Download e-book for iPad: Renal and urinary systems by Timothy Jones; Robert Thomas

By Timothy Jones; Robert Thomas

ISBN-10: 0723436290

ISBN-13: 9780723436294

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Sample text

It is associated with ANCA, which characteristically recognizes a cytoplasmic antigen (proteinase 3) in fixed neutrophils (cANCA). Hereditary nephritis Alport’s syndrome This is usually X-linked, affecting mainly males (females are usually asymptomatic carriers). Autosomal dominant and autosomal recessive patterns of inheritance have also been described. An abnormality of basement membrane collagen IV is found in all patients, and they lack the Goodpasture’s antigen. Presentation is with glomerulonephritis and haematuria, ocular abnormalities and sensorineural deafness.

Capillary blood basement membrane collecting tubule cell protein phosphorylation ATP AC cAMP A D H A D H v2 receptor inactive PKA lumen filtrate vesicles with inactive AQP2 active PKA vesicles with active AQP2 associated G-protein vesicles fuse with cell membrane, so it is more permeable tubules. This produces a more dilute plasma and a concentrated urine. Excessive water intake lowers plasma osmolality. Thus, the kidneys excrete ‘solute-free’ water from the tubules, producing dilute urine.

Hþ combines with HCO3 À ions to form H2CO3 (carbonic acid). Carbonic anhydrase (CA) on the brush border of the cells catalyses the dissociation of H2CO3 to H2O þ CO2 within the tubular lumen. Both H2O and CO2 diffuse freely into the cell, where they reform H2CO3, this process being catalysed by intracellular CA. HCO3 À and Naþ are actively transported out of the cell across the basolateral membrane. Hþ is secreted out of the cell into the tubular lumen and recycled to allow continuation of this cycle (Fig.

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Renal and urinary systems by Timothy Jones; Robert Thomas


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