Glomerular basement membrane

Glomerular basement membrane
Glomerulus; note "Glomerular basement membrane and podocytes".
Scheme of filtration barrier (blood-urine) in the kidney. A. The endothelial cells of the glomerulus; 1. pore (fenestra). B. Glomerular basement membrane: 1. lamina rara interna 2. lamina densa 3. lamina rara externa C. Podocytes: 1. enzymatic and structural protein 2. filtration slit 3. diaphragm
Identifiers
MeSH	glomerular+basement+membrane
Dorlands /Elsevier	m_08/12522684
Anatomical terminology [edit on Wikidata]

The glomerular basement membrane (GBM) of the kidney is the basal lamina layer of the glomerulus. The glomerular capillary endothelial cells, the GBM and the filtration slits between the podocytes perform the filtration function of the glomerulus, separating the blood in the capillaries from the filtrate that forms in Bowman's capsule.^[1] The GBM is a fusion of the endothelial cell and podocyte basal laminas.^[2]

Layers

The GBM contains three layers: ^[3]

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 (Molecular Weight > 5800kDa)
lamina rara interna	adjacent to endothelial cells	heparan sulfate	blocks by charge

The glomerular membrane consists of mesangial cells, modified pericytes that in other parts of the body separate capillaries from each other. The podocytes adjoining them have filtration slits of diameter 25 nm that are formed by the pseudopodia arising from them. The filtration slits are covered by a diaphragm that includes the transmembrane protein nephrin.

Pathology

Micrograph showing GBM spike formation in membranous nephropathy. Jones stain.

• 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 to alpha 3 NC1 domain of type IV collagen.
• 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.
• Alport syndrome is a X-linked hereditary nephritis caused by mutations in type IV collagen, leading to a split lamina densa of the glomerular basement membrane. It also affects the eye and inner ear.

See also

• basement membrane
• nephrin

Additional images

• 

  Renal corpuscle. GBM is #1.

References

1. Jarad, G.; Miner, J. H. (2009). "Update on the glomerular filtration barrier". Current opinion in nephrology and hypertension 18 (3): 226–232. doi:10.1097/mnh.0b013e3283296044. PMC 2895306. PMID 19374010.
2. Physiology: 7/7ch04/7ch04p07 - Essentials of Human Physiology - "Basement Membrane"
3. JCI - New articles published

External links

• glomerular basement membrane at the US National Library of Medicine Medical Subject Headings (MeSH)
• "The GBM and its disorders" at dmed.ed.ac.uk