W. Pfaller et al., QUANTITATIVE MORPHOLOGY OF RENAL CORTICAL STRUCTURES DURING COMPENSATORY HYPERTROPHY, Experimental nephrology, 6(4), 1998, pp. 308-319
The compensatory hypertrophy in different renal cortical structures wa
s studied in rats 10 and 21 days after unilateral nephrectomy (UNX). Q
uantitative morphological/stereological analysis revealed significant
increases in total renal cortical volume - 33% on day 10 and 48% on da
y 21 - after UNX. These changes were paralleled by significant increme
nts in the volumes of proximal convoluted tubule (PCT, 55%), distal co
nvoluted tubule (DCT, 114%), and cortical collecting duct (CCD, 106%)
segments on day 10. The corresponding changes on day 21 were 76, 122,
and 212%, respectively. These alterations were accompanied by increase
s in segment length; 3% PCT, 23% DCT, and 50% CCD on day 10 and 9% PCT
, 30% DCT, and 142% CCD on day 21 after UNX. The total luminal and bas
olateral cell membrane surface areas also exhibited a time-dependent i
ncrease after UNX. The increments in both luminal and basolateral memb
rane domains in PCT and DCT after 10 days were not significant, but re
ached significance after 21 days (PCT: luminal membrane 21%, basolater
al membrane 63%; DCT: luminal membrane 98%, basolateral membrane 63%).
In contrast, CCD membrane areas had increased substantially already 1
0 days after UNX (luminal membrane 92%, basolateral membrane 71%). It
declined subsequently by day 21 (luminal membrane 57%, basolateral mem
brane 32%). The cell rubidium concentration after a 30-second rubidium
infusion, an index of Na-K-ATPase activity, as well as sodium concent
rations were unaltered in cells of all nephron segments investigated.
Altogether the stereological analysis shows that the compensatory incr
ease in organ volume can be attributed primarily to an increase in nep
hron epithelial volume. The PCT responds with 'radial' hypertrophy (th
ickening of the tubular epithelial wall), while the DCT undergoes 'len
gth' hypertrophy (increase of tubular length without thickening of the
tubular wall and without an increase in number of cells). This type o
f hypertrophy is especially prominent on day 21 after UNX for the CCD
which doubles in length. Only on day 10 does the CCD seem to respond w
ith hyperplasia. Adaptive changes in response to UNX develop gradually
. Only a few of the morphological parameters studied had completed the
ir change by 10 days, the majority required longer.