BIOC34H3 Lecture Notes - Lecture 20: Carbonic Anhydrase, Proximal Tubule, Tubular Fluid
Document Summary
Lecture 20: acid-base balance: acid-base regulation in the proximal tubule during acidosis. In the event of an acidosis, the kidney will increase excretion of h+ ions and increase the reabsorption of. Reacts bicarbonate (or possible synthesise new bicarbonate). Within the proximal tubule filtered hco3 with secreted h+ ions to form h2o and co2 (this is catalyzed by carbonic anhydrase; 1). The co2 diffuses from the tubular fluid into the epithelial cells (2), where it is hydrated back into hco3- and h+ (again, via carbonic anhydrase). The h+ is secreted back into the tubules (3), whilst the hco3 reabsorbed (in co-transport with na+ or in exchange for a cl- ion; 4, 5). Ions, whilst excess h+ ions are excreted in the urine (in the form of an increased retention of hco3 water). In the event of an alkalosis, bicarbonate reabsorption and proton secretion would be reduced. 2: acid-base regulation in the distal tubule during acidosis.