The Vascular System Flashcards

1
Q

How have blood vessels adapted to supplying nerves?

A

Blood vessels form long cables parallel to path of neurons to ensure efficient echange

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2
Q

How have blood vessels adapted to supplying Muscles?

A

Blood vessels corkscrew around so that during contraction, blood supply is not cut off

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3
Q

How have blood vessels adapted to supplying the Lungs?

A

Blood vessels are flat and wrap around alveolae to maximise gas exchange - has to be as efficient as possible

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4
Q

At the majority of time, where is the bulk of the blood held in the vascular system?

A

Venous system - veins & venules = 61%
- Allows vascular system to adjust for veinous return

Resistance blood vessels = arterioles - determine mean arterial blood pressure - 7% of blood storage

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5
Q

Regulation of blood pressure is determined by?

A

Blood vessel contractility = regulated by vascular smooth muscle cells length (shortening or relaxing)

  • Having to continually change local blood pressure in order to meet demands - regulations general blood pressure
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6
Q

What are the 2 main components of blood vessels?

A
  1. Vascular smooth muscle cells - contracts and relaxes - sit in concentric circles around the endothelial cells - elasticity from the collagen and elastin which these cells produce and it surrounds them
  2. Endothelial cells - single layer with a tight junction between them - secrete mediators which can stimulate the vessel to contract/relax
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7
Q

How is the vascular smooth muscle contractility regulation by the Autonomic nervous system?

A

Mostly sympathetic innervation which regulates contractility

  1. Norephinephrine = contract (alpha-adrenergic receptors)
  2. Epinephrine = relax (beta-adrenergic receptors)
    - Uneven distribution oof receptors for these compounds - more Beta-adrenergic receptors surrounding skeletal muscles
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8
Q

How is the vascular smooth muscle contractility regulation by the Endothelial-derived factors?

A

Nitric Oxide = relax

Endothelin = contract

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9
Q

How is the vascular smooth muscle contractility regulation by the Myogenic response?

A

Innate ability of vascular smooth muscle to respond to changes in pressure

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10
Q

What’s the regulation of vascular smooth muscle contractility?

A

2 enzymes

  1. Myosin light chain kinase = phosphorylates myosin light chains = contraction
    - Myosin in smooth muscle has a regulatory light chain bound to it
    - This phosphorylation allows it interact with actin and cause contraction
  2. Myosin phosphatase = De-phosphorylates Myosin light chains with phosphate bound
    - Prevents interaction between Myosin and Actin
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11
Q

What ion regulates Myosin light chain kinase?

A

Calcium

  1. Agonist (endothelin) binds to G-coupled protein receptor to get Phospholipase C
  2. Intacellularly, PIP2 reacts with Phospholipase C to create IP3
  3. IP3 causes Calcium ion release from stores which causes Myosin light chain kinase to phosphorylate Myosin light chains
  4. Actin-myosin interaction = contraction
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12
Q

How is the vascular smooth muscle contractility regulation by the Endothelial-derived factors - Nitiric Oxide?

A
  • Produced in endothelial cells lining the lumen
  • 2-5 sec half life in vivo = very localised effect

Production: L-arginine + Oxygen = NO
- Nitric oxide synthase (NOS) is a rate limiting compound

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13
Q

What are the activators of Nitric Oxide Synthase?

A
  • Shear Stress*
  • Thrombin
  • Acetlycholine
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14
Q

How does Shear Stress cause eNOS activation?

A

When blood flow increases, endothelial cells detect the increase either by external receptors or by shear force on the cell structure

  • This increase in force can damage the vessels/increase B.P if the lumen diameter doesn’t adapt
  • Shear stress activates a kinase enzyme (AKt) which stimulates eNOS = causes the release of Nitric Oxide = Local relaxation of blood vesel
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15
Q

How does Nitric Oxide enter the vascular smooth muscle cells and cause them to relax?

A
  • Due to the short-half life of NO it can pass rapidly through into vascular smooth muscle cells
  • Activates Guanylate Cyclase in smooth muscles
  • Converts GTP to cGMP
  • cGMP and activates the Myosin Phosphatase
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16
Q

How does Nitric Oxide enter the vascular smooth muscle cells and cause them to relax?

A
  • Produced as a pro-peptide and converted to active-peptide “Endothelin” by Endothelin-converting enzyme
  • Very powerful vasoconstrictor
17
Q

What’s the Myogenic response in resistance arteries?

A
  • Myogenic response is a mechanical response when an adequate stimulus is applied (increasing tension in vessel wall)
  • It is an auto-regulation role = maintenance of constant tissue blood flow when blood pressure changes
18
Q

What’s the mechanism for Myogenic responses?

A

Depoarisation of smooth muscle = voltage-sensitive Ca2+ channels open = increase in Ca2+ = increase in tension

19
Q

How is the Cerebral circulation a specialised vascular bed?

A
  • Brain = 2% body mass but receives 14% of cardiac output in an uninterrupted flow
  • Sensitive to CO2
    1. Increase CO2 = vasodilation
    2. Decrease in CO2 = vasoconstriction
20
Q

How is the Pulmonary circulation a specialised vascular bed?

A

In Systemic arteries - hypoxia (lack of oxygen) = vasodilation

In Pulmonary arteries - hypoxia = Vasoconstriction - diversion of blood away from areas with poor gas exchange to maximise the ventilation/perfusion ratio