11. 3 kidney.ppt

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    1

    by kidney

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    2

    11.3 Osmoregulation in mammals

    a.explain the process of ultrafiltration, reabsorption and

    secretion in the formation of urine

    b.explain the role of ADH and aldosterone, and the related

    hormones in regulating water, sodium and potassium ions of

    urine

    c.explain the regulation of pH of tissue fluid.

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    Copyright 2009, John Wiley & Sons, Inc.

    Overview of kidneyfunctions

    Regulation of blood ionic composition

    Regulation of blood pH

    Regulation of blood volume

    Regulation of blood pressure Maintenance of blood osmolarity

    Production of hormones (calcitrol anderythropoitin)

    Regulation of blood glucose level

    Ecretion of wastes from metabolic reactionsand foreign substances (drugs or toins)

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    Structure of the kidney

    5

    $ach "idne#

    contains around a

    million units called

    nephrons

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    Kidneys produced urine and

    excreted it out from the body.

    situated in the dorsal of the

    abdomen.

    STRUCTURE OF THE KIDNEYS

    $ach "idne#

    % has a cortex &outer' la#er,% medulla &inner'% pel(is &opens into ureter'% consists of numerous tubular

    unit called nephrons% $ach "idne# consist of about

    one million nephrons.

    6

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    SECTI!"# $I"%"' o( )I$!E*+!CTI!"# !IT -

    !E/!

    Proximal

    convoluted tubule

    Distal convoluted

    tubule

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    FUNCTIONAL UNIT : A NEPHRON

    Distal con(oluted

    tubule

    )roximal con(oluted tubule

    Distal con(oluted

    tubule

    )eritubularcapillaries

    *ollecting

    ductDescending

    limb

    Ascending

    limb

    Loop of

    Henle

    +asa

    ecta

    Afferent

    arteriole fromrenal arter#

    $fferent arteriole

    from glomerulus

    -ranch of (ein

    lomerulus

    -owmann capsule

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    $ach nephron consists of /

    i % a -owman0s capsule which begins in the

    cortex.ii% continues to form the proi!"#

    con$o#uted tu%u#ewhich leads to the

    medulla.

    iii % form a %shaped loop called #oop of

    Hen#eand leads on to form theiii % dist"# con$o#uted tu%u#ebefore opens

    into

    i(% a co##ectin& duct'

    ( % 2n the -owman0s capsule is a little mass

    of capillaries, arise from a branch of the

    renal arter# glomerulus.

    (i% capillaries lea(e the glomerulus to

    surround the tubule before enter a branch

    of the renal (ein.

    A Nephron

    9

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    The ro#e of kidney

    (' As "n ecretory or&"n/ &excretion'

    produces urinein which certain products ofmetabolism and excessi(e inta"e of certain chemicals

    toxic substances are ecreted out of the %ody.

    )' As "n os!ore&u#"tory or&"n: *os!ore&u#"tion+

    it controls the regulation of the

    i %% $o#u!eof water in the bod#

    ii 4 os!otic pressure iii 4 ions concentr"tion

    i( 4 blood pH

    Excretion- the removal of the metabolites that have exceeded a

    critical concentration

    Osmoregulation- control the regulation of the volume &com osition o bod luid. s3lt 3n 3ter

    10

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    1. !R"#E $ORM%&"O#

    a) Ultrafiltration

    b) Reabsorption / selective reabroption

    c) Secretion

    11

    Hi t l f l

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    Copyright 2009, John Wiley & Sons, Inc.

    Histology of a renalcorpuscle

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    17

    !'&R%$"'&R%&"O# is

    A process in which smaller molecules are filtred from the

    blood in the glomerulus into the -owman capsule

    (a) Details of filtration membrane

    Filtration slit

    Pedicel

    Fenestration (pore) of glomerular

    endothelial cell: prevents filtration of

    blood cells but allos all components

    of blood plasma to pass through

    !asal lamina of glomerulus:

    prevents filtration of larger proteins

    Podoc"te of visceral

    la"er of glomerular

    (!oman#s) capsule

    $

    %

    8 52L!A!2O6 7$7-A6$ 8

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    Filtration slitPedicel of podoc"te

    Fenestration (pore) of

    glomerular endothelial cell

    !asal lamina

    &umen of glomerulus

    (b) Filtration membrane

    ' *+,---x

    (a) Details of filtration membrane

    Filtration slit

    Pedicel

    Fenestration (pore) of glomerular

    endothelial cell: prevents filtration of

    blood cells but allos all components

    of blood plasma .ater small solute0 to pass through

    Podoc"te of visceral

    la"er of glomerular

    (!oman#s) capsule

    $

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    $ORM%&"O# O$ !R"#E ultra*ltrationreabsorptionsecretion

    involves

    1. !'&R%$"'&R%&"O#

    Process occurs at the glomerulus+iameter of the eferent arteriole which carries

    blood out of the glomerulus issmaller than thea,erent arteriole which carries blood into theglomerulus&he high hydrostatic pressure develops in theglomerulus

    &he high hydrostatic pressure causes manyconstituents of blood plasma to be *ltered out fromthe glomerulus into -owman.s capsule (ultra*ltration)&he *ltrate is called glomeruler *ltrate

    15

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    16

    %,erent

    arteriole

    E,erentarteriole

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    !he concentration of each of these solutes is

    thes"!eas it is in the blood plasma.Howe(er, as the plasma contains plasma

    proteins in solution, so the total concentration

    of all solute is greater in the blood plasma.!herefore, plasma has a lower solute

    potential than the glomerular filtrate.

    lomerular filtrates is hypotonicto the blood

    plasma.

    5iltrate then mo(es along the nephron for

    reabsorption to occur

    1

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    20

    Ren"# corpusc#eof a

    human

    6ote/

    1. 2nterlobular arter# and its

    endothelial and smooth

    muscle cells8

    9. the (ascular &top left' and

    urinar# &bottom' poles8

    3. the capillar# plexus of the

    glomerulus and

    -owman:s capsule8

    ;. the distal con(oluted

    tubule &abo(e the

    corpuscle'.

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    21

    Proi!"# "nd dist"#con$o#uted tu%u#es.

    7allor#%ax

    6ote/

    1. )roximal ones ha(e

    brush borders, an

    acidophilic c#toplasm andbasal striations can be

    seen in some places8

    9. Distal ones ha(e a less

    acidophilic c#toplasm.

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    22

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    27

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    24

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    )'' SELECTI,E REA-SORPTION

    ( by proximal convoluted tubule)

    =>? occurs in the proximal con(oluted tubule

    @electi(e reabsorption occurs b# diffusion "nd

    "cti$e tr"nsport .

    A## ucose. "!ino "cids. $it"!ins so!es"#ts are reabsorb b# acti(e transport. Ure" is

    not re"%sor%ed.

    25

    Selective reabsorption

    "s (iltere (li :o;es 3long t

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    Copyright 2009, John Wiley & Sons, Inc.

    Reabsorption and secretion in theproimal convoluted tubule

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    !he substances &such as glucose and amino acids'

    diffuse from filtrate to the cells of the tubule wall.!he cubical epithelial cells which line the tubule

    wall ha(e numerous microvilli on their free

    surfaces which increase the surface area of wall

    exposed to the glomerular filtrate. @ubs. then are actively transported into the

    basal channel where the# diffuseinto the blood

    capillaries.

    !he solutes than carried awa# in the blood, so

    maintaining the conc. gradient.

    2

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    @ome mineral ions such as sodium ions are

    acti(el# transported across the infoldedmembrane. !he# are followed b# chloride

    ions.B & C this increased osmotic pressure of

    the cell cause water to be ta"en up

    osmoticall#' !he remo(al of amino acids, glucose and

    mineral ions ma"e the filtrate more dilute and

    water potential increases

    /"ter &E?' then mo(es out b# osmosis and

    is caried awa#.

    2

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    At the end of the proximal tubule, a balanced

    has been reached and the filtrate is isotonicwith

    the plasma. @o, as the filtrate enters the loop of Henle, it is

    isotonic to the blood and contains water, some

    salt and urea

    %bout 123 of water / some salts arereabsorbed

    into the blood capillaries by osmosis /active transport

    If a person is suering from diabetes melitus, theconcentration of glucose in the ltrate may be higher thanusual. It may therefore not all glucose be reabsorbed. This iswhy glucose may appear in the urine of a suerer

    ( glycosuria). 29

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    71

    e3

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    RE%-4ORP&"O# at 'OOP O$ HE#'E!he fitrate now onl# contain water, some salts urea

    passes along the loop of Henle.

    About 9>? of water some salts are reabsorbedinto the blood capillaries b# osmosis acti(e transport.

    !hen it continue to pass through distal con(oluted tubule

    and collecting duct, where some water salts are

    reabsorbedinto the blood capillaries depends on blood

    osmotic pressure.

    the reabsorption of water regulated b# ADH &antidiuretic

    hormone'the reabsorption of salts regulated b# Aldosterone

    hormone. 75

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    ROLE THE LOOP OF HENLE

    to ma"e tissue fluid and the tissues

    !edu##"of the between the nephron

    & interstitial tissues' $ery concentr"ted0ith so#utes'

    & lowest water potential in the bod#'

    7

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    Ro#e of #oop of Hen#e

    C !he wor"ing of the loop of Henle

    !he ascending limb acti(el# transported 6aFout

    of the filtrate into surrounding tissues. *l%follows

    pasi(el#.

    @urrounding tissue becomes more concentrated

    with salt than the filtrate. Gater molecules cannot

    follow b# osmosis as the wall of ascending limb

    is impermeable to water.

    40

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    !he #on&erthe loop, the more sodium chloride

    can be transported and the !ore

    concentr"ted the medulla tissues canbecome.

    !he deeper part of the medulla near the pel(is

    becomes most concentrated and so has the

    #o0est 0"ter potenti"#'

    !here is a water potential gradient between

    the deep part of the medulla and the part near

    the cortex.

    41

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    44

    6aF4F pump in the thic" ascending limb of the

    loop of Henle

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    The 1ist"# Con$o#uted Tu%u#e

    !he cells of the wall of the distal con(olutedtubule &D*!' are si!i#"r to those of proximal

    con(oluted tubule.

    !he role is to reabsorbs (ar#ing Iuantities of

    inor&"nic ionsaccording to the bod#Js needs

    2t also can secrete substances into the filtrate.

    5or example, it contro#s the pH of the blood b#

    secreting the h#drogen ions into the filtratewhen the blood is too acidic and if it is too

    al"aline it secretes h#drogen carbonate ion into

    the filtrate.

    45

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    tubular Secretion

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    4

    "lthogh rine (or:3tion occrs pri:3rily

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    4

    $i((erent concentr3tionD

    7

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    9O#4ER:%&"O# "4 % ;E< &O

    &ERRE4&R"%' %+%P&%&"O# %s the *ltrate =ows inthe collecting ductpast interstitial =uid ofincreasing osmolarity0

    more water moves outof the duct by osmois0thereby concentratingthe solutes0 including

    urea0 that are leftbehind in the *ltrate

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    1. 4E9RE&"O#

    As filtered fluid mo(es along tubule and through collecting duct,other material secreted into fluid such as wastes, drugs, and

    excess ions 4 remo(es substances from blood

    !he process in(ol(es the pumping out of the waste

    products from the peritubular capillaries into the tubule

    &)*! and D*!'

    !he waste products such as urea, uric acid ammonia

    and h#drogen ions arepumped out of the blood

    capillaries into the distal con(oluted tubule b# acti(e

    transport.

    @ome drug, h#drogen ions, ammonium and other toxin

    b# simple diffusion, along the )*!.

    !he final glomerular filtrate which remains in the

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    .. 4E9RE&"O#

    4ome drug and other toin by simple di,usion0

    along the tubule&he *nal glomerular *ltrate which remains inthe collecting duct is called urine

    &he ma>or constituents of urine are ?@3 ofwater0 163 nitrogenous products (urea0 uric

    acid0 ammonia0 creatinine)0 A63 salts / bilepigments$rom the collecting ducts0 urine is channelledinto the pelvis / carried out of the kidney by theureter to the urinary bladder / ecreted out of thebody by urethra

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    4 f *lt ti b ti d

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    Copyright 2009, John Wiley & Sons, Inc.

    4ummary of *ltration0 reabsorption0 andsecretion in the nephron and collecting duct

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    55

    & egulation of blood water potential4 by kidney of mammals'

    1efinition :

    C 2s the process of controlling of the

    0"ter content and the concentr"tion of

    s"#t2 inor&"nic ionsin the bod#

    & animal or proto

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    The os!otic concentr"tion of the %#ood !ust %e!"int"ined "t " ste"dy st"te 3'

    I!port"nce :

    !o bathed bod# cells in isotonic tissue f#uid withtheir c#toplasm

    !his pre$ents ecessi$e "!ounts of 0"ter

    entering or lea(ing cells osmoticall# which woulddamage the cells.

    *ells can carr# out metabolic reactions efficient#y

    ( Regulation of blood water potential by kidney of mammals )

    56

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    5

    Osmoregulation K. achie(ed with the help of

    A1H or $"sopressin that controls thepermeabilit# of the wall of D*! and *D

    &collecting duct'

    Antidiuretic hor!one * A1H +

    )roduced in hypoth"#"!us stored in posterior pituit"ry "nd.

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    5

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    Antidiuretic hor!one * A1H +

    Function A1H :

    1.!he presence of ADH, increases the permeabilit# of thewall of dist"# con$o#uted tu%u#eand co##ectin& ducts

    to water.

    H2O in filtrate cortex & medulla blood capillary

    (in DCT) reabsorb

    9. Also increases the permeabilit# of the collecting duct

    with ure". rea from filtrate diffuses into the interstitial

    fluid of medulla. Increases the osmotic conc ( decreasewp)of the medulla tissue resulting in the reabsorption of

    water from the decending limb of Henle.

    59

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    !he presence of ADH causes the production

    of hypertonic or concentr"ted urine

    ( More DH ! more concentrated urine

    absence"less DH ! dilute(#ypotonic urine)

    Ho0 this condition h"ppens4

    60

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    1. !he receptor 8 os!oreceptor situated in

    h#pothalamus will detect the ch"n&es in theblood osmotic concentration & 0"ter potenti"#+

    9. 2f the blood osmotic concentration flowing near the

    osmoreceptors below than the normal level .

    impulses are transmitted to the posterior pituit"ry"nd and is stimulates to release AH into the

    blood

    61

    When blood osmotic concentration is

    high !Dexcessive s$eatin% in%est excess salt not take inade'uate $ater it diet

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    3. ADH circulates in the blood and affects on its

    t"r&et ce##s, the cells of the walls of the distal

    convoluted tubule and collecting duct

    ;. !he membrane of the cells become !ore

    per!e"%#e to 0"ter, and water molecule is

    reabsorb from filtrate into cortex and medulla

    and .

    E. !his will produced a less (olume and

    hypertonic urine and excreted out of the bod#

    b# the "idne#

    62

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    . !his process also increases the blood osmotic

    concentration (wp) bac" to normal as waterdrawn in from nephron tubule into the (asa

    recta.

    .. !he osmoreceptors also stimulate a sens"tion

    of thirst.

    =. Although the wp has been controlled, s0e"tin&

    will ha(e #ed to " reduction in the (olume of

    bod# fluids which is restored b# drin"ing.

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    M. Ghen the blood osmotic concentration

    (wp) rises bac" to normal, theosmoreceptors are not longer stimulated.

    1>. !he release of ADH is reducedstopped, the

    cells of the walls of D*! and *D becomemuch morei!per!e"%#e to 0"ter.

    11.!he water remains in the urine, hypotonic

    urine is produced and the wp becomes

    lowered as more water is lost relati(e to thesolutes.

    64

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    !he reabsorption of water in the "idne# is

    regulated b# antiduresis hormone &ADH'

    released b# pituitar# gland

    )2!2!AN LA6D

    65

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    66

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    6

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    6

    The "$/ or 3nti iretic hor:one is respons

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    69

    &HE RO'E O$ %'+O4&ERO#E&o control the concentration of sodium

    and potassium ions in the blood

    Sodium"lthogh 9= o( the soi: h3s 3lre3y

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    !he5ut"o!eru#"r "pp"r"tus *67A+, is a

    specialised tissue in the (accinit# of the arterioles

    leading to glomeruli of the "idne#

    respondto a decrease in blood pressure

    or blood (olume b# releasing

    en

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    2

    #o > rennin

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    Renin initiates the con(ersion of

    "n&iotensino&en&plasma protein' to itsacti(e form, "n&iotensin I& in the

    bloodstream' which then is con(erted to

    "n&iotensin II8

    An&iotensin II :

    a' act directl# to incre"se %#ood pressureb#

    causing arterioles to constrict.

    7

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    b' act to incre"ses %#ood

    $o#u!e b#

    i' signaling )*! to reabsorp more

    6a*l and water

    ii' signaling the adrenal gland toreleased "#dosterone, and this

    hormone will stimulates the

    acti(e reabsorption of 6aF

    &and *l%' across the cells walls

    of the 1CT. esults in the

    mo(ement of water out of 1CT

    b# osmosis into the blood.

    "$E!"# %#"!$

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    O@7OLA2!N of the blood

    High concentration high osmotic pressure low G)

    Drin"ing reduces the osmolarit# of the blood and inhibit the secretion of ADH

    !he blood pressure rises

    until it returns to the setpoint.

    !hus, the releasing of renin

    , lead to an incre"se in

    %#ood $o#u!eand %#oodpressure. results that

    complete the feedbac"

    circuit b# suppressing the

    further release of renin..

    6

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    HO7O6AL *O6!OL O5 2D6$N b# negati(e feedbac" mechanism

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    #ormal bloodsodium concentration

    ,lood volume

    and blood

    pressure rises

    Less renin

    producedLess angiostensin 22

    formed

    Adrenal cortex

    produces less

    aldosterone

    #ormal bloodsodium

    concentration

    Adrenal cortex

    produces more

    aldosteron

    7ore angiostensin 22

    formed

    7ore renin

    produced

    -lood (ol.and

    pressure f"##s

    -a. rises

    -a. falls

    -a. falls

    -a. rises

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    9

    &HE REB!'%&"O# O$ -'OO+ pHby Kidney

    #ormal blood pH is D5

    -lood and interstitial fluid ha(e a pH of about 9'

    !he pH must be "ept constant or within narrow limit

    because en

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    0

    9an blood pH change from the set pointD5

    high 9O1 concentration due to cellular respiration

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    egulation of blood pH

    ole of "idne#

    eabsorption of bicarbonate and h#drogen ions

    $xcretion of bicarbonate and h#drogen ions

    -lood and interstitial fluid ha(e a pH of about 9''!he presenceof carbon dioxide reduces the blood pH

    Abrupt change in blood pH is pre(ented b# the presence of

    plasma proteins in the blood, while h#drogen carbonate and

    phosphate ions act together as %uffers.

    -# peritubule of

    "idne#

    1

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    2f the blood pH is f"## %e#o0 9', due to high *O9 concK.

    the cells of the )*! and D*!, combine water and carbon

    dioxide to form carbonic acid which the dissociates into HF

    and H*O3% .

    H*O3% ions are acti(el# absorb into the blood combine with

    excess HF ions in the blood, pH of %#ood rise to thenor!"# st"te

    h#drogen ions from dissociation of carbonic acid are acti(el#

    pumped into the filtrate& lumen of D*!' , and combine with

    H)O;9% to form H9)O;% and are excreted in the urine

    2

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    7

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    5

    eninne o( the (nctions o( the Biney is to :onitor

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    correcti;e 3ction i( it shol rop. The Biney oes this