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Nephron Transport Essentials

Nov 24, 2025

Overview

The transcript explains how different nephron segments reabsorb molecules via membrane transporters, focusing on apical vs basolateral membranes and secondary active transport driven by the Na+/K+ ATPase.

Nephron Cell Architecture

  • Apical side faces the lumen where filtrate flows; basolateral side faces interstitium and capillaries.
  • Proximal tubule has a brush border (microvilli) increasing apical surface area.
  • Peritubular capillaries surround tubules; reabsorbed solutes move into blood there.

Core Transport Principle

  • Na+/K+ ATPase on basolateral membrane uses ATP to export Na+ and import K+.
  • This lowers intracellular Na+, creating a Na+ gradient from lumen to cell.
  • Transporters exploit this gradient to drive cotransport or exchange of other solutes.
  • This coupling is called secondary active transport.

Proximal Convoluted Tubule (PCT)

  • Major reabsorption site for glucose, amino acids, and Na+.
  • Basolateral Na+/K+ ATPase maintains low intracellular Na+.
  • Apical Na+-coupled symporters move Na+ with glucose or amino acids into the cell.
  • Elevated intracellular glucose diffuses out basolaterally to blood when permeable.

Ascending Limb of Loop of Henle

  • Focus on reabsorbing salts: Na+, K+, and Cl−.
  • Basolateral Na+/K+ ATPase lowers intracellular Na+.
  • Apical Na+-K+-2Cl− cotransporter (symporter) brings in Na+, K+, and Cl−.
  • K+ channels are leaky; K+ can recycle, aiding transporter function.
  • Cl− exits basolaterally; NaCl reabsorption contributes to medullary hypertonicity.

Distal Convoluted Tubule (DCT)

  • Reabsorbs calcium via Na+-Ca2+ exchange at the basolateral side.
  • Basolateral Na+/K+ ATPase keeps extracellular Na+ high relative to cell, enabling exchange.
  • Apical membrane is permeable to Ca2+, allowing Ca2+ entry down its gradient.
  • Basolateral Na+-Ca2+ antiporter exports Ca2+ to blood as Na+ enters the cell.

Key Terms & Definitions

  • Apical membrane: Cell surface facing the tubular lumen.
  • Basolateral membrane: Cell surface facing interstitium and capillaries.
  • Peritubular capillaries: Blood vessels surrounding nephron tubules for reabsorption.
  • Na+/K+ ATPase (sodium-potassium pump): ATP-driven pump exporting Na+ and importing K+.
  • Symporter (cotransporter): Moves two or more solutes in the same direction.
  • Antiporter: Exchanges solutes in opposite directions across a membrane.
  • Secondary active transport: Using one solute’s gradient (often Na+) to drive another’s movement.

Transporters by Segment

SegmentApical Transporter(s)Basolateral Transporter(s)Primary Solutes ReabsorbedDriving Mechanism
Proximal convoluted tubuleNa+-glucose and Na+-amino acid symportersNa+/K+ ATPase; glucose-permeable pathwaysGlucose, amino acids, Na+Na+ gradient from ATPase (secondary active)
Ascending limb (Loop of Henle)Na+-K+-2Cl− symporterNa+/K+ ATPase; Cl− exit pathways; leaky K+ channelsNa+, K+, Cl−Na+ gradient from ATPase (secondary active)
Distal convoluted tubuleCa2+ entry via apical permeabilityNa+/K+ ATPase; Na+-Ca2+ antiporterCa2+Na+ gradient drives Ca2+ export (secondary active)

Action Items / Next Steps

  • Remember apical vs basolateral orientation and roles across segments.
  • Link Na+/K+ ATPase activity to secondary active transport in each segment.
  • Associate each segment with its characteristic transporter and reabsorbed solutes.