Tubular sodium handling along the nephron
How each nephron segment reabsorbs sodium, the transporters that diuretics and inherited tubulopathies target, glomerulotubular balance and tubuloglomerular feedback, and how to calculate filtered load and fractional sodium excretion.
Tier 1Medical sciences concept
Written with AI assistance and fact-checked against the sources below. For exam study, not clinical decisions. How notes are made
At a glance
- The kidneys filter about 24,000 mmol of sodium a day and excrete about 100 to 200 mmol, matching intake. Over 99% is reabsorbed.
- Each segment uses a different apical transporter. Every segment depends on the basolateral Na⁺/K⁺-ATPase.
- Proximal tubule reabsorbs about 65% isotonically; the thick ascending limb 25% (water-impermeable, builds the medullary gradient); the distal convoluted tubule 5 to 7% (dilutes urine); the collecting duct 2 to 3% (fine-tunes under aldosterone).
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Sources
- Brenner and Rector's The Kidney, 11th editionElsevier, 2020
- Guyton and Hall Textbook of Medical Physiology, 14th editionElsevier, 2021
- Therapeutic Guidelines: RenalAU/NZTherapeutic Guidelines Limited, 2026
- KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney Int 2024;105(4S):S117-S314KDIGO, 2024
- Nijenhuis T, Vallon V, van der Kemp AW et al. Enhanced passive Ca2+ reabsorption and reduced Mg2+ channel abundance explains thiazide-induced hypocalciuria and hypomagnesemia. J Clin Invest 2005;115:1651-8Journal of Clinical Investigation, 2005
- Last updated
- 14 November 2026
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