4.1 Why & What We Excrete
Metabolism produces toxic nitrogenous wastes β chiefly ammonia, urea and uric acid β that must be removed to keep body fluids balanced (osmoregulation + excretion).
| Mode | Waste | Toxicity / water | Examples |
| Ammonotelic | Ammonia | Most toxic; most water | Bony fishes, aquatic amphibians & insects |
| Ureotelic | Urea | Less toxic; moderate water | Mammals, terrestrial amphibians, marine fishes |
| Uricotelic | Uric acid | Least toxic; least water | Reptiles, birds, land snails, insects |
Note
Urea is produced in the
liver and excreted by the kidneys; ammonia is mostly lost by diffusion across gills or the body surface.
4.2 The Human Excretory System
It consists of a pair of kidneys, two ureters, a urinary bladder and a urethra. Kidneys are reddish-brown, bean-shaped, lying between the last thoracic and third lumbar vertebra; each is ~10β12 cm long, 5β7 cm wide, 2β3 cm thick and ~120β170 g.
The notch on the inner surface β the hilum β admits the ureter, vessels and nerves. Inside is the renal pelvis with projections (calyces). The kidney has an outer cortex and an inner medulla with conical medullary pyramids; cortical tissue between them forms the columns of Bertini.
The functional unit is the nephron (over a million per kidney):
GlomerulusβBowman's capsuleβPCTβLoop of HenleβDCTβCollecting duct
Glomerulus = capillary tuft (afferent in, efferent out). Glomerulus + Bowman's capsule = the Malpighian body.
| Cortical nephron | Juxtamedullary nephron |
| Loop of Henle | Short, barely into medulla | Long, deep into medulla |
| Vasa recta | Reduced / absent | Well developed |
4.3 Urine Formation
Urine is formed in three steps:
- Glomerular filtration (ultrafiltration): blood is filtered through three layers β capillary endothelium, basement membrane and Bowman's capsule podocytes (slit pores). Everything except proteins passes through. GFR β 125 mL/min β 180 L/day.
- Reabsorption: the tubules reabsorb ~99% of the filtrate, so only ~1.5 L of urine forms daily. (Active: glucose, amino acids, NaβΊ. Passive: water, urea.)
- Secretion: tubular cells secrete HβΊ, KβΊ and NHβ into the filtrate to maintain ionic and acidβbase balance.
JGA
Where the DCT touches the afferent arteriole, the
juxtaglomerular apparatus forms; a fall in GFR makes its cells release
renin.
4.4 Function of the Tubules
| Region | Main role |
| PCT | Reabsorbs nearly all glucose, amino acids & ~70β80% of ions and water; maintains pH (secretes HβΊ, NHβ; absorbs HCOββ») |
| Loop of Henle | Little reabsorption, but maintains the medullary gradient; ascending limb impermeable to water, descending limb permeable |
| DCT | Conditional reabsorption of NaβΊ & water; secretes HβΊ, KβΊ, NHβ (pH and NaβΊβKβΊ balance) |
| Collecting duct | Large water reabsorption β concentrated urine; lets urea into the medulla to keep the gradient |
4.5 Concentration of the Filtrate β Counter Current
The kidney concentrates urine using a counter-current mechanism formed by the loop of Henle (counter-current multiplier) and the vasa recta (exchanger). Flow in their two limbs is in opposite directions.
Descending limb (water out)βAscending limb (NaCl out)βMedullary gradientβVasa recta exchangeβConcentrated urine
NaCl and urea maintain a gradient from ~300 mOsmol/L (cortex) to ~1200 mOsmol/L (inner medulla).
This lets the collecting duct reabsorb water and produce hypertonic (concentrated) urine, conserving water.
4.6 Regulation of Kidney Function
Kidney function is fine-tuned by the hypothalamus, the JGA and the heart, through hormones:
- ADH (vasopressin): on dehydration, osmoreceptors trigger ADH from the posterior pituitary β more water reabsorbed from distal parts (prevents diuresis); also constricts vessels, raising BP.
- RAAS: fall in GFR β renin β angiotensinogen β angiotensin I β angiotensin II (raises BP & GFR) β adrenal cortex β aldosterone β more NaβΊ & water reabsorption.
- ANF: a rise in BP makes the atrial wall release ANF β vasodilation β BP falls (a check on the RAAS).
4.7 Micturition
Urine collects in the bladder until a voluntary signal allows release. A full bladder stretches receptors that signal the CNS; motor signals then contract the bladder smooth muscle and relax the urethral sphincter, expelling urine β the micturition reflex.
About 1β1.5 L of urine forms daily β ~95% water, 2.5% urea, 2.5% other wastes; pale yellow, slightly acidic, with ~25β30 g of urea excreted per day.
Clinical
Glucose (glucosuria) and ketone bodies (ketonuria) in urine can indicate
diabetes mellitus.
4.8 Role of Other Organs in Excretion
- Lungs: remove large amounts of COβ (~200 mL/min) and water vapour.
- Liver: secretes bile with bilirubin, biliverdin, cholesterol, degraded steroid hormones, vitamins and drugs (lost with faeces).
- Skin: sweat glands lose NaCl, urea, lactic acid and water (also cooling); sebaceous glands lose sebum (sterols, hydrocarbons, waxes).
4.9 Disorders of the Excretory System
- Uremia: malfunctioning kidneys let urea build up in the blood β harmful and possibly leading to kidney failure; removed by haemodialysis.
- Haemodialysis: blood + heparin is passed through a cellophane tube in dialysing fluid (like plasma but without nitrogenous wastes); wastes diffuse out and cleared blood returns via a vein (with anti-heparin).
- Renal calculi: stones β insoluble crystallised salts (e.g. oxalates) in the kidney.
- Glomerulonephritis: inflammation of the glomeruli.
- Kidney transplant: the ultimate treatment for acute renal failure, ideally from a close relative to limit rejection.