Regulation of Tubular Reabsorption Kidney lecture 14 The Body Fluids and Kidneys Lecture 14 Urine Formation II Regulation of Tubular Reabsorption Dr. Rashid Mahmood
Regulation of Tubular Reabsorption Kidney lecture 14 Regulation of Tubular Reabsorption Dr. Rashid Mahmood
Reabsorption=124 ml/min Reabsorption= Kf × Net Reabsorptive Force Kf = Capillary Co-Efficient = Permeability × Surface Area
Reabsorptive Force
Regulation of Peritubular Capillary Physical Forces Arterial Pressure: ↑ BP : ↓ Reabsorption ( ↑ Pc ) 2. Resistance of Afferent & Efferent Arterioles: ↑ Resistance: ↓ Pc : ↑ Reabsorption 3. Systemic Colloid Osmotic Pressure: ↑ π c: ↑ Reabsorption 4. Filtration Fraction: ↑ π c: Reabsorption
Forces that increase/decrease peritubular capillary reabsorption also increases/decreases reabsorption from renal tubules
Pressure Diuresis Pressure Natriuresis ↑ BP → ↑ GFR ↑ BP → ↑ Pc →↓ Reabsorption ↓ Angiotensin-II
Hormonal Control of Tubular Reabsorption
HORMONES THAT REGULATE ABSORPTION EFFECTS Aldosterone ↑ NaCl,H2 O reabsorption, ↑ K+ secretion Angiotensin -II ↑ NaCl,H2 O reabsorption, ↑H+ secretion Antidiuretic Hormone ↑H2 O reabsorption Atrial Natriuretic Peptide ↓ NaCl reabsorption Parathyroid Hormone ↓ Phosphate Reabsorption , ↑ Ca++ Reabsorption
Angiotensin-II ↑ Aldosterone Constriction of Efferent Arterioles i. ↓Pc → ↑ Reabsorption ii. ↓ Renal Blood Flow → ↑ Filtration Fraction → ↑ πc → ↑ Reabsorption Direct stimulation of Sodium Reabsorption Stimulation of Na+,K+ ATPase Stimulation of Na+,H+ Counter-transport Sodium bicarbonate co transport
Effect of Angiotensin-II on Na+ and Water Reabsorption ↑ADH OVLT→Hypothalamus Angiotensin-II ↑ thirst ↑ Aldosterone Constriction of efferent arterioles Direct stimulation of Sodium Reabsorption ↓ Renal Blood Flow ↓Pc Stimulation of Na+,K+ ATPase ↑ Filtration Fraction Stimulation of Na+,H+ Counter-transport ↑ πc ↑ Reabsorption ↑ Na+ Reabsorption
Effect of Angiotensin-II on Na+ and Water Reabsorption ↑ADH OVLT→Hypothalamus Angiotensin-II ↑ thirst ↑ Aldosterone Constriction of efferent arterioles Direct stimulation of Sodium Reabsorption ↓ Renal Blood Flow ↓Pc Stimulation of Na+,K+ ATPase ↑ Filtration Fraction Stimulation of Na+,H+ Cotransport ↑ πc ↑ Reabsorption ↑ Na+ Reabsorption
HORMONES THAT REGULATE ABSORPTION EFFECTS Aldosterone ↑ NaCl,H2 O reabsorption, ↑ K+ secretion Angiotensin -II ↑ NaCl,H2 O reabsorption, ↑H+ secretion Antidiuretic Hormone ↑H2 O reabsorption Atrial Natriuretic Peptide ↓ NaCl reabsorption Parathyroid Hormone ↓ Phosphate Reabsorption , ↑ Ca++ Reabsorption
Anti-diuretic hormone Site of action Late distal tubules, collecting tubules, collecting ducts Binds to specific V2 receptors → movement of an intracellular protein, AQP-2 (Aquaporin-2) to luminal side of cell → molecules of AQP-2 fuse with cell membrane by exocytosis → water channels →↑ water permeability