Page 447 - Anatomy and Physiology of Farm Animals, 8th Edition
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          (hypertonic) or more dilute than plasma   factor in generation of hypertonic intersti-
                                                  tial fluid in the medulla (Fig. 23‐10), and
          (hypotonic). The ability of the kidneys to
  VetBooks.ir  generate hypertonic or hypotonic urine   this hypertonic fluid has an essential role
                                                  in the ability to generate hypertonic urine.
          depends  on the functional  and anatomic
          characteristics of both the loop of Henle   The transport of particles without water
          and the collecting duct. The excretion of   from  the  lumen  of  the  loops also  creates
          hypertonic urine also requires antidiuretic   hypotonic fluid in the tubule, and this is an
          hormone (ADH, or arginine vasopressin)   essential step in the ability to generate
          to alter the transport characteristics of the   hypotonic urine. However, regardless of
          collecting duct.                        the tonicity of the final urine, the transport
                                                  characteristics of the thick ascending limbs
                                                  of the loops of Henle remain the same, so
          Sodium Chloride and Water               that hypertonic fluid is generated within
          Reabsorption by the Loop of Henle       the renal medulla and hypotonic fluid is
                                                  generated within the loop of Henle.
          Loops of Henle are the nephron segments    The descending limbs of the loops of
          found in the renal medulla. The U‐shaped   Henle are relatively permeable to water but
          loops extend to variable depths  in the   relatively impermeable to particles. As
          medulla, and the terms  descending and   fluid flows into and through the descend-
          ascending limbs are applied to the differ-  ing limbs, water is removed because of the
          ent parts of the loops (Fig. 23‐3).     osmotic gradient between the tubular
            The ascending limbs of the loops of   lumen and the interstitial fluids of the renal
          Henle are relatively impermeable to water   medulla (Fig. 23‐10).
          and have a thick portion that is the site of   Because the ascending and descending
          a great deal of sodium and chloride reab-  limbs of the loops of Henle are relatively
          sorption. Sodium and chloride transport   close together in the medulla and because
          by the thick ascending limb uses a unique   the tubular flows move in opposite direc-
          membrane transporter that cotransports   tions, the combined effect of transport by
          sodium, chloride, and potassium into the   ascending and descending limbs produces
          cell from the lumen. This transport is   an osmotic gradient in the interstitial flu-
          sodium‐linked in that the Na ‐K ‐ATPase   ids of the renal medulla. Interstitial fluid
                                      +
                                    +
          pump on the opposite side of the cell   osmolality increases from the outer zones
          maintains the low intracellular sodium   to the inner zones of the renal medulla
          concentration that permits the cotrans-  (Fig. 23‐10).
          porter to function. The net effect of this   The countercurrent mechanism is any
          cellular transport is continuous addition   mechanism that depends on streams of
          of sodium and chloride to the interstitial   flow moving in opposite directions, and
          fluid of the medulla without any accompa-  these are usually close to each other. The
          nying water (Fig. 23‐10). Sodium chloride   ascending and descending loops of Henle
          is also reabsorbed from the thin ascending   form a countercurrent mechanism that
          limb of the loop (Fig.  23‐10), but the   amplifies the osmolyte (sodium chloride)
          mechanism responsible for this transport   transport properties of the ascending limb
          is  controversial.  The  fluid  entering  the   of the loop of Henle. This countercurrent
          loop of Henle is isotonic, and the fluid   mechanism generates the osmotic gradient
          exiting is hypotonic (Fig.  23‐10).  This   in the interstitial fluids of the renal medulla.
          change in tubular fluid shows that the net   The ascending and descending vasa recta
          effect of loop of Henle transport is to add   also form a countercurrent exchange mech-
          more particles than water to the intersti-  anism by permitting free exchange of sol-
          tial fluids in the renal medulla.       utes and water between the ascending and
            Transport of sodium and chloride into   descending blood vessels. This exchange
          the interstitium without water is the key   allows for blood flow into and out of the
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