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Nephron

Nephronum

For medical students2 min readUpdated 2026-10-10

The nephron is the structural and functional unit of the kidney responsible for blood plasma filtration, reabsorption, and secretion. Together, both human kidneys contain approximately two million of these microscopic elements, forming a complex system of epithelial tubules.

LocalizationAll renal corpuscles are located exclusively within the renal cortex.
MorphometryThe total length of the tubules in a single nephron reaches 5–5.5 cm.
Endocrine roleThe renal corpuscle participates in renin production to regulate blood pressure.
HistologyAll segments of the nephron tubules are lined by a single layer of epithelium.

Renal Corpuscle and Nephron Borders

Histologically, a nephron in the strict sense includes a double-walled epithelial cup—Bowman's capsule—and a long, unbranched tubule extending from it.

Immersed within the capsule is a vascular element: the capillary glomerulus. Together, they form the renal corpuscle (corpusculum renale). It is important to understand a histological nuance: formally, the capillary glomerulus belongs to the vascular system, but functionally they operate as a single apparatus.

Primary filtration occurs here: about 10% of blood plasma passes from the capillaries into the capsular lumen, forming the primary filtrate. Additionally, the renal corpuscle performs an endocrine function, participating in the production of renin required to control blood pressure.

Tubular Organization

The tubular portion extends from the capsule. Its task is reabsorption (the reclamation of essential substances from the primary filtrate into the secondary capillary network) and secretion (the active transport of metabolites from the blood into the lumen).

Along its length (about 5–5.5 cm), the tubule is divided into five consecutive segments:

  1. Proximal convoluted tubule — forms loops near its renal corpuscle within the cortex. This segment alone accounts for about 2 cm of the length.
  2. Proximal straight tubule — a short segment following the convoluted portion.
  3. Thin tubule — the descending limb of the loop of Henle, descending from the cortex into the medulla.
  4. Distal straight tubule — the ascending limb of the loop of Henle, returning to the cortex.
  5. Distal convoluted tubule — the final segment. It has a unique topographical feature: it consistently returns and contacts the renal corpuscle of its own nephron at the vascular pole (strictly between the afferent and efferent arterioles).

Epithelial Histophysiology and Excretory System

All segments of the nephron are lined with simple epithelium. The tubular cells are tightly sealed at their apical pole, isolating the lumen. At the basal pole, intercellular junctions loosen, forming a lateral intercellular space.

During reabsorption, substances first enter this lateral space, cross the basement membrane, and emerge into the peritubular (interstitial) space, from which they are taken up by capillaries. The interstitium itself (connective tissue between the tubules) in the medulla possesses an endocrine function—it synthesizes prostaglandins.

After passing through the nephron, the secondary urine enters the collecting ducts. These run perpendicular to the kidney surface: they begin in the medullary rays, descend into the medulla, and merge into papillary ducts at the apices of the pyramids. The length of the ducts is about 4.5 cm, and it is important to remember that they are independent parenchymal elements and are not part of the nephron.

Classification of Nephrons

All renal corpuscles lie exclusively in the cortex, giving it a dark red color. The presence of corpuscles in a histological section is a 100% diagnostic sign of the cortex. The type of nephron is determined by the location of the corpuscle and the length of the loop of Henle (ansa nephroni):

Mnemonic

To easily remember the five segments of the tubule in order, use the phrase: "Please Push Through Down Deep" (Proximal convoluted, Proximal straight, Thin, Distal straight, Distal convoluted).

Frequently asked questions

What cells form the visceral layer of Bowman's capsule?

The inner (visceral) layer of Bowman's capsule is formed by large epithelial cells called podocytes.

These cells closely wrap around each capillary of the vascular glomerulus, causing them to merge in light microscopy. Slit diaphragms are located between the foot processes of the podocytes, acting as one of the ultrafiltration layers and preventing proteins from passing into the primary urine.

What structures form the juxtaglomerular apparatus (JGA)?

The juxtaglomerular apparatus is formed by three elements located at the site of contact between the distal tubule and the renal corpuscle:

  • Macula densa — a specialized region of the distal convoluted tubule wall.
  • Juxtaglomerular cells — located in the tunica media of the arterioles, predominantly the afferent arteriole.
  • Extraglomerular mesangial cells (Lacis cells or Goormaghtigh cells) — located in the space between the two arterioles and the macula densa.
What cell types make up the epithelium of collecting ducts?

The epithelium of renal collecting ducts is represented by two cell types:

  • Principal cells (light cells) — numerically dominant, containing aquaporins; their function is passive water reabsorption, intensely regulated by ADH (antidiuretic hormone).
  • Intercalated cells (dark cells) — secrete H⁺ and ammonia into the urine, participating in pH regulation.
How to quickly distinguish the renal cortex from the medulla under a microscope?

The primary marker is the presence of renal corpuscles (capsules with glomeruli). They are located exclusively in the cortex. If no corpuscles are in the field of view, you are looking at the medulla.

Why is the capillary glomerulus formally not considered part of the nephron?

In the strict histological sense, the nephron consists only of epithelial tissues (capsule and tubules). The capillary glomerulus is an element of the vascular system, although functionally they form a single filtration apparatus.

Are collecting ducts part of the nephron?

No, they are not. Collecting ducts are independent epithelial elements of the excretory system into which the nephron merely drains.

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