Renal sodium reabsorption

Source: Wikipedia, the free encyclopedia.

In

angiotensin II and aldosterone, and inhibited by atrial natriuretic peptide
.

It is very efficient, since more than 25,000 mmol/day of sodium is filtered into the nephron, but only ~100 mmol/day, or less than 0.4% remains in the final urine.

Proximal tubule

Most of the reabsorption (65%) occurs in the proximal tubule. In the latter part it is favored by an electrochemical driving force, but initially it needs the

isosmotic.[citation needed
]

Loop of Henle

Sodium is reabsorbed in the

Na-K-2Cl symporter
and
]

Distal tubule

In the distal convoluted tubule sodium is transported against an electrochemical gradient by sodium-chloride symporters.[citation needed]

Collecting duct

The

principal cells are the sodium-transporting cells in the collecting duct system.[citation needed
]

Regulation

Although only a fragment of total reabsorption happens here, it is the main part of intervention. This is e.g. done by endogenous production of aldosterone, increasing reabsorption. Since the normal excretion rate of sodium is ~100mmoles/day, then a regulation of the absorption of still more than 1000 mmoles/day entering the collecting duct system has a substantial influence of the total sodium excreted.[citation needed]

Overview table

Characteristics of Na+ reabsorption
Characteristic Proximal tubule Loop of Henle Distal convoluted tubule Collecting duct system
S1 S2 S3 Descending limb
Thin ascending limb
Thick ascending limb
Connecting tubule
Initial collecting tubule Cortical collecting ducts Medullary collecting ducts
Reabsorption (%) 67%[2] 25%[2] 5%[2] 3%[2]
Reabsorption (mmol/day) ~17,000[2] ~6,400[2] ~1,300[2] ~700[2]
Concentration (mM) 142[3] 142[3] 100[3] 70[3] 40[3]
Electrical driving force (mV) -3[3] +3[3] +15[3] -5 to +5[3] -40[3]
Chemical driving force (mV) 0[3] 0[3] -9[3] -19[3] -34[3]
Electrochemical driving force (mV) -3[3] +3[3] +6[3] -24 to -14[3] -74[3]
Apical
transport proteins
Na-H antiporter[4]
(Passively)
Na-H antiporter[4]
and passively)
Sodium-chloride symporter[4] ENaC[4]
Basolateral
transport proteins
Na+/K+-ATPase[4]
Other reabsorption features
Isosmotic
Principal cells, stimulated by aldosterone

References