A model study of the tubuloglomerular feedback mechanism: effector site and influence on renal autoregulation.

The effector site of the macula densa tubuloglomerular feedback mechanism was determined with a mathematical model of glomerular ultrafiltration. The feedback response was found to be mediated by an increase in the hydraulic resistance of the afferent arteriole, possibly accompanied by a slight decrease in the ultrafiltration coefficient of the glomerular membrane. The contribution of the tubuloglomerular feedback mechanism to the autoregulation of renal blood flow and GFR during increased arterial blood pressure was evaluated with a mathematical model of the kidney. The tubuloglomerular feedback system of the superficial nephron was found to be a less efficient regulator of renal blood flow and GFR than the remainder of the autoregulatory mechanism.