Blood Vessels Flashcards

Week 6

1
Q

General structure of vasculature

A

Artery -> arteriole -> capillaries -> venule -> vein

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2
Q

Arteries

A

Pulsatory flow, elastic

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3
Q

General structure of vessels

A
  • Tunica Externa (external coat): collagen + elastic fibers
  • Tunica Media (middle coat): smooth muscle cell
  • Tunica Intima (inner coat): internal elastic membrane, connective tissue, endothelial cells, lumen
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4
Q

Longitudinal vs circular muscle

A

Longitudinal: vein
Circular: all other vasculature

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5
Q

Tunica Intima

A
  • Single layer of endothelium
  • Basal lamina: collagen, proteoglycans and glycoproteins
  • subendothelial layer: loose connective tissue
    Large arteries/veins: may contain smooth muscle bundles
    Arteries/arterioles: internal elastic membrane
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6
Q

Vascular endothelium

A
  • Selective barrier
  • Non-thrombogenic barrier
    • releases anti-coagulants
  • modulation of blood flow/resistance
  • regulates immune response
  • synthesis and secretion of hormones
    • stem cell growth factors
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7
Q

Vascular endothelium

A

Weibel-Palade bodies: electron dense organelles that contain:
- von Willebrand factor: released during injury to promote clooting
- P-selectin: adhesion molecule for neutrophils

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8
Q

Subendothelial layer and internal elastic membrane

A
  • main cell type: smooth muscle
  • separated from tunica media by an internal elastic membrane
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9
Q

Subendothelial layer and internal elastic membrane

A
  • Main cell type: smooth muscle
  • separated from tunica media by an internal elastic membrane
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10
Q

Tunica Media

A
  • Primarily consists of smooth muscle, circumferentially arranged
  • smooth muscle cells produce varying amounts of elastin, reticular fibers and proteoglycans
  • External elastic membrane (only in elastic arteries): elastin
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11
Q

Vascular endothelium and blood flow - RELAXATION

A

communication between endothelium and tunica media
Responds to: shear stress and metabolic stress

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12
Q

Vascular endothelium and blood flow - CONTRACTION

A

Responds to: hormones, clotting factors, reduced NO

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13
Q

Tunica Adventitia (or externa)

A
  • Outer layer of connective tissue
  • Collagen and elastic fibers, merges with overlying connective tissue
  • Vasa vasorum: vessels that supply to large arteries and veins
  • Nervi vasorum: autonomic nerves
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14
Q

Large/Elastic Arteries

A

Size: >10 mm
EX) pulmonary arteries, aorta, and aortic branches (common carotid, brachiocephalic, subclavian)
Functions: conduction tubes
Layers:
1) Tunica Intima
- endothelium, connective tissue, and smooth muscle
- subendothelial layer: smooth muscle and elastic fibers
- internal elastic fibers
- prominent internal elastic membrane
2) Tunica Media
- Thickest layer
- elastic lamellae: increase as you age and with BP
- layers of smooth muscle
- each layer of smooth muscle separated by elastic lamellae
3) Tunica Adventitia:
- fibrous + loose connective tissue
- collagen and elastic fibers
- fibroblasts and macrophages
- Vasa vasorum

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15
Q

Medium/Muscular Arteries

A

Ex) arteries of upper limb and thorax: axillary artery
- Size: 2-10 mm
- Smooth muscle is the predominant component of the media
- Prominent internal elastic membrane
Layers:
1) Tunica Intima
- endothelium with sparse basal lamina
- internal elastic membrane appears wavy because of smooth muscle contractions
2) Tunica Media
- smooth muscle - maintains BP
3) Tunica Adventitia
- Collagen and elastic fibers
- fibroblasts and macrophages
- external elastic membrane

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16
Q

Arteriole/Small Artery

A

Small Artery:
- internal elastic membrane (IEM)
- media: 3-8 layers of smooth muscle
- adventitia: thin, few elastic fibers
Arteriole:
- No internal elastic membrane
- Media: 1-2 layers of smooth muscle
- Adventitia: non-discrete connective tissue

17
Q

Capillaries

A
  • Specialized for nutrient + gas exchange
  • single endothelial layer with basal lamina
  • Continuous capillaries:
    • muscle, lung, and CNS
    • pericytes: contractile support cells surrounding the endothelium
  • Fenestrated capillaries: digestive tract, kidney
  • Sinusoid capillaries: Liver, spleen bone marrow
18
Q

Pericytes

A
  • Surround capillaries and are enclosed in the same basal lamina as the endothelial cells
  • Contractile in nature and may modulate blood flow (specifically in the brain)
  • Branching cytoplasm
19
Q

Continuous capillaries

A
  • Typically found in connective tissue, cardiac, skeletal and smooth muscle, skin, lungs, and the CNS
  • Uninterrupted endothelium sitting on continuous basal lamina
20
Q

Fenestrated Capillaries

A
  • Endothelial cells with characteristic fenestrations (openings or holes in the cytoplasm)
  • Endocrine glands, gallbladder, kidney pancreas, intestinal tract
21
Q

Sinusoidal Capillaries

A
  • Larger in diameter and more irregularly shaped
  • Endothelial cells have large openings in their cytoplasm
  • Liver, spleen, and bone marrow
22
Q

Venule

A

Post-capillary
- endothelium, basal lamina, pericytes
Muscular
- located just past post-capillary
- 1-2 layers of smooth muscle in tunica media

23
Q

Medium Veins

A

Ex) basilic vein, cephalic vein
- 1-10 mm
- Contain valves - more prominent in lower limbs: one-way flow
- Tunica Intima: endothelium, basal lamina, thin subendothelial layer with smooth muscle
- Tunica media: much thinner than medium arteries
- Tunica Adventitia: thicker than media

24
Q

Large Veins

A
  • > 10 mm
  • Tunica Intima: endothelium, basal lamina, thin subendothelial layer with smooth muscle
  • Tunica Media: relatively thin
  • Tunica Adventitia: Thickest layer, longitudinal arranged smooth muscle bundles
25
Atherosclerosis progression
1) inflammation: injury to vessel wall (oxidized cholesterol, free radical) 2) accumulation of LDLs 3) attraction of monocytes 4) differentiation into macrophages - foam cells or fat streak 5) atheroma formation: smooth muscle build on plaque 6) fibrous atheroma (hardening) 7) calcium accumulation: hardening
26
Deep Vein Thrombosis (DVT)
Embolus if blood clot breaks from DVT
27
Embolism
In arteries or veins of the circulatory system, can result in myocardial infarction, ischemic stroke, or a pulmonary embolism