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Card 6 / 13:
How does the renin-angiotensin-aldosterone mechanism function? Why is it controlled by the kidneys?
The renin-angiotensin-aldosterone system acts through several steps to produce angiotensin II, which acts to stabilize blood pressure and volume. Thus, the kidneys control blood pressure and volume directly. Renin acts on angiotensinogen, which is made in the liver and converts it to angiotensin I. ACE (angiotensin converting enzyme) converts angiotensin I to angiotensin II. Angiotensin II raises blood pressure by constricting blood vessels. It triggers the release of aldosterone from the adrenal cortex, which in turn stimulates the renal tubules to reabsorb more sodium. Angiotensin II also triggers the release of anti-diuretic hormone from the hypothalamus, which leads to water retention. It acts directly on the nephrons and decreases GFR.
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