This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Go to /pro/cpd-dashboard page

This page is worth 0.05 CPD credits. CPD dashboard

Go to /account/subscription-details page

This page is worth 0.05 CPD credits. Upgrade to Pro

Glomerular physiology

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

The blood is separated from the glomerular lumen - and hence the external world - by three layers:

  • the modified vascular endothelium of the glomerular capillaries
  • the glomerular basement membrane which is composed of mainly type IV collagen, laminin and proteoglycans
  • the podocytes of the glomerular epithelium

The glomerulus produces a selective ultrafiltrate of the blood. The rate of ultrafiltration is called the glomerular filtration rate (GFR) which is about 120 ml/min or 170 litres per day.

The components of the blood are differentially filtered at the glomerulus:

  • the renal filter is too fine to allow any cellular components through, thus red cell, white cells and platelets remain in the blood

  • water and electrolytes filter freely due to fenestrations in the vascular endothelium, the slit pores between the foot processes of the podocytes and the high permeability of the glomerular basement membrane

  • proteins larger than approximately 3.5 nm diameter (or 65 kDa molecular mass n.b. albumin is 68 kDa) are excluded from the filtrate by the glomerular basement membrane

  • negatively charged proteins are preferentially excluded from the filtrate due to the presence of negatively charged proteoglycans in the glomerular basement membrane

Create an account to add page annotations

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.