Function of the Tubules
The nephron, the functional unit of the kidney, is comprised of several segments, each with specific functions critical for urine formation and homeostasis.
Proximal Convoluted Tubule (PCT)
The PCT is lined with simple cuboidal brush border epithelium, which significantly increases the surface area for reabsorption. Approximately 70-80% of electrolytes, water, and nearly all essential nutrients such as glucose and amino acids are reabsorbed here. Furthermore, PCT plays a role in maintaining pH and ionic balance by actively secreting hydrogen ions and ammonia into the filtrate and reabsorbing HCO₃⁻.
Loop of Henle
The loop of Henle is divided into descending and ascending limbs. The descending limb is permeable to water, leading to concentrative filtrate as water exits, while the ascending limb, which is impermeable to water, allows for active or passive transport of electrolytes. This segment is crucial for establishing a high osmolarity in the medullary interstitial fluid, which is vital for water reabsorption later in the nephron.
Distal Convoluted Tubule (DCT)
The DCT allows for conditional reabsorption of Na⁺ and water, influenced by hormones. It also participates in selective secretion, including H⁺ and potassium ions, ensuring the pH and ionic balance of blood.
Collecting Duct
This duct extends from the cortex into the inner medulla, reabsorbing significant amounts of water to produce concentrated urine. It also plays a role in maintaining the osmolarity of the medullary interstitium and regulating blood pH through the selective secretion of H⁺ and K⁺ ions. The coordination of these tubular functions is essential to accommodate the body's physiological demands, thus showcasing the kidneys' ability to adapt to changes in hydration and salt balance.