Countercurrent exchange in the inner renal medulla: Vasa recta-descending limb system

Abstract

A model of countercurrent exchange has been developed to simulate transport of salt, urea and water among vasa recta and descending limbs of the loop of Henle in the inner medulla. These vessels are abstracted as three concentric cylinders: the inne one represents descending vasa recta, the middle one represents ascending vasa recta and the outer one represents descending limbs. The capillary plexus, which connects the ascending and descending vasa recta, is modeled as a series of well-mixe compartments. Multicomponent transport equations for the sytem are derived from steady state mass balances and simple passive flux relations. The resulting set of nonlinear equations are solved numerically by an iterative Gauss-Seidel algorithm with under-relaxation. Simulations yield the salt and urea concentrations as well as volume flow rates in all tubes and compartments. The simulations indicate that solute concentrations can increase monotonically toward the papillae even if all transport processes within the exchanger are passive and source fluxes decrease monotonically toward the papillae.