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Renal corpuscle

Medically Reviewed by Anatomy Team

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The renal corpuscle is the initial part of the nephron, located in the renal cortex, where blood filtration occurs.[2] It consists of a tuft of capillaries called the glomerulus and a surrounding cup-shaped structure known as Bowman’s capsule.

The renal corpuscle acts as a filtration unit, removing water, ions, and waste products from the blood while retaining larger components like blood cells and proteins. This filtered fluid, or filtrate, is then passed to the renal tubules for further processing into urine.

Structure

The renal corpuscle is a spherical structure located in the renal cortex. It consists of two main components, the glomerulus and Bowman’s capsule, and is surrounded by supporting tissues. Its structure is designed to facilitate efficient blood filtration.[4]

Components of the Renal Corpuscle

The renal corpuscle is composed of several key components that work together to filter blood and initiate the formation of urine. These include the glomerulus, Bowman’s capsule, and associated supporting structures.[6]

Glomerulus

  • The glomerulus is a network of capillaries formed by the branching of the afferent arteriole and drained by the efferent arteriole.
  • The capillary walls have fenestrated endothelium, allowing plasma and small solutes to pass while retaining larger molecules like blood cells and proteins.

Bowman’s Capsule

  • Parietal Layer:
  • Visceral Layer:
    • The inner layer, made of specialized cells called podocytes, surrounds the glomerular capillaries and forms filtration slits through which filtrate passes.

Capsular Space

  • The capsular space, also known as Bowman’s space, is the gap between the parietal and visceral layers.
  • It collects the filtrate from the glomerulus before it enters the renal tubules.[8]

Basement Membrane

  • The basement membrane is a thin, dense layer between the capillary endothelium and podocytes.
  • It acts as a selective barrier, filtering water and small solutes while blocking larger molecules like proteins.

Mesangial Cells

  • Located within the glomerulus, mesangial cells provide structural support to the capillaries.
  • They regulate blood flow and remove trapped debris from the filtration process.

Location

The renal corpuscle is located in the renal cortex, the outer layer of the kidney. It is part of the nephron, the functional unit of the kidney, and serves as the starting point for the process of urine formation.

Specific Location

  • Found scattered throughout the renal cortex, renal corpuscles are visible as small, spherical structures under a microscope.[1]
  • The glomerulus within the renal corpuscle receives blood from the afferent arteriole, which branches off the renal arteries.
  • Filtrate produced in the renal corpuscle enters the proximal convoluted tubule, which is also situated in the cortex.

Role in Filtration

The renal corpuscle is the site where blood filtration begins, forming the first step in urine production. Its structural components work together to ensure efficient and selective filtration.

Filtration of Blood

Glomerulus:

  • Blood enters the glomerulus through the afferent arteriole, where the high pressure forces water, ions, glucose, amino acids, and waste products out of the blood plasma.[3]
  • The fenestrated endothelium of the glomerular capillaries allows only small molecules to pass while retaining blood cells and large proteins.

Formation of Filtrate

The filtered plasma, now called glomerular filtrate, passes through three filtration layers:

  • Fenestrated Endothelium: Allows plasma and solutes to pass but restricts blood cells.
  • Basement Membrane: Acts as a physical and charge barrier, preventing large proteins from filtering through.
  • Podocyte Filtration Slits: The final layer, where podocyte foot processes (pedicels) form narrow slits that allow small molecules like water, salts, and nutrients to pass into Bowman’s capsule.

Collection of Filtrate

The filtrate collects in the capsular space of Bowman’s capsule and is directed into the proximal convoluted tubule for further processing.[5]

Regulation of Filtration

The glomerular filtration rate (GFR) is regulated by the diameter of the afferent and efferent arterioles:

  • Afferent Arteriole Dilation: Increases blood flow and filtration pressure.
  • Efferent Arteriole Constriction: Enhances filtration pressure within the glomerulus.

Clinical Significance

The renal corpuscle plays a vital role in kidney function, and its dysfunction can lead to significant clinical conditions:

  • Glomerulonephritis: Inflammation of the glomerulus can impair filtration, leading to proteinuria (protein in urine), hematuria (blood in urine), and reduced kidney function.
  • Diabetic Nephropathy: High blood sugar damages the glomerular filtration barrier, causing excessive protein loss (albuminuria) and progressing to chronic kidney disease.
  • Hypertension: Chronic high blood pressure can damage the glomerular capillaries, reducing filtration efficiency and potentially leading to kidney failure.[7]
  • Acute Kidney Injury (AKI): Sudden damage to the renal corpuscle, such as from ischemia or toxins, can result in a rapid decline in filtration and waste excretion.
  • Nephrotic Syndrome: Damage to the glomerular filtration barrier leads to severe protein loss, edema, and increased susceptibility to infections.

References

  1. Eroschenko VP. diFiore’s Atlas of Histology with Functional Correlations. 13th ed. Philadelphia, PA: Wolters Kluwer; 2017. ISBN 978-1496316769.
  2. Pollak MR, Knepper MA, Kalluri R. Comprehensive Clinical Nephrology. 6th ed. Philadelphia, PA: Elsevier; 2019. ISBN 978-0323529785.
  3. Krstic RV. Human Microscopic Anatomy: An Atlas for Students of Medicine and Biology. New York: Springer-Verlag; 1991. ISBN 978-0387505414.
  4. Langman J. Medical Embryology. 13th ed. Philadelphia, PA: Wolters Kluwer; 2020. ISBN 978-1975110339.
  5. Berne RM, Levy MN, Koeppen BM, Stanton BA. Physiology. 7th ed. Philadelphia, PA: Mosby Elsevier; 2017. ISBN 978-0323523400.
  6. Strang KT, Taylor DR, French DP. Human Anatomy and Physiology. 2nd ed. New York: Wiley; 2016. ISBN 978-1118534963.
  7. Kumar V, Abbas AK, Aster JC. Robbins and Cotran Pathologic Basis of Disease. 10th ed. Philadelphia, PA: Elsevier; 2020. ISBN 978-0323531139.
  8. Mescher AL. The Developing Human: Clinically Oriented Embryology. 12th ed. Philadelphia, PA: Elsevier; 2020. ISBN 978-0323611541.