Physiology of Urine formation #22 | Human physiology

There are three major process involve -

(1) Glomerular filtration (ultrafiltration)
(2) Tubular reabsorption (selective reabsorption)
(3) Tubular secretion (augmentation)




(1) Glomerular filtration :-


- It is a non selective process by which blood in glomerular capillary passes through the filtration bed and reaches the capsular space now called glomerular filtrate / ultrafiltrate.

- All the blood get filters through the process except blood cells and plasma protein (albumin and globulin) because they have large diameter than the size of pores.

- So, glomerular filtrate consists of H2O, salt, glucose, a.a(amino acid), urea, uric acid, hippuric acid, creatinine, vit.,hormone etc.

Glomerular filtrate = Blood - [Blood cells + plasma protein]
Glomerular filtrate = plasma - proteins
Glomerular filtrate = deproteinized plasma

- Blood in glomerular capillary is exerted with some net pressure so that it can reach the capsular space.

RBS ( Renal blood supply) is 1100-1200 ml/minute i.e. approximately 1/5th of Cardiac output.


                            
Only 1% of GFR forms urine i.e. about 1ml urine formed per minute.
Remaining 99% of GFR selectively gets reabsorbed.


(2) Selective Reabsorption :-


It is a selective process by which useful substances are taken back into the blood circulation so the remaining waste is now called urine.


(i) In PCT -


- Maximum reabsorption occur here, active as well as passive.

- About 70 to 80% water gets reabsorbed and this reabsorption in PCT is obligatory.

- About 70% Na+, 75% K+, 70% Cl- , some HCO3- , 100% glucose and 100% amino acids also get reabsorbed.

- Reabsorption of Na+, K+, glucose and amino acids is active but reabsorption of water Cl- and HCO3- is passive.


(ii) In Loop of Henle -


- Cells of descending limb are permeable for reabsorption of water and cells of ascending limb are permeable  only for salts.

- When ascending limb reabsorb electrolyte like Na+ , K+ , Cl- etc. into medullary interstitial fluid osmolarity of fluid increase.

- To maintain this osmolarity descending limb causes reabsorption of water but this water is reabsorbed into blood.

- So, Loop of Henle shows facultative reabsorption.

Note :- Reabsorption of Na+ from thin segment of ascending limb occurs passively.


(iii) In DCT & collecting duct -


• Cells are themselves impermeable in nature so can become permeable only under influence of hormone.

• So, both these parts show facultative reabsorption.

• They show reabsorption of water calcium Ion, chlorine ion, sodium ion and some HCO3-

(I) ADH (Anti Diuretic Hormone) / Vasopressin :-

It is secreted by hypothalamus but release into blood by posterior pituitary.
It induces reabsorption of water in DCT and collecting duct (along with some salt).

(II) Aldosterone :-

It is secreted by adrenal cortex gland.
It induces reabsorption of salt in DCT and collecting duct (along with some water).


(3) Active secretion / Augmentation :-


• This process occur actively in PCT and DCT parts of Nephron.

• If the blood capillaries surrounding nephron still consist of uric acid, cretenine, ammonium ion or excess K+ is present, it is taken from blood into the filtrate

• Finally the term urine can now be used in  collecting duct.

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