Abstract
The process of glomerular filtration results in the separation of approximately one-fifth to one-third of the plasma entering the glomeruli of each kidney into a solution that has the characteristics of a nearly ideal ultrafiltrate. This high rate of fluid filtration is driven by the hydraulic force created by the pumping action of the heart. However, despite the extremely low resistance of this capillary wall to the flux of water, this same structure normally impedes the filtration of circulating macromolecules (substances with molecular weights of several thousand or more), so that the concentrations of all but the smallest plasma proteins in the glomerular ultrafiltrate are exceedingly small.
Keywords
Glomerular Basement Membrane Dextran Sulfate Glomerular Capillary Wall Glomerular Permeability Molecular RadiusPreview
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References
- 1.Bohrer MP, Baylis C, Humes HD, et al: Permselectivity of the glomerular capillary wall: Facilitated filtration of circulation polycations. J Clin Invest61: 72–78, 1978PubMedCrossRefGoogle Scholar
- 2.Chang RLS, Deen WM, Robertson CR, et al: Permselectivity of the glomerular capillary wall. III. Restricted transport of polyanions. Kidney Int 8: 212–218, 1975PubMedCrossRefGoogle Scholar
- 3.Chang RLS, Ueki IF, Troy JL, et al: Permselectivity of the glomerular capillary wall to macromolecules. II. Experimental studies in rats using neutral dextran. Biophys J 15: 887–906, 1975PubMedCrossRefGoogle Scholar
- 4.Arturson G, Groth T, Grotte G: Human glomerular membrane porosity and filtration pressure: Dextran clearance data analyzed by theoretical models. Clin Sci 40: 137–158, 1971PubMedGoogle Scholar
- 5.Gassée MP: Effect of acetylcholine on glomerular sieving of macromolecules. Pfluegers Arch 342: 239–254, 1973CrossRefGoogle Scholar
- 6.Gassée JP, Dubois R, Staroukine M, et al: Determination of glomerular intracapillary and transcapillary pressure gradients from sieving data. III. The effects of angiotensin II. Pfluegers Arch 367:15–24, 1976CrossRefGoogle Scholar
- 7.Hardwicke J. Cameron JS, Harrison JF, et al: Proteinuria studied by clearances of individual macromolecules, in Manuel Y, Revillard JP, Betuel H (eds): Proteins in Normal and Pathological Urine. Baltimore, University Park Press, 1970, pp 111–152Google Scholar
- 8.Jamison RL: Intrarenal heterogeneity. The case for two functionally dissimilar populations of nephrons in the mammalian kidney. Am J Med 54: 281–289, 1973PubMedCrossRefGoogle Scholar
- 9.Lambert PP, Dubois R, Decoodt P, et al: Determination of glomerular intracapillary and transcapillary pressure gradients from sieving data. II. A physiological study in the normal dog. Pfluegers Arch 359: 1–22, 1975CrossRefGoogle Scholar
- 10.Verniory M, Dubois R, Decoodt P, et al: Measurement of the permeability of biological membranes: Application to the glomerular wall. J Gen Physiol 62: 489–507, 1973PubMedCrossRefGoogle Scholar
- 11.Pappenheimer JR: Passage of molecules through capillary walls. Physiol Rev 33:387–423, 1953PubMedGoogle Scholar
- 12.Pappenheimer JR, Renkin EM, Borrero LM: Filtration diffusion and molecular sieving through peripheral capillary membranes. A contribution to the pore theory of capillary permeability. Am J Physiol 167:13–46, 1951PubMedGoogle Scholar
- 13.Renkin EM, Gilmore JP: Glomerular filtration, in Orloff J, Berliner RW (eds): Handbook of Physiology, Section 8: Renal Physiology. Washington, American Physiological Society, 1973, pp 185–248Google Scholar
- 14.Deen WM, Bohrer MP, Brenner BM: Macromolecule transport across glomerular capillaries: Application of pore theory. Kidney Int 16:353–365, 1979PubMedCrossRefGoogle Scholar
- 15.Deen WM, Satvat B: Determinants of the glomerular filtration of proteins. Am J Physiol 241:F162–F170, 1981PubMedGoogle Scholar
- 16.Chang RLS, Robertson CR, Deen WM, et al: Permselectivity of the glomerular capillary wall to macromolecules. I. Theoretical considerations. Biophys J 15:861–886, 1975PubMedCrossRefGoogle Scholar
- 17.Brenner BM, Bohrer MP, Baylis C, et al: Determinants of glomerular permselectivity: Insights derived from observations in vivo. Kidney Int 12:229–237, 1977PubMedCrossRefGoogle Scholar
- 18.Bohrer MP, Troy JL, Deen WM, et al: Mechanism of angiotensin II-induced proteinuria in the rat. Am J Physiol 233:F13–F21, 1977PubMedGoogle Scholar
- 19.Brenner BM, Troy JL, Daugherty TM: The dynamics of glomerular ultrafiltration in the rat. J Clin Invest 50:1776–1780, 1971PubMedCrossRefGoogle Scholar
- 20.Eisenbach GM, van Liew JB, Manz N, et al: Effect of angiotensin on the filtration of protein in the rat kidney: A micropuncture study. Kidney Int 8:80–87, 1975PubMedCrossRefGoogle Scholar
- 21.Gaizutis M, Pesce AJ, Lewy JE: Determination of nanogram amounts of albumin by radioimmunoassay. Microchem J 17:327–337, 1972CrossRefGoogle Scholar
- 22.Rennke HG, Cotran RS, Venkatachalam MA: Role of molecular charge in glomerular permeability: Tracer studies with cationized ferritins. J Cell Biol 67: 638–646, 1975PubMedCrossRefGoogle Scholar
- 23.Rennke HG, Patel Y, Venkatachalam MA: Effect of molecular charge on glomerular permeability to proteins in the rat: Clearance studies using neutral, anionic and cationic horseradish peroxidase. Kidney Int 13:278–288, 1978PubMedCrossRefGoogle Scholar
- 24.Rennke HG, Venkatachalam MA: Glomerular permeability: In vivo tracer studies with polyanionic and polycationic ferritins. Kidney Int 11:44–53, 1977PubMedCrossRefGoogle Scholar
- 25.Blau EB, Haas DE: Glomerular sialic acid and proteinuria in human renal disease. Lab Invest 28:477–481, 1973PubMedGoogle Scholar
- 26.Caulfield JP, Farquhar MG: Distribution of anionic sites in normal and nephrotic glomerular basement membranes. J Cell Biol 70:92a, 1976Google Scholar
- 27.Jones DB: Mucosubstances of the glomerulus. Lab Invest 21:119–125, 1969PubMedGoogle Scholar
- 28.Latta H, Johnston, WH, Stanley TM: Sialoglycoproteins and filtration barriers in the glomerular capillary wall. J Ultrastruct Res 51:354–376, 1975PubMedCrossRefGoogle Scholar
- 29.Michael AF, Blau E, Vernier RL: Glomerular poly anion alteration in aminonucleoside nephrosis. Lab Invest 23:649–657, 1970PubMedGoogle Scholar
- 30.Seiler MW, Rennke HG, Cotran RS, et al: Pathogenesis of polycation-induced alterations (“fusion”) of glomerular epithelium. Lab Invest 36:48, 1977PubMedGoogle Scholar
- 31.Seiler MW, Venkatachalam MA, Cotran RS: Glomerular epithelium: Structural alterations induced by polycations. Science 189:390–393, 1975PubMedCrossRefGoogle Scholar
- 32.Kanwar YS, Farquhar MG: Anionic sites in the glomerular basement membrane. In vivo and in vitro localization to the luminae by cationic probes. J Cell Biol 81:137–153, 1979Google Scholar
- 33.Kanwar YS, Farquhar MG: Presence of heparin sulfate in the glomerular basement membrane. Proc Natl Acad Sci USA 76:1303–1307, 1979PubMedCrossRefGoogle Scholar
- 34.Kanwar YS, Farquhar MG: Isolation of glycosaminoglycans (heparin sulfate) from glomerular basement membranes. Proc Natl Acad Sci USA 76:4493–4497, 1979PubMedCrossRefGoogle Scholar
- 35.Kanwar YS, Linker A, Farquhar MG: Increased permeability of the glomerular basement membrane to ferritin after removal of glycosaminoglycans (heparin sulfate) by enzyme digestion. J Cell Biol 86:688–693, 1980PubMedCrossRefGoogle Scholar
- 36.Kanwar YS, Roserizweig LJ: Altered glomerular permeability as a result of focal detachment of the visceral epithelium. Kidney Int 21:565–574, 1982PubMedCrossRefGoogle Scholar
- 37.Deen WM, Satvat B, Jamieson JM: Theoretical model of glomerular filtration of charged solutes. Am J Physiol 238:F126–F139, 1980PubMedGoogle Scholar
- 38.Rennke HG, Venkatachalam MA: Glomerular permeability of macromolecules: Effect of molecular configuration on the fractional clearance of uncharged dextran and neu-tral horseradish peroxidase in the rat. J Clin Invest 63:713–717, 1979PubMedCrossRefGoogle Scholar
- 39.Rennke HG, Venkatachalam MA: Structural determinants of glomerular permselectivity. Fed Proc36: 2619–2626, 1977Google Scholar
- 40.Bohrer MP, Deen WM, Robertson CR, et al: Influence of molecular configuration on the passage of macromolecules across the glomerular capillary wall. J Gen Physiol74: 583–593, 1979PubMedCrossRefGoogle Scholar
- 41.Graham RC, Karnovsky MJ: Glomerular permeability. Ultrastructural cytochemical studies using peroxidases as protein tracers. J Exp Med124: 1123–1124, 1966PubMedCrossRefGoogle Scholar
- 42.Farquhar JG, Wissig SL, Palade GE: Glomerular permeability. I. Ferritin transfer across the normal glomerular capillary wall. J Exp Med113: 47–66, 1961PubMedCrossRefGoogle Scholar
- 43.Venkatachalam MA, Karnovsky MJ, Fahimi HD, et al: An ultrastructural study of glomerular permeability using catalase and peroxidase as tracer proteins. J Exp Med132: 1153–1167, 1970PubMedCrossRefGoogle Scholar
- 44.Caulfield JP, Farquhar MG: The permeability of glomerular capillaries to graded dextrans. J Cell Biol63: 883–903, 1974PubMedCrossRefGoogle Scholar
- 45.Ryan GB, Karnovsky MJ: Distribution of endogenous albumin in the rat glomerulus: Role of hemodynamic factors in glomerular barrier function. Kidney Int9: 36–45, 1976PubMedCrossRefGoogle Scholar
- 46.Lassen N: Large molecules, in Crone CC, Lassen NA (eds): Capillary Permeability. New York, Academic Press, 1970, pp 549–551Google Scholar
- 47.Simionescu N, Simionescu M, Palade GF: Differentiated microdomains on the luminal surface of the capillary endothelium. 1. Preferential distribution of anionic sites. J Cell Biol90: 605–613, 1981PubMedCrossRefGoogle Scholar
- 48.Brenner BM, Hostetter TH, Humes HD: Molecular basis of proteinuria of glomerular origin. N Engl J Med298: 826, 1978PubMedCrossRefGoogle Scholar