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By the end of this section, you will be able to:
  • Describe how each of the following functions in the extrinsic control of GFR: renin–angiotensin mechanism, natriuretic peptides, and sympathetic adrenergic activity
  • Describe how each of the following works to regulate reabsorption and secretion, so as to affect urine volume and composition: renin–angiotensin system, aldosterone, antidiuretic hormone, and natriuretic peptides
  • Name and define the roles of other hormones that regulate kidney control

Several hormones have specific, important roles in regulating kidney function. They act to stimulate or inhibit blood flow. Some of these are endocrine, acting from a distance, whereas others are paracrine, acting locally.

Renin–angiotensin–aldosterone

Renin is an enzyme that is produced by the granular cells of the afferent arteriole at the JGA. It enzymatically converts angiotensinogen (made by the liver, freely circulating) into angiotensin I. Its release is stimulated by prostaglandins and NO from the JGA in response to decreased extracellular fluid volume.

ACE is not a hormone but it is functionally important in regulating systemic blood pressure and kidney function. It is produced in the lungs but binds to the surfaces of endothelial cells in the afferent arterioles and glomerulus. It enzymatically converts inactive angiotensin I into active angiotensin II. ACE is important in raising blood pressure. People with high blood pressure are sometimes prescribed ACE inhibitors to lower their blood pressure.

Angiotensin II is a potent vasoconstrictor that plays an immediate role in the regulation of blood pressure. It acts systemically to cause vasoconstriction as well as constriction of both the afferent and efferent arterioles of the glomerulus. In instances of blood loss or dehydration, it reduces both GFR and renal blood flow, thereby limiting fluid loss and preserving blood volume. Its release is usually stimulated by decreases in blood pressure, and so the preservation of adequate blood pressure is its primary role.

Aldosterone, often called the “salt-retaining hormone,” is released from the adrenal cortex in response to angiotensin II or directly in response to increased plasma K + . It promotes Na + reabsorption by the nephron, promoting the retention of water. It is also important in regulating K + , promoting its excretion. (This dual effect on two minerals and its origin in the adrenal cortex explains its designation as a mineralocorticoid.) As a result, renin has an immediate effect on blood pressure due to angiotensin II–stimulated vasoconstriction and a prolonged effect through Na + recovery due to aldosterone. At the same time that aldosterone causes increased recovery of Na + , it also causes greater loss of K + . Progesterone is a steroid that is structurally similar to aldosterone. It binds to the aldosterone receptor and weakly stimulates Na + reabsorption and increased water recovery. This process is unimportant in men due to low levels of circulating progesterone. It may cause increased retention of water during some periods of the menstrual cycle in women when progesterone levels increase.

Questions & Answers

Describe sinus of brain
MAHESH Reply
name the 5 layers of skin
Monika Reply
stratum basale, stratum spinosum, stratum granulosum, stratum lucidum, stratum corneum
airiz
those are the layers of epidermis,, then we have the dermis which has got two layers that is papillary dermis and reticular dermis.. beneath the dermis we have the hypodermis( subcutaneous layer) which is not considered as a layer of skin
airiz
what's a feedback
ivhil Reply
is the information or comment about something that one have done
Gaston
may be you mean negative or positive feedback mechanism... in general, they mean body response its changes by hormones
Quran
what is endocrin?
Asim Reply
why should there be an inhibition to the process of gastric production in the intestinal phase
Gloria
endocrine is a system through which the secretions of cell directly poured into blood.
Tanveer
why should there be an inhibition to the process of gastric production in the intestinal
Gloria Reply
what is a stimuli
Emily Reply
environment factor that cause a cell to respond
Quran
name the two types of melanin
Laila Reply
deference between RNA and DNA
Ali
.DNA stands for Deoxyribonucleic Acid. The sugar portion of DNA is 2-Deoxyribose.RNA stands for Ribonucleic Acid.  The sugar portion of RNA is Ribose.2.The helix geometry of DNA is of B-Form (A or Z also present).The helix geometry of RNA is of A-Form.3.DNA is a double-stranded molecule consisting o
ryaisha
DNA consists of nucleotide but RNA consists of nucleoside DNA is double standard but RNA is single standard.In DNA at the nitrogen bases adinine,guanine,cytocin and thymine is present but in case of RNA instead of thymine uracil is present.
Tanveer
what are rdna
Budumari
what is a heart
walker Reply
A heart is an organ in the circulatory system that pumps blood throughout the systemic regions
bernard
what is anatomy
Aisha
Anatomy is the study of internal and external structures and the relationship among body parts. (the study of structure).
Tomi
what is the physiology of the heart
nadine
guys help me with a pathophysiology of asthma
Luyando
asthma is a lungs related disorder in which there is difficulty in breathing due to some allergic factors, their is inflamation of alveoli of respiratory part of lungs.also decreases the surface area.
Tanveer
what is meaning of brain strock and its types?
Tanveer
the pathophysiology of asthma is complex and involves airway inflammation and bronchial hyperresponsiveness pathogenesis of asthma
Omkar
skin infection please explain
Hamza Reply
what is malignant melanoma
Akon Reply
cancerous cells 🙄
Sohan
yes benign is non-cancerous malignant is cancerous.
Joseph
that's a simple way of explaining it however you're different processes like mitosis etc a person can be at risk for developing cancer etc
Joseph
you can tell by an unusual growth of a mole, or change in size coloration with melanoma. which is abnormal growth of your squamous cells.
Joseph
Types of wandering connective tissues
Hassan Reply
what are the meaning of skin
PASHALINA Reply
study of external structure of human body is known as anatomy
VINAY Reply
what is Tau?
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what is sliva
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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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