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Counter Current Mechanism
Dr.Sara Sadiq
Countercurrent Mechanism
• Interaction between the flow of filtrate through the loop of Henle
(countercurrent multiplier) and the flow of blood through the vasa
recta blood vessels (countercurrent exchanger)
• The solute concentration in the loop of Henle ranges from 300 mOsm
to 1200 mOsm
Water Permeability
--In the proximal tubule, the water permeability is always high.
--In the ascending loop of Henle, water permeability is always low, so
that almost no water is reabsorbed.
--Water permeability in the distal tubules, collecting
tubules, and collecting ducts—can be high or low, depending on the
presence or absence of ADH.
PCT
Transport Maximum
Transport maximum For most substances that are
actively reabsorbed or secreted, there is a limit to the
rate at which the solute can be transported.
when the tubular load exceeds the capacity of the
carrier proteins involved in the transport process this
substance will appears in urine.
Ascending Limb of the Loop of Henle
14-28b
14-28c
14-28d
14-28e
14-28f
14-28g
Early Distal Tubule
14-29
Late DCT & CD (Principal Cells)
Late DCT & CD (Principal Cells)
Late DCT & CD (Intercalated Cells)
Urea Reabsorption
• Contributes to total
osmolality of interstitial
fluid.
• Ascending limb LH and
terminal CD are permeable
to urea.
• Terminal CD has urea
transporters.
• Recycle urea.
Formation of Dilute and Concentrated Urine
Figure 25.15a, b
Vasa Recta
• Countercurrent exchange.
• Recycles NaCl in medulla.
• Transports H20 from
interstitial fluid.
• Descending limb:
• Urea transporters.
• Aquaporin proteins (H20
channels).
• Ascending limb:
• Fenestrated capillaries.
Osmolality of Different Regions of the Kidney
Insert fig. 17.19
Thank You

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Counter current mechanism