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By the end of this section, you will be able to:
  • Describe the myogenic and tubuloglomerular feedback mechanisms and explain how they affect urine volume and composition
  • Describe the function of the juxtaglomerular apparatus

It is vital that the flow of blood through the kidney be at a suitable rate to allow for filtration. This rate determines how much solute is retained or discarded, how much water is retained or discarded, and ultimately, the osmolarity of blood and the blood pressure of the body.

Sympathetic nerves

The kidneys are innervated by the sympathetic neurons of the autonomic nervous system via the celiac plexus and splanchnic nerves. Reduction of sympathetic stimulation results in vasodilation and increased blood flow through the kidneys during resting conditions. When the frequency of action potentials increases, the arteriolar smooth muscle constricts (vasoconstriction), resulting in diminished glomerular flow, so less filtration occurs. Under conditions of stress, sympathetic nervous activity increases, resulting in the direct vasoconstriction of afferent arterioles (norepinephrine effect) as well as stimulation of the adrenal medulla. The adrenal medulla, in turn, produces a generalized vasoconstriction through the release of epinephrine. This includes vasoconstriction of the afferent arterioles, further reducing the volume of blood flowing through the kidneys. This process redirects blood to other organs with more immediate needs. If blood pressure falls, the sympathetic nerves will also stimulate the release of renin. Additional renin increases production of the powerful vasoconstrictor angiotensin II. Angiotensin II, as discussed above, will also stimulate aldosterone production to augment blood volume through retention of more Na + and water. Only a 10 mm Hg pressure differential across the glomerulus is required for normal GFR, so very small changes in afferent arterial pressure significantly increase or decrease GFR.

Autoregulation

The kidneys are very effective at regulating the rate of blood flow over a wide range of blood pressures. Your blood pressure will decrease when you are relaxed or sleeping. It will increase when exercising. Yet, despite these changes, the filtration rate through the kidney will change very little. This is due to two internal autoregulatory mechanisms that operate without outside influence: the myogenic mechanism and the tubuloglomerular feedback mechanism.

Arteriole myogenic mechanism

The myogenic mechanism    regulating blood flow within the kidney depends upon a characteristic shared by most smooth muscle cells of the body. When you stretch a smooth muscle cell, it contracts; when you stop, it relaxes, restoring its resting length. This mechanism works in the afferent arteriole that supplies the glomerulus. When blood pressure increases, smooth muscle cells in the wall of the arteriole are stretched and respond by contracting to resist the pressure, resulting in little change in flow. When blood pressure drops, the same smooth muscle cells relax to lower resistance, allowing a continued even flow of blood.

Tubuloglomerular feedback

The tubuloglomerular feedback    mechanism involves the JGA and a paracrine signaling mechanism utilizing ATP, adenosine, and nitric oxide (NO). This mechanism stimulates either contraction or relaxation of afferent arteriolar smooth muscle cells ( [link] ). Recall that the DCT is in intimate contact with the afferent and efferent arterioles of the glomerulus. Specialized macula densa cells in this segment of the tubule respond to changes in the fluid flow rate and Na + concentration. As GFR increases, there is less time for NaCl to be reabsorbed in the PCT, resulting in higher osmolarity in the filtrate. The increased fluid movement more strongly deflects single nonmotile cilia on macula densa cells. This increased osmolarity of the forming urine, and the greater flow rate within the DCT, activates macula densa cells to respond by releasing ATP and adenosine (a metabolite of ATP). ATP and adenosine act locally as paracrine factors to stimulate the myogenic juxtaglomerular cells of the afferent arteriole to constrict, slowing blood flow and reducing GFR. Conversely, when GFR decreases, less Na + is in the forming urine, and most will be reabsorbed before reaching the macula densa, which will result in decreased ATP and adenosine, allowing the afferent arteriole to dilate and increase GFR. NO has the opposite effect, relaxing the afferent arteriole at the same time ATP and adenosine are stimulating it to contract. Thus, NO fine-tunes the effects of adenosine and ATP on GFR.

Paracrine Mechanisms Controlling Glomerular Filtration Rate
Change in GFR NaCl Absorption Role of ATP and adenosine/Role of NO Effect on GFR
Increased GFR Tubular NaCl increases ATP and adenosine increase, causing vasoconstriction Vasoconstriction slows GFR
Decreased GFR Tubular NaCl decreases ATP and adenosine decrease, causing vasodilation Vasodilation increases GFR
Increased GFR Tubular NaCl increases NO increases, causing vasodilation Vasodilation increases GFR
Decreased GFR Tubular NaCl decreases NO decreases, causing vasoconstricton Vasoconstriction decreases GFR

Chapter review

The kidneys are innervated by sympathetic nerves of the autonomic nervous system. Sympathetic nervous activity decreases blood flow to the kidney, making more blood available to other areas of the body during times of stress. The arteriolar myogenic mechanism maintains a steady blood flow by causing arteriolar smooth muscle to contract when blood pressure increases and causing it to relax when blood pressure decreases. Tubuloglomerular feedback involves paracrine signaling at the JGA to cause vasoconstriction or vasodilation to maintain a steady rate of blood flow.

Questions & Answers

what is heparin
Lawrence Reply
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Tenacious Reply
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ASIMENU
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Tenacious
anatomy is the scientific study of the body's structure
Lawrence
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Lawrence
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Kaaya
anatomy is the study of form, physiology is the study of function
Patrick
anatomy is the study of the structure of the body and the physical relationship between it constituent part
Florence
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Lawrence
what is the trunk
Tenacious
trunk is define as a person's or animal's body apart from the limp and head
Lawrence
The trunk is part of the axial skeleton
Patrick
supine or dorsal position is used in clinical setting when patient is placed in position, to examine what?
Dinyando Reply
what do nurses/doctors detect when a patient is placed on dorsal position?
Dinyando
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kelvin Reply
describe special situation with implications in medical ethics.
kelvin
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Dinyando Reply
anatomy is the study of human body . and physiology is the study of the brain
Maryiam
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Varun
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kelvin
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Maryiam
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Jessica Reply
what was the question?
evelyna
what is spine as a bone marking?
John
similar to a crest but raised more
evelyna
pointed process
evelyna
slender
evelyna
pointed projection i meant
evelyna
what fills the hallow space in the middle of bones? thanks
John
marrow
evelyna
bone marrow
evelyna
hey you gotta read a book
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i just happen to take this bone chapter in my book last week so i remember
evelyna
yeah i should. how about the correct match of the number of tarsal, metatarsal and phalanges?
John
10, fingers and toes, u know this
Patrick
what is the difference between basal laminal and basal membrane
Nartey Reply
I think they r the same
Patrick
If one is missing the opsin which detects wavelengths of approximately 560 nm what color would they be unable to see?
Alicia Reply
how do I explain into details the epithelial tissue
Sir Reply
Epithelial tissues line the outer surfaces of organs and blood vessels throughout the body, as well as the inner surfaces of cavities in many internal organs. An example is the epidermis, the outermost layer of the skin. There are three principal shapes of epithelialcell: squamous, columnar, and cub
DJ
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Sir
explain how the intestinal irritation results in diarrhoea
Sir
what is cerebrospinal fluid
nitesha Reply
Cerebrospinal fluid is a clear, colorless body fluid found in the brain and spinal cord. It is produced by the specialised ependymal cells in the choroid plexuses of the ventricles of the brain, and absorbed in the arachnoid granulations.
DJ
cerebrospinal fluid is the fluid present in the brain and spinal cord
olusoga
it is whitish in colour
olusoga
what are the function of the blood
Hannah Reply
to transport oxygen in hemoglobin and nutrients
Thembani
ok
Hannah
describe the pulmonary circulation
Hannah
Which of the following structures contains membranes with mucus glands and blood vessels to help humidify and warm air?
Sheika Reply
thoracic pump for blood, and lymphatic flow for mucus membranes .
Rugiatu
explanation shortly about organizaton of human body
Maulidi Reply
the human body is the entire structure of a human being.it is composed of many different types of cells that together create tissues and subsequently organ systems.they ensure homeostasis and viability of the human body
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skin
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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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