BIO310H5 Lecture Notes - Lecture 16: Renal Function, Macula Densa, Tubuloglomerular Feedback

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26 Nov 2018
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Potassium, hydrogen, ammonia (nh3) and organic acids and bases secreted. Secretion of k+ into tubular lumen to achieve homeostasis after high load. Depends on na+/k+ pump from interstitial fluid into tubular cells, followed by leakage through channels in the apical membrane. Driven by the sodium gradient established by the na+/k+ pumps (not specific) Taken from the blood into the cell in exchange for di/tri carboxylates. Then removed across apical membrane via anion antiporter. Many endogenous and foreign compounds are excreted via organic cationic and anionic secretory mechanisms. These secretory mechanisms are nonspecific, leading to organic ions competing for the same secretory pathway. Clinical application: can prolong drug activity by co-administering any organic ion drugs that compete for entry into secretory pathway. Fluid volume and salt concentration regulated by: Altering rate at which salts are reabsorbed. Altering rate at which water is reabsorbed. Tubuloglomerular feedback mechanism (macula densa cells of distal tubule)

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