Monday, May 24, 2021

RENIN ANGIOTENSIN RENIN ANGIOTENSIN ALDOSTERONE MECHANISM :

 MAIN FUNCTION :

*  It helps in maintaining volume and blood pressure .


RENIN : 

* Renin is acid protease which is glycoprotein in nature .

* Renin is the substance secreted by the J.G cells of the kidney .

* Renin activates angiotensinogen ( inactive form )to angiotensin - l ( precursor of angiotensin - ll )


# PROCESS OF SYNTHESIS OF RENIN : 

* There are some specialised cells in the DCT called " macula densa " , which can sense the concentration of sodium in tubular fluid .

*In afferent arteriole there are specialised smooth muscle cells called polkisen cells .

* These polkisen cells can sense the pressure , they act as baro receptors .     *Macula densa and polkisen cells are held together by lacis cells forming juxtra  glomerular apparatus . 

* When blood flow to kidney decreases then J.G. apparatus get activated and releases renin along with prostaglandins  , nitric oxide etc ..


# CONDITIONS WHICH LEAD TO SECRETION OF RENIN :

* Reduced blood volume and pressure .

* Increased sympathetic activity .

* Decreased electrolytes concentrations in plasma of sodium , potassium etc...


# FACTORS WHICH INCREASES SYNTHESIS OF ANGIOTENSINOGEN :

* Glucocoticoids , thyroid hormones , estrogen in the blood increases synthesis of angiotensinogen by liver .


# MECHANISM OF ACTION OF ANGIOTENSIN - II :

* Liver produces many proteins ,one among them is angiotensinogen ( inactive form ).

* In the presence of renin , angiotensinogen will be converted to angiotensin - l  .

* This angiotensin- l reaches lungs via blood.

* In the surface  epithelium of pulmonary capillaries , there is Angiotensin Converting Enzyme .

* Angiotensin Converting Enzyme converts angiotensin - l  to angiotensin - ll .

* Angiotensin converting enzyme also  inactivates bradykinin ( bradykinin is vasodilator ) .


* ACTIONS OF ANGIOTENSIN - II


1) ACTION OF ANGIOTENSIN - II ON BLOOD VESSELS :

* Potency of  angiotensin - II  is about eight times of norepinephrine .

* It is potent vasoconstrictor .

* It acts on venous smooth muscles and constrict them , which leads to increase in pressure in veins . 

* Which eventually leads to increased cardiac filling and increases blood pressure .


2) ACTIONS OF ANGIOTENSIN - II ON ADRENAL CORTEX ( Zonaglomerulosa ) :

* It acts on zonaglomerulosa and increases the secretion of aldosterone .

* Aldosterone have receptors on principle cells of DCT . 

* Where it activates genes  related to  synthesis of Na+k+ ATPases , sodium chanels , potassium   chanels .

* These channels get embedded into basolateral membrane ( Na+ K+ ATPases ) and luminal membrane ( Na+ and K+ channels).

* Presence of these chanels leads to retention of salt and water which leads to increase in blood pressure and  blood volume .


3) ACTION OF ANGIOTENSIN -II ON CENTRAL NERVOUS SYSTEM : 

* Angiotensin - II stimulates sympathetic nervous system .

* It activates sympathetic ganglia . 

* Angiotensin - II acts on nerve endings and  stimulate the release of norepinephrine , amount of norepinephrine at synapse increases . 

* Increase in norepinephrine leads to increase in strength of constriction of blood vessels .

* These are the mechanisms by which angiotensin - II regulates blood volume and blood pressure . MECHANISM :


MAIN FUNCTION :

*  It helps in maintaining blood volume and blood pressure .


RENIN : 

* Renin is acid protease which is glycoprotein in nature .

* Renin is the substance secreted by the J.G cells of the kidney .

* Renin activates angiotensinogen ( inactive form )to angiotensin - l ( precursor of angiotensin - ll )


# PROCESS OF SYNTHESIS OF RENIN : 

* There are some specialised cells in the DCT called " macula densa " , which can sense the concentration of sodium in tubular fluid .

*In afferent arteriole there are specialised smooth muscle cells called polkisen cells .

* These polkisen cells can sense the pressure , they act as baro receptors .     *Macula densa and polkisen cells are held together by lacis cells forming juxtra  glomerular apparatus . 

* When blood flow to kidney decreases then J.G. apparatus get activated and releases renin along with prostaglandins  , nitric oxide etc ..


# CONDITIONS WHICH LEAD TO SECRETION OF RENIN :

* Reduced blood volume and pressure .

* Increased sympathetic activity .

* Decreased electrolytes concentrations in plasma of sodium , potassium etc...


# FACTORS WHICH INCREASES SYNTHESIS OF ANGIOTENSINOGEN :

* Glucocoticoids , thyroid hormones , estrogen in the blood increases synthesis of angiotensinogen by liver .


# MECHANISM OF ACTION OF ANGIOTENSIN - II :

* Liver produces many proteins ,one among them is angiotensinogen ( inactive form ).

* In the presence of renin , angiotensinogen will be converted to angiotensin - l  .

* This angiotensin- l reaches lungs via blood.

* In the surface  epithelium of pulmonary capillaries , there is Angiotensin Converting Enzyme .

* Angiotensin Converting Enzyme converts angiotensin - l  to angiotensin - ll .

* Angiotensin converting enzyme also  inactivates bradykinin ( bradykinin is vasodilator ) .


* ACTIONS OF ANGIOTENSIN - II


1) ACTION OF ANGIOTENSIN - II ON BLOOD VESSELS :

* Potency of  angiotensin - II  is about eight times of norepinephrine .

* It is potent vasoconstrictor .

* It acts on venous smooth muscles and constrict them , which leads to increase in pressure in veins . 

* Which eventually leads to increased cardiac filling and increases blood pressure .


2) ACTIONS OF ANGIOTENSIN - II ON ADRENAL CORTEX ( Zonaglomerulosa ) :

* It acts on zonaglomerulosa and increases the secretion of aldosterone .

* Aldosterone have receptors on principle cells of DCT . 

* Where it activates genes  related to  synthesis of Na+k+ ATPases , sodium chanels , potassium   chanels .

* These channels get embedded into basolateral membrane ( Na+ K+ ATPases ) and luminal membrane ( Na+ and K+ channels).

* Presence of these chanels leads to retention of salt and water which leads to increase in blood pressure and  blood volume .


3) ACTION OF ANGIOTENSIN -II ON CENTRAL NERVOUS SYSTEM : 

* Angiotensin - II stimulates sympathetic nervous system .

* It activates sympathetic ganglia . 

* Angiotensin - II acts on nerve endings and  stimulate the release of norepinephrine , amount of norepinephrine at synapse increases . 

* Increase in norepinephrine leads to increase in strength of constriction of blood vessels .

* These are the mechanisms by which angiotensin - II regulates blood volume and blood pressure .


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