Counter-Current Multiplier: The Loop of Henle functions to create a high salt concentration in the renal medulla, which is necessary for water conservation. The ascending limb actively pumps out sodium and chloride ions but is impermeable to water, effectively lowering the water potential of the surrounding interstitial fluid.
Water Extraction: The descending limb is permeable to water but impermeable to ions. As the filtrate moves down this limb into the increasingly salty medulla, water leaves the tubule by osmosis and is reclaimed by the blood, concentrating the remaining filtrate.
Gradient Maintenance: This mechanism ensures that the deepest part of the medulla has the lowest water potential. This steep gradient allows for the maximum possible reabsorption of water from the collecting duct when the body needs to conserve fluid.
ADH and Aquaporins: Antidiuretic Hormone (ADH) regulates the permeability of the distal convoluted tubule and the collecting duct. When blood water potential is low, ADH is released and triggers the insertion of aquaporins (water channels) into the cell membranes, allowing more water to be reabsorbed into the blood.
Urine Concentration: By increasing the number of aquaporins, the collecting duct becomes highly permeable to water. Water moves out of the duct into the concentrated medulla by osmosis, resulting in a small volume of highly concentrated urine.
Negative Feedback Loop: This system is a classic example of homeostasis. Once blood water potential returns to normal, osmoreceptors in the hypothalamus signal the pituitary gland to reduce ADH secretion, thereby decreasing the permeability of the ducts and preventing over-hydration.
| Feature | Ultrafiltration | Selective Reabsorption |
|---|---|---|
| Location | Glomerulus / Bowman's Capsule | Proximal Convoluted Tubule |
| Driving Force | Hydrostatic Blood Pressure | Active Transport / ATP |
| Selectivity | Non-selective (based on size) | Highly selective (based on transporters) |
| Substances | Water, Glucose, Urea, Ions | Glucose, Amino Acids, |
Link Structure to Function: When describing the PCT, always mention microvilli for surface area and mitochondria for ATP. Marks are often lost for failing to connect the biological structure to the specific transport process it supports.
Terminology Precision: Use the term 'co-transport' specifically for glucose and amino acids in the PCT. Avoid saying glucose is 'filtered' back into the blood; it is 'reabsorbed'.
The ADH Mechanism: When explaining ADH action, follow the sequence: ADH release → binding to receptors → aquaporin insertion → increased permeability → osmosis into medulla. Missing any step in this chain often results in partial credit.
Sanity Check: If a question asks about the effect of a drug that inhibits active transport in the loop of Henle, the answer will always involve the production of large volumes of dilute urine because the medullary gradient cannot be established.