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Pathway Description
Kidney Function- Proximal Convoluted Tubule
Homo sapiens
Physiological Pathway
The proximal convoluted tubule is part of the nephron between the Bowman's capsule and the loop of Henle. The proximal convoluted tubule functions to reabsorb sodium, water, and other ions. Sodium and bicarbonate (hydrogen carbonate) are transported by a co-transporter that is responsible for the majority of sodium reabsorption. The bicarbonate, along with hydrogen, are exchanged across the basal and apical membranes, respectively, to effectively regulate the pH of the filtrate. In addition, chloride ions are not normally reabsorbed in large amounts at the proximal tubule compared to other parts of the nephron. However, the reabsorption of chloride, as well as potassium, increases as the amount of water reabsorption increases due to solvent drag (also known as bulk transport). This occurrence explains solute movement secondary to water flow. All the cation and anion transport creates a gradient favourable for ion and water reabsorption, leading to an increase in blood pressure.
References
Kidney Function- Proximal Convoluted Tubule References
Wang T: Flow-activated transport events along the nephron. Curr Opin Nephrol Hypertens. 2006 Sep;15(5):530-6. doi: 10.1097/01.mnh.0000242180.46362.c4.
Pubmed: 16914967
Lucci MS, Warnock DG: Effects of anion-transport inhibitors on NaCl reabsorption in the rat superficial proximal convoluted tubule. J Clin Invest. 1979 Aug;64(2):570-9. doi: 10.1172/JCI109495.
Pubmed: 457869
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