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By Robert C. Atkins (auth.), Michinobu Hatano M.D. (eds.)

ISBN-10: 3540700749

ISBN-13: 9783540700746

ISBN-10: 3662351587

ISBN-13: 9783662351581

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Sample text

Kidney Int 37:1048-1054 67. Langhans T (1979) Uber die Veriinderungen der Glomeruli bei der Nephritis nebst einigen Bemerkungen iiber die Enstshung der Fibrinzylinder. Arch Pathol Physiol Klin Med 76:85 68. Hancock WW, Atkins RC (1984) Cellular composition of crescents in human rapidly progressive glomerulonephritis identified using monoclonal antibodies. Am J Nephrol3: 177181 69. Boucher A, DrozD, Adafer E, Laure-Helene N (1987) Relationship between the integrity of Bowman's capsule and the composition of cellular crescents in human crescentic glomerulonephritis.

The macula densa actually represents a specialized segment of the TAL and will not receive further comment in this review. There is an abrupt transition from the TAL to the DCT, approximately 90-100 1-1m beyond the region of the macula densa. The DCT resembles the TAL by light microscopy, but major differences have been identified between these two segments ultrastructurally and functionally. Both the TAL and the DCT possess extensive invaginations of the basolateral membrane and lateral interdigitations between adjacent cells.

The functional significance of these two cell configurations, if any, remains to be established. Immunocytochemical studies reveal the presence of Na,K-ATPase [6] and TammHorsfall protein in this region ofthe nephron. R. C. Tisher 1990, unpublished observations). Distal Convoluted Tubule This region of the distal tubule corresponds to the "early distal tubule" described in the micropuncture literature. In both the rat and the rabbit the DCT measures 1 mm in length. The cells in this region are considerably taller than those of the TAL, especially the cortical TAL, and in contrast to the cortical TAL, there are no extensive apical lateral interdigitations.

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Nephrology: Volume I by Robert C. Atkins (auth.), Michinobu Hatano M.D. (eds.)


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