efferent arteriole
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The efferent arterioles are
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 that are part of the
urinary tract The urinary system, also known as the urinary tract or renal system, consists of the kidneys, ureters, bladder, and the urethra. The purpose of the urinary system is to eliminate waste from the body, regulate blood volume and blood pressure, con ...
of
organisms In biology, an organism () is any living system that functions as an individual entity. All organisms are composed of cells (cell theory). Organisms are classified by taxonomy into groups such as multicellular animals, plants, and fungi; ...
. Efferent (from Latin ex + ferre) means "outgoing", in this case meaning carrying blood out away from the glomerulus. The efferent arterioles form a convergence of the
capillaries A capillary is a small blood vessel from 5 to 10 micrometres (μm) in diameter. Capillaries are composed of only the tunica intima, consisting of a thin wall of simple squamous endothelial cells. They are the smallest blood vessels in the body: ...
of the
glomerulus ''Glomerulus'' () is a common term used in anatomy to describe globular structures of entwined vessels, fibers, or neurons. ''Glomerulus'' is the diminutive of the Latin ''glomus'', meaning "ball of yarn". ''Glomerulus'' may refer to: * the filter ...
, and carry blood away from the glomerulus that has already been filtered. They play an important role in maintaining the
glomerular filtration rate Renal functions include maintaining an acid–base balance; regulating fluid balance; regulating sodium, potassium, and other electrolytes; clearing toxins; absorption of glucose, amino acids, and other small molecules; regulation of blood p ...
despite fluctuations in
blood pressure Blood pressure (BP) is the pressure of circulating blood against the walls of blood vessels. Most of this pressure results from the heart pumping blood through the circulatory system. When used without qualification, the term "blood pressure" r ...
. In the
mammalian Mammals () are a group of vertebrate animals constituting the class (biology), class Mammalia (), characterized by the presence of mammary glands which in Female#Mammalian female, females produce milk for feeding (nursing) their young, a ...
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; blood ...
they follow two markedly different courses, depending on the location of the glomeruli from which they arise. In the mammalian kidney about 15% of glomeruli lie close to the boundary between the
renal cortex The renal cortex is the outer portion of the kidney between the renal capsule and the renal medulla. In the adult, it forms a continuous smooth outer zone with a number of projections ( cortical columns) that extend down between the pyramids. It ...
and
renal medulla The renal medulla is the innermost part of the kidney. The renal medulla is split up into a number of sections, known as the renal pyramids. Blood enters into the kidney via the renal artery, which then splits up to form the segmental arteries whi ...
and are known as juxtamedullary glomeruli. The rest are simply undifferentiated cortical glomeruli.


In undifferentiated cortical glomeruli

The efferent arterioles of the undifferentiated cortical glomeruli are the most complex. Promptly on leaving the glomerulus they break up into capillaries and become part of a rich
plexus In neuroanatomy, a plexus (from the Latin term for "braid") is a branching network of vessels or nerves. The vessels may be blood vessels (veins, capillaries) or lymphatic vessels. The nerves are typically axons outside the central nervous syste ...
of vessels surrounding the cortical portions of the renal tubules.


In juxtamedullary glomeruli

The efferent arterioles of the juxtamedullary glomeruli are much different. They do break up, but they form bundles of vessels (
arteriolae recti The vasa recta of the kidney, (vasa recta renis) are the straight arterioles, and the straight venules of the kidney, – a series of blood vessels in the blood supply of the kidney that enter the medulla as the straight arterioles, and leave th ...
) that cross the outer zone of the medulla to perfuse the inner zone. Vessels returning from the inner medulla (
venulae recti The vasa recta of the kidney, (vasa recta renis) are the straight arterioles, and the straight venules of the kidney, – a series of blood vessels in the blood supply of the kidney that enter the medulla as the straight arterioles, and leave th ...
) intersperse themselves in a highly regular fashion among the descending arteriolae recti to form a well-organized
rete mirabile A rete mirabile (Latin for "wonderful net"; plural retia mirabilia) is a complex of arteries and veins lying very close to each other, found in some vertebrates, mainly warm-blooded ones. The rete mirabile utilizes countercurrent blood flow within ...
. This rete is responsible for the osmotic isolation of the inner medulla from the rest of the kidney and so permits the excretion of a
hypertonic In chemical biology, tonicity is a measure of the effective osmotic pressure gradient; the water potential of two solutions separated by a partially-permeable cell membrane. Tonicity depends on the relative concentration of selective membrane- ...
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 excretion, excreted from the body through the urethra. Cel ...
when circumstances require. Since the rete also isolates the inner medulla from gaseous exchange, any metabolism in this area is
anaerobic Anaerobic means "living, active, occurring, or existing in the absence of free oxygen", as opposed to aerobic which means "living, active, or occurring only in the presence of oxygen." Anaerobic may also refer to: * Anaerobic adhesive, a bonding a ...
, and
red cells Red blood cells (RBCs), also referred to as red cells, red blood corpuscles (in humans or other animals not having nucleus in red blood cells), haematids, erythroid cells or erythrocytes (from Greek ''erythros'' for "red" and ''kytos'' for "holl ...
, which would serve no purpose there, are ordinarily shunted from the arteriolae recti by an unknown mechanism into the capillary plexus surrounding the tubules of the outer zone of the medulla. Blood in this plexus and returning from the inner medulla finds its way to the renal vein and the general circulation by pathways similar to those providing drainage for the rest of the cortex.


Regulation of glomerular filtration rate

When
angiotensin II Angiotensin is a peptide hormone that causes vasoconstriction and an increase in blood pressure. It is part of the renin–angiotensin system, which regulates blood pressure. Angiotensin also stimulates the release of aldosterone from the adre ...
levels are increased due to activation of the renin–angiotensin–aldosterone system, most of the arteries in the body experience
vasoconstriction Vasoconstriction is the narrowing of the blood vessels resulting from contraction of the muscular wall of the vessels, in particular the large arteries and small arterioles. The process is the opposite of vasodilation, the widening of blood vessel ...
, in order to maintain adequate blood pressure. However, this reduces blood flow to the kidneys. To compensate, the efferent arterioles constrict to a greater degree than the other arteries, in response to increased levels of angiotensin II. Pressure in glomerular capillaries is therefore maintained and glomerular filtration rate remains adequate. However, in states of where angiotensin II is very high for a prolonged period of time, the colloid oncotic pressure of the capillaries will increase, counteracting the increased hydrostatic pressure from the efferent constriction. This will decrease the glomerular filtration rate, depending on the level of oncotic increase in the capillaries, resulting in a decreased filtration fraction.


See also

*
Afferent arteriole The afferent arterioles are a group of blood vessels that supply the nephrons in many excretory systems. They play an important role in the regulation of blood pressure as a part of the tubuloglomerular feedback mechanism. The afferent arteriole ...


Additional images

File:Corpuscule-malpighi.JPG, Malpighian corpuscle. File:Glomerular Physiology.png, Glomerulus. File:Renal corpuscle-en.svg, Renal corpuscle


External links

* * - "Mammal, renal vasculature (EM, Low)" {{Authority control Kidney anatomy