The Juxtaglomerular Apparatus is a part of the anatomical structure of the kidneys that controls blood pressure and the filtration rate by sensing changes in sodium levels through the release of renin.
Located bilaterally at the junction of the afferent arteriole to the glomerulus with the distal convoluted tubule, the juxtaglomerular apparatus includes cells that have a most significant influence on regulating blood pressure and hence the filtration rate of the glomerulus. The constituent elements of the JGA are juxtaglomerular cells, macula densa cells, and extraglomerular mesangial cells.
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The former monitors blood pressure and the latter monitors the sodium concentration in the filtrate. So, it secretes renin in response to low/lost blood pressure or low Na+ in the filtrate and initiates the renin-angiotensin-aldosterone system, a hormone system involved in vasoconstriction and promoting sodium and water reabsorption. This mechanism helps in maintaining proper blood pressure, sufficient for filtration and renal functioning; therefore, the JGA is essential for homeostasis.
The Juxtaglomerular Apparatus, JGA, is located at the interface of the distal convolution, DCT, of the nephron as it curves back up to form a proximity with the afferent arteriole which feeds blood into the glomerulus.
These are the smooth muscle cells that line the walls of an afferent arteriole. They synthesize, store, and release renin due to stimulation by low blood pressure or decreased concentration of sodium chloride.
A cluster of tall, tightly fitted cells in the convoluted tubule at its distal end that come in contact with the afferent arteriole.
They detect the levels of sodium chloride in the filtrate and transmit signals for the juxtaglomerular cells to secrete renin in case of low levels of sodium.
These cells are located between the afferent arterioles and the efferent arteriole and between the glomerular capillaries.
They offer structural support, produce the extracellular matrix and transmit signals from the macula densa cells for the secretion of renin from the juxtaglomerular cells.
The functions of the juxtaglomerular apparatus are:
The Juxtaglomerular Apparatus does the important job of blood pressure homeostasis by sensing blood pressure and Na+ concentration in both blood and filtrate and bringing into action some compensatory responses in the body to rectify this disturbance.
The juxtaglomerular cells of the JGA are responsible for secreting the enzyme renin that converts angiotensinogen to angiotensin I—the first step in blood pressure regulation.
The contribution of the JGA is to turn on this renin-angiotensin-aldosterone system by secreting renin. It is a system that increases the BP by vasoconstriction, and also increases the reabsorption of Na and H2O in kidneys, hence increasing the blood volume and therefore pressure.
The JGA changes the diameter of the afferent arteriole to maintain an optimum GFR. This would facilitate efficient filtration and prevent damage to the glomerulus due to changes in blood pressure.
Juxtaglomerular cells are specialised smooth muscle cells located in the walls of the afferent arteriole that supply blood to the glomerulus. They lie adjacent to the convoluted tubule as it makes contact with the afferent arteriole at the distal end, forming a part of the so-called Juxtaglomerular Apparatus or JGA.
The primary role of juxtaglomerular cells is to produce, store, and secrete the enzyme renin, which plays a significant role in blood pressure regulation. In response to proper stimulation, these cells release renin into the blood where it activates the Renin-Angiotensin-Aldosterone System to raise blood pressure and thereby ensure the perfusion of the kidneys.
The juxtaglomerular cells release renin in response to several stimuli:
Low Blood Pressure: The blood pressure is locally detected by baroreceptors in the afferent arteriole.
Low Sodium Chloride Concentration: Detected by the macula densa cells in the distal convoluted tubule.
Activation of the Sympathetic Nervous System: Under stress or conditions of low blood pressure, the sympathetic nerves directly depolarize the juxtaglomerular cells.
The so-called juxtaglomerular apparatus—the JGA—is one of the major mechanisms by which this takes place; it has two key functions: it regulates the blood pressure and maintains the glomerular filtration rate through constant monitoring of blood pressure and, on the other hand, sodium chloride, by releasing renin, which is responsible for the activation of RAAS.
The secretions of the JGA regulate blood pressure by secreting renin at low blood pressure or with a drop in the concentration of sodium chloride and hence activate the RAAS, which will cause vasoconstriction and an increase in reabsorption of sodium and water, thereby increasing the blood pressure.
It is composed of juxtaglomerular cells, specialised smooth muscle cells in the afferent arteriole, macula densa cells in the distal convoluted tubule, and extraglomerular mesangial cells between the afferent and efferent arterioles.
Low blood pressure is detected by stretch receptors in the wall of the afferent arteriole, a low concentration of sodium chloride, which is sensed by macula densa cells, and the activation of the sympathetic nervous system.
The macula densa itself senses the sodium chloride concentration in the tubule of the distal convoluted tubule and sends the signal across to the juxtaglomerular cells to release renin upon the fall of sodium levels, thus participating in blood pressure homeostasis and GFR regulation.
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