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Sodium Regulation: Thick Ascending Limb 

Lance Miller, PhD
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This lesson explores how sodium is regulated along the thick ascending limb (TAL). In particular, the role of the sodium, potassium, 2 chloride cotransporter (NKCC2), the sodium/hydrogen exchanger (NHE3), the paracellular pathway, driving forces, and how genetic mutations and loop diuretics affect sodium reabsorption. For help preparing for an exam on this and other topics, visit www.aniveo.com

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19 сен 2024

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Комментарии : 26   
@LOOP931
@LOOP931 9 месяцев назад
❤❤❤❤❤❤❤❤❤ perfect explanation
@dr.mukulkanojia
@dr.mukulkanojia 5 лет назад
Thank you so much for this great presentation....
@geoabraham9744
@geoabraham9744 7 лет назад
Great class, thank you!
@divyag3647
@divyag3647 3 года назад
Please continue posting vedios.
@NMN770
@NMN770 Год назад
Thank you very much man ❤️🌹
@LanceMillerPhD
@LanceMillerPhD Год назад
You're welcome!
@周育庭-f7q
@周育庭-f7q 7 лет назад
Thank you very much for the great video. I really learnt a lot from it. Still, I have a question and hope you don't mind me asking. If blocking the NKCC2 transporter would lead to the dysfunction of potassium transporter on the apical membrane, then how is NKCC2 blocker cause hypokalemia since both the in and out transporter were shut down?
@amandalal4854
@amandalal4854 6 лет назад
周育庭 this is bcoz,,,now the filtrate with unabsorbed excess na+ will reach DCT,,,,at dct ,, the [na+ - k+ ] transporter will absorb the excess na+ into cells and secrete k+ in exchange.....so a large amount of k+ get lost at dct now.....so. Hypokalemia occur
@oasis_of_grace
@oasis_of_grace 7 лет назад
At 4:03, why does hypokalemia induces cells to secrete potassium ions? Doesn't that make potassium level even lower?
@oasis_of_grace
@oasis_of_grace 7 лет назад
Aniveo Physiology Thank you. May I ask where are the cells that regulate plasma potassium levels? Are TAL cells one of them?
@assassinsfind
@assassinsfind 3 года назад
this is fantastic
@lehu8529
@lehu8529 4 года назад
Doesn't hypokalemia from Bartter's syndrome come mostly from increased distal sodium delivery, causing increased reabsorption via ENaC by the CD principal cells, which increases the lumen-negative potential for increased potassium secretion via ROMK? You said yourself in the video that most of the potassium reabsorbed by NKCC2 is recycled back into the lumen to create a lumen-positive potential for calcium and magnesium reabsorption..
@LanceMillerPhD
@LanceMillerPhD 4 года назад
You’re correct. The same thing occurs following the administration of loop or thiazides diuretics.
@Jude_Ifechukwu
@Jude_Ifechukwu 2 года назад
THANK YOU, LANCE WHAT APP DO WE USE TO MAKE NICE VIDEOS LIKE THIS
@AyazKhan-ti8xw
@AyazKhan-ti8xw 7 лет назад
Hi , if the alpha interca... cells secrete potassium in exchange for hydrogen ion then doesn't it decrease ph because H ions are reabsorbed?
@oasis_of_grace
@oasis_of_grace 7 лет назад
Another question. At 3:45, how is lumen positive potential decreased when NKCC2 is blocked? I thought by blocking NKCC2, urine sodium and potassium levels become higher, which results in "increased" lumen positive potential?
@AyazKhan-ti8xw
@AyazKhan-ti8xw 7 лет назад
William Wang !! short answer of your question: NaK2Cl channels take these ions into the cells from the lumen But The POTAssium is getting out back to the lumen and it well cause increased positive potencial there
@fatimab6064
@fatimab6064 5 лет назад
Because when the channel is blocked, there is no steady leakage of potassium ions into the lumen. The unfiltered sodium and potassium will just flow forward and wont stay in the same place enough to maintain the lumen positive potential!
@loolavkhalid4711
@loolavkhalid4711 5 лет назад
Thank you so much!!!!!
@lehu8529
@lehu8529 4 года назад
4:50 Isn't it a sodium-bicarbonate symporter and not exchanger in the PT?
@LanceMillerPhD
@LanceMillerPhD 4 года назад
You would think, but it’s a cotransporter. Check out this link www.mayo.edu/research/labs/transporter-biology-physiology/electrogenic-na-hco-3-cotransporter-nbc
@lehu8529
@lehu8529 4 года назад
@@LanceMillerPhD isn't symporter the same as cotransporter? I think maybe you misread my comment?
@lehu8529
@lehu8529 4 года назад
In the video you say "the Na-HCO3 exchanger which is found in the PT"
@sheenasantos-alipio8267
@sheenasantos-alipio8267 4 года назад
@@LanceMillerPhD hi Dr. Miller, would like to access where i could access your other videos about countercurrent multiplication please..
@AreebaTahir-dj8ce
@AreebaTahir-dj8ce 4 года назад
Great👍
@BenMcleanhall
@BenMcleanhall 2 года назад
The way Jesus made the body is awesome 😆😆
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