Friday, September 14, 2012

Hormones acts on kidney



A. Aldosterone
·        Increase NaCl and H2O reabsorbtion
·        Increase K+ excreation
·        Increase proton excretion
B. ADH
·        Increase water reabsorption from DCT and CD by making them permeable to H2O
·        Vasoconstriction
·        Potentiate the pressor effects of catecholamines
C. ANP
·        Decreased NaCl and water reabsorption from CD
·        Antagonizes sympathetic nervous system activity
·        Antagonizes renin-angiotensin-aldosterone system
·        Increase GFR by dilatation of afferent arteriole
·        Inhibits ADH release
D. Angiotensin II
·        Increases NaCl and water reabsorption from PCT
·        Increase aldosterone secretion from adrenal cortex to increase NaCl and water reabsorption from DCT and CD
·        Causes constriction of efferent arteriole at physiological concentration but at high concentration it causes constriction of both afferent and efferent arterioles and reduces RBF and GFR
·        Enhances ADH release and stimulates thirst center
·        Generalized vasoconstriction
E. Dopamine
·        Increases RBF and decreases NaCl reabsorption from PCT
·        Causes natriuresis and diuresis
F.  PTH
·        Increase calcium reabsorption from PCT
·        Decreases phosphate reabsorption from PCT
G. Prostaglandin
·        Regulates renal hemodynamics and maintains RBF and GFR
·        Antagonizes SNS activity, ADH and angeotensin-II
·        Net effect is renal vasodilatation, natriuresis and diuresis
H. Catecholamine
·        Renal vasoconstriction
·        Stimulation of RAAS and increases rennin secretion
·        Renal NaCl and HO retention

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