hepatocytes (liver
cells)- carry out
metabolic processes
internal structure is in
such a way that as much
blood flows
Blood flow to and from the liver-
blood supply from 2 sources:
1. Oxygenated from
heart: blood travels
from aorta via hepatic
artery into the liver.
the liver cells require
ATP therefore,
important to have
enough oxygen
2. Deoxygenated from digestive
system: blood enters liver via
hepatic portal vein (capillaries
are both ends)- rich with
products from digestion. blood
leaves hepatic portal vein, rejoins
vena cava and blood returns to
normal circulation
bile duct- carries secretion from liver
to gall bladder where its stored until
requiredt o aid digestion of fats in
small intestine
Arrangement of cells inside liver
arranged to ensure best
possible contact between
blood and liver
divided into lobes
which are further
divided into cylindrical
lobules
hepatic artery and hepatic portal
vein enter liver and split into
smaller vessels. they run
inbetween and parallel to lobules
(inter-lobular vessels)- at
intervals, branches off the artery
and vein lobules. blood mixed and
along the sinusoid (lined by liver
cells). empties into lobular vessels
(branch off hepatic vein)
Branches of hepatic vein from
different lobules join to form
hepatic vein--> drains blood
from liver
blood flows along
sinusoid, close to liver
cells, able to remove
molecules from blood
and pass molecules
into blood
liver cells- manufacture
bile. released into the
bile canaliculi join
therefore, forms bile
duct
liver cells-
hepatocytes: simple
cuboidal shappe with
microvilli.
cytoplasm=dense and
specialised in amount
of different organelles
it contains
protein synthesis
storage of carbohydrates
cholesterol
bile
kupffer cells
specialised macrophages-
move about within sinusoid
and involved with breaking
down and recycling red blood
cells.
bilirubin is a product of the
breakdown of haemoglobin.
excreted as part of bile and
faeces
functions of the liver
include...
blood glucose
control , amino and
lipid levels
synthesis of
rbc, plasma,
protein,
cholesterol
storage of Vitamin
DA, D, B12, iron,
glycogen
detoxification
breakdown of
hormones
destruction of rbc
Formation of urea
urea: excretatory product formed
from breakdown of amino acids
2 steps:
1.deamination- produces ammonia,
organic compound Keto Acid,
which can enter respiration and
release energy . Amine acod +
oxygen = keto acid + ammonia
2. ornithine cycle- ammonia is soluble
but toxic, converted to less toxic.
ammonia combined with carbon
dioxide to produce urea. urea is less
soluble and toxic so can be passed
back into blood and transported to
kidney. kidneys: Urea --> ura.
Ammonia + Carbon Dioxide ---> Urea +
Water
Detoxification
liver able to
detoxify many
compounds-
hydrogen
peroxide,
alcohol, drugs
toxins rendered
harmless by
oxidation reduction,
methylination
liver cells contain
enzymes that
render toxic -->
less toxic.
catalase
(hydrogen
peroxide--> O2 +
H2O
of alcohol
1. ethanol
dehydrogenase breaks
down ethanol- creates
ethanal
2. ethanal dehydrogenated
futher by ethanal
dehydrogenase --> ethanoate
3. ethanoate + Coenzyme A --->
acetyl Coenzyme A which enters
respiration
4. H2 atoms released
combined with coenzyme
NAD
NAD requuired to
oxidse/breakdown
fatty acids needed for
respiration
fatty liver- fatty acids stored as
lipids in liver- leads to alcohol
releated illnesses- hepatitis and
cirrhosis
The Kidney
Structure of the kidney
supplied with blood from Renal Artery
and drained via renal vein
role- remove waste from
blood and produce urine
cortex- outer
region
medulla- inner
regions
pelvis- leads
to ureter
nephron
Tiny tubules- 1
million in each kidney
1. start in cortex-
from glomerulus
2. fluid pushed down
bowmans capsule by
ultrafilteration
capsule leads to
nephron, divided into 4
proximal
convoluted
tubule
loop henle
distal
convoluted
tubule
collecting duct
3. fluid moves along nephron,
composition alters (selective
reabsorption)
selective reabsorption- useful substances
are reabsorbed from nephron to blood
stream, while excratory products stay in
nephron
reabsorbed into tissue fluid
final product in collecting
duct = urine. passes into
pelvis and down ureter
into bladder
How does the
composition of fluid
change
proximal convoluted
tubule- fluid altered by
reabsorption of sugars,
salts and water (85%
reabsorbed)
descending limb of loop
of henle- low WP by
additon of salts and
removal of water
ascending limb- high
WP, salts removed via
active transport
collecting duct- low WP- removal of
water. ensures urine has low WP
and urine has high concentration of
solutes found in blood
Formation of urine
what is filtered out
the blood:
water
amino acids
glucose
urea
inorganic
ions
what is left in the capillary
rbc
proteins
presence of proteins
= blood has low WP
low WP ensures fluid retained
in blood and contains water and
dissolved substances
low WP important to help
reabsorb water later
125cm3min-1 total
vol filtered out,
180dm3 a day
selective reabsorption
occurs at proximal
convoluted tubule-
85% of filtrate
reabsorbed
glucose,
amino acids,
salts and
water
reabsorbed
cells lining proximal
convoluted tubule
specialised to achieve
reabsorption
microvilli-
increase
reabsorption
SA
co transporter
proteins- transport
glucose and amino
acids in
association with
NA+ from tubule to
cell (facilitated
diffusion)
opposite
membrane (Close
to TF) is folded,
increasing SA.
contains sodium
potassium
pumps- Na+ out,
K+ in.
how reabsorption occurs
sodium potassium pumps-
remove Na+ from cells lining
proximal- lowers conc of Na+ in
cytoplasm
Na+ transported into cell
with glucose and amino
acids.
glucose/amino acid
concentrations increase, able to
diffuse out of opposite sides of
cell TF
enhanced by
active removal of
glucose and amino
acids from cells
substances in TF diffuse
diffuse into rbc and
carried away
reabsorption of
salts/glucose/amino
decrease WP in cells,
increased WP in tubule fluid
H20--->cell then
reabsorbed into rbc via
osmosis
larger molecules
that have entered
tubule,
reabsorbed by
endocytosis
Ultrafilteration
Afferent
arteriole-
where blood
flows into the
glomerulus
(wider then
efferent)
Efferent
arteriole-
carries
blood away
from
arterioles-
Narrow
difference in diameters
ensures blood in capillaries
of glomerulus is under
pressure. pressure in
glomerulus high in
bowmans capsule.
pressure difference pushes
flow from bowmans capsule
to glomerulus
barriers between blood
capillary and lumen of
bowmans consist of 3 layers:
1. endothelium (capillary)-
narrow gaps betweens
cells where
blood/substances can
diffuse in and out
2. basement membrane-
collagen + glycoproteins.
filter to prevent passage of
molecules with rmm above
69000
3. epithelial cells (bowmans
capsule)- podocytes have
specialised cells- finger like
shaped. ensures gap between
cells. fluid from blood in
glomerulus pass between these
cells into lumen of bowmans
water reabsorption
reabsorption of water
each minute: 125
cm3 filtered from
blood entering
nephron
after selective
reabsorption,
45cm3 left in
proximal
loop of henle: creats low or
high WP in medulla.
ensures more water can
be rabsorbed from
collecting duct.
descending limb-
descends into
medulla
achieved: fluid
descends deeper into
medulla, low WP- water
lost osmotically, ions
diffuse in
ascending limb-
ascends out of
cortex
achieved:
ascending up
cortex, high WP-
ions actively
transported out,
fluid loses salts,
not water
arrangement
allows salts to
be transferred
from
ascending to
descending.
overall effect: increase salt
conc in TF therefore they
diffuse out thin wall of
ascending (surroinding TF =
low WP
hairpin arrangement
multiplier- name given to
arrangement. effect of this
arrangement increases
efficiency of salt transfer
from ascedning to
descending. causes build up
of salts in TF
movemnt of salts from
ascending to medulla
increses salt conc in TF
of medulla therefore,
low WP
removal of ions from
ascnding means at
top, urine is dilute.
water reabsorbed from
urine in distal tubule
and collelcting duct
collecting duct
top of ascending , fluid goes to
distal convoluted tubule (active
transport adjusts salts). Distal to
collecting duct (water removved,
fluid is high wp) to medulla then
pelvis
1.5 - 2 dm3 reaches pelvis
daily. -ve WP, conc of salts and
urea is high
Osmoregulation
control and
regulation of WP in
blood and body fluid.
Kidney controls WP in
blood
water gained:
food
drink
metabolism
water lost:
urine
sweat
exhale
faeces
cool day: a lot of fluid,
large and dilute volumes
of urine
less water conserved, walls
decrease permeability , less water
reabsorbed
hot day, little water,
small and
concentrated urine
more water conserved
walls of collecting duct vary in
permeability according to water
needs of the body
altering permeability of
collecting duct
responds to ADH (antidiuretic
hormone). cells have ADH
receptors. ADH binds to receptors,
cause enzyme controlled reactions
in cell. therefore, vesicle containing
water permeable channels are
inserted. Allows more water to be
transported in as permeability
increases
more ADH, more permeability,
more water reabsorbed, less
urine, low WP
Adjusting conc of ADH in blood
osmoreceptors- within
hypothalamus, monitor
WP of blood. respond to
effects of osmosis. if
WP is low, osmorecptor
cells lose water, shrink
and stimulate
neurosecetory cells in
hypothalamus
neurosecetory cells-
specialised neurones,
produce and release
ADH. manufactured in
cell body which lie in
hypothalamus. ADH
flows down axon to
terminal build in posterior
pituitary gland
ADH-> blood capilliaries
(posterior pituitary gland) ->
around body and acts on cells
of collecting duct.
WP of blood increase,
WP decrease.
H breaks down
(half life of
20mins)
Kidney Failure
can occur for a
number of reaons:
Diabetes
hypertension
infection
Kidney fails completely?- body cannot
remove excess water and waste from blood.
unable to regulate levels of water and salts in
body and could lead to death
Treatments:
1. Diyalysis- use of partially permeable
membrane to filter blood. most common
treatment, removes waste and excess fluid and
salts by passing over a diyalisis membrane.
Permeable membrane allows exchange of
substances between blood and dialysis fluid.
Excess substances diffuse into dialysis
membrane, too low, substances diffuse from
dialysis membrane to blood
Diyalysis membrane- partially
permeable that separates the dialysis
fluid from patients blood in the
machine
Dialysis fluid- complex solution that matches
the composition of body fluid
Haemodialysis- blood
from vein to machine
containing artificial
dialysis membrane .
Hepanin added to avoid
clotting and removes
bubbles before returning
to the body. performed at
clinic, three times a week
peritoneal dialysis
filter = bodies own
abdominal membrane
1. implant permanent tube
into abdomen
2. dialysis solution poured
through tubes and fills space
between abdominal wall and
organ.
3. several hours later: used solution
drained from abdomen. patient can walk
around as its happening
Kidney Transplant
old kidney is left in place unless if infected or cancerous.
usually a living rlative or someone who has dies. Major surgery,
patient kept under anaesthesia. surgeon implants lower
abdomen and blood supply and bladder. many feel better.
Immunosuppresents- provideto help prevent bodys own
immune system from rejecting foreign object.
Advantages: diet less
limited, better, quality of
life,
Disadvantages:
immunosuppressents for life,
major surgery, infections,
bleeding, increased BP