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Medical Instructor, Washington University School of Medicine

The uriniferous tubules perform three separate functions in the formation of urine: filtration cholesterol in shrimp head purchase on line pravachol, secretion cholesterol chart buy cheap pravachol 10mg online, and selective absorption. The tubules do not synthesize and release new material in significant amounts but eliminate excess water and waste products of metabolism that are being transported in the blood plasma. The renal corpuscles filter blood plasma, and in humans, the kidneys produce about 125 ml of glomerular filtrate each minute. About 124 ml of this is absorbed by the rest of the uriniferous tubule, resulting in the formation of approximately 1 ml of urine. The total glomerular filtrate in humans during a 24-hour period is 170 to 200 liters, of which about 99% is absorbed. The filtration process is driven by the hydrostatic pressure of blood, which is sufficient to overcome the colloidal osmotic pressure of plasma and the capsular pressure at the filtration membrane. The resulting filtrate contains ions, glucose, amino acids, small proteins, water soluble vitamins, and the nitrogenous wastes of metabolism. Blood cells, proteins of large molecular weight, and large negatively charged molecules are prevented from entering the capsular space by the filtration barrier. The glomerular filtrate is reduced to about 35% of its original volume in the proximal convoluted tubule. In addition to the obligatory absorption of sodium chloride and water, glucose, amino acids, proteins, and ascorbic acid are actively absorbed in the proximal convoluted tubules. Exogenous organic cations and anions are actively secreted into the lumen by the epithelium of the proximal convoluted tubule, thus fulfilling the requirements of an exocrine gland. Most of the materials that have passed through the filtration barrier are immediately resorbed by the epithelium of the uriniferous tubules and put back into the circulation. Parathyroid hormone acts on the proximal convoluted tubule to decrease phosphate reabsorption and on the thick ascending limb of the loop of Henle and distal tubule to increase calcium reabsorption. The loop of Henle is essential for the conservation of water and production of hypertonic urine. An active sodium pump mechanism resides in the cells of the thick ascending limb of the loop of Henle and creates and maintains a gradient of osmotic pressure that increases from the base of the medullary pyramid to the papillary tip. The distal tubule is the principal site for acidification of urine and is the site for further absorption of bicarbonate in exchange for secretion of hydrogen ions. The conversion of ammonia to ammonium ions also occurs in the distal tubule trapping hydrogen ions for elimination in the urine. Therefore this region of the nephron plays an important role in acid-base balance. Absorption of sodium ions in the distal tubule is referred to as facultative absorption and is controlled by the steroid hormone aldosterone, which increases the rate of absorption of sodium ion and excretion of potassium ion. Parathyroid hormone also acts on the distal convoluted tubule of the nephron to promote absorption of calcium ion and inhibit absorption of phosphate ion from the developing urine. Aldosterone targets the distal convoluted tubule and collecting duct to increase reabsorption of sodium, chloride, and water and increases potassium secretion. These actions result in increased sodium excretion (natriuresis) in a large volume of dilute urine. Aldosterone stimulates the terminal distal tubule and collecting tubule to absorb sodium ions in exchange for potassium ions. The renin-angiotensin system is influenced by blood flow through the kidney and is an important factor in hypertension. The juxtaglomerular apparatus also produces a bloodborne factor called erythropoietin, which stimulates erythropoiesis in the bone marrow. A minor calyx is attached around each renal papilla and represents the beginning of the extrarenal passageways. Minor calyces undergo periodic rhythmic contractions that aid in moving urine from the papillary ducts into the extrarenal system. The walls gently contract around each renal papillae and transport the urine to the renal pelvis. Periodic contractions of the muscular walls propel small amounts of urine from the renal pelvis through the ureter to the urinary bladder, where it is temporarily stored until a sufficient volume is obtained for urine to be evacuated through the urethra. Contraction of the muscularis of the bladder wall (the detrusor muscle) together with voluntary relaxation of the skeletal muscle that forms the sphincter urethrae accomplishes this process during micturition. The generative organs for the production of male gametes (sperm) are the testes, while in the female the ovary is the site of production of female gametes, the ova.

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Secretion is of the holocrine type cholesterol test and alcohol consumption order pravachol 10 mg on line, meaning the entire cell breaks down cholesterol pathway cheap pravachol 20 mg on line, and cellular debris, along with the secretory product (triglycerides, cholesterol, and wax esters), is released as sebum. Myoepithelial cells are not observed with sebaceous glands, but the glands are closely related to the arrectores pilorum muscle. Contraction of this smooth muscle bundle helps in the expression of secretory product from the sebaceous glands. In the nipple, smooth muscle bundles are present in the connective tissue between the alveoli of these glands. The short duct of the sebaceous gland is lined by stratified squamous epithelium that is a continuation of the outer epithelial root sheath of the hair follicle. Replacement of secretory cells of the alveolus comes mostly from division of cells close to the walls of the ducts, near their junctions with the alveoli. Collectively, the hair follicle, hair shaft, sebaceous gland, and erector pili muscle are referred to as the pilosebaceous apparatus. The pilosebaceous apparatus produces hair and sebum, the latter of which protects the hair and acts as a lubricant for the epidermis to protect it from the drying effects of the environment. Sebaceous glands become more active at puberty and are under endocrine control: androgens increase activity, estrogens decrease activity. Eccrine sweat glands are distributed throughout the skin except in the lip margins, glans penis, inner surface of the prepuce, clitoris, and labia minora. Elsewhere the numbers vary, being plentiful in the palms and soles and least numerous in the neck and back. The deep part is tightly coiled and forms the secretory unit located in the deep dermis. The secretory unit consists of a simple columnar epithelium resting on a thick basement membrane. These cells secrete glycoproteins, which have been identified in secretory vacuoles. Intercellular canaliculi extend between adjacent clear cells, which contain glycogen, considerable smooth endoplasmic reticulum, and numerous mitochondria but few ribosomes. Clear cells are thought to secrete sodium, chloride, potassium, urea, uric acid, ammonia, and water. Myoepithelial cells are present around the secretory portion, located between the basal lamina and the bases of the secretory cells. These stellate cells are contractile and are believed to aid in the discharge of secretions. Eccrine sweat glands are drained by a narrow duct that at first is coiled and then straightens as it passes through the dermis to reach the epidermis. At their luminal surfaces, the cells of the inner layer show aggregations of filaments organized into a terminal web. In the epidermis, the duct consists of a spiral channel that is simply a cleft between the epidermal cells; those cells immediately adjacent to the duct lumen are circularly arranged. When eccrine sweat glands function to regulate body temperature they are regulated by postganglionic sympathetic neurons that release acetylcholine as the neurotransmitter (cholinergic innervation). In contrast, when eccrine sweat glands are involved in emotional sweating they are controlled by postganglionic sympathetic neurons that release norepinephrine (adrenergic innervation). Their secretions are thicker than those of the ordinary eccrine sweat glands and contain glycoproteins, lipids, glycolipids and pheromones. Their histologic structure also differs from eccrine sweat glands in several respects. Apocrine sweat glands also are simple coiled, tubular glands the secretory units of which are lined by columnar cells. The secretory tubules of these glands are of much wider diameter than those of eccrine sweat glands. Their myoepithelial cells are larger and more numerous, and there is only one type of secreting cell, which resembles the dark cells of the eccrine glands. The ducts are similar to those of ordinary sweat glands but empty into a hair follicle rather than onto the surface of the epidermis. Secretion by apocrine glands is of the merocrine type and involves no loss of cellular structure. Apocrine sweat glands become more active at puberty and are under endocrine control by androgens and estrogens.

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Here they pass through the lipid bilayer and link cells together or anchor the cell to the extracellular matrix cholesterol panel ratio purchase generic pravachol pills. Peripheral membrane proteins are defined as those proteins which can be removed from the plasmalemma without disrupting the lipid bilayer cholesterol score of 6 discount 10 mg pravachol. Peripheral membrane proteins are generally attached to the surface of the plasmalemma usually the inner surface - and contribute to its stability. Peripheral membrane proteins can attach to the surface of the plasmalemma by ionic interactions with an integral protein, another peripheral membrane protein, or by interaction with the polar head groups of the phospholipids. Examples of peripheral membrane proteins are spectrin and ankyrin, which are found on the cytoplasmic surface of the erythrocyte plasmalemma. Both function to anchor elements of the cytoskeleton to the cytoplasmic surface of the plasmalemma. Peripheral membrane proteins also function to keep the molecules of the plasmalemma from separating and the cell membrane from tearing apart. The protein core of this molecule spans the lipid bilayer, and the portion of the long molecule bearing the carbohydrate side chains projects from the exterior surface of the plasmalemma. The sugar residues of the carbohydrate portion of these molecules, as well as glycoproteins and glycolipids, form the fuzzy coat observed by electron microscopy that is referred to as the glycocalyx. Such a coat is present on all cells, and the ionized carboxyl and sulfate groups of the polysaccharide units give the external surface of the cell a strong negative charge. The glycocalyx also plays an important role in determining the immunologic properties of the cell and its relationships and interactions with other cells. Carbohydrates offer far greater structural diversity for recognition than do proteins. The infinite variety of molecular configurations of the subunits of the large polysaccharides that extend from the plasmalemma forms the basis for cell recognition. Thus, the plasmalemma is a selectively permeable membrane in which ions and small water-soluble molecules (amino acids, glucose) must be pumped through protein-lined channels that traverse the plasmalemma to gain access to the cell interior. The most common ion channel-linked receptor proteins are voltage-gated ion channels that require a transmembrane potential to open, mechanically-gated ion channels that sense movement in the plasmalemma that stimulate them to open, and neurotransmitter-gated ion channels. Neurotransmittergated ion channels are receptors that bind neurotransmitters and mediate ion movement. These include the glycine receptor, the N-methylD-aspartate receptor, nicotinic acetylcholine receptor, the 5-hydroxytrptamine serotonin receptor, and the -aminobutyric acid receptor. The channel proteins undergo an allosteric change that opens the channel when stimulated. Thus, the movement of solutes across the plasmalemma depends on the activity of specific transmembrane transport proteins. Movement of a single solute (molecule) by transmembrane transport proteins is referred to as a uniport mechanism. The movement of two or more solutes across the plasmalemma in the same direction involves a symport or cotransport mechanism. Coupled transport involving the movement of two or more solutes, but in opposite directions across a cell membrane, is referred to as a countertransport or antiport mechanism. Important Gprotein-linked receptors are the dopamine receptor, the glucagon receptor, the - and -adrenergic receptors, and the muscarinic acetylcholine receptor. The calcium ion pathway activates phospholipase C, the enzyme which splits phosphatidylinositol biphosphate into inositol triphosphate and diacetylglycerol. Inositol triphosphate promotes the release of calcium ions from the endoplasmic reticulum resulting in the activation of calcium ion/calmodulin-dependent protein kinase (Camkinase). When the appropriate signal binds to the receptor, a chain of cellular events is put in motion which may eventually affect gene transcription within the nucleus. Aquaporins are channel-forming integral membrane proteins that function as selective pathways to facilitate water transport across the plasmalemma of several cell types in different organs. Ten different types of aquaporins have been identified in mammalian tissues to date. The plasmalemma also plays an active role in bringing macromolecular materials into the cell (endocytosis), as well as discharging materials from the cell (exocytosis). Phagocytosis is a form of endocytosis in which particulate matter is taken into a cell.

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