Structure and function of the airways Flashcards

1
Q

What is the function of the respiratory system?

A

Gas exchange facilitated by mechanical stability (cartilage), control of calibre (Smooth muscle) and mucociliary protection and cleansing

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2
Q

What is the role of the nasal conchae and nasal hairs?

A

They’re highly vascularised and warm and humidify the air and nasal hairs filter out large particles

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3
Q

How is the upper respiratory tract structured?

A

Stems down to trachea which divides into primary, secondary and tertiary bronchi
Right pulmonary bronchus is more at a vertical angle meaning food or foreign objects move easily down here and can cause choking
After tertiary bronchi are bronchioles, terminal bronchioles and then alveoli

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4
Q

What surrounds the lungs?

A

Two lungs are surrounded by visceral pleura
The parietal pleura covers the thorax, mediastinum and diaphragm
The space between these two pleura is the pleural cavity and has a small amount of serous, pleural fluid

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5
Q

How are the lungs structured?

A

Each lung is divided into lobes
Right lung has 3 lobes, left has 2
The lobes are divided by fissures

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6
Q

How is the right lung structured?

A

Has 3 lobes: superior, middle and inferior

Separated by horizontal fissure and oblique fissure

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7
Q

How is the left lung structured?

A

2 lobes: superior and inferior

Separated by oblique fissure

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8
Q

How can the pleural cavity be affected?

A
Pneumothorax= air in the pleural cavity
Haemothorax= blood in the pleural cavity
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9
Q

What cells are found in the alveolar region and what occurs here?

A

Where gas exchange occurs
Type I cells: very thin, delicate barrier- facilitates gas exchange
Type II cells: replicate to replace type I cells, secrete surfican, antiproteases and has xenobiotic metabolism
Most of alveolar surface covered in type I cells due to their high S.A despite there being more type II cells

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10
Q

What are lung cells called?

A

Pneumocytes

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11
Q

What is the tracheobronchial circulation?

A

Tracheal circulation return via systemic veins
Bronchial circulation returns via brachial and pulmonary veins to both sides of heart
Apex has low blood flow
Base has high blood flow

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12
Q

What is the role of the tracheobronchial circulation?

A
Warming and humidifying
Good gas exchange
Clearing mediators of inflammation
Clear drugs
Supply tissues with cells
Supply tissues with plasma
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13
Q

What cells are found in the airway wall?

A

Goblet cells- contribute to mucus production to clear foreign particles and maintain clear, healthy airways- found on epithelium
Mucin is secreted by goblet cells that are found on submucosal glands
Airway wall also contains serous cells that secrete anti-bacterial enzymes as well as water, Na+ and Cl- into airway

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14
Q

What is the role of cilia?

A

Cells which line epithelium are ciliated, brush and basal cells
Cilia contribute to mucociliary clearance through cilia moving mucus

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15
Q

How is the ciliary cell structured?

A

Structure of ciliary cell is described as 9+2 patters, where outer and inner arms are connected by dynein
Microtubules anchored by intracellular proteins
Apical hooks on cilia interact with mucus

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16
Q

What is the function of smooth muscle?

A

Structural effects- hypertrophy
Tone- contraction, relaxation
Secretion- mediators, cytokines, chemokines:
NOS causes release of NO for vasodilation
COX causes prostaglandin release- pro-inflammatory
Cytokine, chemokine and adhesion molecule release- help chemoattraction of other cells to site of inflammation

17
Q

What are functions of airway epithelium?

A
Secretes mucin, water and electrolytes
Cilia clears mucus
Physical barrier
Produces regulators and mediators:
-NO for vadodilation
-CO initiates stress response
-Arachidonic acid metabolites
-Chemokines
-Cytokines
-Proteases which are pro-inflammatory- degrade structural proteins like ECM and impair ciliary function
18
Q

What are the different airway cell types?

A

Lining cells- ciliated, intermediate, brush, basal
Contractile cells- smooth muscle
Secretory cells- goblet, mucous, serous
Connective tissue- fibroblast, interstitial cell
Neuroendocrine- nerves, ganglia, neuroendocrine cells, neuroepithelial bodies
Vascular cells- endothelial, pericyte, plasma cell
Immune cells- ,mast cell, dendritic cell, lymphocytes, eosinophil, macrophage, neutrophil

19
Q

How is the airway controlled?

A

Nerves:
parasympathetic
sympathetic
sensory

Regulatory and inflammatory mediators:
histamine
arachidonic acid metabolites
cytokines
chemokines

Proteases

Reactive gas species (e.g. NO)

20
Q

What are respiratory diseases with loss of airway control?

A

Asthma, COPD, CF
Airway inflammation, airway obstruction
Airway remodelling