Vascular System 2 Flashcards

1
Q

What affects arteriolar radius and thus, resistance?

A

-Myogenic autoregulation -> smooth muscles surround arterioles and when arterioles stretch -> smooth muscles respond by contracting

-Metabolites and O2
-Vasoactive substances (hormones and local mediators) zb vasopressin (vasoconstrictor)
-Autonomic NS: Epinephrine on ß: Dilation, Norepinephrine on alpha: constriction

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2
Q

Why do single smooth muscle cells respond with contraction when arterioles stretch?

A

Autoregulation -> increased blood pressure causes stretching and more Flow, to autoregulate the flow, the muscle cells contract

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3
Q

How is flow regulated by metabolites and O2?
What changes come with it?

A

increased metabolism -> causes vasodilation -> increases blood flow

increased CO2, heat, adenosine, H+, K+(outside), decrease in O2

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4
Q

How do the smooth muscle cells react?

A

Active Hyperemia
More metabolic activity -> Vasodilation -> we increase blood flow -> that blood will pick up the junk and drop off fresh oxygen

in case of low metabolism: we have more oxygen and low metabolites -> vasoconstriction: we don’t need much blood flow there

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5
Q

Why is blood flow in many organs relatively constant, even though there is a change in blood pressure?

Myogenic (blood pressure) and metabolic regulation combined

A

Because of autoregulation -> when the pressure goes up -> there is stretch and constriction (as discussed)

when pressure goes down -> there is less flow -> less fresh O2 and more metabolites -> autoregulation: Vasodialation -> more blood flow

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6
Q

Name Vasoactive substances!

A

Angiotensin 2 (Renin (liver) angiotensin-system): vasoconstrictor
Atrial natriuretic factor (produced from atria): vasodilator
Vasopressin (ADH): vasoconstrictor
Histamin: vasodilator
NO (nitric oxid): vasodilator

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7
Q

Where is the atrial natriuretic factor produced?
What is its effect?

A

produced in atrial
released in response to excessive stretching, caused by blood (venous return, Preload)
-> ANF will also inhibit vasoconstrictor (ADH release) + renin-angiotensin-system

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8
Q

How does the autonoumous NS affect bllod flow?

A

by the presence or absence of sympathetic NS (not by parasympathetic NS)

alpha receptors: vasoconstriction -> in GI tract
Beta receptors: vasodilation FIGHT AND FLIGHT -> in heart, muscles, liver (more glucose)

both bind Norepinephrine and epinephrine
at physiological concentration:

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9
Q

Which tissues carry most of the ß-receptors?

A

Tissues needed for FIGHT or FLIGHT, skeletal muscles, heart, liver

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10
Q

What hormones are preferred by the alpha and beta receptors?

A

at physiological concentration:
ß-receptors prefer epinephrine - Dialation (BED)
alpha-receptors prefer norepinephrine - Constriction (CAN) Constriction mediated by Alpha receptors binding Norepinephrine

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11
Q

How can regulating hormones get to the blood vessels?

A

most arterioles are innervated by postganglionic neurons (except coronary -> adrenal medulla; and cerebral vessels (brain blood flow is critical))

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12
Q

What happens in the FEED and BREED situations?

A

Norepinephrine (Vasoconstrictor) in the GI tract will decrease (Norepinephrine causes constriction, we want dilation there)

Epinephrine (vasodilator) in the heart, liver, and muscles will decrease (Epinephrine causes dilation, we want constriction)

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13
Q

SUMMARY: How can Vasodilation be achieved?

A

less pressure, low O2, more epinephrine binding ß-receptors (BED) or less Norepinephrine binding alpha receptors (CAN)

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14
Q

SUMMARY: How can Vasoconstriction be achieved?

A

increase of pressure -> stretch -> it responds with constriction
high O2, let’s not send much blood there, fewer metabolites
Alpha-receptors binding Norepinephrine or less ß-receptors bind Epinephrine

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15
Q

SUMMARY: effects of flow

A

4.10. min: 44

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16
Q

What is the function of capillaries?

A

Exchange of molecule between blood and extracellular tissues

17
Q

How thick are capillaries?

A

1 cell thick, no smooth muscles surrounding the capillary

18
Q

How is blood flow in capillaries regulated without vasodilation and vasoconstriction?

A

-Dilation and constriction of arterioles that feed capillaries

Precapillary sphincter: little areas of smooth muscles at the beginning of the capillary bed, they can dilate and constrict -> can allow more or less blood flow

19
Q

How can the Precapillary sphincter and dilation/constriction of arterioles next to capillaries be controlled?

A

Mostly by metabolism: exception skin (temp, emotion (angry, shame)

high metabolism: low O2, lots of metabolites -> Vasodilation

20
Q

What does the term Fenestrated mean?

A

Leaky areas in capillary walls -> for material to flow and diffuse easier through capillaries

21
Q

What is bulk flow?

A

Movement of water and dissolved substances based on pressure

2 major pressures: oncotic and hydrostatic pressure (Starling forces)

22
Q

What substances can pass the lipid membrane?
What about large substances?

A

lipid-soluble substances, gases (O2, CO2), hydrophobic substances (steroids, hormones), small hydrophobic substances

large substances: through endocytosis and exocytosis (vesicle system)

23
Q

What modification does the brain-blood barrier have?
How is transport to the brain ensured?

A

-Tight junctions that connect the end of endothelial cells
-Transport through Transcellular passage: small hydrophobic molecules
-No fenestration, low rate of pinocytosis
-Astrocytes: provide additional barrier

24
Q

What disadvantage does the brain-blood barrier have?

A

Hydrophilic drugs can’t get to the brain to treat brain diseases