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Head Kidney

Anatomy and Physiology · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed6 referencesApproximately 5 min read

A primitive form of vertebrate kidney that is found in adults of some primitive fishes and in the embryos of more advanced fishes.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (1,017 words), 6 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

A primitive form of vertebrate kidney that is found in adults of some primitive fishes and in the embryos of more advanced fishes. In some species of fishes it contains phagocytic cells and is also a major site of hematopoiesis, analogous to the mammalian bone marrow.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Head Kidneys; Kidney, Head; Kidneys, Head; Anterior Kidney; Anterior Kidneys; Kidney, Anterior; Kidneys, Anterior.

Where it fits in the MeSH classification

Broader topics
Animal Structures; Pronephros
See also
Hematopoiesis, Extramedullary

Related concepts

  • Fishes
  • Hematopoiesis
  • Bone Marrow

Research landscape

PubMed indexes 788 records tagged with the MeSH heading “Head Kidney” (counts retrieved 2026-10-31). 304 of them (38.6%) were published from 2020 onward, and the busiest period so far is 2010-2019 with 497 records.

Reviews account for 3 records (0.4%) and meta-analyses for 0. Randomized controlled trials number 2 (0.3%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 0 records; 2000-2009: 0 records; 2010-2019: 497 records; 2020 onward: 304 records0through 199902000-20094972010-20193042020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19990
2000-20090
2010-2019497
2020 onward304
Share of records by publication typeReviews: 0.4 percent; Meta-analyses: 0.0 percent; Randomized controlled trials: 0.3 percentReviews0.4% (3)Meta-analyses0.0% (0)Randomized controlled trials0.3% (2)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 788 PubMed records
TypeRecordsShare
Reviews30.4%
Meta-analyses00.0%
Randomized controlled trials20.3%

Method: PubMed query "Head Kidney"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in anatomy and physiology

Anatomy describes how body structures are built and physiology describes how they normally work, so most findings here are descriptive or mechanistic rather than evidence about treatment. Much of what is known comes from dissection, imaging, tissue studies and experiments in animals, and measurements in healthy volunteers can differ from those in people with disease or at different ages. Normal ranges vary between individuals and populations. Check whether a result was measured in people or in another species, the age and health of the participants, and the method used.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Transcriptome analysis of head kidney in grass carp and discovery of immune-related genes
Chen J, Li C, Huang R, Du F, Liao L, Zhu Z, et al.
2012Research article
Design not recorded in structured metadata
39cc by
PMID 22776770 · DOI · PMC3505460
Short-Chain Fatty Acids Promote Intracellular Bactericidal Activity in Head Kidney Macrophages From Turbot (Scophthalmus maximus L.) via Hypoxia Inducible Factor-1α
Zhang J, Zhang H, Liu M, Lan Y, Sun H, Mai K, et al.
2020Research article
Design not recorded in structured metadata
34cc by
PMID 33424870 · DOI · PMC7785818
The Effects of Oral Rehmannia glutinosa Polysaccharide Administration on Immune Responses, Antioxidant Activity and Resistance Against Aeromonas hydrophila in the Common Carp, Cyprinus carpio L
Feng JC, Cai ZL, Zhang XP, Chen YY, Chang XL, Wang XF, et al.
2020Research article
Design not recorded in structured metadata
33cc by
PMID 32457762 · DOI · PMC7225328
β-Glucan training induces stimulus-dependent immune and metabolic modulation in head kidney leukocytes that persists for several days in Atlantic salmon (Salmo salar L.)
Nhan TH, Tort L, Lazado CC
2026Research article
Design not recorded in structured metadata
0cc by
PMID 42183223 · DOI · PMC13189738

Transcriptome analysis of head kidney in grass carp and discovery of immune-related genes [1]

Research article Chen J, Li C, Huang R, Du F, Liao L, Zhu Z, et al. · · 2012 · cited 39 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
BackgroundGrass carp (Ctenopharyngodon idella) is one of the most economically important freshwater fish, but its production is often affected by diseases that cause serious economic losses.
Closing excerpt
ConclusionThis study enriches the molecular basis data of grass carp and further confirms that, based on fish tissue-specific EST databases, transcriptome analysis is an effective route to discover novel functional genes.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (279 words)

BackgroundGrass carp (Ctenopharyngodon idella) is one of the most economically important freshwater fish, but its production is often affected by diseases that cause serious economic losses. To date, no good breeding varieties have been obtained using the oriented cultivation technique. The ability to identify disease resistance genes in grass carp is important to cultivate disease-resistant varieties of grass carp.ResultsIn this study, we constructed a non-normalized cDNA library of head kidney in grass carp, and, after clustering and assembly, we obtained 3,027 high-quality unigenes. Solexa sequencing was used to generate sequence tags from the transcriptomes of the head kidney in grass carp before and after grass carp reovirus (GCRV) infection. After processing, we obtained 22,144 tags that were differentially expressed by more than 2-fold between the uninfected and infected groups. 679 of the differentially expressed tags (3.1%) mapped to 483 of the unigenes (16.0%). The up-regulated and down-regulated unigenes were annotated using gene ontology terms; 16 were annotated as immune-related and 42 were of unknown function having no matches to any of the sequences in the databases that were used in the similarity searches. Semi-quantitative RT-PCR revealed four unknown unigenes that showed significant responses to the viral infection. Based on domain structure predictions, one of these sequences was found to encode a protein that contained two transmembrane domains and, therefore, may be a transmembrane protein. Here, we proposed that this novel unigene may encode a virus receptor or a protein that mediates the immune signalling pathway at the cell surface.ConclusionThis study enriches the molecular basis data of grass carp and further confirms that, based on fish tissue-specific EST databases, transcriptome analysis is an effective route to discover novel functional genes.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 22776770 · DOI · PMC3505460

Short-Chain Fatty Acids Promote Intracellular Bactericidal Activity in Head Kidney Macrophages From Turbot (Scophthalmus maximus L.) via Hypoxia Inducible Factor-1α [2]

Research article Zhang J, Zhang H, Liu M, Lan Y, Sun H, Mai K, et al. · · 2020 · cited 34 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Short-chain fatty acids (SCFAs) are mainly produced by microbiota through the fermentation of carbohydrates in the intestine.
Closing excerpt
In conclusion, our results demonstrated that SCFAs promoted HIF-1α expression via histone deacetylase inhibition, leading to the enhanced production of antibacterial effectors and increased bacterial killing of macrophages.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (210 words)

Short-chain fatty acids (SCFAs) are mainly produced by microbiota through the fermentation of carbohydrates in the intestine. Acetate, propionate, and butyrate are the most abundant SCFA metabolites and have been shown to be important in the maintenance of host health. In this study, head kidney macrophages (HKMs) were isolated and cultured from turbots. We found that the antibacterial activity of HKMs was increased after these cells were incubated with sodium butyrate, sodium propionate or sodium acetate. Interestingly, our results showed that all three SCFAs enhanced the expression of hypoxia inducible factor-1 α (HIF-1α) in HKMs, and further study confirmed that butyrate augmented the oxygen consumption of these cells. Moreover, HIF-1α inhibition diminished the butyrate-promoted intracellular bacterial killing activity of macrophages, and SCFAs also raised the gene expression and activity of lysozymes in HKMs via HIF-1α signaling. In addition, our results suggested that butyrate induced HIF-1α expression and the bactericidal activity of HKMs through histone deacetylase inhibition, while G protein-coupled receptors did not contribute to this effect. Finally, we demonstrated that butyrate induced a similar response in the murine macrophage cell line RAW264.7. In conclusion, our results demonstrated that SCFAs promoted HIF-1α expression via histone deacetylase inhibition, leading to the enhanced production of antibacterial effectors and increased bacterial killing of macrophages.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 33424870 · DOI · PMC7785818

The Effects of Oral Rehmannia glutinosa Polysaccharide Administration on Immune Responses, Antioxidant Activity and Resistance Against Aeromonas hydrophila in the Common Carp, Cyprinus carpio L [3]

Research article Feng JC, Cai ZL, Zhang XP, Chen YY, Chang XL, Wang XF, et al. · · 2020 · cited 33 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
The effects of the oral administration of Rehmannia glutinosa polysaccharide (RGP-1) on the immunoregulatory properties, antioxidant activity, and resistance against Aeromonas hydrophila in Cyprinus carpio L.
Closing excerpt
hydrophila activity of the common carp, and could be used as a safe and effective feed additive in aquaculture.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (275 words)

The effects of the oral administration of Rehmannia glutinosa polysaccharide (RGP-1) on the immunoregulatory properties, antioxidant activity, and resistance against Aeromonas hydrophila in Cyprinus carpio L. were investigated. The purified RGP-1 (250, 500, and 1,000 μg/mL) was co-cultured with the head kidney cells of the common carp. The proliferation and phagocytosis activities of the head kidney cells, and the concentration of nitric oxide (NO) and cytokines in the culture medium were determined. Next, 300 common carps (47.66 ± 0.43 g) were randomly divided into five groups; the two control groups (negative and positive) were administered sterile PBS and the three treatment groups were administered different concentrations of RGP-1 (250, 500, and 1,000 μg/mL) for seven days. Subsequently, the positive and treatment groups were infected with A. hydrophila, and the negative group was administered sterile PBS for 24 h. The concentration of NO, cytokines, lysozyme (LZM), and alkaline phosphatase (AKP) in serum, the total antioxidant capacity (T-AOC), the levels of malonaldehyde (MDA) and glutathione (GSH), and the total activities of superoxide dismutase (T-SOD), catalase (CAT), and glutathione peroxidase (GSH-Px) in the hepatopancreas of the common carp were tested. We observed that RGP-1 could significantly enhance the proliferation and phagocytosis activities (P P in vitro. The in vivo experimental results revealed that RGP-1 significantly enhanced NO production, protein levels of pro-inflammatory cytokines (TNF-α, IL-1β, IL-6, IL-12), LZM and AKP activities, and the antioxidant content (T-AOC, SOD, CAT, GSH, GSH-Px, and MDA) compared to that observed in the negative group prior to A. hydrophila infection (P P P A. hydrophila activity of the common carp, and could be used as a safe and effective feed additive in aquaculture.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 32457762 · DOI · PMC7225328

β-Glucan training induces stimulus-dependent immune and metabolic modulation in head kidney leukocytes that persists for several days in Atlantic salmon (Salmo salar L.) [4]

Research article Nhan TH, Tort L, Lazado CC · · 2026

Abstract reading summary — source excerpts
Opening excerpt
The innate immune system of fish has conventionally been considered incapable of immunological memory, but is now being recognised as exhibiting memory-like features known as trained immunity.
Closing excerpt
This study provides new insight into trained immunity in Atlantic salmon by demonstrating the transcriptional and cellular response of leukocytes to develop stimulus-dependent immune and metabolic regulations.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (253 words)

The innate immune system of fish has conventionally been considered incapable of immunological memory, but is now being recognised as exhibiting memory-like features known as trained immunity. This study investigated the induction of trained immunity in Atlantic salmon (Salmo salar L.) by training head kidney-derived leukocytes using β-glucan, followed by a resting phase and secondary stimulation with β-glucan (homologous) or lipopolysaccharide (LPS, heterologous). The cellular responses, metabolite production, and gene expression related to innate immunity, metabolism, and epigenetic markers were assessed. The effects of initial β-glucan training persisted after a 5-day resting period, during which upregulation occurred in the expression of key innate immune and metabolic genes. Upon secondary stimulation, leukocytes exhibited stimulus-dependent transcriptional responses with increased expression of several pro-inflammatory and metabolic genes, particularly in the heterologous LPS-exposed group. Attenuation of specific inflammatory cytokine responses occurred in trained cells upon LPS stimulation, but metabolic gene expression patterns indicated regulation toward enhancing glycolytic activity and mitochondrial oxidative metabolism. Trained cells also displayed significantly increased phagocytic activity, especially after heterologous exposure. Only minor or moderate changes occurred in other cellular outputs (reactive oxygen species, nitric oxide, lactate, and fumarate). Epigenetic markers showed limited expression changes. The experimental evidence indicates a phenotype similar to trained immunity in salmon leukocytes, characterised by transcriptional and functional alterations following β-glucan training; however, responses vary upon secondary exposure to a heterologous stimulus. This study provides new insight into trained immunity in Atlantic salmon by demonstrating the transcriptional and cellular response of leukocytes to develop stimulus-dependent immune and metabolic regulations.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42183223 · DOI · PMC13189738

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article The teleost head kidney: Integrating thyroid and immune signalling [5]
    Geven EJW, Klaren PHM · Dev Comp Immunol · 2017 · cited 131 times (Europe PMC)
  • Research article Advances in salmonid fish immunology: A review of methods and techniques for lymphoid tissue and peripheral blood leucocyte isolation and application [6]
    Lulijwa R, Alfaro AC, Merien F, Meyer J, Young T · Fish Shellfish Immunol · 2019 · cited 18 times (Europe PMC)

References

  1. Chen J, Li C, Huang R, Du F, Liao L, Zhu Z, et al.. Transcriptome analysis of head kidney in grass carp and discovery of immune-related genes. . 2012. PMID 22776770 · DOI · PMC3505460
  2. Zhang J, Zhang H, Liu M, Lan Y, Sun H, Mai K, et al.. Short-Chain Fatty Acids Promote Intracellular Bactericidal Activity in Head Kidney Macrophages From Turbot (Scophthalmus maximus L.) via Hypoxia Inducible Factor-1α. . 2020. PMID 33424870 · DOI · PMC7785818
  3. Feng JC, Cai ZL, Zhang XP, Chen YY, Chang XL, Wang XF, et al.. The Effects of Oral Rehmannia glutinosa Polysaccharide Administration on Immune Responses, Antioxidant Activity and Resistance Against Aeromonas hydrophila in the Common Carp, Cyprinus carpio L. . 2020. PMID 32457762 · DOI · PMC7225328
  4. Nhan TH, Tort L, Lazado CC. β-Glucan training induces stimulus-dependent immune and metabolic modulation in head kidney leukocytes that persists for several days in Atlantic salmon (Salmo salar L.). . 2026. PMID 42183223 · DOI · PMC13189738
  5. Geven EJW, Klaren PHM. The teleost head kidney: Integrating thyroid and immune signalling. Dev Comp Immunol. 2017. PMID 27387152 · DOI
  6. Lulijwa R, Alfaro AC, Merien F, Meyer J, Young T. Advances in salmonid fish immunology: A review of methods and techniques for lymphoid tissue and peripheral blood leucocyte isolation and application. Fish Shellfish Immunol. 2019. PMID 31604150 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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At a glance

788
PubMed records on this heading
39%
published since 2020
3
review articles
2
randomized trials
6
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

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  • Bone Marrow CellsAnatomy and Physiology

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