vascular tree Flashcards
draw and label the structure of an artery
r
Draw and label the structure of a vein
d
Describe the tunica intima
Single layer of flat epithelia cells. Supporting layer of collagen, smooth, friction reducing lining.
Describe the tunica media
Smooth muscle and elastic fibres. For stretch and recoil. Activated by sympathetic NS causing vasodilation and vasocontriction
Decribe the tunica externa
Made of fibrous connective tissue and vaso vesorum. Protective and supporting layers
Define the term vasuclar tree
Highly ramified structures containing all the vascular vessels of the body
Define anastome
Arteries communicating with one another ie. the circle of willis in the brain
define collateral circulation
Enlargement of an anastome
Why is collateral circulation important
It is important in lower limb ischemia - it allows blood to flow in non-anatomical pathways
Define the term anuersym
Localised dilation of an affected artery. Dilated over 50% of normal diameter.
What do aneuryms cause
damage and loss of tunica intima, reduction of collagen and elstin in tunica media
Define embolism
Blockage of vessel by solid, liquid, gas at a site distant from its origin
How can strokes be caused
Internal corotid artery supplies the brain. The common carotid bifurction os the site of atherosclerosis causing lumen narrowing and potential embolism. Subsequently, cerebral ischaemia can occur and cause an ischaemic attack or a stroke
Define arteriosclerosis
hardening of arteriess
Define atheroscleroisis
Hardening of arteries characterised by calcification and plaque formation
name some risk factors for atherosclerosis
age, sex, smoking, diabetes and obesity
What changes occur to blood vessels during atherosclerosis
Plaque forms narrowing lumen
walls become weaker
thrombosis occurs
Describe the pathology of atherosclerosis
Endothelial cells are activated, recruiting monocytes and forming fatty streaks. Plaque forms and builds up, before rupturing and resulting in thrombosis
describe the formation of collagen
Step1 - The individual collage polypeptide chains are synthesised on membrane-bound ribosomes and then injected into the lumen of the ER as large precursors called pro-α chains. These chains also have propeptides on their amino- and carboxyl-terminal ends. •
Step 2 & 3 - In the lumen of the ER, selected proline and lysin residues are hydroxylated to form hydroxyproline and hydroxylysine (some of which are glycosylated). •
Step 4 & 5 - Each pro-α chain then combines with two others to form a hydrogen-bonded, triple-stranded helical molecule known as procollagen.
• Step 6 - The procollagen is then moved out of the cell via exocytosis and enters the extracellular space
• Step 7 - The propeptides on the 2 ends are removed (cleaved) and then becomes a collagen molecule. #
• Step 8 - It then self-assembles into much larger collagen fibrils.
• Step 9 - Aggregation of collagen fibrils to form a collagen fibre.