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The kidney's ability to perform many of its functions depends on the three fundamental functions of filtration, reabsorption, and secretion, whose sum is called renal clearance or renal excretion. That is: Urinary excretion rate = Filtration rate – Reabsorption rate + Secretion rate [1]
Reabsorption allows many useful solutes (primarily glucose and amino acids), salts and water that have passed through Bowman's capsule, to return to the circulation. These solutes are reabsorbed isotonically , in that the osmotic potential of the fluid leaving the proximal convoluted tubule is the same as that of the initial glomerular filtrate.
The renal compensation process usually takes a few days to complete as it is dependent upon changes in the reabsorption of bicarbonate. [4] End-staged renal diseases as well as chronic kidney diseases increase the overall risk of individuals developing pneumonia due to the interactions between the kidneys and the lungs. [3]
Secretion and reabsorption of various substances throughout the nephron. Reabsorption is the transport of molecules from this ultrafiltrate and into the peritubular capillary network that surrounds the nephron tubules. [33] It is accomplished via selective receptors on the luminal cell membrane. Water is 55% reabsorbed in the proximal tubule.
Fig.3) Secretion and reabsorption of various substances throughout the nephron. The nephron uses four mechanisms to convert blood into urine: filtration, reabsorption, secretion, and excretion. [5]: 395–396 These apply to numerous substances. The structure and function of the epithelial cells lining the lumen change during the course of the ...
The collecting duct system of the kidney consists of a series of tubules and ducts that physically connect nephrons to a minor calyx or directly to the renal pelvis.The collecting duct participates in electrolyte and fluid balance through reabsorption and excretion, processes regulated by the hormones aldosterone and vasopressin (antidiuretic hormone).
PAH is not reabsorbed and is secreted, so excretion = filtration + secretion. As with glucose, the transfer is at the proximal tubule, but in the opposite direction: from the peritubular capillaries to the lumen. At low levels, all the PAH is transferred, but at high levels, the transport maximum is reached, and the PAH takes longer to clear.
Renal urea handling is the part of renal physiology that deals with the reabsorption and secretion of urea.Movement of large amounts of urea across cell membranes is made possible by urea transporter proteins.