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Renin-Angiotensin-Aldosterone System (RAAS)

Jun 19, 2024

Renin-Angiotensin-Aldosterone System (RAAS)

Overview

  • Activated when blood volume and blood pressure drop.
  • Purpose: Increase blood volume and blood pressure.

Components

  • Renin: First component released.
  • Angiotensin: Second component, created from angiotensinogen by renin.
  • Aldosterone: Third component, released by adrenal glands.

Kidneys and Nephrons

  • Nephron: Filtration unit of the kidney (~1 million per kidney).
  • Glomerulus: Capillary network for filtration.
  • Kidneys need to maintain a glomerular filtration rate (GFR) of 120 mL/minute.

Release of Renin

  1. Drop in Blood Pressure: Detected by juxtaglomerular cells (granular cells) in the afferent arteriole.
  2. Drop in Sodium Concentration: Detected by macula densa cells in the distal convoluted tubule; signals granular cells to release renin.
  3. Sympathetic Nervous System Activation: Direct innervation of granular cells increases renin release.

Renin's Role

  • Renin: An enzyme (not a hormone) released into the systemic circulation.
  • Angiotensinogen: Produced and stored by the liver; converted to angiotensin I by renin.
  • Angiotensin I: Slight vasoconstrictor, converted to angiotensin II by angiotensin-converting enzyme (ACE) in the lungs.

Angiotensin II's Effects

  1. Vasoconstriction: Generalized vasoconstrictor, increases blood pressure by constricting arterioles.
  2. Constriction of Efferent Arteriole: Increases glomerular filtration rate (GFR) by backing up blood into the glomerulus.
  3. Stimulates Aldosterone Release: From the adrenal cortex; aldosterone increases sodium reabsorption in the distal convoluted tubule, which increases blood volume and pressure.
  4. Stimulates ADH Release: From the posterior pituitary gland; ADH increases water reabsorption in the distal convoluted tubule and collecting ducts, further increasing blood volume and pressure.

Summary

  • Stimulus: Drop in blood volume and pressure.
  • Outcome: Increase in blood volume and blood pressure through vasoconstriction, sodium reabsorption, and water reabsorption.