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By the end of this section, you will be able to:
  • Describe the role of the kidneys in vitamin D activation
  • Describe the role of the kidneys in regulating erythropoiesis
  • Provide specific examples to demonstrate how the urinary system responds to maintain homeostasis in the body
  • Explain how the urinary system relates to other body systems in maintaining homeostasis
  • Predict factors or situations affecting the urinary system that could disrupt homeostasis
  • Predict the types of problems that would occur in the body if the urinary system could not maintain homeostasis

All systems of the body are interrelated. A change in one system may affect all other systems in the body, with mild to devastating effects. A failure of urinary continence can be embarrassing and inconvenient, but is not life threatening. The loss of other urinary functions may prove fatal. A failure to synthesize vitamin D is one such example.

Vitamin d synthesis

In order for vitamin D to become active, it must undergo a hydroxylation reaction in the kidney, that is, an –OH group must be added to calcidiol to make calcitriol (1,25-dihydroxycholecalciferol). Activated vitamin D is important for absorption of Ca ++ in the digestive tract, its reabsorption in the kidney, and the maintenance of normal serum concentrations of Ca ++ and phosphate. Calcium is vitally important in bone health, muscle contraction, hormone secretion, and neurotransmitter release. Inadequate Ca ++ leads to disorders like osteoporosis and osteomalacia    in adults and rickets in children. Deficits may also result in problems with cell proliferation, neuromuscular function, blood clotting, and the inflammatory response. Recent research has confirmed that vitamin D receptors are present in most, if not all, cells of the body, reflecting the systemic importance of vitamin D. Many scientists have suggested it be referred to as a hormone rather than a vitamin.

Erythropoiesis

EPO is a 193-amino acid protein that stimulates the formation of red blood cells in the bone marrow. The kidney produces 85 percent of circulating EPO; the liver, the remainder. If you move to a higher altitude, the partial pressure of oxygen is lower, meaning there is less pressure to push oxygen across the alveolar membrane and into the red blood cell. One way the body compensates is to manufacture more red blood cells by increasing EPO production. If you start an aerobic exercise program, your tissues will need more oxygen to cope, and the kidney will respond with more EPO. If erythrocytes are lost due to severe or prolonged bleeding, or under produced due to disease or severe malnutrition, the kidneys come to the rescue by producing more EPO. Renal failure (loss of EPO production) is associated with anemia, which makes it difficult for the body to cope with increased oxygen demands or to supply oxygen adequately even under normal conditions. Anemia diminishes performance and can be life threatening.

Blood pressure regulation

Due to osmosis, water follows where Na + leads. Much of the water the kidneys recover from the forming urine follows the reabsorption of Na + . ADH stimulation of aquaporin channels allows for regulation of water recovery in the collecting ducts. Normally, all of the glucose is recovered, but loss of glucose control (diabetes mellitus) may result in an osmotic dieresis severe enough to produce severe dehydration and death. A loss of renal function means a loss of effective vascular volume control, leading to hypotension (low blood pressure) or hypertension (high blood pressure), which can lead to stroke, heart attack, and aneurysm formation.

Questions & Answers

why study anatomy?
esther Reply
to know the detailed functioning of the internay body organs
Jam
whats antonmy
Jaan Reply
the study of structure and function of internal body parts
Jam
is a branch of biology which describes the structures of the body and relationship from one part to another
esther
what is anatomy and physiology
mwitwa Reply
Anatomy is the study of structures of the body
Zunehri
Physiology the study functions of the body
Zunehri
anatomy is study of structure of body nd physiology is study of function of body.
PRIYANKA
anatomy is the study of internal body structures and physiology is the functioning of these structures in the body
Jam
what is lungs
Shipon Reply
it an organ found in our thoracic cavity
Richard
lungs are spongy organs where our respiration takesplace
Maryama
Lungs is a spongy organs located in the chest , is an a primary organs of respiration in human body and other Animals
Zunehri
lungs thorex me present hote hai ye organ hai and gas exchange (o2,co2 exchange)inka inka function hai.
PRIYANKA
lungs ka function hai
OM
pls am a student I don't know
Mavis
main function is respiration
faheem
respiration is the taking ing of oxygen by the body tissues and the removal of carbondioxide from the body tissues
Jam
what is heart beat,?
Naqeeb Reply
heart beat is the process briting
Mavis
what functions of heart
Muthu Reply
To circulate the blood
Arshad
it pump blood to the lungs
Laura
very twiest
Shipon
what should be the nature of cell
Kashish Reply
Cells die and reproduce
Nejat
knuckle of the middle finger
James Reply
because of the gases (nitrogen, oxygen)
Nejat
what is ketone bodies
Jaan
why the heart is protected with that sac
Joshua Reply
To prevent collision with the lungs, lubricates the heart, protects the heart from infection in the event a peripheral organ is effected, and stabilizes the heart within the mediastinum.
Jeremiah
This app should be updated too much as there is very little information for some topics.I hope you will consider my information....
aman Reply
adenohypophysis is made up of what type of cells and what is the name of those cells?
Mannu Reply
whatpassesthroughmaleovale
armstrong Reply
motor root of the trigeminal nerve
Vandana
what is the nervous system about
Joshua
what passes through foramen ovale?
Farah Reply
what are the organelles of a cell
Amina Reply
muscular system
Vandana
nucleus ribosome Golgi body call membrane cytoplasm
Sabina
these are the cellular components that functions to provide energy,remove waste and cell division
Waziri
Organelles of the cell are: Mitochondria,Ribosome,golgi apparatus, nucleus, secretory granules, nuclear e t c
Khadijah
what are local hormones
Richard
Local hormones are hormones that effect the cell that released them or cells near the releasing cell and they do not circulate within the blood stream.
Jeremiah
the trachea bifurcated into how many branches on the right lung
barbie
three lobes
Richard
Explain the normal flow of blood.
Shikha
how can we maintain the internal living things
Choolwe Reply

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Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
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