Histology Of Kidney


Renal glomerulus

produces ultrafiltrate of blood (<~70 kDa)

  • afferent arteriole delivers blood to capillary network
  • basal lamina acts as filter
  • podocytes (with foot-like processes form cells of filtration barrier)
  • particles pass through capillary fenestrations, basal lamina and gaps between foot processes of podocytes
  • efferent arteriole takes filtered blood away through vasa recta
  • distal convoluted tubule passes between afferent and efferent arterioles giving juxtaglomerular apparatus

Juxtaglomerular apparatus

  • cells of distal convoluted tubule facing glomerulus form macula densa
  • also includes juxtaglomerular cells and extraglomerular mesangial cells
  • decreased sodium concentration or decreased water volume lead to release of renin from these cells
    • renin converts angiotensinogen to angiotensin I. In lung angiotensin I converted to angiotensin II
    • Angiotensin II causes release of aldosterone from zona glomerulosa of suprarenal gland
    • aldosterone causes increased distal tubule reabsorption of water
    • angiotensin II is also a potent vasoconstrictor

Sections of tubule

  • Proximal convoluted
    • brush border present
  • proximal straight
  • thin segment
  • distal straight
  • distal convoluted
    • no brush border

Cortical nephrons

  • corpuscle in outer section of cortex
  • very short loop of Henle
  • efferent arterioles branch into network of peritubular capillaries

Juxtamedullary nephrons

  • corpuscle in inner section of cortex
  • long loop of Henle extending into medulla
  • efferent arterioles give off vasa recta in addition to peritubular capillaries

Blood flow

  • from renal artery to
  • interlobar arteries
  • give arcuate arteries
  • give interlobular arteries - many branches to renal glomeruli
  • flows through renal glomerulus
  • from juxtamedullary nephrons flow down as vasa recta
 

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