Key points are not available for this paper at this time.
JG cell granularity in hypertension is hypothesis-generating; larger prospective studies needed before clinical adoption.
Article1 July 1963The Granularity of the Juxtaglomerular Cells in Human HypertensionHistologic and Clinical CorrelationsH. D. ITSKOVITZ, M.D., E. A. HILDRETH, M.D., F.A.C.P., A. M. SELLERS, M.D., F.A.C.P., W. S. BLAKEMORE, M.D., F.A.C.S.H. D. ITSKOVITZ, M.D.Search for more papers by this author, E. A. HILDRETH, M.D., F.A.C.P.Search for more papers by this author, A. M. SELLERS, M.D., F.A.C.P.Search for more papers by this author, W. S. BLAKEMORE, M.D., F.A.C.S.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-59-1-8 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptRecent studies relating renin and angiotensin to the regulation of aldosterone secretion have stimulated renewed interest in the juxtaglomerular cells of the kidney and in their role in normal body physiology and in human hypertension (1-5). The juxtaglomerular cells are located in the terminal portion of the renal afferent arteriole (6). They contain cytoplasmic granules which are believed to be renin or a precursor of renin (5, 7-9). Under normal circumstances, the human kidney has few juxtaglomerular granules and little renin activity (10). When the arterial blood flow to the kidney is sufficiently compromised, as demonstrated by Goldblatt (11), the...References1. DAVISHARTROFTTITUSCARPENTERAYERSSPIEGEL JOPMEOCCCRHE: The role of the renin-angiotensin system in the control of aldosterone secretion. J. Clin. Invest. 41: 378, 1962. CrossrefMedlineGoogle Scholar2. DAVISCARPENTERAYERSHOLMANBAHNCASPARCAVANAUGH JOCCCRJERCAE: Evidence for secretion of an aldosterone stimulating hormone by the kidney. J. Clin. Invest. 40: 684, 1961. CrossrefMedlineGoogle Scholar3. DAVISAYERSCARPENTER JOCRCC: Renal origin of an aldosterone stimulating hormone in dogs with thoracic caval constriction and in sodium depleted dogs. Ibid., 1466. Google Scholar4. MULROWGANONG PJWF: The mechanism of aldosterone stimulation following hemorrhage in the hypophysectomized dog. Ibid., 1065. Google Scholar5. HARTROFTHARTROFT WSPM: New approaches in the study of cardiovascular disease, aldosterone, renin, hypertension, and juxtaglomerular cells. Fed. Proc. 20: 845, 1961. MedlineGoogle Scholar6. HAMLEESON AWTS: Histology, 4th ed., J. B. Lippincott Company, Philadelphia and Montreal, 1961, p. 705. Google Scholar7. COOKPICKERING WFGW: The location of renin within the kidney. J. Physiol. 143: 78, 1958. Google Scholar8. TOBIANJANECEKTOMBOULIAN LJA: Correlation between granulation of juxtaglomerular cells and extractable renin in rats with experimental hypertension. Proc. Soc. Exp. Biol. Med. 100: 94, 1959. CrossrefMedlineGoogle Scholar9. PITCOCKHARTROFTNEWMARK JAPMLN: Increased renal pressor activity (renin) in sodium deficient rats and correlation with juxtaglomerular granulation. Ibid., 868. Google Scholar10. DES PREZ J: The juxtaglomerular apparatus of the hypertensive kidney. Amer. J. Clin. Path. 18: 953, 1948. CrossrefMedlineGoogle Scholar11. GOLDBLATT H: The renal origin of hypertension. Physiol. Rev. 27: 120, 1947. CrossrefMedlineGoogle Scholar12. GOORMAGHTIGH N: Existence of endocrine gland in media of renal arterioles. Proc. Soc. Exp. Biol. Med. 42: 688, 1939. CrossrefGoogle Scholar13. SKEGGSKAHN LTJR: Renal pressor system in hypertension. Circulation 17: 658, 1958. CrossrefMedlineGoogle Scholar14. PAGEBUMPUS IHFM: Angiotensin. Physiol. Rev. 41: 331, 1961. CrossrefMedlineGoogle Scholar15. GOLDBERGMCCURDY MDK: Hyperaldosteronism and hypergranularity of the juxtaglomerular cells in renal hypertension: metabolic studies. Ann. Intern. Med. 59: 24, 1963. LinkGoogle Scholar16. MATTOXLEWBART VM: The determination of aldosterone in urine. J. Clin. Endocr. 19: 1151, 1959. CrossrefGoogle Scholar17. HARTROFTHARTROFT PMWS: Studies on renal juxtaglomerular cells. I. Variations produced by sodium chloride and desoxycorticosterone acetate. J. Exp. Med. 97: 415, 1953. CrossrefMedlineGoogle Scholar18. TOBIAN L: Physiology of the juxtaglomerular cells. Ann. Intern. Med. 52: 395, 1960. LinkGoogle Scholar19. DEXTERFRANKHAYNESALTSCHULE LHAFWMA: Traumatic shock. VI. The effect of hemorrhagic shock on the concentration of renin and hypertensinogen in the plasma in unanesthetized dogs. J. Clin. Invest. 22: 847, 1942. CrossrefGoogle Scholar20. LUETSCHER JA: The effect of a single injection of concentrated serum albumin on circulating proteins and proteinuria in nephrosis. J. Clin. Invest. 23: 365, 1944. CrossrefMedlineGoogle Scholar21. TOBIANPERRYMARK LSJ: The relationship of the juxtaglomerular apparatus to sodium retention in experimental nephrosis. Ann. Intern. Med. 57: 382, 1962. LinkGoogle Scholar22. PAPPER S: The role of the kidney in Laennec's cirrhosis of the liver. Medicine (Balt.) 37: 299, 1958. CrossrefMedlineGoogle Scholar23. MCMANUS JF: Medical Diseases of the Kidney, Lea & Febiger, Philadelphia, 1950, p. 38. Google Scholar24. FORSHAM PT: The adrenals, in Textbook of Endocrinology, 3d ed., ed. by Williams, R. H., W. B. Saunders Company, Philadelphia, 1962, p. 282. Google Scholar25. PITCOCKHARTROFT JAPM: Juxtaglomerular cells in man and their relationship to level of plasma sodium and to zona glomerulosa of adrenal cortex. Amer. J. Path. 34: 863, 1958. MedlineGoogle Scholar26. CARPENTERDAVISAYERS CCJOCR: Relation of renin, angiotensin II and experimental renal hypertension to aldosterone secretion. J. Clin. Invest. 40: 2026, 1961. CrossrefMedlineGoogle Scholar27. LARAGHANGERSKELLYLIEBERMAN JHMWGS: Hypotensive agents and pressor substances. The effect of epinephrine, norepinephrine, angiotensin II, and others on the secretory rate of aldosterone in men. JAMA 174: 234, 1960. CrossrefMedlineGoogle Scholar28. BIRONKOIWNOWACZYNSKIBROUILLETGENEST PEWJJ: The effects of intravenous infusions of valine-5 angiotensin II and other pressor agents on urinary electrolytes and corticosteroids including aldosterone. J. Clin. Invest. 40: 338, 1961. CrossrefMedlineGoogle Scholar29. LUETSCHERJOHNSON JABB: Chromatographic separation of the sodium retaining corticoid from the urine of children with nephrosis compared with observations on normal children. J. Clin. Invest. 33: 276, 1954. CrossrefMedlineGoogle Scholar30. LARAGH JH: Oversecretion of aldosterone in man and its relation to hypertensive vascular disease: factors which control secretion of the hormone, in Hypertension: Recent Advances. The Second Hahnemann Symposium on Hypertensive Disease, ed. by BREST, A. N., and MOYER, J. H., Lea & Febiger, Philadelphia, 1961, p. 95. Google Scholar31. BARTTERCASPERDELSASLATER FCAGCSJD: On the role of the kidney in control of adrenal steroid production. Metabolism 10: 1006, 1961. Google Scholar32. TOBIANTOMBOULIANJANECEK LAJ: The effect of high perfusion pressures on the granulation of juxtaglomerular cells in an isolated kidney. J. Clin. Invest. 38: 605, 1959. CrossrefMedlineGoogle Scholar33. KOHLSTAEDTPAGE KGIH: Liberation of renin by perfusion of kidneys following reduction in pulse pressure. J. Exp. Med. 72: 201, 1940. CrossrefMedlineGoogle Scholar34. JUDSON WE: Pressor activity of dialyzed plasma of patients with primary and secondary (renal) hypertension. Amer. J. Cardiol. 9: 710, 1962. CrossrefMedlineGoogle Scholar35. HELMER OM: Presence of renin in plasma of patients with arterial hypertension. Circulation 25: 169, 1962. CrossrefMedlineGoogle Scholar36. LANDIS EM: Hypertension and the pressor activity of heated extracts of human kidneys. Amer. J. Med. Sci. 202: 14, 1941. CrossrefGoogle Scholar37. KAHNSKEGGSSHUMWAYWISENBAUGH JRLTNPPC: Assay of hypertensin from arterial blood from normotensive and hypertensive human beings. J. Exp. Med. 95: 523, 1952. CrossrefMedlineGoogle Scholar38. SKEGGSKAHN LTJR: Renal pressor system in hypertension. Circulation 17: 658, 1958. CrossrefMedlineGoogle Scholar39. HELMER OH: Pressor substances and hypertension in Hypertension: Recent Advances. The Second Hahnemann Symposium on Hypertensive Disease, ed. by BREST, A. N., and MOYER, J. H., Lea & Febiger, Philadelphia, 1961, p. 122. Google Scholar40. WAKERLIN GE: Endocrine factors in renal hypertension. Physiol. Rev. 35: 555, 1955. CrossrefMedlineGoogle Scholar41. MARGOLINMERRILLHARRISON EGJPJH: Diagnosis of hypertension due to occlusions of the renal artery. New Eng. J. Med. 256: 581, 1957. CrossrefMedlineGoogle Scholar42. MORRISRANSOMHOWARD REPAJE: Studies on the relationship of angiotensin to hypertension of renal origin. J. Clin.. Invest. 41: 1386, 1962. Google Scholar43. DEXTERHAYNES LFW: Relation of renin to human hypertension with particular reference to eclampsia, pre-eclampsia, and acute glomerulonephritis. Proc. Soc. Exp. Biol. Med. 55: 288, 1944. CrossrefGoogle Scholar44. HILDENKROGSGAARD TAR: Low serum potassium level in severe hypertension. Amer. J. Med. Sci. 236: 487, 1958. CrossrefMedlineGoogle Scholar45. WRONG O: Incidence of hypokalemia in severe hypertension. Brit. Med. J. 2: 419, 1961. CrossrefMedlineGoogle Scholar46. LARAGHULICKJANUSZEWICZDEMINGKELLYLIEBERMAN JHSVQBWJS: Aldosterone secretion and primary and malignant hypertension. J. Clin. Invest. 39: 1091, 1960. CrossrefMedlineGoogle Scholar47. LAIDLOWYENDTJARNALL JCERAG: Hypertension caused by renal artery occlusion simulating primary aldosteronism. Metabolism 9: 612, 1960. MedlineGoogle Scholar48. GOWENLOCKWRONG AHO: Hyperaldosteronism secondary to renal ischaemia. Quart. J. Med. 31: 323, 1962. MedlineGoogle Scholar48. GOWENLOCKWRONG AHO: Hyperaldosteronism secondary to renal ischaemia. Quart. J. Med. 31: 323, 1962. MedlineGoogle Scholar49. GENESTBIRONCHRETIENBOUCHERKOIW JPMRE: Blood angiotensin levels in normal subjects and hypertensive patients. J. Clin. Invest. 41: 1360, 1962. Google Scholar50. HOLLEYHUNTBROWNKINCAIDSHEPS KEJCALOWSG: Renal artery atherosclerosis in normotensive and hypertensive subjects studied at necropsy. Circulation 26: 731, 1962. Google Scholar51. TURGEONSOMMERS CSC: Juxtaglomerular cell counts and human hypertension. Amer. J. Path. 38: 227, 1961. MedlineGoogle Scholar52. BOUGHTONSOMMERS RMSC: A new concept of renal hypertension. J. Urol. 89: 133, 1963. CrossrefMedlineGoogle Scholar53. CROCKERNEWTONMAHONEYHARRISON DWRAEMJH: Hypertension due to primary renal ischaemia. New Eng. J. Med. 794, 1962. Google Scholar54. LARAGH JH: Aldosteronism and arterial hypertension. Med. Clin. N. Amer. 45: 321, 1961. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Philadelphia, PennsylvaniaFrom the Hypertension Section, Edward B. Robinette Foundation, Department of Medicine and Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.This investigation has been supported in part by the Heart Association of Southeastern Pennsylvania, by grant OG-16, Division of General Medical Sciences, National Institutes of Health, and by grant H 5139 of the United States Public Health Service.Dr. Hildreth is a John and Mary R. Markle Scholar in Medicine, 1958-1963.Requests for reprints should be addressed to Harold D. Itskovitz, M.D., Hypertension Section, Edward B. Robinette Foundation, University of Pennsylvania Hospital, Philadelphia 4, Pennsylvania. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByImmunohistochemical Localization of Renin in End-Stage KidneysNonrenovascular renal hypertension in childrenMorphometry of the juxtaglomerular apparatus of the allografted human kidneyREFERENCESTHE STRUCTURE OF THE JUXTAGLOMERULAR COMPLEXThe juxtaglomerular apparatus in hypertensive patients with coarctation of the aorta of adult typeSTUDIES ON PLASMA ANGIOTENSINASE ACTIVITY IN NORMAL AND TOXEMIC PREGNANCYThe juxtaglomerular apparatus in Addison's diseaseControl of Aldosterone SecretionDer Effekt von Aldosteron, Desoxycorticosteron und Hydrocortison auf die granulierten epitheloiden Zellen in der Wandung des Vas afferens der MäuseniereCONN'S SYNDROME COMPLICATED BY FULMINANT PYELONEPHRITIS IN AN OLD PATIENTTHE JUXTAGLOMERULAR APPARATUSRenin Content of the Kidney in Primary AldosteronismDiagnostic significance of humoral factors in renovascular hypertensionRenal vascular hypertension diagnosis and treatmentA Study of the Juxtaglomerular Body in Primary AldosteronismRICHARD J. COHEN, RICHARD C. SEVERANCE, EDWARD G. WHITING, GEORGE D. LUNDBERGAN AUTOPSY CASE OF ALDOSTERONISM ACCOMPANIED BY UNILATERAL RENOVASCULAR HYPERTENSION IN A YOUNG CHILD AND THE DEMONSTRATION OF JUXTAGLOMERULAR GRANULES†BLOOD-PRESSURE HYPERREACTIVITY TO ANGIOTENSIN IN MANHYALINE-MEMBRANE DISEASERenal biopsy in hyperaldosteronismPercutaneous Renal Biopsy 1 July 1963Volume 59, Issue 1_Part_1Page: 8-23KeywordsCellsHospital medicineHypertensionKidneysMedical servicesPyelonephritisRenal physiologyStenosisSurgerySurgical pathology Issue Published: 1 July 1963 PDF DownloadLoading ...
No takes yet. Share an insight, caveat, or question.
Harold D. Itskovitz (1963) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: