Glomerular basement membrane
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| Glomerular basement membrane | |
|---|---|
 | |
| Glomerulus. (Diagram in French, but "Membrane basale glomerulaire et ses podocytes" labeled near center.) | |
| MeSH | glomerular+basement+membrane |
| Dorlands/Elsevier | m_08/12522684 |
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The glomerular basement membrane is the basal laminal portion of the glomerulus which performs the actual filtration though the filtration slits between the podocytes , separating the blood on the inside from the filtrate on the outside. It is a fusion of the endothelial cell and podocyte basal laminas. [1]
Layers
The GBM contains three layers: [2]
| Layer | Location | Composition | Function |
| lamina rara externa | adjacent to podocyte processes | heparan sulfate | blocks by charge |
| lamina densa | dark central zone | type 4 collagen and laminin | blocks by size (MW > 69,000) |
| lamina rara interna | adjacent to endothelial cells | heparan sulfate | blocks by charge |
Pathology
- Goodpasture's syndrome is also known as "anti-glomerular basement membrane disease". Capillaries become inflamed as a result of damage to the basement membrane by antibodies.
- Nephrotic syndrome is a change in the structure of the glomerular filtration mechanism usually in the glomerular basement membrane. Some symptoms include proteinuria, hypoalbuminaemia, oedema, and hyperlipidemia.
- Diabetic glomerulosclerosis is a thickening of the basement membrane, which can become up to 4-5 times thicker than normal. Can be caused by insulin deficiency or resultant hyperglycemia.
See also
References
- ↑ Physiology at MCG 7/7ch04/7ch04p07 - "Basement Membrane"
- ↑ http://www.jci.org/cgi/content/full/116/8/2090/F1
External links
- MeSH glomerular+basement+membrane
- "The GBM and its disorders" at dmed.ed.ac.uk
- Histology at harvard.edu
- Structure at wramc.army.mi
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
