Understanding the Kidney and Nephron Functions

Oct 13, 2024

Overview of the Kidney and the Nephron

Introduction to the Kidney

  • Primary Functions
    • Excretion of waste
    • Maintenance of water and electrolyte balance
    • Blood pressure regulation
    • Hormone production
  • Location
    • We have two kidneys located closer to our back on either side of the spine.
    • Located behind the liver.
  • Structure
    • Divided into two main components: Renal Cortex and Renal Medulla.

The Nephron: The Functional Unit of the Kidney

  • Key Roles
    • Waste excretion
    • Maintenance of water level in the blood
  • Structure
    • Each kidney contains approximately 1 million nephrons.
    • Composed of a long tubule passing from the cortex into the medulla and back.

Blood Flow in the Nephron

  • Afferent Arteriole
    • Brings blood into the nephron.
  • Glomerulus
    • High pressure, porous capillary bed where filtration begins.
    • Surrounded by podocytes that filter the blood.
  • Bowman's Capsule and Space
    • Collects the filtrate from the glomerulus.
    • Filtrate includes water, small ions, glucose, and amino acids; excludes large proteins and red blood cells.

Components of the Nephron

Proximal Tubule

  • Function
    • Reabsorption of glucose, sodium, amino acids, and some water.
    • Utilizes active transport (ATP) to pump substances back into the blood.

Loop of Henle

  • Structure
    • Descending limb: permeable only to water.
    • Ascending limb: actively pumps out salts (Na+, K+, Cl-).
  • Function
    • Creates a hypertonic medulla to facilitate water reabsorption due to osmotic gradients.

Distal Convoluted Tubule

  • Function
    • Further reabsorption of calcium, sodium, and other ions.
    • Slight reabsorption of water.

Collecting Duct

  • Function
    • Collects the processed filtrate (now closer to urine) from multiple nephrons.
    • Further water reabsorption occurs due to antidiuretic hormone (ADH) making the duct walls more permeable.

Conclusion

  • The nephron is essential in refining the filtrate through reabsorption at various stages to ensure water and useful substances are conserved, while waste products are excreted as urine.
  • Key process occurs in Loop of Henle, creating an efficient system of reabsorption using energy and osmotic principles.
  • Final filtrate (urine) travels through the ureters to the bladder for excretion.