The vasa recta of the kidney, (vasa recta renis) are the straight arterioles, and the straight venules of the

kidney The kidneys are two reddish-brown bean-shaped organs found in vertebrates. They are located on the left and right in the retroperitoneal space, and in adult humans are about in length. They receive blood from the paired renal arteries; blo ...

, – a series of

blood vessel The blood vessels are the components of the circulatory system that transport blood throughout the human body. These vessels transport blood cells, nutrients, and oxygen to the tissues of the body. They also take waste and carbon dioxide away ...

s in the blood supply of the kidney that enter the

medulla Medulla or Medullary may refer to: Science * Medulla oblongata, a part of the brain stem * Renal medulla, a part of the kidney * Adrenal medulla, a part of the adrenal gland * Medulla of ovary, a stroma in the center of the ovary * Medulla of t ...

as the straight arterioles, and leave the medulla to ascend to the cortex as the straight venules. (

Latin Latin (, or , ) is a classical language belonging to the Italic branch of the Indo-European languages. Latin was originally a dialect spoken in the lower Tiber area (then known as Latium) around present-day Rome, but through the power of the ...

: ''vās'', "vessel"; ''rēctus'', "straight"). They lie parallel to the

loop of Henle In the kidney, the loop of Henle () (or Henle's loop, Henle loop, nephron loop or its Latin counterpart ''ansa nephroni'') is the portion of a nephron that leads from the proximal convoluted tubule to the distal convoluted tubule. Named after its ...

. These vessels branch off the

efferent arterioles The efferent arterioles are blood vessels that are part of the urinary tract of organisms. Efferent (from Latin ex + ferre) means "outgoing", in this case meaning carrying blood out away from the glomerulus. The efferent arterioles form a converg ...

juxtamedullary nephron The nephron is the minute or microscopic structural and functional unit of the kidney. It is composed of a renal corpuscle and a Nephron#Renal tubule, renal tubule. The renal corpuscle consists of a tuft of capillary, capillaries called a glomeru ...

s (those

nephron The nephron is the minute or microscopic structural and functional unit of the kidney. It is composed of a renal corpuscle and a renal tubule. The renal corpuscle consists of a tuft of capillaries called a glomerulus and a cup-shaped structure ...

s closest to the medulla). They enter the medulla, and surround the loop of Henle. Whereas the

peritubular capillaries In the renal system, peritubular capillaries are tiny blood vessels, supplied by the efferent arteriole, that travel alongside nephrons allowing reabsorption and secretion between blood and the inner lumen of the nephron. Peritubular capillaries s ...

surround the cortical parts of the tubules, the vasa recta go into the medulla and are closer to the loop of Henle, and leave to ascend to the cortex. Terminations of the vasa recta form the straight venules, branches from the plexuses at the apices of the medullary pyramids. They run outward in a straight course between the tubes of the medullary substance and join the interlobular veins to form venous arcades. These in turn unite and form veins which pass along the sides of the renal pyramids. The descending vasa recta have a non-fenestrated endothelium that contains a facilitated transport for urea; the ascending vasa recta have, on the other hand, a fenestrated endothelium.

Structure

Microanatomy

On a histological slide, the straight arterioles can be distinguished from the tubules of the

by the presence of blood.

Function

Each straight arteriole has a hairpin turn in the medulla and carries blood at a very slow rate – two factors crucial in the maintenance of

countercurrent exchange Countercurrent exchange is a mechanism occurring in nature and mimicked in industry and engineering, in which there is a crossover of some property, usually heat or some chemical, between two flowing bodies flowing in opposite directions to each ...

that prevent washout of the concentration gradients established in the renal medulla. The maintenance of this concentration gradient is one of the components responsible for the kidney's ability to produce concentrated

urine Urine is a liquid by-product of metabolism in humans and in many other animals. Urine flows from the kidneys through the ureters to the urinary bladder. Urination results in urine being excreted from the body through the urethra. Cellular ...

. On the descending portion of the vasa recta, sodium chloride and urea are reabsorbed into the blood, while water is secreted. On the ascending portion, sodium chloride and urea are secreted into the interstitium, while water is reabsorbed.

Clinical significance

The slow blood flow in the straight arterioles makes them a likely location of

thrombosis Thrombosis (from Ancient Greek "clotting") is the formation of a blood clot inside a blood vessel, obstructing the flow of blood through the circulatory system. When a blood vessel (a vein or an artery) is injured, the body uses platelets (t ...

from thrombophilia, or tissue loss due to red blood cell sickling in

sickle cell disease Sickle cell disease (SCD) is a group of blood disorders typically inherited from a person's parents. The most common type is known as sickle cell anaemia. It results in an abnormality in the oxygen-carrying protein haemoglobin found in red b ...

. Ischemia that results may lead to renal papillary necrosis.

Nomenclature

According to

Terminologia Anatomica ''Terminologia Anatomica'' is the international standard for human anatomical terminology. It is developed by the Federative International Programme on Anatomical Terminology, a program of the International Federation of Associations of Anatomi ...

, the term "vasa recta renis" is an alternate name for "arteriolae rectae renis", and a separate term, venulae rectae renis, is used to identify the venous portion. However, other sources consider "vasa recta" to refer to both the arterial and venous portions. The term ''vasa recta'' is also used for the intestines – vasa recta (intestines) (in the

ileum The ileum () is the final section of the small intestine in most higher vertebrates, including mammals, reptiles, and birds. In fish, the divisions of the small intestine are not as clear and the terms posterior intestine or distal intestine m ...

and

jejunum The jejunum is the second part of the small intestine in humans and most higher vertebrates, including mammals, reptiles, and birds. Its lining is specialised for the absorption by enterocytes of small nutrient molecules which have been previou ...

)

References

External links

* {{Authority control Kidney anatomy