In 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 ...

, the loop of Henle () (or Henle's loop, Henle loop, nephron loop or its

Latin Latin (, or , ) is a classical language belonging to the Italic languages, 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 ...

counterpart ''ansa nephroni'') is the portion of a nephron that leads from the

proximal convoluted tubule The proximal tubule is the segment of the nephron in kidneys which begins from the renal pole of the Bowman's capsule to the beginning of loop of Henle. It can be further classified into the proximal convoluted tubule (PCT) and the proximal straig ...

to the

distal convoluted tubule The distal convoluted tubule (DCT) is a portion of kidney nephron between the loop of Henle and the collecting tubule. Physiology It is partly responsible for the regulation of potassium, sodium, calcium, and pH. On its apical surface (lumen ...

. Named after its discoverer, the

German German(s) may refer to: * Germany (of or related to) **Germania (historical use) * Germans, citizens of Germany, people of German ancestry, or native speakers of the German language ** For citizens of Germany, see also German nationality law **Ge ...

anatomist Anatomy () is the branch of biology concerned with the study of the structure of organisms and their parts. Anatomy is a branch of natural science that deals with the structural organization of living things. It is an old science, having it ...

Friedrich Gustav Jakob Henle Friedrich Gustav Jakob Henle (; 9 July 1809 – 13 May 1885) was a German physician, pathologist, and anatomist. He is credited with the discovery of the loop of Henle in the kidney. His essay, "On Miasma and Contagia," was an early argument for ...

, the loop of Henle's main function is to create a

concentration gradient Molecular diffusion, often simply called diffusion, is the thermal motion of all (liquid or gas) particles at temperatures above absolute zero. The rate of this movement is a function of temperature, viscosity of the fluid and the size (mass) ...

in the medulla of the kidney. By means of a

countercurrent multiplier A countercurrent mechanism system is a mechanism that expends energy to create a concentration gradient. It is found widely in nature and especially in mammalian organs. For example, it can refer to the process that is underlying the process of ...

system, which uses electrolyte pumps, the loop of Henle creates an area of high urea concentration deep in the medulla, near the papillary duct in the

collecting duct system The collecting duct system of the kidney consists of a series of tubules and ducts that physically connect nephrons to a minor calyx or directly to the renal pelvis. The collecting duct system is the last part of nephron and participates in el ...

. Water present in the filtrate in the papillary duct flows through

aquaporin Aquaporins, also called water channels, are channel proteins from a larger family of major intrinsic proteins that form pores in the membrane of biological cells, mainly facilitating transport of water between cells. The cell membranes of a ...

channels out of the duct, moving passively down its concentration gradient. This process reabsorbs water and creates a 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. Cellul ...

for excretion.

Structure

The loop of Henle can be divided into four parts: *Thin

descending limb of loop of Henle Within the nephron of the kidney, the descending limb of loop of Henle is the portion of the renal tubule constituting the first part of the loop of Henle. Physiology The permeability is as follows: Also, the medullary interstitium is highly ...

:The thin descending limb has low permeability to ions and

urea Urea, also known as carbamide, is an organic compound with chemical formula . This amide has two amino groups (–) joined by a carbonyl functional group (–C(=O)–). It is thus the simplest amide of carbamic acid. Urea serves an important ...

while being highly permeable to water. The loop has a sharp bend in the renal medulla going from descending to ascending thin limb. *

Thin ascending limb of loop of Henle Within the nephron of the kidney, the ascending limb of the loop of Henle is a segment of the heterogenous loop of Henle downstream of the descending limb, after the sharp bend of the loop. This part of the renal tubule is divided into a thin and ...

:The thin ascending limb is impermeable to water, but it is permeable to ions. * Ascending limb of loop of Henle :Sodium (Na⁺),

potassium Potassium is the chemical element with the symbol K (from Neo-Latin '' kalium'') and atomic number19. Potassium is a silvery-white metal that is soft enough to be cut with a knife with little force. Potassium metal reacts rapidly with atmos ...

(K⁺) and

chloride The chloride ion is the anion (negatively charged ion) Cl−. It is formed when the element chlorine (a halogen) gains an electron or when a compound such as hydrogen chloride is dissolved in water or other polar solvents. Chloride s ...

(Cl⁻) ions are reabsorbed from the urine by secondary active transport by a Na-K-Cl cotransporter (NKCC2). The electrical and concentration gradient drives more reabsorption of Na⁺, as well as other

cation An ion () is an atom or molecule with a net electrical charge. The charge of an electron is considered to be negative by convention and this charge is equal and opposite to the charge of a proton, which is considered to be positive by conven ...

s such as

magnesium Magnesium is a chemical element with the symbol Mg and atomic number 12. It is a shiny gray metal having a low density, low melting point and high chemical reactivity. Like the other alkaline earth metals (group 2 of the periodic ...

(Mg²⁺) and

calcium Calcium is a chemical element with the symbol Ca and atomic number 20. As an alkaline earth metal, calcium is a reactive metal that forms a dark oxide-nitride layer when exposed to air. Its physical and chemical properties are most similar ...

(Ca²⁺). *Cortical thick ascending limb :The cortical thick ascending limb drains urine into the

. The tissue type of the loop is simple squamous epithelium. The "thick" and "thin" terminology does not refer to the size of the lumen, but to the size of the epithelial cells.Human Anatomy 7th edition (p.705) The loop is also sometimes called the Nephron loop.

Blood supply

The loop of Henle is supplied by blood in a series of straight capillaries descending from the cortical efferent arterioles. These capillaries (called the vasa recta; ''recta'' is from the

for "straight") also have a

mechanism that prevents washout of solutes from the medulla, thereby maintaining the medullary concentration. As water is osmotically driven from the descending limb into the

interstitium The interstitium is a contiguous fluid-filled space existing between a structural barrier, such as a cell membrane or the skin, and internal structures, such as organs, including muscles and the circulatory system. The fluid in this space is ...

, it readily enters the capillaries. The low bloodflow through the vasa recta allows time for osmotic equilibration, and can be altered by changing the resistance of the vessels' efferent arterioles. As well, blood in the vasa recta still has large proteins and ions which were not filtered through the glomerulus. This provides an oncotic pressure for ions to enter the vasa recta from the interstitium. The main function of the loop of Henle is to set up a concentration gradient.

Physiology

The descending loop of Henle receives isotonic (300 mOsm/L) fluid from the proximal convoluted tubule (PCT). The fluid is isotonic because as ions are reabsorbed by the gradient time system, water is also reabsorbed maintaining the

osmolarity Osmotic concentration, formerly known as osmolarity, is the measure of solute concentration, defined as the number of osmoles (Osm) of solute per litre (L) of solution (osmol/L or Osm/L). The osmolarity of a solution is usually expressed as Osm/L ...

of the fluid in the PCT. Substances reabsorbed in the PCT include urea, water, potassium, sodium, chloride, glucose, amino acids, lactate, phosphate, and bicarbonate. Since water is also reabsorbed the volume of fluid in the loop of Henle is less than the PCT, approximately one-third of the original volume. The interstitium of the kidney increases in osmolarity outside as the loop of Henle descends from 600 mOsm/L in the outer medulla of the kidney to 1200 mOsm/L in the inner medulla. The descending portion of the loop of Henle is extremely permeable to water and is less permeable to ions, therefore water is easily reabsorbed here and solutes are not readily reabsorbed. The 300 mOsm/L fluid from the loop loses water to the higher concentration outside the loop and increases in tonicity until it reaches its maximum at the bottom of the loop. This area represents the highest concentration in the nephron, but the collecting duct can reach this same tonicity with maximum ADH effect. The ascending limb of the loop of Henle receives an even lower volume of fluid and has different characteristics compared to the descending limb. In the ascending portion, the loop becomes impermeable to water and the cells of the loop actively reabsorb solutes from the luminal fluid; therefore water is not reabsorbed and ions are readily reabsorbed. As ions leave the lumen via the Na-K-2Cl symporter and the Na-H antiporter, the concentration becomes more and more hypotonic until it reaches approximately 100-150 mOsm/L. The ascending limb is also called the diluting segment of the nephron because of its ability to dilute the fluid in the loop from 1200 mOsm/L to 100 mOsm/L. Flow of the fluid through the entire loop of Henle is considered slow. As flow increases, the ability of the loop to maintain its osmolar gradient is reduced. The vasa recta (capillary loops) also have a slow flow as well. Increases in vasa recta flow wash away metabolites and cause the medulla to lose osmolarity as well. Increases in flow will disrupt the kidney's ability to form concentrated urine. Overall the loop of Henle reabsorbs around 25% of filtered ions and 20% of the filtered water in a normal kidney. These ions are mostly Na⁺, Cl⁻, K⁺, Ca²⁺ and HCO₃⁻. The powering force is the Na/K ATPase on the basolateral membrane which maintains the ion concentrations inside the cells. On the luminal membrane, Na enters the cells passively; using the Na-K-2Cl symporter. Then the Na/K ATPase will pump 3 Na out into the peritubular fluid and 2 K into the cell on the non-lumen side of the cell. This gives the lumen of the fluid in the loop a positive charge in comparison and creates a Na concentration gradient, which both push more Na into the cell via the Na-H antiporter. The hydrogen ion for the antiporter comes from the enzyme

carbonic anhydrase The carbonic anhydrases (or carbonate dehydratases) () form a family of enzymes that catalyze the interconversion between carbon dioxide and water and the dissociated ions of carbonic acid (i.e. bicarbonate and hydrogen ions). The active sit ...

, which takes water and carbon dioxide and forms bicarbonate and a hydrogen ion. The hydrogen ion is exchanged for the Na in the tubular fluid of the loop of Henle.

Additional images

Image:Gray1133.png, Transverse section of pyramidal substance of kidney of an adult pig, the bloodvessels of which are injected. Image:Kidney nephron molar transport diagram.svg, Diagram of physiological functions of nephron, including the loop of Henle.

References

External links