Single nephron filtration rate of albumin (SNGFRAlb) was measured in remnant nephrons of Munich-Wistar rats 4-6 wk after subtotal nephrectomy (NPX). Serial thin-section histological analysis was then conducted on the same glomeruli by light microscopy. SNGFRtb ranged from 1 to 15 times normal. However, a direct relationship between abnormalities of structure and function was not seen, e.g. the glomeruli with the fewest structural abnormalities and marked hyperfiltration often had the highest SNGFRub. Moreover, the majority of glomeruli had minimal structural abnormalities. Normalization of the markedly elevated glomerular capillary pressure (PGC) in these glomeruli was accomplished by acute intravenous infusion of verapamil, which decreased SNGFRb by 9-83% without affecting the single nephron filtration rate of water (SNGFRH2o). 1-2 wk after subtotal NPX, all glomeruli were hyperfiltering and had elevated PGC. The fractional clearance of larger (> 36 A) dextrans was selectively increased in these glomeruli that lacked discernible damage by light microscopy. Verapamil normalized PGC, reduced proteinuria to 48±4% of baseline, and improved glomerular size selectivity without altering SNGFRH2o. Proteinuria after subtotal NPX thus originates largely from glomeruli with minimal structural abnormalities. The defect in size selectivity is largely attributed to the prevailing high PGC, producing large, nonselective channels on the glomerular capillary wall. The observations raise the possibility that in chronic renal diseases, the reduction in proteinuria often seen after therapeutic measures, including antihypertensive medication, may reflect their functional effect on the relatively intact glomeruli rather than their structure-sparing effect on severely damaged glomeruli, which contribute little to the proteinuria. uria. The physiology underlying the nonselective nature of the proteinuria has recently been investigated by Myers and his associates (1, 2) in patients with a variety of primary glomerulopathies. An impairment of molecular size-selective function of glomeruli in these diseases has been illustrated. However, because the renal histology in chronic diseases is often characterized by a marked nephron-to-nephron heterogeneity, the nature of specific histological changes that primarily account for the proteinuria in chronic renal diseases has not been defined.The rat model of subtotal nephrectomy (NPX) possesses several characteristics that are typically seen in human chronic renal diseases. In addition to marked structural heterogeneity, progressive azotemia, proteinuria, and glomerular sclerosis are present in this model (3-6). Note that conventional methodology such as whole-kidney clearance measurements, does not allow the structure-function relationship among nephrons in kidneys with focal lesions to be evaluated directly. In this regard, Munich-Wistar rats are uniquely endowed with glomeruli on the surface of the kidney. This location allows the collection of single glomerular filtrate and measureme...