equal to the glomerular filtration rate, it indicates that the substance is filtered at the glomerulus but not reabsorbed or secreted in the renal tubules, suggesting efficient filtration with little or no reabsorption and secretion. If the renal clearance is less than the glomerular filtration rate, it indicates that some of the filtered substance has been reabsorbed in the tubules. If the renal clearance is greater than the glomerular filtration rate, it indicates that the substance has been secreted into the tubules in addition to being filtered. By comparing the renal clearance values of different substances, we can assess the kidney's ability to selectively filter, reabsorb, and secrete various substances, thereby evaluating its overall efficiency in maintaining the composition of blood and producing urine.
Different organisms possess specialized excretory structures adapted to their body organization and habitat. In invertebrates, the primary excretory structures are protonephridia and metanephridia. Platyhelminthes such as planarians use flame cells, which are specialized cells with a tuft of cilia that help move waste through tubules. Amphioxus possesses solenocytes, which are similar to flame cells but found in this chordate. Nematodes like Caenorhabditis elegans have renette cells that function in osmoregulation and excretion. Annelids such as earthworms and polychaetes use metanephridia, which are more complex tubular structures with funnels that collect coelomic fluid. Insects including grasshoppers and beetles have Malpighian tubules, which are blind-ended tubules that extend into the hemocoel and actively transport wastes into the tubule lumen. Crustaceans such as prawns and crabs possess green glands, also called antennal glands, which are located near the base of the antennae and function in excretion and osmoregulation. These diverse excretory structures reflect the evolutionary adaptations of different organisms to their specific environments and physiological needs.
- In the reptiles the glomerulus is reduced or there may be no glomerulus and 1-lenle’s loop and hence produces dilute urine (chypotonic).
- In the mammals the long Henle’s loop produces concentrated urine (hypertonic)
- A glomerular kidneys of marine fishes produce little urine that is isoosmotic to the body fluid.
- Amphibians and freshwater fish lack Henle’s loop hence produce dilute urine.
a. Each kidney weighs an average of 120 – 170 gms.
The outer layer of the kidney is covered by three layers of supportive tissue namely renal fascia perirenal fat capsule fibrous capsule.
b. Draw the LS of kidney and name the parts.
c. Internal Structure of kidney
* The longitudinal section of kidney shows an outer cortex inner medulla and pelvis.
* The inner concave surface of the kidney is renal hilum through which ureter blood vessels and nerves enter.
* Inner to the hium is a funnel shaped renal pelvis with projection called calyces.
* The calyces collect the urine and empties in to the ureter.
* The medulla consists of conical tissues called medullary pyramids or renal pyramids.
a) Hie structural and functional unit of kidney is nephron. It is composed of Malpighian body or renal corpuscle and Urine ferous tubule.
b) Structure of nephron
c. Malpighian body/Renal Corpuscle.
* The Bowman’s capsule and the glomerulus together constitutes Malpighian corpuscle.
* Bowman’s capsule is made up of two layers. It contains blood vessels called glomerules.
* The endothelial of glomerulus has many pores. The viscral layers of glomerulus is made of epithelial cells called podocytes.
* Tire podocytes end in foot processes which cling to the basement membrance of the glomerulus.
* The openings between the foot processes are called filtration slits.
a)
1. proximal convoluted tubule.
2. Henle’s loop
a. Thindescending limb of Henle’s loop.
b. Thick ascending limb.
2. Distal convoluted tubules
The distal convoluced tubules opens in to acollecting duct.
Several collecting ducts fuse to form papillary duct that delivers urine in to the calvces which opens into the renal pelvis.
b) The PCT and DCT are situated in the cortical region of the kidney.
The loop of Henle is in the medulla region.
c) The loop of Henle is too short and extends only very little into the medulla and are called cortical nephron.
Some nephrons have very long loops of Henle that run deep into the medulla and are called Juxta medullary nephrons.
The capillaries of the nephron consist of two main types: the glomerular capillary bed and the peritubular capillaries. The glomerular capillary bed is formed by the afferent arteriole, which branches into a network of capillaries within Bowman's capsule, and the efferent arteriole, which collects blood from the glomerulus. The afferent arteriole is broader in diameter than the efferent arteriole, creating a pressure gradient that facilitates ultrafiltration. The glomerular capillaries have a specialized structure with fenestrations that allow water and small solutes to pass through while retaining large proteins and blood cells. The efferent arteriole that exits the glomerulus forms a fine capillary network called peritubular capillaries that surrounds the renal tubule, facilitating the reabsorption of useful substances back into the blood. In juxtamedullary nephrons, the efferent arteriole serving the glomerulus forms bundles of long, straight vessels called vasa recta that run parallel to the loop of Henle. The vasa recta are specialized for maintaining the osmotic gradient in the medulla by allowing selective reabsorption and secretion of ions and water, which is essential for the concentration of urine. These capillary networks work together to ensure efficient filtration, reabsorption, and secretion in the process of urine formation.
The glomerular filtrate resembles blood plasma because during ultrafiltration, small molecular weight substances are filtered from the blood into the Bowman's capsule, while large molecules like plasma proteins are retained in the blood due to their size. The filtrate contains all the substances present in blood plasma except the plasma proteins, which cannot pass through the filtration barrier. This is why the composition of glomerular filtrate is similar to blood plasma in terms of water, glucose, amino acids, urea, uric acid, creatinine, and inorganic ions. The following table shows the concentration of various substances in blood plasma and glomerular filtrate: Substance, Concentration in blood plasma (g dm⁻³), Concentration in glomerular filtrate (g dm⁻³); Water, 900, 900; Proteins, 80.0, 0.05; Amino acids, 0.5, 0.5; Glucose, 1.0, 1.0; Urea, 0.3, 0.3; Uric acid, 0.04, 0.04; Creatinine, 0.01, 0.01; Inorganic ions (mainly Na⁺, K⁺ and Cl⁻), 7.2, 7.2. The presence of proteins in the filtrate is negligible (0.05 g dm⁻³) compared to blood plasma (80.0 g dm⁻³), which is the main difference between the two fluids.
Tubular Secretion:
* The collecting tubule of nephron secrete H + NH 4, Creatinine and Organic acid and liberated into the tubules and excreted through urine.
* Most of the water is absorbed in the proximal convoluted tubule.
* Na – is exchanged for water in the loop of Henle.
* The hypotonic fluid enters the distal convoluted tubule.
* Substances such as urea and salts pass from peritubular blood into the cells as distal convoluted tubule and then to collecting duct.
* Water is absorbed and concentrated hypertonic urine is form ed.
* For every H + secreted into the tubular filtrate a Na + is absorbed by the tubular cell.
* The H secreted combines with HCO 3, HPO 3 and NH 3 and gets fixed as carbonic acid CH 2 CO 3 and Phosphoric acid CH 2 PO 4
* Since H + gets fixed in the fluid reabsorption of H + is prevented.
a) The major function of Henle’s loop is to concentrate Na + and Cl –.
* There is low osmolarity near the cortex and high osmolarity towards the medulla.
* This osmolarity in the medulla is due to the presence of the solutes transporters and is maintained by
the arrangement of the loop of Henle collecting duct and vasa recta.
* The osmolarity of interstitial fluid is 300 m Osm.
* The Henle’s loop create a countercurrent multiplier.
* As the fluid enters the descending limb water moves from the lumen into the inter stitial fluid the osmolarity reduces.
* To counteract this dilution the region of the ascending limb actively pumps solutes from the lumen into the interstitial fluid and the osmolarity increases to about 1200 m OSM in medula.
b) The vasa recta maintains the medullary osmotic gradient via counter current exchanger.
* The counter current exchanger of vasa recta preserves the medullary gradient while removing reabsorbed water and solutes.
* The vasa recta leaves the kidney at the junction between the cortex and medulla.
* When the blood leaves the efferent arteriole and enters vasa recta the osmolarity in the medulla increases (1200 rnOsm) and result in passive up take of solutes and loss of water.
* As the blood enters the cortex the osmolarity in the blood decreases and the blood loses solutes and gain water to form concentrated urine.
Vasa recta maintains the medullary osmotic gradient via counter current exchanger.
* Vasa recta preserves the medullary gradient while removing reabsorbed water and solutes through counter current exchanges.
* The vasa recta leave the kidney at the junction between the cortex and medulla.
* The interstitial fluid at this point is iso – osmotic to blood.
* When the blood leaves the efferent arteriole and enters the vasa recta the osmalarity in the medulla increases (1200 mOsm) and results in passive up take of solutes and loss of water.
* As the blood enters the cortex the osmolarity in the blood decreases (300mOsm) and the blood loses solutes and gains water to form concentrated urine.
* Human kidneys can produce urine nearly four times concentrated than the initial filtrate formed.
The kidney functioning is regulated by several important structures. The hypothalamus acts as the primary regulatory center by monitoring blood osmotic pressure through osmoreceptors. The juxtaglomerular apparatus, located in the afferent arteriole of the nephron, monitors blood pressure and regulates the renin-angiotensin-aldosterone system. The heart also plays a regulatory role through the secretion of atrial natriuretic peptide. Antidiuretic hormone (ADH), also called vasopressin, is secreted by the neurohypophysis in response to stimulation by osmoreceptors in the hypothalamus. When there is excessive loss of fluid from the body or when there is an increase in blood osmotic pressure, the osmoreceptors of the hypothalamus are stimulated. These osmoreceptors then stimulate the neurohypophysis to secrete ADH. ADH facilitates the reabsorption of water by increasing the number of aquaporins on the cell surface of the distal convoluted tubule and collecting duct, thereby preventing excessive loss of water from the body. This hormone makes the collecting duct more permeable to water, allowing more water to be reabsorbed back into the blood and reducing the volume of dilute urine produced. Diabetes insipidus is a condition caused by deficiency or absence of ADH secretion. The symptoms of diabetes insipidus include excessive thirst (polydipsia), excretion of large quantities of dilute urine (polyuria), and a fall in blood pressure due to excessive water loss from the body.
a) Renin is secreted by granular cells.
b) Granular cells are present in the afferent arteriole.
c) The role of renin
* A fall in glomerular blood flow blood pressure and filtration rate can activate granular cells of juxtaglomerular cells to release renin.
* Renin converts the plasma protein angiotensinogen into angiotensis I and angiotensin II.
* Angiotensis II stimulates Na + reabsorption in the proximal convoluted tubule by vasoconstriction of the blood vessels and increases the glomerular blood pressure.
* Angiotensis II stimulates adrenal cortex to secrete aldosterone that causes reabsorption of Na +,K + excretion and absorption of water.
* This increases the glomerular blood pressure and glomerular filtration rate.
* Hence renin regulates osmoregulation.
Atrial natriuretic peptide (ANP) is liberated from the atrium of the heart, specifically from the cardiac muscle cells of the atrial wall. This hormone is released in response to increased blood pressure and increased blood volume. Atrial natriuretic peptide has several important physiological functions in regulating kidney function and blood pressure. It increases sodium excretion by the kidneys and increases the blood flow to the glomerulus, thereby increasing the glomerular filtration rate. ANP acts on the afferent glomerular arteriole as a vasodilator, increasing blood flow into the glomerulus, while simultaneously acting on the efferent arteriole as a vasoconstrictor, reducing blood flow out of the glomerulus. This combination of effects increases the pressure gradient across the filtration membrane, promoting increased filtration. Additionally, ANP reduces the secretion of aldosterone from the adrenal cortex and inhibits renin secretion from the juxtaglomerular apparatus. By reducing renin secretion, ANP decreases the formation of angiotensin II, which is a potent vasoconstrictor and promoter of sodium reabsorption. Thus, atrial natriuretic peptide acts antagonistically to the renin-angiotensin-aldosterone system and vasopressin (ADH), helping to lower blood pressure and increase sodium and water excretion when blood pressure is elevated.
Micturition is the process of release or expulsion of urine from the urinary bladder to the outside of the body. It is also called urination. The urine formed by the nephrons is transported through the collecting ducts and ureters to the urinary bladder where it is stored until the bladder receives appropriate signals from the central nervous system to expel the urine. The regulation of urination by the central nervous system involves a reflex arc mechanism. When the urinary bladder becomes filled with urine, the stretch receptors present in the bladder wall are stimulated by the distension of the bladder. These stretch receptors send sensory signals to the sacral spinal cord through sensory neurons. The sensory information is processed in the spinal cord, and motor signals are sent back to the bladder through parasympathetic neurons. At the same time, the internal sphincter, which is made of smooth muscle, opens involuntarily in response to these signals. The external sphincter, which is made of skeletal muscle and is under voluntary control, relaxes when the individual consciously decides to urinate. Once both sphincters open, the detrusor muscle of the bladder contracts, and the urine is expelled out through the urethra. In infants, micturition is purely a reflex action, but in adults, it can be voluntarily controlled through higher brain centers.
a) in the patients of kidney failure toxic urea can be removed from the blood by a process called haemodialysis.
b) The dialyzing machine is a artificial kidney.
c) Hemodialysis
* A dialyzing machine consists of a long cellulose tube surrounded by the dialysing fluid in a water bath.
* A patient’s blood is drawn from a convenient artery and pumped into the dialysing unit after adding an anticoagulant like heparin.
* The tiny pores in the dialysis tube allow small molecules such as glucose salts and urea to enter into the water bath.
* Whereas blood cells and protein molecules do not enter these pores the cleared blood is then pumped back to the body through a vein.
- This involves transfer of healthy kidney from one person (donor) to another person who is with kidney failure.
- The donated kidney may be taken from a healthy person who is declared brain dead or from sibling or close relatives to minimize the chances of rejection by the immune system of the host.
- Immuno suppressive drugs are usually administered to the patient to avoid tissue rejection.
b) Counter current
a) Vasa recta – Proximal convoluted tubule
b) Liver
c) Angiotensin II
b) Atrial natriuretic peptide
c) Atrial natriuretic peptide
c) 6.0
a) Uro chrome
a) Uremia
The correct answer is b) Oligo urea. Oliguria refers to a condition characterized by abnormally low urine output, typically less than 400 to 500 milliliters per day. When there is accumulation of salt in the blood, it increases the osmotic pressure, which causes the kidneys to reabsorb more water to dilute the blood. This results in decreased urine production, leading to oliguria. This condition can occur due to dehydration, kidney dysfunction, or excessive salt intake, and it may lead to the accumulation of nitrogenous wastes and other solutes in the blood.
The major nitrogenous wastes produced during protein metabolism are ammonia, urea, and uric acid. These are the primary end products of amino acid deamination and nucleic acid metabolism. Besides these major nitrogenous wastes, several other nitrogenous compounds are also formed during protein and nucleic acid metabolism. Trimethylamine oxide (TMO) is produced in some aquatic animals and helps in osmoregulation. Guanine is a purine base produced from the breakdown of nucleic acids. Allantoin is formed from the oxidation of uric acid and is excreted by some animals. Creatinine is produced from the metabolism of creatine phosphate in muscles and is a useful indicator of kidney function. Creatine is an amino acid derivative found mainly in muscle tissue. Purines are nitrogenous bases derived from nucleic acid metabolism. The relative amounts of these different nitrogenous wastes vary depending on the diet, metabolic state, and the type of organism, with different animals showing preferences for excreting different forms of nitrogenous waste.
Animals can be classified based on the form of nitrogenous waste they excrete. Ammonoteles are animals that excrete most of their nitrogen in the form of ammonia. Examples include aquatic animals such as bony fishes, aquatic amphibians, and aquatic insects. In bony fishes, ammonia is highly soluble in water and diffuses out across the body surface and through the gills into the surrounding water. Ammonia is toxic and requires large amounts of water for dilution, so this strategy is only feasible for aquatic animals. Uricoteles are animals that excrete uric acid in the form of crystals or paste with minimal loss of water. Examples include reptiles, birds, land snails, and insects. Uric acid is relatively insoluble in water and requires very little water for its excretion, making it an ideal nitrogenous waste for terrestrial animals living in dry environments. The conversion of ammonia to uric acid requires more energy but conserves water, which is advantageous for animals living on land. Ureoteles are animals that excrete urea as their primary nitrogenous waste. Examples include mammals and terrestrial amphibians. Urea is less toxic than ammonia and requires moderate amounts of water for excretion, making it a suitable compromise between water conservation and energy expenditure. The type of nitrogenous waste excreted by an animal reflects its evolutionary adaptation to its particular habitat and lifestyle.
- Reptiles have reduced glomerulus or lack glomerulus and Henle’s loop and produce hypotonic urine (dilute)
- Mammalian kidneys produce concentrated urine due to the presence of long Henle’s loop.
- Aglomerular kidneys of marine fishes produce little urine that is iso osmotic to the body fluid.
- Amphibians and fresh water fishlack Henle’s loop hence produce dilute urine.
The nephron contains two important capillary beds that play crucial roles in urine formation and selective reabsorption. The first capillary bed is the glomerulus, which is involved in ultrafiltration. Blood enters the glomerulus through the afferent arteriole, which has a larger diameter than the efferent arteriole. This size difference creates high hydrostatic pressure within the glomerulus, forcing small molecular weight substances through the filtration barrier into the Bowman's capsule. The filtered blood is then drained from the glomerulus through the efferent arteriole. The second capillary bed consists of the peritubular capillaries, which surround the renal tubule. The efferent arteriole, after leaving the glomerulus, branches to form a fine capillary network around the proximal convoluted tubule, loop of Henle, distal convoluted tubule, and collecting duct. These peritubular capillaries are involved in the reabsorption of useful substances from the filtrate back into the blood through active and passive transport. In the case of juxtamedullary nephrons, which have their loops of Henle extending deep into the medulla, the efferent arteriole forms bundles of long, straight vessels called vasa recta. These vasa recta run parallel to the loop of Henle and are involved in the countercurrent multiplier mechanism that helps concentrate the urine. Vasa recta are absent in cortical nephrons, which have short loops of Henle that do not extend far into the medulla.
- In the proximal convoluted tubule glucose lacticacid aminoacid sodium ions are reabsorbed.
- Sodium is reabsorbed – potassium pump in the proximal convoluted tubule.
- Small amounts of urea and uric acid are also reabsorbed.
The filtrate undergoes significant changes as it passes through the loop of Henle, which is a U-shaped structure consisting of a descending limb and an ascending limb. These two limbs have different permeability characteristics that create a countercurrent multiplier system. In the descending limb of the loop of Henle, the epithelial cells contain aquaporins, which are water channel proteins that make the membrane highly permeable to water but impermeable to salts such as sodium ions (Na⁺) and chloride ions (Cl⁻). As the filtrate moves down the descending limb, water is reabsorbed into the surrounding peritubular capillaries and vasa recta by osmosis, while sodium and chloride ions remain in the filtrate. This causes the concentration of Na⁺ and Cl⁻ to increase progressively as the filtrate moves down the descending limb. The ascending limb of the loop of Henle has a different permeability profile. It is impermeable to water, preventing water reabsorption, but is permeable to solutes such as sodium ions (Na⁺), chloride ions (Cl⁻), and potassium ions (K⁺). In the thick portion of the ascending limb, active transport mechanisms actively pump out these ions into the interstitial fluid, further reducing the osmotic concentration of the filtrate. This countercurrent multiplier mechanism in the loop of Henle is essential for the production of concentrated urine and the conservation of water in the body.
Tubular reabsorption is the process by which useful substances are selectively reabsorbed from the filtrate back into the blood as it passes through the renal tubules. The volume of glomerular filtrate formed per day is approximately 170 to 180 liters, while the volume of urine released per day is only about 1.5 liters. This means that nearly 99 percent of the glomerular filtrate is reabsorbed by the renal tubules, a process called selective reabsorption. Selective reabsorption occurs because only useful substances such as glucose, amino acids, vitamins, and ions are reabsorbed, while harmful substances and excess water remain in the filtrate to be excreted as urine. Reabsorption takes place through the tubular epithelial cells in different segments of the nephron, including the proximal convoluted tubule, loop of Henle, distal convoluted tubule, and collecting duct. The mechanisms of reabsorption include active transport, which requires energy in the form of ATP and is used for reabsorbing glucose, amino acids, and ions against their concentration gradients; passive transport and diffusion, which allow substances to move along their concentration gradients without requiring energy; and osmosis, which allows water to move across the tubular epithelium in response to osmotic gradients. Different segments of the renal tubule have different permeability characteristics and reabsorb different substances, allowing for fine-tuned regulation of the composition and volume of urine produced.
- Depending on the body’s need the reabsorption taking place here and is regulated by hormones.
- Reabsorption of bicarbonate HCO 3 – takes place to regulate the blood pH.
- Homestasis of K + and Na + in the blood is also regulated in this region.
- Hypothalamus
- Juxta glomerular apparatus
- Heart
Diabetes insipidus is a metabolic disorder characterized by the deficiency or complete absence of antidiuretic hormone (ADH), also called vasopressin, which is secreted by the neurohypophysis. This hormone deficiency results in the inability of the kidneys to concentrate urine and conserve water. The condition can also occur due to the inability of the kidneys to respond to ADH, a condition known as nephrogenic diabetes insipidus. The symptoms of diabetes insipidus are quite distinctive and include excessive thirst, medically termed polydipsia, which occurs because the body attempts to compensate for water loss by increasing fluid intake. Patients also experience the excretion of large quantities of dilute urine, a condition called polyuria, sometimes producing up to 20 liters of urine per day compared to the normal 1.5 liters. This excessive water loss through urine leads to dehydration and a fall in blood pressure, which can cause dizziness, weakness, and fatigue. If left untreated, diabetes insipidus can lead to severe dehydration and electrolyte imbalances. The condition is managed by administering synthetic ADH or by treating the underlying cause if it is nephrogenic diabetes insipidus.
- Specialized tissue in the afferent arteriole of ncphron is the juxta glomerular apparatus.
- It consists of macula densa and granular cells.
- The macula densa cells sense distal tubular flow and affect afferent alteriole diameter.
- The granular cells secrete renin.
- Female’s urethra is very short and its external opening is close to the analopening.
- Hence improper toilet habits can easily carry faecal bacteria into the urethra.
- The urethral mucusa is continuous with the urianary tract and the inflammation of the urethra is called urethriti’s.
Cystitis is a urinary tract infection that leads to inflammation of the bladder wall. It is one of the most common urinary tract infections and can be caused by bacterial infection, most commonly by Escherichia coli (E. coli), which normally inhabit the intestinal tract but can ascend through the urethra to infect the bladder. The infection causes irritation and inflammation of the bladder mucosa. The symptoms of cystitis include painful urination, medically termed dysuria, which is often accompanied by a burning sensation in the urethra. Patients experience urinary urgency, which is a frequent and persistent desire to urinate even when the bladder contains only small amounts of urine. The urine may appear cloudy or blood-tinged due to the presence of white blood cells, bacteria, and sometimes red blood cells in the urine. Back pain and headache often occur as associated symptoms. Other symptoms may include suprapubic pain, which is pain above the pubic bone, and in some cases, fever and chills if the infection spreads to the upper urinary tract. Cystitis is more common in females than males due to the shorter length of the female urethra, which allows bacteria easier access to the bladder. The condition is typically treated with antibiotics to eliminate the bacterial infection and with increased fluid intake to flush out the urinary tract.
Renal failure is a condition in which the kidneys lose their ability to filter metabolic wastes and excess water from the blood effectively. When the kidneys fail to excrete wastes, there is accumulation of urea, uric acid, and creatinine in the blood with a marked reduction in urine output. This leads to serious complications as toxic substances build up in the body. Renal failure is classified into two main types: Acute renal failure occurs suddenly due to severe injury, shock, or acute glomerulonephritis, and kidney function may be restored with proper treatment. Chronic renal failure develops gradually over months or years due to conditions like diabetes, hypertension, or chronic glomerulonephritis, and kidney damage is usually irreversible, eventually requiring dialysis or kidney transplantation for survival.
- Though the kidney stops its function abruptly there are chances for recovery of kidney function in acute renal failure.
- But in chronic failure there is a progressive loss of function of the nephron which gradually decreases the function of kidney.
Glomerulonephritis, also known as Bright's disease, is a serious kidney disease characterized by inflammation of the glomeruli of both kidneys. This condition is often caused by streptococcal infection in children, particularly following a streptococcal throat infection or skin infection. The immune system produces antibodies against the streptococcal bacteria, and these antibodies form immune complexes that deposit in the glomerular basement membrane, triggering an inflammatory response. This inflammation damages the filtration barrier and impairs the kidney's ability to filter waste products and regulate fluid and electrolyte balance. The symptoms of glomerulonephritis are varied and reflect the damage to the glomeruli. Hematuria, which is the presence of blood in the urine, occurs because the damaged glomerular membrane becomes permeable to red blood cells. Proteinuria, which is the presence of protein in the urine, results from the increased permeability of the filtration barrier to plasma proteins. Salt and water retention occurs due to impaired kidney function, leading to oliguria, which is a reduced urine output. The retention of salt and water causes an increase in blood volume and blood pressure, leading to hypertension. In severe cases, pulmonary edema may develop, which is the accumulation of fluid in the lungs due to increased hydrostatic pressure in the pulmonary capillaries. Other symptoms may include facial puffiness, particularly around the eyes, due to fluid retention, and general malaise. The condition may resolve spontaneously in children, but in adults, it can progress to chronic kidney disease and renal failure if left untreated.
- Transfer of healthy kidney from one person (donor) to another person with kidney failure is called kidney transplantation.
- The donated kidney may be taken from a healthy person who is declared brain death or from sibling or close relatives.
- Immuno supressive drugs are administered to the patient to avoid tissue rejection.
- Glucose oxidase and peroxidase.
- Brown coloured compound is produced.
Osmoconformers are organisms that are unable to maintain a constant internal osmotic concentration and instead allow their body fluids to change in osmotic concentration in accordance with changes in the external environment. These organisms do not actively regulate their internal osmotic pressure and their blood osmolarity fluctuates with the osmolarity of their surroundings. Examples include most marine invertebrates such as molluscs, echinoderms, and sharks. These organisms are typically found in stable osmotic environments like the ocean where the salinity remains relatively constant, allowing them to survive without expending energy on osmoregulation.
Osmoregulators are organisms that maintain a relatively constant internal osmotic concentration of their body fluids irrespective of the osmotic concentration of their external environment. These organisms actively regulate the osmotic pressure of their blood and tissue fluids through various physiological mechanisms, including selective absorption and excretion of salts and water. Examples include most freshwater organisms such as otters, fish, and amphibians, as well as terrestrial animals including mammals and birds. Osmoregulation requires energy expenditure but allows these organisms to survive in environments with varying salinity, such as freshwater or terrestrial habitats where the external osmotic environment is very different from their internal fluid composition.
- Protonephridia
- Meta nephridia
- Flame cells – Platy helminthes
- Rennette cells – Nematodes
- Malpighian tubules – Insects
- Greenglands – Prawns
- The visceral layer of glomerulus is made of epithelial cells called podocytes and ends in foot processes which cling to the basement membrane of the glomerulus.
- The openings between the foot processes are called filtration slits.
- Blood enters the glomerulus faster with greater force through afferent arteriole.
- Because the afferent arteriole is broader than efferent arteriole that is why the pressure reduces when it goes through the efferent arteriole.
- The osmo receptors in the hypothalamus is stimulated.
- The neurohypophysis is stimulated and anti diuretic hormone is liberated.
- The aquaporins in the tubuler are increased and water is reabsorbed and enters into the interstitial cell and the water loss is rectified.
- Skin excretes Na + and Cl – small quantities of urea and lactate.
- Sebaceous glands eliminated certain substances like steroids, hydrocarbons and waxes.
Urethritis is an infection and inflammation of the urethra, the tube that carries urine from the bladder to the external environment. Since the urethral mucosa is continuous with the urinary tract, it is susceptible to infection by bacteria and other pathogens. Urethritis can cause symptoms such as pain or burning during urination, increased urinary frequency, and discharge. If left untreated, the infection can ascend the urinary tract to cause more serious infections in the bladder and kidneys.
Cystitis is an infection and inflammation of the urinary bladder. The infection in the urethra can ascend the urinary tract to reach the bladder and cause cystitis. This condition is characterized by symptoms such as pain or discomfort in the lower abdomen, frequent urination, urgency to urinate, and sometimes blood in the urine. Cystitis is more common in females due to the shorter length of the female urethra. If untreated, the infection can further ascend to the kidneys, causing more serious complications.
Pyelitis or pyelonephritis is an infection and inflammation of the kidney and its pelvis. The bladder infection can ascend further up the urinary tract to reach the kidneys, causing pyelonephritis. This is a more serious condition than cystitis and can result in permanent kidney damage if not treated promptly. Symptoms include fever, flank pain, nausea, and vomiting in addition to urinary symptoms. Pyelonephritis requires antibiotic treatment and medical attention to prevent complications such as sepsis and chronic kidney disease.
Acute renal failure
* Chronic renal failure
1. Acute renal failure
* In acute renal failure the kidney stops its function abruptly.
* There are chances for recovery of kidney function.
2. Chronic renal failure
In chronic renal failure there is a progressive loss of function of the nephron which gradually decreases the function of kidneys.
Uremia is a pathological condition characterized by an abnormal increase in the concentration of urea, uric acid, and creatinine in the blood. This occurs when the kidneys fail to adequately filter and excrete these nitrogenous waste products, leading to their accumulation in the bloodstream. Uremia is a serious consequence of renal failure and can cause various systemic symptoms including nausea, vomiting, fatigue, confusion, and in severe cases, coma and death. The condition reflects the inability of the kidneys to maintain proper homeostasis and remove metabolic wastes from the body.
- When we drink much fruit juice the osmo receptors in hypothalamus is not stimulated and hence the secretion of vaso pressin from neuro hypophysis is reduced.
- The aquaporin escapes from collecting duct to cytoplasm and hence water reabsorption is prevented and formed dilute urine.
Uremia is a condition characterized by an abnormal increase in the level of urea, uric acid, and creatinine in the blood. This occurs due to the failure of the kidneys to adequately filter and excrete these nitrogenous waste products from the body. Uremia develops as a consequence of renal failure, whether acute or chronic, and represents a serious metabolic disturbance. The accumulation of these toxic substances in the blood can lead to various clinical manifestations including uremic poisoning, which affects multiple organ systems and can result in serious complications if not treated appropriately through dialysis or kidney transplantation.
The level of urea in the blood is 17 -30 mg /100ml.
* In chronic kidney failure there is 10 times increase in urea level.
Five marks
IV. Detailed Answers –