
E ¼ F R þ S
(This equation is put into visual form within Figure 20.3.)
In this equation, E stands for ‘‘excretion,’’ F for amount filtered, R for the
amount of tubular reabsorption, and S for tubular secretion. The urinary
filtrate (FIL-trayt), or filtration product, comes from the pushing force of
the blood pressure against the walls of the renal capillaries in the glomeruli
(glah-MEHR-you-lie). This quantity of filtrate is huge, averaging about 180
liters of fluid per day, in an average adult! [Study suggestion: Assume that an
adult has a blood volume of about 6 liters. Then, on average, how many
times is this person’s entire blood volume filtered out of his glomeruli, each
day?]
While it may seem wasteful, the huge volume of urinary filtrate (F) acts as
the starting point for the urine. Because there is so much of this filtrate, the
body can adjust many factors to influence how much urine is actually
excreted, under particular current conditions.
After urinary filtration, one of the chief processes is tubular reabsorption
(R). Reabsorption is the movement of material out of the filtrate, across the
walls of the urinary tubules, and back into the bloodstream. Consider, for
example, the tubular reabsorption of glucose. Under normal conditions,
almost 100% of the glucose that is filtered into the urinary tubules is even-
tually reabsorbed back into the bloodstream. As a result, the urine excreted
from the body is nearly free of glucose. Several hormones also control the
amount of sodium (Na
þ
ions) and water (H
2
O) molecules that are reab-
sorbed back into the bloodstream. Because the amount of sodium (salt)
and water reabsorbed can vary greatly, the kidneys play a critical role in
regulating the salt–water balance of the human bloodstream.
Under typical conditions, about 99%, or 179 liters, of the urinary filtrate
(mostly water) is reabsorbed. [Study suggestion: If a person becomes extre-
mely dehydrated, as after excessive sweating, then what do you predict will
happen to the amount of H
2
O reabsorbed? Will the percent (%) reabsorbed
increase above typical conditions, or decrease below it? Why?]
Another process, tubular secretion (S), involves the active (ATP-requiring)
addition of small quantities of particular chemicals from the bloodstream,
into the urinary tubules. Molecules of penicillin (pen-ih-SILL-in) and many
other antibiotics (an-tih-buy-AH-ticks), for instance, are just too large to be
filtered across the walls of the glomeruli. Hence, the epithelial cells lining the
blood vessels actively pump the penicillin into the urinary tubules. Therefore,
penicillin is excreted (E) out of the body, via the urine. Although only a few
milliliters (ml) of fluid are generally secreted each day, they still have an
important influence.
[13:27 13/6/03 N:/4058 LAYMAN.751/4058-Alltext.3d] Ref: 4058 Layman: Biology Demystified All-text Page: 348 1-388
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