Water reabsorption in the kidney is a finely regulated process that happens predominantly in the nephron. It is driven by the counter current mechanism and influenced by hormones like ADH.
In the Proximal Convoluted Tubule, about 70% of water is reabsorbed back into the bloodstream passively. The water moves along an osmotic gradient, driven by the active transport of sodium and other solutes.
- In the Loop of Henle, the descending limb allows more water to be reabsorbed, contributing to the creation of a concentrated medullary interstitium.
- As the filtrate travels up the ascending limb, ions are actively transported out, but water remains, as this limb is impermeable to it.
In the Collecting Duct, ADH regulates water permeability. When ADH is present, water channels called aquaporins open, allowing significant reabsorption due to the existing gradient. This leads to the production of more concentrated urine, conserving water.