Unit 2 Lecture 9: Arterioles & Microcirculation Flashcards

1
Q

3 facts about arterioles

A
  1. Located within individual organ
  2. Determine blood flow to individual organs (what requires more blood than others)
  3. Greatest contributors to TPR; important regulators of MAP
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2
Q

What is the second determinant of blood flow?

A

Radius

Greatest determinant of resistance

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3
Q

How is resistance related to radius?

A

Resistance is 1/r^4

Note: Larger radius gives a low resistance
r = 2, resistance is 16x less than r = 1

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4
Q

Other than radius, how does resistance increase?

A
  1. Tube length (twice as long ⇒ Increasing resistance)
  2. Viscosity of blood (2x thickness ⇒ Increased resistance by 2 folds)

Note: When you increase tube length you increase the amount of friction that the blood generates as it touches the wall for a longer time due to a longer tube length which therefore increases resistance

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5
Q

At rest, blood flow to individual organs is not equal. how does blood flow look after redistribution during exercise?

A

Significant increases in some areas while drop in blood flow to other areas
* Skeletal muscle increases over 1000% in terms of CO
* 370% increase in blood to the skin during exercise due to needing to cool the body down

Note: Consider flow to an organ as percent of total cardiac output (CO)
At rest most goes to digestive tract & kidneys

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6
Q

In exercise why does blood flow not increase to brain?

A

It will increase the pressure in the brain as it is a restricted space & brain has its own control of blood

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7
Q

What does the picture show?

A
  • If we had blood flow to the skeletal muscle and we had high resistance not much blood will actually go to the muscle
  • Lowest resistance means that a significant portion of the blood will go to that organ (or vial in this case)
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8
Q

What dictates whether blood flow occurs?

A

Arterioles (they are what vasoconstrict/dilate to control flow of blood)

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9
Q

Two main cells that make arterioles?

A
  1. Endothelial cells
  2. Smooth muscle cells
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10
Q

Function of smooth muscle cells in arterioles?

A
  1. Maintain shape of blood vessel
  2. Set blood vessel diameter (vasoconstrict/dilate)
  3. Regulate local blood flow

Endothelial layer is very thin so smooth muscle provides support too

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11
Q

Does smooth muscle contract act like cardiac muscle or skeletal muscle? How is smooth muscle formed?

A

Initially like cardiac muscle where it has Ca2+ induced-Ca2+ release to enable contraction

  • Formation of smooth muscle is not arranged through striations like in skeletal muscle
  • Thick and thin filaments are situated in between the lines
Thick and thin filaments situated in between lines
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12
Q

What are dense bodies?

A

Like Z-lines in skeletal muscle they act as anchors for the thick and thin actin and myosin filaments

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13
Q

Based on the arrangement of smooth muscle how does it contract?

A

When it vasoconstricts it squeezes the thick and thin filaments and allows the smooth muscle to shrink to a smaller size

Signals increasing actin & myosin cross bridges ==> Vasoconstriction
Signals decreasing actin & myosin cross bridges ==> Vasodilation

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14
Q

What is a unique property of smooth muscle cells

A
  1. Once activated it can stay contracted without more signals (Very slow response to vasoconstriction/dilation)
  2. Contain gap junctions to allow ions to go through and allow for Ca2+ induced–Ca2+ release

Myosin-light chain phosphorylation: Continues to stay contracted as the tropomyosin is basically non-existent so it cannot block off the actin; phosphorylating myosin light chain allows for it to attach and form a cross bridge with actin w/o tropomyosin being an issue

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15
Q

Based on the picture how does smooth muscle contract?

A

When it contracts it contracts in all different directions while it stays attached to dense bodies (anchors)

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16
Q

What are the functions of endothelial cells?

A
  • Line the heart and blood vessels
  • Prevent blood cell and platelet adherence (thrombis)
  • Control exchange of fluid and nutrients in capillaries
  • Secrete vasodilator [nitric oxide] & vasoconstrictor [endothelin]

They are the inner layer

17
Q

How is nitric oxide produced by endothelial cells? (Steps to doing this)

A
  • Amino acid L-arginine and through the enzyme nitric oxide synthase to create nitric oxide
  • Nitric oxide diffuses into smooth muscle
  • Nitric oxide activates the enzyme guanylate cyclase to form cGMP
  • cGMP causes more relaxation to occur

More cGMP = More relaxation = more vasodilation = reduce resistance = increase blood flow through that arteriole

18
Q

What does guanylate cyclase convert into cGMP

A

It takes GTP and converts it into cGMP

19
Q

What will cause more cGMP and Greater increase in blood flow?

A
  1. ↑ production of cGMP (nitroglycerin)
  2. ↓ breakdown of cGMP (Viagra)

A young person who touches nitroglycerin can cause all their vessels to vasodilate and faint
Note: Decrease production of PDE to breakdown cGMP in order to increase blood flow

20
Q

How do we control the breakdown of cGMP so there’s not a lot?

A

Enzyme: Phosphodiasterase (PDE)

  • Breaks down cGMP into GMP to reduce the concentration of cGMP

Promote reduction in blood flow

21
Q

How else can we increase nitric oxide externally?

A

Dietary supplements; Beet juice which contains nitrate which breaks down into nitrite and then finally forms Nitric Oxide

  • Supplements claim to increase fatigue resistance, exercise performance and exercise efficiency

Nitrate to nitrite conversion mostly happens in saliva

22
Q

Significant outcome measures of dietary supplement studies?

A
  • Decreased SP and DP
  • Increase endothelial function
  • Decreased platelet aggregation
  • Reduce arterial stiffness by increasing NO and more compliant vasculature)

Increased endothelial means NO induced NO (It induced more NO to be released)

23
Q

Why is a vegetarian diet more effective than a normal diet at increasing Nitrate

A

A vegetarian diet consisting of a lot of root vegetables which contain plenty of nitrate & this is 4x more effective at increasing nitrate than the normal diet