Layton AT, Dantzler WH, Pannabecker TL. Urine concentrating mechanism: impact of vascular and tubular architecture and a proposed descending limb urea-Na ϩ cotransporter. Am J Physiol Renal Physiol 302: F591-F605, 2012. First published November 16, 2011 doi:10.1152/ajprenal.00263.2011.-We extended a region-based mathematical model of the renal medulla of the rat kidney, previously developed by us, to represent new anatomic findings on the vascular architecture in the rat inner medulla (IM). In the outer medulla (OM), tubules and vessels are organized around tightly packed vascular bundles; in the IM, the organization is centered around collecting duct clusters. In particular, the model represents the separation of descending vasa recta from the descending limbs of loops of Henle, and the model represents a papillary segment of the descending thin limb that is water impermeable and highly urea permeable. Model results suggest that, despite the compartmentalization of IM blood flow, IM interstitial fluid composition is substantially more homogeneous compared with OM. We used the model to study medullary blood flow in antidiuresis and the effects of vascular countercurrent exchange. We also hypothesize that the terminal aquaporin-1 null segment of the long descending thin limbs may express a urea-Na ϩ or urea-Cl Ϫ cotransporter. As urea diffuses from the urea-rich papillary interstitium into the descending thin limb luminal fluid, NaCl is secreted via the cotransporter against its concentration gradient. That NaCl is then reabsorbed near the loop bend, raising the interstitial fluid osmolality and promoting water reabsorption from the IM collecting ducts. Indeed, the model predicts that the presence of the urea-Na ϩ or urea-Cl Ϫ cotransporter facilitates the cycling of NaCl within the IM and yields a loop-bend fluid composition consistent with experimental data. kidney; anti-diuresis; NaCl transport; urea transport WHEN DEPRIVED OF WATER, the mammalian kidney can produce a cortico-papillary osmotic gradient that gives rise to a urine that is much more concentrated than blood plasma. It is generally believed that the inner medullary (IM) osmotic gradient, like the outer medullary (OM) gradient, is generated by means of segment-specific interactions among the renal tubules and vessels. Washout of the gradient is prevented, in part, by means of vascular countercurrent exchange. However, the precise mechanism by which an osmolality gradient (especially the NaCl gradient; Ref. 27) is generated along the cortico-medullary axis of the IM remains controversial (32, 54).Recent anatomic findings have revealed in the IM of the rat kidney a highly structured organization of tubules and vessels. In the initial IM, vascular bundles exist as distinct entities consisting of a number of descending vasa recta (DVR) intermixed with a somewhat larger number of ascending vasa recta (AVR; Ref. 69). These vasa recta are the primary conduits for blood flow into and out of the IM and engage in countercurrent exchange of fluid and solutes....