The Body at Work: A Treatise on the Principles of PhysiologyHill, Alex
Science
The Body at Work: A Treatise on the Principles of Physiology
Hill, Alex
Physiology
The urinary tubules are the separate pieces of apparatus of which
the kidney consists. The problems connected with a single tubule are
therefore the problems of the kidney as a whole. These structures are
all exactly alike. The description of any one of them applies to all.
Each begins as a capsule containing a glomerulus. The wall of the
bulb—which is merely a thin basement membrane covered by epithelial
scales—is involuted by the tuft of bloodvessels. The vessels do not
penetrate its capsule. Between the tessellated epithelium which covers
the tuft and the similar epithelium which lines the capsule there is a
space communicating by a narrow aperture with the next portion of the
tubule—termed its “contorted” part, because it is twisted about like a
tangled thread in the cortex of the kidney. The contorted tubule is of
relatively large calibre. The cells which line it are irregular in form
and indistinct in outline. The basal half of each cell, between its
nucleus and the basement membrane, is vertically striated, or “rodded,”
as it is usually termed. Such an arrangement of the protoplasm of a
cell is commonly associated with a habit of absorbing fluid. It would
seem to indicate in this case that the cells take water and various
substances dissolved in water from the direction of the basement
membrane. After a time the contorted portion of the tubule, although
still sinuous, becomes more nearly straight—the “spiral portion”—and
assumes a radial direction. In the zone between the cortex and the
medulla, the spiral portion tapers into an exceedingly slender tubule
which, after running some distance in the direction of the hilus, turns
back again towards the cortex, making a loop, known as the “loop of
Henle.” The ascending limb of this loop is of larger calibre than the
descending limb. The descending limb is lined by flattened epithelium,
each cell so thin that (in microscopic sections as ordinarily
prepared) its nucleus bulges into the lumen of the tube. The cells
of the ascending limb are more nearly cubical in form. On reaching
the cortex, the tubule again becomes contorted. The second contorted
portion narrows into a “collecting portion,” which joins a ductule. The
ductules unite together, until at last a single duct is formed which
opens at the apex of a pyramid. The cells of the ductules are cubical
or columnar. Their cell-substance is clear, whereas that of the cells
lining other parts of the tubule is cloudy in appearance.
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