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Structure of the Nephron

*Nephronum*

For medical students2 min readUpdated 2026-10-10

The nephron is the structural and functional unit of the kidney. It continuously filters blood plasma, reabsorbs vital solutes back into the bloodstream, and secretes waste products, ultimately producing urine.

GFR LevelNormal glomerular filtration rate reaches 125 mL/min (approx. 180 L/day)
Water ReabsorptionUp to 80% of the total primary filtrate volume is reabsorbed in the proximal tubule
Tissue FeaturesThe descending limb is formed by squamous cells with a minimum number of mitochondria
PAH SecretionPara-aminohippuric acid is actively secreted in the proximal tubule

Anatomical Structure

Morphologically, each nephron is a complex system of microscopic tubules. It is traditionally divided into several sequential segments, each performing a specific task in urine formation.

Key parts of the nephron include:

  1. Renal corpuscle. Consists of the glomerulus and the surrounding Bowman's capsule. This is the starting point where plasma filtration begins.
  2. Proximal convoluted tubule. Follows immediately after the capsule and serves as the main site for reabsorption of substances into the bloodstream.
  3. Loop of Henle. Has a U-shape and is divided into a thin segment (including descending and ascending limbs) and a thick segment.
  4. Distal convoluted tubule. The segment responsible for fine-tuning the composition of the tubular fluid.
  5. Collecting duct. Strictly speaking, this is the functional termination of the nephron where fluid from multiple distal tubules drains.

Proximal Tubule: Obligate Reabsorption

The most massive reabsorption process—obligate reabsorption—takes place in the proximal convoluted tubule. At this stage, the body reclaims the overwhelming majority of filtered components. The total volume of reabsorption here accounts for about 80% of the initial filtrate.

Ions such as $Na^+$, $K^+$, $Cl^-$, as well as water, essential amino acids, vitamins, and glucose molecules, are actively returned to the bloodstream. Water and ion absorption (sodium, potassium, calcium, and chloride) reaches 65–85%. Bicarbonates ($HCO_3^-$) are reabsorbed by 80–90%, and phosphates ($PO_4^{3-}$) up to 100%.

In addition to salvaging useful molecules, intensive tubular secretion occurs here. Epithelial cells purposefully secrete hydrogen ions ($H^+$), ammonia ($NH_3$), and para-aminohippuric acid (PAH) into the tubular lumen.

Loop of Henle and Urine Concentration

The Loop of Henle plays a critical role in urine concentration. Its descending and ascending limbs have fundamentally different histological and physiological characteristics.

The descending limb of the loop is lined by flat epithelial cells. This tissue is functionally passive: cells are poor in mitochondria and enzyme complexes. Due to the lack of necessary transport proteins, sodium reabsorption does not occur here. However, intercellular junctions in this segment form a membrane with pores permeable to fluid. Water passively leaves the tubular lumen into the interstitium along an osmotic gradient ($Na^+$ ions in the surrounding interstitial space literally "pull" water out).

The ascending limb, by contrast, is completely impermeable to water. However, robust electrolyte reabsorption ($Na^+$) takes place here. Thus, by separating the flows of water and salts, efficient concentration of the tubular fluid is achieved.

Distal Segments and Final Urine Formation

Facultative (regulated) reabsorption occurs in the distal convoluted tubule. Unlike the proximal segment, these processes strictly depend on the current needs of the body. In this segment, $Na^+$, $Cl^-$ and water are reabsorbed (the distal segment accounts for about 10% of water and sodium recovery).

The functional pathway ends in the collecting duct. This is where final urine is formed. Collecting ducts continue the reabsorption of $H_2O$ and $Na^+$, while secreting potassium ions ($K^+$), ammonia ($NH_3$), and hydrogen protons ($H^+$). After passing this stage, the fluid composition is fixed, and it is directed into the renal calyces and pelvis.

Frequently asked questions

What types of nephrons are distinguished in the kidney based on their location?

Depending on the location of the renal corpuscle and the length of the Loop of Henle, three types of nephrons are distinguished in the kidney:

  • Short cortical nephrons — renal corpuscles lie in the cortex, loops are short and do not descend deeply.
  • Intermediate cortical nephrons — the main type (80%), medium-sized loops descend to the outer zone of the medullary pyramids.
  • Juxtamedullary nephrons — renal corpuscles lie at the corticomedullary junction, and long loops penetrate almost the entire thickness of the pyramids.
How does the countercurrent multiplier system of the Loop of Henle function?

The countercurrent multiplier system creates an osmotic gradient in the renal medulla to concentrate urine. The descending and ascending limbs work as a single unit:

  • Ascending limb — active transport of sodium and chloride ions occurs, while epithelial cells are impermeable to water.
  • Descending limb — passive water reabsorption occurs.

The exit of ions from the ascending limb increases the osmotic pressure in the surrounding fluid, promoting passive water efflux from the descending limb down the gradient.

Which hormones regulate facultative reabsorption in the distal convoluted tubule and collecting duct?

Facultative reabsorption in distal convoluted tubules and collecting ducts is regulated by aldosterone, antidiuretic hormone, and natriuretic peptide.

  • Aldosterone — acts on distal convoluted tubules and collecting ducts; enhances Na+, Cl-, and H2O reabsorption, activates Na+,K+-ATPase, followed by passive water reabsorption.
  • Antidiuretic hormone (vasopressin) — acts on collecting ducts; increases wall permeability to H2O via aquaporins and enhances water reabsorption.
  • Natriuretic peptide — inhibits Na+,K+-ATPase in distal convoluted tubules, decreasing Na+ and water reabsorption.
Is sodium reabsorbed in the descending limb of the Loop of Henle?

No, sodium reabsorption does not occur in this segment. The walls of the descending limb are formed by squamous epithelium lacking mitochondria and specialized enzyme systems for active ion transport.

What is the difference between obligate and facultative reabsorption?

Obligate reabsorption occurs in the proximal tubule and is mandatory, returning up to 80% of the filtrate. Facultative reabsorption takes place in the distal tubule, is hormonally regulated, and affects only about 10% of water and sodium.

How does water leave the descending limb of the nephron loop?

Water exits passively along an osmotic gradient through pores at the junctions of epithelial cells, pulled by sodium ions located in the interstitial fluid.

Where is final urine formed?

The formation of final urine concludes in the collecting ducts, featuring the final reabsorption of water and sodium, alongside the secretion of protons, potassium, and ammonia.

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