Physiology OF KIDNEY
Kidneys perform several vital functions besides formation
of urine. By excreting urine, kidneys play the principal
role in homeostasis. Thus, the functions of kidney are:
1. ROLE IN HOMEOSTASIS
Primary function of kidneys is homeostasis. It is
accomplished by the formation of urine. During the
formation of urine, kidneys regulate various activities in
the body, which are concerned with homeostasis such
as:
i. Excretion of Waste Products
Kidneys excrete the unwanted waste products, which
are formed during metabolic activities:
ii. Maintenance of Water Balance
Kidneys maintain the water balance in the body by
conserving water when it is decreased and excreting
water when it is excess in the body. This is an important
process for homeostasis.
iii. Maintenance of Electrolyte Balance
Maintenance of electrolyte balance, especially sodium
is in relation to water balance. Kidneys retain sodium if
the osmolarity of body water decreases and eliminate
sodium when osmolarity increases.
iv. Maintenance of Acid–Base Balance
The pH of the blood and body fluids should be
maintained within narrow range for healthy living. It is
achieved by the function of kidneys.
. HEMOPOIETIC FUNCTION
Kidneys stimulate the production of erythrocytes by
secreting erythropoietin. Erythropoietin is the important
stimulating factor for erythropoiesis (Chapter 10). Kidney
also secretes another factor called thrombopoietin,
which stimulates the production of thrombocytes
3. ENDOCRINE FUNCTION
Kidneys secrete many hormonal substances in addition
to erythropoietin and thrombopoietin (Chapter 72).
Hormones secreted by kidneys
i. Erythropoietin
ii. Thrombopoietin
iii. Renin
iv. 1,25-dihydroxycholecalciferol (calcitriol)
v. Prostaglandins.
4. REGULATION OF BLOOD PRESSURE
Kidneys play an important role in the long-term regulation
of arterial blood pressure (Chapter 103) by two ways:
i. By regulating the volume of extracellular fluid
ii. Through renin-angiotensin mechanism.
5. REGULATION OF BLOOD CALCIUM LEVEL
Kidneys play a role in the regulation of blood calcium
level by activating 1,25-dihydroxycholecalciferol into
vitamin D. Vitamin D is necessary for the absorption of
calcium from intestine