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Published ahead of print on March 5, 2008
J Am Soc Nephrol 19: 2272-2275, 2008
© 2008 American Society of Nephrology
doi: 10.1681/ASN.2007121326

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Science in Renal Medicine

Glomerulotubular Balance, Tubuloglomerular Feedback, and Salt Homeostasis

Scott C. Thomson and Roland C. Blantz

Department of Medicine, Division of Nephrology-Hypertension, University of California San Diego, and VA San Diego Healthcare System, San Diego, California

Correspondence: Dr. Scott C. Thomson, Department of Medicine, University of California, and VA San Diego Healthcare System, 3350 La Jolla Village Drive 9111H, San Diego, CA 92161. Phone: 858-552-7528; Fax: 858-552-7549; E-mail: rblantz{at}ucsd.edu

The homeostasis of NaCl is critical to complex organisms with closed blood systems. Kidneys regulate this salt excretion by modulating the rapport between glomeruli and tubules. The tubules respond to glomeruli with glomerulotubular balance, whereas glomeruli respond to tubules through tubuloglomerular feedback. These relationships are dynamic, mysterious, and amenable to mathematical analyses. The biology underlining what is known about these interactions is observational, fragmentary, and somewhat inconclusive. Discussed here is a simple tethering of these interrelated concepts.




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