Week 5 Flashcards
Variation in Blood flow requirements
Different blood flow based on metabolic need and support of special functions (kidneys)
Control of blood flow in the arterioles
- Major site of resistance in cardiovascular system (where largest drop in pressure occurs)
- Controlled by hormones and SNS
- Highly muscularly allowing them contract and relax based on signals from local tissues
Feedback loop locally controlling blood flow
- Decrease in O2 delivery or increase in tissue metabolism
- Decrease in tissue O2
- relaxation of arterioles
- increase in tissue blood flow
Active hyperaemia in skeletal muscle
Skeletal muscle can rapidly increase metabolic rate during contraction, leading to rapid increases in blood flow
- increase in hematocrit concentration in blood also increases during contractions (mechanisms not fully understood but could involve changes in the endothelial surface layer (glycocalyx))
Relationship between muscle O2 delivery and muscle O2 consumption rate
- Linear relationship
- Slope is .6 meaning that there is a great increase in delivery relative to O2 consumption (extraction not as efficient)
Misconceptions in active hyperaemia mechanism
Common view:
- capillaries close and do not support blood flow at rest, open following contraction to support more flow
Scientific Observation:
- intravital microscopy has observed most capillaries already support some flow in resting skeletal muscle
New Observation:
- haematocrit within capillaries of resting muscle is much lower than the normal haematocrit in large vessels
Vasodilator Substances
- Released by tissues when they experience low availability of O2 or other nutrients
What substances contribute to blood flow
CO2, H+, lactate, adenosine, adenosine phosphates
- CO2 and H+ play prominent roles in controlling local blood flow in the brain
Why is lactate a good signal for a need in increased blood flow?
- Produced when no oxygen is available to enter citric acid cycle
- Increase in ATP production when increase in energy -> meaning increase lactate production
Why is adenosine a good signal for a need in increased blood flow?
- more ATP broken down with increased activity
- when ATP production meets ATP breakdown, all adenosine is reuptaken into the cell
Communication between capillaries and arterioles
- Endothelial cells can be hyperpolarized in response to local conditions
- cells interconnected by gap junctions - electrical signals can be conducted along vasculature
- endothelial cells in arterioles signal nearby smooth muscle and cause dilation
- Paracrine pathways between successive neighboring endothelial cells may also contribute to communication between capillaries and upstream arterioles
Endothelium derived relaxation factors
- Increase in blood flow causes shear stress
- leads to release of NO (potent vasodilator)
- microvasculature increase flow in larger upstream vessels
Hormones causing vasoconstriction
- Norepinephrine
- Epinephrine
- Angiotensin II
- Antidiuretic Hormone
Hormones causing vasodilation
- Norepinephrine
- Epinephrine
- Bradykinin
- Histamine
Where are the receptors that regulate arterial blood pressure located
Aortic arch and carotid arteries