Aqueous humor is produced by the ciliary body epithelium. Which ion transport system is primarily responsible for the active secretion of aqueous humor?
- A Cl-/HCO3- exchanger
- B Ca2+ ATPase pump
- C H+/K+ ATPase pump
- D Na+/K+ ATPase pump ✓
Explanation
Aqueous humor is actively secreted by the non-pigmented ciliary epithelium primarily through the Na+/K+ ATPase pump located on the basolateral membrane of the non-pigmented epithelial cells. This creates an osmotic gradient driving sodium, bicarbonate, and water into the posterior chamber. Carbonic anhydrase also plays a role, but the primary driving force is Na+/K+ ATPase. The Cl-/HCO3- exchanger contributes but is not the primary system.
Reference: Ganong's Review of Medical Physiology, 26th ed.
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