4.2 The Kidney
112 MHR • Unit 2 Homeostasis
Humans have two fist-sized kidneys, which are
found in the lower back on either side of the spine.
The kidneys release their waste product (urine)
into tubes called ureters, which carry the fluid to
the urinary bladder where it is temporarily stored
(see Figure 4.8). The bladder can hold a maximum
of about 600 mL of fluid. When there is about
250 mL of urine in the bladder, we become aware
of it, and at 500 mL we become very uncomfortable.
Drainage from the bladder is controlled by two
rings of muscles called sphincters. One sphincter
is involuntarily controlled by the brain. During
childhood we learn to voluntarily control the other.
Urine exits the bladder through a tube called the
urethra. In males, the urethra is approximately
20 cm long and merges with the vas deferens from
the testes to form a single urogenital tract. In females,
Figure 4.8The human urinary system
renal veins
kidney
vena cava
ureters
urinary
bladder
urethra
abdominal
aorta
renal arteries
the urethra is about 4 cm long and the reproductive
and urinary tracts have separate openings.
Kidney Functions and Structure
The kidney’s principal function is to filter the
blood in order to remove cellular waste products
from the body. The essential connection between
the kidney and the blood is illustrated by the fact
that at any given time, 20 percent of the body’s
blood is in the kidneys. Although most people have
two kidneys, the human body is capable of
functioning with only one. If one kidney ceases
to work or if a single kidney is transplanted into
a patient, the functioning kidney increases in size
to handle the increased workload.
Although the kidney has other important
functions, this organ is usually associated with the
excretion of cellular waste. The main metabolic
wastes are urea, uric acid, and creatinine, all of
which have nitrogen as a major component. Figure
4.9 shows the formula by which urea is produced
in the liver from the breakdown of excess amino
acids that are the building blocks of proteins. The
amine group (NH 2 ) is removed to release the rest
of the amino acid molecule, which can then be
converted to carbohydrates or fats. Although the
amine group can combine with a hydrogen ion to
form toxic ammonia, the ammonia is transformed
in the liver into the less toxic urea before being
released into the bloodstream.
Figure 4.9The liver combines ammonia with carbon
dioxide to form urea and water.
2 NH 3 CO 2 NH 2
ammonia carbon
dioxide
urea
H 2 NC
O
++H 2 O
EXPECTATIONS
Explain the role of the kidney in maintaining water and ion balance.
Design and carry out an experiment to investigate the physiological effects
experienced by people who consume coffee.
Describe issues and present informed opinions about problems related to
kidney functions and kidney transplants.
Describe the contribution made to knowledge and technology in the field
of homeostasis by Dr. Gordon Murray’s development of the kidney dialysis
machine.