The earlier studies of this series (1-6) have examined the cellular mechanisms concerned when proteins, injected into a normal experimental animal, the rat, are reabsorbed by the cells of the proximal convolution. A recent opportunity to observe "hyaline droplet" formation in human renal disease, epidemic hemorrhagic fever (EHF), in which certain therapeutic measures, i.e. the intravenous infusion of large amounts of human plasma protein, simulated the procedure of our previous experiments may serve to bridge the analogical gap between experimental and clinical observation. Moreover, since the human kidneys were the seat of extensive renal lesions, a condition which did not obtain in the normal animals of our earlier studies, an examination has been made by the experimental procedures previously used of the anomalies thus introduced into the processes of reabsorption and disposal of protein by the renal cells. The findings of these experiments have then been applied to the analysis of "hyaline droplet" formation in other examples of renal disease and a general theory of the phenomenon stated.
Kinds of DropletsBefore considering droplet formation in the complex situations of human renal disease a distinction must be clearly made between the droplets of varying provenance, differing chemical constitution, and varied functional significance that may be found in the renal cells.