092414 vascular system Flashcards

1
Q

what is the progression of vasculature from the heart?

A

elastic arteries to muscular arteries to small arteries/arterioles to capillary bed

capillary bed to post-capillary venules to venules to medium veins to large veins

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2
Q

role of the vascular system

A

maintain QUALITY and VOLUME of extracellular fluid

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3
Q

blood vessel walls have 3 layers. what are they?

A

tunica adventitia-outer. connective tissue.

tunica media-the most variable. smooth muscle cells and connective tissue.

tunica intima-inner. endothelium. endothelial cells. simple squamous with basal lamina.

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4
Q

where are smooth muscle cells of the tunica media most prominent in the vascular system?

A

arterial side

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5
Q

describe the layers of heart tissue

A

intima-endocardium.
simple squamous endothelium with basal lamina

media-myocardium.
consists of myocytes and fibroblasts. attaches to dense connec tissue skeleton.

adventitia-epicardium.
simple squamous. also known as visceral pericardium.

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6
Q

what cells are the predominating type in the tunica media of the heart?

A

fibroblasts

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7
Q

what do epicardial cells give rise to?

A

cardiac fibroblasts
coronary arteries (endothelial cells, smooth muscle cells)
cardiac myocytes possibly

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8
Q

features of large thick arteries

A

external elastic membrane in adventitia

media is the thickest. has circular smooth muscle cells interdigitating with 40-70 elastic lamellae

intimia endothelial cells have tight jxns and pinocytotic vesicles. pinocytotic vesicles are for nutrient exchange.

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9
Q

fxn of elastic arteries

A

elastic recoil to maintain BP during diastole

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10
Q

which layer is thickest in large veins?

A

adventitia

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11
Q

how are medium vessels diff from large arteries?

A

the media has less elastin

the intima has internal elastic lamina, which is a marker for medium vessels

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12
Q

how many layers of sm musc cells do medium vessels have

A

40

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13
Q

fxn of medium vessels

A

regulate BP

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14
Q

how does atherosclerosis develop?

A

intimal plaques derived from foam cells, which take up LDL (for ex, macrophages ingest LDL. and smooth musc cells move to the intima and ingest LDL)

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15
Q

what are foam cells?

A

macrophages

smooth muscle cells that move to the intima

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16
Q

diff btwn medium artery and medium vein

A

artery has a lot more tunica media

17
Q

layers of sm muscle in small artery and arteriole?

A

8 and 2, respectively

18
Q

fxn of small arteries and arterioles

A

the smooth muscle cells regulate blood flow to capillary bed

19
Q

how do small vessels play a role in HTN?

A

lipid uptake by smooth muscle cells narrows the lumen

20
Q

diameter of a capillary

A

7.5 micrometers = 1 RBC

21
Q

3 different types of capillaries

A

type I-continuous:
tight jxns admit proteins only smaller than 10 kDa
pinocytotic vesicles allow passage of larger proteins

type II: fenestrated
100 nm windows, which are permanenet pinocytotic vesicles

type III: sinusoidal
discontinuities
these capillaries are larger in diameter than types I and II. the diameter is about 30 micrometers.

22
Q

pinocytotic vesicles are not present in capillaries where?

A

CNS

23
Q

ex of places with continuous capillaries

A

CNS
heart
skel musc
lung

basically-sites where the major thing you want to transport is oxygen

24
Q

sites with fenestrated capillaries

A

endocrine glands
GI tract
kidneys

to transport hormones, nutrients, ions

25
Q

sites with sinusoidal cpillaries

A

bone marrow
spleen
liver

to transport whole cells

26
Q

how do capillaries transport nutrients

A

through pinocytotic vesicles, fenestrations, discontinuities

27
Q

fxns of endothelial cells

A

exchange gases and nutrients

secrete regulatory molecules (vasoactive factors; growth factors like FGF, PDGF, VEGF)

28
Q

how does angiogenesis begin?

A

by targeting endothelial cell receptors like VEGFR, FGFR, TIE-2

the ligands for the above receptors are VEGF, FGF, and angiopoietin-1

29
Q

bevacizumab (avastin)

A

anti-VEGF monoclonal antibody used to treat tumors