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TUBULAR REABSORPTION TUBULAR REABSORPTION

TUBULAR REABSORPTION - PowerPoint Presentation

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TUBULAR REABSORPTION - PPT Presentation

Part II DR IMRANA EHSAN Solute and water reabsorption inLoop of Henley Tubular fluid PCT reabsorbed 65 of the filtered water so chemical composition of tubular fluid in the loop of ID: 600076

fluid reabsorption loop tubular reabsorption fluid tubular loop water distal reabsorb henle tubule ascending blood limb cells collecting symporters interstitial early secretion

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Slide1

TUBULAR REABSORPTION Part II

DR .IMRANA EHSANSlide2
Slide3

Solute and water reabsorption

inLoop

of HenleySlide4

Tubular fluid

PCT reabsorbed 65% of the filtered water so chemical composition of tubular fluid in the loop of

Henle

is quite different from plasma since many nutrients were reabsorbed as well,

osmolarity

of tubular fluid is close to that of blood

Sets the stage for independent regulation of both volume & osmolarity of body fluids.THIN DESCENDING LIMB: Highly permeable to water and moderately permeable to solutes.20% of fluid reabsorbed

Reabsorption in the Loop of

HenleSlide5

Symporters in the Loop of Henle

ASCENDING LIMB :

THIN ASCENDING LIMB: impermeable to water.

Thick ascending limb: has Na+ K-

Cl

-

symporters on liminal side that reabsorb these ionsK+ leaks through K+ channels back into the tubular fluid leaving the interstitial fluid and blood with a negative charge Na/Kpump on basolateral

membrane

Ca, Mg, Na ,K passively move to the vasa recta BY PARACELLULAR ROUTE.

info@abl.com.pkSlide6

DESCENDING LOOP OF HENLE: No active transport of salt out of the descending loop of

Henle

.

ASCENDING LOOP OF HENLE: Chlorine ions actively transported out of loop

into the interstitial space

. Oppositely charged sodium ions follow. However,

water does not move out of the ascending loop.A concentration gradient IN THE INTERSTITIAL SPACE has been set up by the chlorine ( plus sodium) transport.Slide7

Early distal convulated tubule:

Reabsorption

on the early distal convoluted tubule

Na

+

-

Cl- symporters reabsorb Na+ and Cl-, Ca,Mg

.

Na/K Pump at

basolateral

membraneNa Cl cotransport on luminal surface Major site where parathyroid hormone stimulates reabsorption of Ca+ depending on body’s needsReabsorption

and secretion in the late distal convoluted tubule and collecting duct

90-95% of filtered solutes and fluid have been returned by now

Principal cells reabsorb Na

+

and secrete K

+

Intercalated cells reabsorb K

+

and HCO

3

-

and secrete H

+

Amount of water

reabsorption

and solute

reabsorption

and secretion depends on body’s needsSlide8

Early distal covulated tubuleSlide9

DISTAL TUBULE AND CORTICAL COLLECTING DUCTSSlide10

Medullary collecting ductsSlide11

Hormonal regulation of tubular reabsorption and secretion

Glomerulotubular

balance

Increased tubular load increases

reabsorption

rates

Angiotensin II - when blood volume and blood pressure decreaseDecreases GFR, enhances reabsorption of Na+, Cl-

and water in PCT

Aldosterone

- when blood volume and blood pressure decrease

Stimulates principal cells in collecting duct to reabsorb more Na+ and Cl- and secrete more K+ Parathyroid hormoneStimulates cells in DCT to reabsorb more Ca2+2

nd

line of

defence

Prevents overloading of distal tubular segmentsSlide12

Fluid flow in pertubular compartment