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The kidneys cooperate with the lungs, liver, and adrenal cortex through the renin–angiotensin–aldosterone system (see [link] ). The liver synthesizes and secretes the inactive precursor angiotensinogen. When the blood pressure is low, the kidney synthesizes and releases renin. Renin converts angiotensinogen into angiotensin I, and ACE produced in the lung converts angiotensin I into biologically active angiotensin II ( [link] ). The immediate and short-term effect of angiotensin II is to raise blood pressure by causing widespread vasoconstriction. angiotensin II also stimulates the adrenal cortex to release the steroid hormone aldosterone, which results in renal reabsorption of Na + and its associated osmotic recovery of water. The reabsorption of Na + helps to raise and maintain blood pressure over a longer term.

The enzyme renin converts the pro-enzyme angiotensin

Alt text to come.

Regulation of osmolarity

Blood pressure and osmolarity are regulated in a similar fashion. Severe hypo-osmolarity can cause problems like lysis (rupture) of blood cells or widespread edema, which is due to a solute imbalance. Inadequate solute concentration (such as protein) in the plasma results in water moving toward an area of greater solute concentration, in this case, the interstitial space and cell cytoplasm. If the kidney glomeruli are damaged by an autoimmune illness, large quantities of protein may be lost in the urine. The resultant drop in serum osmolarity leads to widespread edema that, if severe, may lead to damaging or fatal brain swelling. Severe hypertonic conditions may arise with severe dehydration from lack of water intake, severe vomiting, or uncontrolled diarrhea. When the kidney is unable to recover sufficient water from the forming urine, the consequences may be severe (lethargy, confusion, muscle cramps, and finally, death) .

Recovery of electrolytes

Sodium, calcium, and potassium must be closely regulated. The role of Na + and Ca ++ homeostasis has been discussed at length. Failure of K + regulation can have serious consequences on nerve conduction, skeletal muscle function, and most significantly, on cardiac muscle contraction and rhythm.

Ph regulation

Recall that enzymes lose their three-dimensional conformation and, therefore, their function if the pH is too acidic or basic. This loss of conformation may be a consequence of the breaking of hydrogen bonds. Move the pH away from the optimum for a specific enzyme and you may severely hamper its function throughout the body, including hormone binding, central nervous system signaling, or myocardial contraction. Proper kidney function is essential for pH homeostasis.

Everyday connection

Stem cells and repair of kidney damage

Stem cells are unspecialized cells that can reproduce themselves via cell division, sometimes after years of inactivity. Under certain conditions, they may differentiate into tissue-specific or organ-specific cells with special functions. In some cases, stem cells may continually divide to produce a mature cell and to replace themselves. Stem cell therapy has an enormous potential to improve the quality of life or save the lives of people suffering from debilitating or life-threatening diseases. There have been several studies in animals, but since stem cell therapy is still in its infancy, there have been limited experiments in humans.

Acute kidney injury can be caused by a number of factors, including transplants and other surgeries. It affects 7–10 percent of all hospitalized patients, resulting in the deaths of 35–40 percent of inpatients. In limited studies using mesenchymal stem cells, there have been fewer instances of kidney damage after surgery, the length of hospital stays has been reduced, and there have been fewer readmissions after release.

How do these stem cells work to protect or repair the kidney? Scientists are unsure at this point, but some evidence has shown that these stem cells release several growth factors in endocrine and paracrine ways. As further studies are conducted to assess the safety and effectiveness of stem cell therapy, we will move closer to a day when kidney injury is rare, and curative treatments are routine.

Chapter review

The effects of failure of parts of the urinary system may range from inconvenient (incontinence) to fatal (loss of filtration and many others). The kidneys catalyze the final reaction in the synthesis of active vitamin D that in turn helps regulate Ca ++ . The kidney hormone EPO stimulates erythrocyte development and promotes adequate O 2 transport. The kidneys help regulate blood pressure through Na + and water retention and loss. The kidneys work with the adrenal cortex, lungs, and liver in the renin–angiotensin–aldosterone system to regulate blood pressure. They regulate osmolarity of the blood by regulating both solutes and water. Three electrolytes are more closely regulated than others: Na + , Ca ++ , and K + . The kidneys share pH regulation with the lungs and plasma buffers, so that proteins can preserve their three-dimensional conformation and thus their function.

References

Bagul A, Frost JH, Drage M. Stem cells and their role in renal ischaemia reperfusion injury. Am J Nephrol [Internet]. 2013 [cited 2013 Apr 15]; 37(1):16–29. Available from: (External Link)

Questions & Answers

can I get the questions of human physiology that is present in HSC 2nd semester
Sai Reply
i now madam
irpa
ha can u please send me the PDF of questions
Sai
it's important to me to have that information please send as fast as u can
Sai
If a molecule can only pass through a membrane with the assistance of a membrane protein, but the direction of its travel is controlled only by its concentration, the process is called?
osmosis
chozen
A 52 year old woman turned her head quickly, during a tennis game and suddenly felt a sharp pain in her neck along her upper limb. Physical examination and medical imaging revealed a herniated degenerated IV disc in the cervical region of her vertebral column.
Isaac
a. What probably caused the IV disc herniation? b. What cause IV disc degeneration? c. What are the result of disc degeneration?
Isaac
b
Mirasol
Describe the neural control of erection and ejaculation.
Nana Reply
A 52 year old woman turned her head quickly, during a tennis game and suddenly felt a sharp pain in her neck along her upper limb. Physical examination and medical imaging revealed a herniated degenerated IV disc in the cervical region of her vertebral column. a)What probably caused the IV di
Isaac
a) What probably caused the IV disc herniation? b) What cause IV disc degeneration? c) What are the result of disc degeneration?
Isaac
iv disc herniation compress the nerve cause numbness tingling sensation even paralysis in severe cases...
Khawaja
explain more
DANIELLA Reply
yes
Ramzan
function of skeleton
Josiah Reply
- for movement - blood production by the bone marrow
Daniel
production of calsium and phosphorus
Juma
Shortly after childbirth, a woman consulted her physician about a tender swelling in her perineal region. 8. What fossa related the perineal swelling? 9. Describe what vessel may cause the collection of blood in the fossa after childbirth?
Isaac
what is heart
Subhajit Reply
it is the tissue..which pump blood to the all parts of body
GRAY
the heart is a conical , hollow, muscular organ which works continuously through out the life of a person ,it is about the size of a clenched fist and weighs about 300 grams and also the heart is in the chest just behind the breast bone and between the two lungs
Mary
a hollow muscular organ that pumps blood through the circulatory system by regular contractions
Johnny
is a muscular organ that pumps blood lungs and other body tissues through vessels
Nolosha
Shortly after childbirth, a woman consulted her physician about a tender swelling in her perineal region. 8. What fossa related the perineal swelling? 9. Describe what vessel may cause the collection of blood in the fossa after childbirth?
Isaac
Shortly after childbirth, a woman consulted her physician about a tender swelling in her perineal region. 8. What fossa related the perineal swelling? 9. Describe what vessel may cause the collection of blood in the fossa after childbirth?
Isaac Reply
inguinal fossa femoral vein?
Jeen
if you dont the answer by now you should seek another line of work. as a professor it is my duty to let you know about your lacking.
Arif
branches of brachial plexus
Arooj Reply
musculocutaneous, median, ulnar, axillary, and radial nerves.
Shakerah
Shortly after childbirth, a woman consulted her physician about a tender swelling in her perineal region. a.What fossa related the perineal swelling? b.Describe what vessel may cause the collection of blood in the fossa after childbirth?
Isaac
What is great Auricular nerve?
ZUBAIR Reply
it originates from the cervical plexus that provides sensory innervation to the skin.
Daniel
why it is called Auricular nerve
Amber
is any payment is needed to use this app
Suprith Reply
is it a question?
Samenjo
doubt about this app
Suprith
which lines divide the body into nine quadrant
Julius Reply
nine regions of abdomen can b marked using two horizontal & two vertical lines...the vertical lines are the mid clavicular lines taken from the mid point of each clavicle. the upper horizontal lines is the subcostal line taken from the inferior parts of the lowest costal cartilage...
Khawaja
to get a better understanding for the function
Rashana Reply
anatomy and physiology work closely together
Rashana
anatomy to you about the structure of the while physiology is the the study of the body function
Rashana
what is the difference between negative and positive feedback
Rashana
The key difference bewteen positive and negative feedback is their response to change. Positive feedback amplifies change while negative reduces change.
ladychen
negative feed back produces a response that brings back to normal while positive feed back produces a response that stimulates
Julius
examples of the body structure
Naki Reply
body's structure
Naki
how is it possible
Adum Reply
what is homeostasis please
Ayobami Reply
Homeostasis is the ability of the body to maintain a constant internal environment, regulation factors such as the body's temperature, pH, water balance, blood pressure.
Jude
that is true
Maria
A young man was playing in a hockey game when he was knocked down, he was not wearing a helmet and hit his head on the ground. He momently stunned and said he saw stars. The man’s vision was blurred for approximately 20 seconds. He left to his bench and showed no other sign of injury except tha
Isaac
that he complained of lingering head ached.
Isaac
1.Do you think the person would have a fracture skull? Explain your answer 2What will the lingering headache indicate 3. If you detected clear fluid dipping from the person nose. What do you suspect might be the source of the fluids?
Isaac
if he broke his skull he will have not survied
Maria
1. if there were no other signs of external injury such as blood or bruising around area of impact or areas of the face, then he more than likely didn't fracture his skull 2. lingering headache could indicate a concussion 3. clear fluid dripping from nose would suggest a cerebrospinal fluid leak
Amber
(and fracturing of the skull does not indicate the person would not survive, of course dependant upon the severity of the impact & internal damage caused)
Amber
what is homeostasis
Rashana
function of microvilli
Suprith
it gives the small intestine a wider surface area which helps absorption to take place
Enada

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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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