1 00:00:02,005 --> 00:00:04,674 We've talked a lot about the kidney, but I want to point out 2 00:00:04,674 --> 00:00:09,277 that the kidney is not the only organ involved in controlling the blood pressure. 3 00:00:09,277 --> 00:00:19,703 In fact the liver plays a really really important role in helping you create the right enzymes and proteins to control blood pressure. 4 00:00:19,703 --> 00:00:24,212 So I'm gonna sketch out real quick some liver cells here. 5 00:00:24,212 --> 00:00:28,680 These liver cells are busy making a lot of different proteins. 6 00:00:28,680 --> 00:00:34,611 One of them is called angiotensinogen. 7 00:00:34,611 --> 00:00:42,451 Angiotensinogen gets made by the liver cells and they dump it out into the blood vessel. 8 00:00:42,451 --> 00:00:46,643 If we were to draw angiotensinogen it's actually a pretty large molecule, 9 00:00:46,643 --> 00:00:48,867 it has lots and lots of amino acids. 10 00:00:48,867 --> 00:00:52,137 Amino acids are these tiny little circles that I'm drawing. 11 00:00:52,137 --> 00:00:54,779 I'm connecting them with little bonds. 12 00:00:54,779 --> 00:00:58,786 You can imagine amino acids like pearls on a necklace. 13 00:00:58,786 --> 00:01:10,074 In total angiotensinogen has about 450+ amino acids. 14 00:01:10,074 --> 00:01:16,107 So it's a pretty long chain. 542 amino acids actually. 15 00:01:16,107 --> 00:01:24,277 It's a pretty long chain, I'm not gonna draw all of it, but you get the idea that it's some crazy long chain like that. 16 00:01:24,277 --> 00:01:29,982 It's little amino acids all the way through. 17 00:01:29,982 --> 00:01:37,809 So this huge protein gets put into the blood vessels by the liver cells and starts floating around. 18 00:01:37,809 --> 00:01:42,938 If you would zoom in on the little protein, if you could give it a little face, 19 00:01:42,938 --> 00:01:47,358 it would maybe look something like this, because even though it's floating through the body, 20 00:01:47,358 --> 00:01:52,037 it's basically asleep, it's not really active. 21 00:01:52,037 --> 00:01:55,145 I just want you to keep that in the back of your mind. 22 00:01:55,145 --> 00:01:59,541 Even though it's there, it's not truly active. 23 00:01:59,541 --> 00:02:01,776 It's not really doing a lot. 24 00:02:01,776 --> 00:02:05,038 At the same time you've got the kidney. 25 00:02:05,038 --> 00:02:10,307 The kidney is not idle, the kidney is busy making a hormone of its own. 26 00:02:10,307 --> 00:02:15,982 You know there's the afferent arteriole. 27 00:02:15,982 --> 00:02:20,868 The afferent arteriole is the blood vessel that's headed into the glomerulus. 28 00:02:20,868 --> 00:02:29,906 It's headed into the part of the kidney where all of the urine is initially made. 29 00:02:29,906 --> 00:02:32,776 In the afferent arteriole blood is going that way. 30 00:02:32,776 --> 00:02:39,170 Lining this afferent arteriole, there are these little cells all the way through like this. 31 00:02:39,170 --> 00:02:44,736 These are called the juxtaglomerular cells. 32 00:02:44,736 --> 00:02:52,635 I'm doing a simplified version of it, because this is the part I really want to focus on. 33 00:02:52,635 --> 00:03:01,170 These juxtaglomerular cells have in them little granules, they're sometimes even called granular cells. 34 00:03:01,170 --> 00:03:09,008 These granular cells sense,either themselves or one of the neighbors helped them sense 35 00:03:09,008 --> 00:03:10,622 when the blood pressure is low. 36 00:03:10,622 --> 00:03:15,259 Then these granules get dumped into the blood stream. 37 00:03:15,259 --> 00:03:28,257 If you look at the microscopic level, you can see these little proteins called renin. 38 00:03:28,257 --> 00:03:38,799 These are proteins that act at a distant site, we call those hormones. 39 00:03:38,799 --> 00:03:46,788 These peptide or protein hormones are basically gonna work on cells far away. 40 00:03:46,788 --> 00:03:52,590 If the renin is floating along in the blood and the angiotensinogen is floating in the blood, they might meet up. 41 00:03:52,590 --> 00:04:00,079 In a blood vessels in your arm, or maybe in a blood vessel in your leg.