INTRODUCTION
Juxta-glomerular apparatusis a specialized organ
situated near the glomerulus of each nephron (juxta =
near).
Juxta-glomerular apparatus is formed by three different
structures:
1. Macula densa
2. Extraglomerular mesangial cells
3. Juxtaglomerular cells.
4.
CELLS OF JGA
MACULA DENSA:
Macula densa is the end portion of thick ascending segment
before it opens into distal convoluted tubule. It is situated
between afferent and efferent arterioles of the same nephron.
It is very close to afferent arteriole. Macula densa is formed
by tightly packed cuboidal epithelial cells.
MESENGIAL CELLS:
Extraglomerular mesangial cells are situated in the triangular
region bound by afferent arteriole, efferent arteriole and
macula densa. These cells are also called agranular cells, lacis
cells or Goormaghtigh cells.
5.
CELLS OF JGA
GLOMERULAR MESENGIAL CELLS:
Besides extraglomerular mesangial cells there is another
type of mesangial cells situated in between glomerular
capillaries called glomerular mesangial or intraglomerular
mesangial cells.
Glomerular mesangial cells support the glomerular
capillary loops by surrounding the capillaries in the form
of a cellular network.
These cells play an important role in regulating the
glomerular filtration by their contractile property
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CELLS OF JGA
JUXTA-GLOMERULAR CELLS:
Juxtaglomerular cells are specialized smooth muscle
cells situated in the wall of afferent arteriole just before
it enters the Bowman capsule.
These smooth muscle cells are mostly present in tunica
media and tunica adventitia of the wall of the afferent
arteriole.
Juxtaglomerular cells are also called granular cells
because of the presence of secretary granules in their
cytoplasm.
8.
FUNCTIONS OF JGA
It activates Renin-Angiotensin mechanism. Renin is an enzyme
which converts Angiotensinogen to Angiotensin-I.
Then Angiotensin-I converted to Angiotensin-II by Angiotensin
Converting Enzyme (ACE) Enzyme secreted by lungs.
Angiotensin-II activates Aldosterone and It further converted into
Angiotensin-III & IV. Aldosterone is an hormone which regulates
the sodium and other electrolytes like Pottasium, Bicarbonate, etc.,
It regulates the blood pressure by Vaso constriction. It is
performed by Angiotensin-II.
10.
FUNCTIONS OF JGA
Itincreases water intake by stimulating the thirst center.
It increases the secretion of orticotropin-releasing hormone
(CRH) from hypothalamus.CRH in turn increases secretion
of adrenocorticotropic hormone (ACTH) from pituitary.
It increases secretion of antidiuretic hormone (ADH) from
hypothalamus.
Angiotensin II acts as a growth factor in heart and it is
thought to cause muscular hypertrophy and cardiac
enlargement.
11.
FUNCTIONS OF JGA
Extraglomerular mesangial cells of juxtaglomerular
apparatus secrete prostaglandin.
Prostaglandin is also secreted by interstitial cells of
medulla called type I medullary interstitial cells.
Extraglomerular mesangial cells of juxtaglomerular
apparatus secrete cytokines like interleukin-2 and tumor
necrosis factor.
Macula densa secretes thromboxane A2 .
12.
FUNCTIONS OF JGA
Angiotensin-III increases the blood pressure and stimulates
aldosterone secretion from adrenal cortex. It has 100%
adrenocortical stimulating activity and 40% vasopressor
activity of angiotensin-II.
Angiotensin-IV also has adrenocortical stimulating and
vaso pressor activities.
Macula densa of juxtaglomerular apparatus plays an
important role in the feedback mechanism called
tubuloglomerular feedback mechanism, which regulates the
renal blood flow and glomerular filtration rate