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Kidney Function and Water Balance

Jun 8, 2025

Overview

This lecture explains how the kidneys regulate waste products, ions, and water in the body, focusing on kidney structure and the role of ADH in water balance.

Kidney Functions

  • Kidneys filter blood to remove waste and maintain balance of ions and water.
  • The main waste product removed is urea, formed in the liver during deamination of excess amino acids.
  • Kidneys help maintain correct levels of sodium and potassium ions, which are vital for cell function.
  • Ion levels are mainly regulated by kidneys, not through sweating.

Water Regulation and Homeostasis

  • Water is gained from food and drink; lost through sweat, breathing, and mainly urine.
  • Proper water balance is necessary to prevent cells from swelling (too much water) or shrinking (too little water) due to osmosis.
  • Most water loss occurs via urine, regulated by the kidneys.

Kidney Structure and Processes

  • Kidneys contain about a million nephrons, each with tubules for filtering blood.
  • Filtration: small molecules like water, glucose, amino acids, and urea are filtered; large proteins and cells are not.
  • Selective reabsorption: necessary substances (e.g., all glucose, some water) are reabsorbed; urea is not.

Hormonal Control of Water Levels (ADH)

  • The hypothalamus in the brain detects water concentration in blood.
  • When water levels are low, hypothalamus signals pituitary gland to release ADH (antidiuretic hormone).
  • ADH makes kidney tubules reabsorb more water, increasing blood water and reducing urine output.
  • If water levels are high, less ADH is released, so less water is reabsorbed and more urine is produced.

Negative Feedback in Water Regulation

  • Water regulation by ADH is a negative feedback loop: changes in water levels trigger hormone release that restores balance.

Key Terms & Definitions

  • Urea — waste product formed from amino acids in the liver.
  • Deamination — process of removing the amino group from amino acids.
  • Nephron — functional unit of the kidney that filters blood.
  • Filtration — process by which small molecules are separated from the blood in the kidneys.
  • Selective Reabsorption — reuptake of useful substances from kidney tubules back into the blood.
  • ADH (Antidiuretic Hormone) — hormone that increases water reabsorption in the kidneys.
  • Negative Feedback — regulatory mechanism where a change triggers a response that restores balance.

Action Items / Next Steps

  • Review kidney structure and nephron function.
  • Study the role of hormones, especially ADH, in homeostasis.
  • Prepare definitions of key terms for future quizzes.