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R P Tewarson

Publications and source records attributed to R P Tewarson.

10 recordsLinked to original sources

Convective uphill transport of NaCl from ascending thin limb of loop of Henle.

In this paper we describe a mathematical model of the renal inner medulla based on a previously proposed model [A.S. Wexler, R.E. Kalaba, and D.J. Marsh. Am. J. Physiol. 260 (Renal Fluid Electrolyte Physiol. 29): F368-F383, 1991] in which in the inner medullary ascending thin limb of Henle's loop (ATL) and collecting duct (CD) exchange with a local capillary node with the reabsorbed water and solutes flowing radially toward a central vascular bundle. Our model differs in that ascending and descending vasa recta and surrounding interstitial space are replaced by a central core. Our analysis of the coupled ATL-CD system shows that it is theoretically capable of transporting NaCl out of the ATL into the central vascular space (approximated by the central core) against a concentration gradient, which in the absence of radial diffusion can be arbitrarily large. By numerical solution of the model with the radial diffusion coefficient (D(r)) for NaCl of 0, we find that the ATL can be more than 100 mosmol/l hypotonic with respect to the core. We also find that with restricted diffusion the osmolality of the CD at the papilla is significantly greater than that of the loop of Henle. As D(r) approaches the diffusion coefficient of NaCl in free solution, the osmolality of the loop increases and that of the CD decreases. Thus, overall, contrary to intuitive expectations, the radial separation and uphill transport of NaCl do not give any significant increase in loop concentration, which depends primarily on the quantity of urea reabsorbed from the CD.

Animals↗

Comparison of central core and radially separated models of renal inner medulla.

In this paper we describe the effect of partitioning exchange of ascending thin limb (ATL) and collecting duct (CD) between a central vascular space (CORE) and a radially separated capillary node (NODE) in a mathematical model of the concentrating mechanism of the renal inner medulla. A detailed description of the model has been provided [J. L. Stephenson, J. F. Jen, H. Wang, and R. P. Tewarson. Am. J. Physiol. 268 (Renal Fluid Electrolyte Physiol. 37): F680-F692, 1995]. We define a partition coefficient theta, which denotes the fractional exchange of CD and ATL with the NODE. Thus with theta = 0 we have a central core model, in which the ATL and CD exchange with the CORE only, and with theta = 1 we have a totally radially separated model, in which the ATL and CD exchange with the NODE only. Decreasing the partition coefficient from 1 to 0 effects a continuous transition from a totally radially separated model to a central core model. As this transition progresses with increasing exchange with the CORE, the osmolalities in all structures become nearly the same at the papilla, and the ability to transport salt uphill is lost. This is true even with no radial diffusion. However, radial diffusion and direct exchange with the CORE act synergistically in decreasing osmolality differences at the papilla and the capacity for convective uphill transport. These are lost in a more or less parallel way. There is, however, no significant concomitant change in concentrating ability. These results indicate that models with radial mixing of the interstitial vascular space are probably reasonably good approximations for the inner medulla.

Animals↗

Effect of vasa recta flow on concentrating ability of models of renal inner medulla.

In this study we extend the analysis of the preceding two studies [J. L. Stephenson, J. F. Jen, H. Wang, and R. P. Tewarson. Am. J. Physiol. 268 (Renal Fluid Electrolyte Physiol. 37): F698-F709, 1995; and J. F. Jen, H. Wang, R. P. Tewarson, and J. L. Stephenson. Am. J. Physiol. 268 (Renal Fluid Electrolyte Physiol. 37): F000-F000, 1995] to a model that includes vasa recta. Distribution of nephron and vasa recta lengths is represented by shunting from descending to ascending flow. It is found that the effect of radial separation of structures on concentrating ability is closely linked to vasa recta flow. With minimal or no vasa recta flow the extent of radial mixing has little effect on concentrating ability. As vasa recta flow increases, concentrating ability is decreased by radial mixing. Convective uphill transport of NaCl is again observed, but concentrating ability appears to depend primarily on urea delivery to the inner medulla from the collecting duct rather than on the mechanism of salt transport out of thin ascending limb. Central core models give an upper bound on concentrating ability but do not attain the maximum urine osmolality of the rat with experimental values of tubular permeabilities.

Animals↗

On the solution of equations for renal counterflow models.

The results of a comparative study of three discretization techniques and the solution of the resulting algebraic equations by three methods is given. For this study, a four-tube central core model with diffusion in the core was selected and equations were derived for a coherent and efficient implementation. The results of this study show that sparse matrix techniques that take the physiological connectivity of the kidney lead to significant savings in computer storage, running time and overall cost.

Animals↗

Model of solute and water movement in the kidney.

Finite difference equations describing salt and water movement in a model of the mammalian kidney have been solved numerically by an extension of the Newton-Raphson method used for the medullary counterflow system. The method permits both steady-state and transient solutions. It has been possible to simulate behavior of the whole kidney as a function of hydrostatic pressures in renal artery, vein, and pelvis; protein and other solute concentrations in arterial blood; and phenomenological equations describing transport of solute and water across nephron and capillary walls. With the model it has been possible to compute concentrations, flows, and hydrostatic pressures in the various nephron segments and in cortical and medullary capillaries and interstitium. In a general way, calculations on the model have met intuitive expectations. In addition, they have reemphasized the critical dependence of renal function on the hydraulic and solute permeabilities of glomerular, postglomerular, and medullary capillaries. These studies provide additional support for our thesis that the functional unit of the kidney is not the single nephron, but a nephrovascular unit consisting of a group of nephrons and their tightly coupled vasculature.

Blood Pressure↗

Quantitative analysis of mass and energy balance in non-ideal models of the renal counterflow system.

A modified Newton-Raphson method for solving finite difference equations for the renal counterflow system is described. The method has proved generally stable and efficient, and has given significant computational results for a variety of models: calculations on single solute models of the coupled vasa recta nephron counterflow system have shown that for large water and solute permeabilities of the exchanging membranes, behavior of the non-ideal system approaches that of the previously described ideal central core model. Concentration by salt and urea mixing in two solute models has been analyzed and previous conclusions from central core models have been found to remain valid in non-ideal systems. The numerical solutions have set some order of magnitude bounds on permeability requirements for concentration in different types of non-ideal systems. Finally, from the detailed concentration profiles it has been possible to relate the rate of free energy creation and dissipation from transmembrane transport of solutes and water to the net rate of free energy efflux from the counterflow system, and so to compute in a given model the fraction of power used for solute concentration.

Biological Transport, Active↗