| Literature DB >> 25700457 |
Marcus J Moeller1, Christoph Kuppe1.
Abstract
It is still not fully resolved how the glomerular filter works and why it never clogs. Several models have been proposed. In this review, we will compare the most widely used "pore model" to the more recent and refined "electrokinetic model" of glomerular filtration. The pore model assumes the existence of highly ordered regular pores, but it cannot provide a mechanistic explanation for several of the inherent characteristics of the glomerular filter. The electrokinetic model assumes that streaming potentials generate an electrical field along the filter surface which repels the negatively charged plasma proteins, preventing them from passing across the filter. The electrokinetic model can provide elegant mechanistic solutions for most of the unresolved riddles about the glomerular filter.Keywords: Albumin filtration; convection; diffusion; electrophoresis; glomerular sieving; permeability; proteinuria; streaming potential; ultrafiltration
Mesh:
Year: 2015 PMID: 25700457 PMCID: PMC4335921 DOI: 10.3747/pdi.2014.00189
Source DB: PubMed Journal: Perit Dial Int ISSN: 0896-8608 Impact factor: 1.756