Professional Documents
Culture Documents
Faal Ginjal
Faal Ginjal
Faal Ginjal
Urinary System
• Consists of the kidneys,
ureters, urinary bladder,
and urethra
• Three functions:
1) excretion, the removal of organic waste products from
body fluids;
2) elimination, the discharge of these waste products into
the environment; and
3) homeostatic regulation of the volume and solute
concentration of blood plasma.
Kidney Functions:
• Regulate water homeostasis, electrolyte composition,
extracellular volume, and acid–base.
• Filter plasma of the blood and produce urine.
• Responsible for reabsorption of glucose and amino
acids, in addition to regulated calcium and phosphate
uptake (high in children).
• Play a role in gluconeogenesis and during fasting can
synthesize and release glucose into the blood,
producing almost 20% of the liver’s glucose capacity.
• As endocrine organs, making kinins, 1,25-
dihydroxycholecalciferol, erythropoietin and making
and secreting renin.
1,25-Dihydroxycholecalciferol
• Is a steroid hormone formed from vitamin D by successive
hydroxylations in the liver and kidneys.
• In the liver, vitamin D3 is converted to 25-
hydroxycholecalciferol (calcidiol, 25-OHD3 ).
• The 25-hydroxycholecalciferol is converted in the cells of
the proximal tubules of the kidneys to the more active
metabolite 1,25-dihydroxycholecalciferol , which is also
called calcitriol or 1,25-(OH)2D3 .
• 1,25-dihydroxycholecalciferol is also made in the placenta,
in keratinocytes in the skin, and in macrophages.
Effects of PTH and 1,25-
dihydroxycholecalciferol on
whole body calcium
homeostasis
Erythropoietin
• A peptide hormone that is involved in the control
of erythrocyte (red blood cell) production by the
bone marrow.
• Its major source is the kidneys, although the liver
also secretes small amounts.
• The stimulus for its secretion is a reduction in the
partial pressure of oxygen in the kidneys, for
example, in anemia, arterial hypoxia, and
inadequate renal blood flow.
• Renal disease may result in diminished
erythropoietin secretion, and the ensuing decrease
in bone marrow activity is one important causal
factor of the anemia of chronic renal disease.
Renal Medullary Interstitial Cells (RMICs)