Published by Patrick Mutisya · 14 days ago
The first step in urine formation is the production of glomerular filtrate by ultrafiltration. Blood enters the glomerulus under arterial pressure (≈ 120 mm Hg). The capillary walls act as a filtration barrier composed of:
The net filtration pressure (NFP) can be expressed as:
\$\text{NFP}=P{GC}-P{BS}-\pi_{GC}\$
where PGC is glomerular capillary hydrostatic pressure, PBS is Bowman's space hydrostatic pressure, and \piGC is the oncotic pressure of glomerular plasma.
Typical values give an NFP of about 10 mm Hg, driving a filtration rate of \overline{125} mL min⁻¹ (glomerular filtration rate, GFR).
Approximately 65 % of the filtrate volume and the majority of valuable solutes are reclaimed in the PCT. Reabsorption is driven by active transport, secondary active transport, and passive diffusion.
| Substance | Approx. % Reabsorbed | Transport Mechanism |
|---|---|---|
| Water | ≈ 65 % | Passive osmosis via aquaporin‑1 |
| Sodium (Na⁺) | ≈ 65 % | Na⁺/K⁺‑ATPase (basolateral) + Na⁺‑dependent cotransporters |
| Glucose | ≈ 100 % | SGLT2 (Na⁺‑glucose cotransporter) |
| Amino acids | ≈ 100 % | Na⁺‑dependent amino‑acid transporters |
| Bicarbonate (HCO₃⁻) | ≈ 100 % | Na⁺/H⁺ exchanger + carbonic anhydrase |
| Urea | ≈ 50 % | Passive diffusion |
Reabsorption in the PCT is highly efficient, ensuring that essential nutrients and the majority of water are returned to the bloodstream, while waste products remain in the tubular fluid for later excretion.
Urine formation begins with ultrafiltration in Bowman's capsule, where plasma is forced through a size‑ and charge‑selective barrier, creating a filtrate that mirrors plasma but lacks proteins and cells. The proximal convoluted tubule then reclaims \overline{65} % of this filtrate volume, using active and secondary active transport to selectively recover glucose, amino acids, bicarbonate, Na⁺, and water. These processes are crucial for maintaining fluid balance, electrolyte homeostasis, and overall metabolic stability in mammals.