Name = PAGENAME
Latin = glomerulus renis
GraySubject = 253
GrayPage = 1221
Caption = Glomerulus.
Caption2 = Distribution of bloodvessels in cortex of kidney.
MeshName = Kidney+Glomerulus
MeshNumber = A05.810.453.324.359
DorlandsPre = g_07
DorlandsSuf = 12394744
A glomerulus is a
capillarytuft surrounded by Bowman's capsulein nephrons of the vertebrate kidney. It receives its blood supply from an afferent arterioleof the renal circulation. Unlike most other capillary beds, the glomerulus drains into an efferent arteriolerather than a venule. The resistance of the arterioles results in high pressure in the glomerulus aiding the process of ultrafiltrationwhere fluids and soluble materials in the blood are forced out of the capillaries and into Bowman's capsule.
A glomerulus and its surrounding
Bowman's capsuleconstitute a renal corpuscle, the basic filtration unit of the kidney. The rate at which blood is filtered through all of the glomeruli, and thus the measure of the overall renal function, is the glomerular filtration rate (GFR).
The first place where urine is formed in the kidney, filters fluid from the blood.
afferent arteriolethat supplies the glomerulus is a branch off of an interlobular arteryin the cortex.
If a substance can pass through the endothelial cells, glomerular
basement membrane, and podocytes, then it is known as ultrafiltrate, and it enters lumen of proximal tubule. Otherwise, it returns through the efferent circulation, discussed below.
endothelial cells of the glomerulus contain numerous pores ( fenestrae) that, unlike those of other fenestrated capillaries, are not spanned by diaphragms. The cells have openings which are so large that nearly anything smaller than a red blood cellpasses through that layer.
Because of this, the endothelial cells lining the glomerulus are not usually considered part of the renal filtration barrier.
Glomerular basement membrane
The glomerular endothelium sits on a very thick (250-350 nm)
glomerular basement membrane. It is not only uncharacteristically thick compared to most other basement membranes (40-60 nm), but it is also rich in negatively charged glycosaminoglycans such as heparan sulfate.
The negatively-charged basement membrane repels negatively-charged proteins from the blood, helping to prevent their passage into Bowman's space.
Podocytes line the other side of the glomerular basement membrane and form part of the lining of Bowman's space. Podocytes form a tight interdigitating network of "foot processes" (pedicels) that control the filtration of proteins from the capillary lumen into Bowman's space.
The space between adjacent podocyte foot processes is spanned by a
slit diaphragmformed by several proteins including podocinand nephrin. In addition, foot processes have a negatively-charged coat ( glycocalyx) that limits the filtration of negatively-charged molecules, such as serum albumin.
The podocytes are sometimes considered the "visceral layer of
Bowman's capsule", rather than part of the glomerulus.
Intraglomerular mesangial cell
Intraglomerular mesangial cells are found in the interstitium between endothelial cells of the glomerulus. They are not part of the filtration barrier but are specialized pericytesthat participate indirectly in filtration.
The structures of the layers determine their permeability-selectivity "permselectivity". The factors that inflence permselectivity are the
negative chargeof the basement membrane and the podocytic epithelium, and the effective pore size of the glomerular wall (8 nm). As a result, large and/or negatively charged molecules will pass through far less frequently than small and/or positively charged ones.Cite book | author=Guyton, Arthur C.; Hall, John E. | title=Textbook of Medical Physiology | date=2006 | publisher=Elsevier Saunders | location=Philadelphia | isbn=0-7216-0240-1 | pages=316-317] For instance, small ions such as sodiumand potassiumpass freely, while larger proteins, such as hemoglobinand albuminhave practically no permeability at all.
Blood is carried out of the glomerulus by an efferent "arteriole" instead of a "
venule", as is observed in most other capillary systems. This provides tighter control over the bloodflow through the glomerulus, since arterioles can be dilated and constricted more readily than venules, owing to arterioles' larger smooth musclelayer ( tunica media).
Efferent arterioles of
juxtamedullary nephrons (ie, the 15% of nephrons closest to the medulla) send straight capillary branches that deliver isotonic blood to the renal medulla. Along with the loop of Henle, these vasa rectaplay a crucial role in the establishment of the nephron's countercurrent exchangesystem.
efferent arteriole, into which the glomerulus delivers blood, empties into an interlobular vein.
The walls of the afferent arteriole contain specialized
smooth musclecells that synthesize renin. These juxtaglomerular cells play a major role in the renin-angiotensin system, which helps regulate blood volumeand pressure.
* [http://coe.fgcu.edu/faculty/greenep/kidney/Glomerulus.html Image and article at FGCU]
* "Kidney (Glomerulus)"
* - "Mammal, kidney cortex (LM, Medium)"
* [http://www.uncnephropathology.org UNC Nephropathology]
Wikimedia Foundation. 2010.