The Japanese Journal of Urology
Online ISSN : 1884-7110
Print ISSN : 0021-5287
A HISTOLOGIC STUDY OF THE KIDNEY WITH EXPERIMENTAL RENAL
ARTERY STENOSIS: WITH SPECIAL REFERENCE TO THE JUXTAGLOMERULAR APPARATUS
Shinichi Okano
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1967 Volume 58 Issue 1 Pages 64-86

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Abstract

1) A histologic study of the kidney, especially the juxtaglomerular apparatus (J. G. A.), was made in 47 rabbits with unilateral stenosis of the renal artery and in 13 control rabbits. Relationship between the degree of constriction and the time relation of histologic changes was investigated.
2) Hypertension was produced in 64% of moderately, 38% of lightly, and 24% of highly constricted groups. Namely moderate constriction produced hypertension on thehighest percentage.
3) The injury of tissues increased in proportion to the degree of constriction. It first manifested itself in renal tubules and then glomeruli and interstitial tissues. Changes in the vascular system appeared later. No significant relationship was observed between the development of hypertension and the histologic changes except J. G. A.
4) J. G. A. itself suffered injury by high constriction and lost its function.
5) It was observed how J. G. A. respond following the constriction and concluded that J. G. A. respond in a manner expected of a secretory gland. In addition it was made clear that J. G. I. is able to be applied after one week.
6) The author devised an index of juxtaglomerular apparatus (I. J. G. A.) in order to evaluate hypertrophy and hyperplasia of J. G. cells and demonstrated its usefulness.

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