Three-dimensional architecture of vasculature and nephron segments in rat renal inner medulla (IM) was assessed with digital reconstructions from physical sections. Descending vasa recta (DVR), ascending vasa recta (AVR), descending thin limbs (DTLs), ascending thin limbs (ATLs), and collecting ducts (CDs) were identified with antibodies against segment-specific proteins associated with solute and water transport (UT-B, PV-1, AQP1, ClC-K1, and AQP2) by indirect immunofluorescence. Countercurrent exchange by IM vasculature sustains interstitial solute gradients. However, exchange occurs only at the perimeter of CD clusters since DVR are absent within these CD clusters. A symmetrical set of typically four fenestrated, branched or unbranched AVR abuts each CD at nearly all levels of the IM. AVR adhere to each CD continuously for as much as one mm in length or more. 54% of the CD surface area abuts AVR. Electron microscopy shows close contact between AVR and CDs at adherence areas. Microvilli arising from AVR endothelia connect to CDs at these areas. ATLs are distributed nearly uniformly amongst the CDs within each CD cluster. ATLs and AVR are sufficiently close together to form interstitial compartments delimited by AVR, ATLs and CDs. This architectural arrangement and apparent isolation of these compartments from outlying DTLs and DVR raise questions regarding their function. For one, it raises the possibility that lateral solute diffusion from ATLs and CDs and diffusion into AVR could be preferentially restricted to these areas. An additional factor increasing and defining compartmentation, and thereby restricting diffusive exchange, would be interstitial cell architecture. (NIH DK16294)
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