The Vasculature Flashcards

1
Q

In which layer of the blood vessels are the endothelial cells?

A

The tunica intima

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

In which layer of the blood vessels are the smooth muscle cells?

A

The tunica media

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the role of endothelial cells in terms of regulation of smooth muscle constriction/relaxation?

A

They control the constriction/relaxation of vascular smooth muscle in response to blood bourne factors.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Why do gap junctions exists between epithelial and smooth muscle cells in the different layers of the vasculature?

Which connexin isoform are these gap junctions?

A

To allow the vessel to respond as a unit irrespective of each cells proximity to the factor mediating contraction/relaxation.

Connexin 43 isoform

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Although capillaries contain no smooth muscle so are thought as not able to constrict, which contractile cell type which wraps around the capillary endothelium may potentially regulate capillary diameter?

A

Pericytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the term given to the passage of blood cells such as leukocytes through venues/capillaries near sites of infection to allow them to enter tissues and mount an immune response?

A

Diapedesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are extrinsic factors that affect vascular tone with examples?

A

Factors originating outside of the organ/tissue within which that blood vessel is located, such as circulating adrenaline/angiotensin ii and sympathetic nerve stimulation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are intrinsic factors that affect vascular tone with examples?

A

Factors originating from the vessel itself or the organ/tissue surrounding it. These can be:

Endothelial derived from the endothelium - such as nitric oxide (NO) and endothelial-derived hyperpolarisation factor (EDHF) which both cause vasodilation

Myogenically derived from the smooth muscle - such as local hormones, metabolites and other blood bourne substances.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What causes the release of N.O?

A
ATP
C02
Histamine
Bradykinin
Hydrogen ions

Blood flow! (Therefore there is a basal NO release due to blood flow anyway)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the difference between endothelin-1 (ET-1) and endothelium derived hyperpolarising factor (EDHF), both of which are released by the endothelium.

A

ET-1 causes vasoconstriction

EDHF causes vasodilation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When initiating vasodilation, what do vasodilation factors stimulate when binding to endothelial cells?

A

An increase in calcium ion concentration.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does endothelial intracellular calcium bind to in order to for, a complex which stimulated N.O. production?

What molecule produces N.O. and what does it produce it from?

A

Calcium binds to calmodulin, and as a complex they activate eNOS.

eNOS synthesises N.O. from the amino acid L-argenine.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What happens to the N.O. once it has been produced in the endothelial cells?

A

It crosses the lipid membrane as it is a gas into the smooth muscle cells. Here it increases concentrations of cGMP which in turn decreases levels of calcium, causing the smooth muscle relaxation and vasodilation expected.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What do the vasoconstriction substances trigger when binding to the endothelial cells of the vasculature?

A

It stimulates the endothelial cells to synthesise endothelin, which leaves the cell and binds to receptors on the smooth muscle cells which causes cellular contraction via the alpha1 adrenergic receptor pathway (Gq protein = Ip3 and DAG pathway)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How does endothelial derived hyperpolaristion occur?

A

Vasodilating substances increase endothelial intracellular calcium concentrations, which in turn open calcium activated potassium (K) channels. This causes potassium to leave the endothelial cell and hyperpolarises it, with this hyperpolarisation spreading to the smooth muscle cells via the gap junctions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What does blood flow shear force stimulate to cause vasodilation?

A

eNOS directly

17
Q

When it comes to vascular vasoconstriction, what is the main difference (and something to watch out for) between calcium levels in the endothelial cells and the smooth muscle cells?

A

The endothelial cells increase in calcium concentration whereas the smooth muscle cells decrease, the oppose!

18
Q

In CVD, there is an increase in the production of reactive oxygen species. What is this process called?

A

Oxidative stress

19
Q

How does oxidative stress impact on blood pressure?

A

Oxidative stress = more oxygen free radicals which scavenge N.O.

this means N.O. mediated vasodilation will be impaired and BP will increase.

20
Q

What else is cGMP dependant protein kinase named?

What molecule uses this pathway to mediate vasodilation?

A

PKG (protein kinase G)

Nitric Oxide (N.O.)

21
Q

What molecule is released from endothelial cells in the vasculature of the cerebral circulation to hyperpolarise it and cause vasodilation?

A

Epoxyeicosatrienoic acid (EETS)

22
Q

What is autoregulation in terms of blood flow?

A

The process whereby certain vascular beds retain the same (constant) blood flow over a wide range of pressures.

  • renal
  • coronary
  • cerebral
23
Q

What response is responsible for autoregulation?

A

The myogenic response

24
Q

How do tissue metabolites and blood flow autoregulate each other?

A

Increase flow “washes away” tissue metabolites (which exert a basal vasodilating effect) therefore removing their stimuli. Vasoconstriction occurs which reduces the flow, allowing metabolites to build up again.

25
Q

What is hyperaemia?

A

An excess of blood in the vessels

26
Q

What is the difference between metabolic (active) and reactive hyperaemia?

A

Metabolic = increased metabolic activity (such as with exercise) synthesises more vasodilating metabolites, which causes an increase in flow to that area.

Reactive = the increase of flow after a period of circulation occlusion as the vasodilating metabolites accumulate.

27
Q

What are the X3 types of capillaries?

A

Continuous

Fenestrated

Sinusoidal (discontinuous)

28
Q

What is hydrostatic pressure?

What is arteriolar capillary hydrostatic pressure?

What is interstitial hydrostatic pressure?

Which way is water being driven in this situation?

A

Hydrostatic pressure is the pressure the fluid exerts on the vessel walls, caused by the weight of the fluid itself.

40mmHg

0mmHg

Pressure gradient = driving water OUT of the capillaries

29
Q

What is oncotic pressure (μ)?

What way is the concentration gradient driving the water in this situation?

A

The pressure exerted by proteins.

There is a higher protein concentration in the capillaries than the interstitium, which drives the water INTO the capillaries.

30
Q

What is the reflection coefficient (σ)?

What does a reflection coefficient of 1 indicate?

A

A measure of the permeability of the capillary to the protein exerting the oncotic pressure.

σ =1 indicates that the capillary is impermeable to that protein.

31
Q

What is the starling equation, both definition and formula.

A

Describes the relationship between the pressures involved in in the net movement of fluid across an exchange membrane.

Jv (net movement) = (Pcap - Pint) - σ(μcap - μint)