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組織學
Historlogy
台北醫學大學/解剖學科
教授:邱瑞珍
分機號碼:3261
電子郵件信箱:[email protected]
1
The Circulatory
System
台北醫學大學/解剖學科
教授:邱瑞珍
分機號碼:3261
電子郵件信箱:[email protected]
2
學習目的
• The structure of the arteries
• The structure of the veins
• The structure of the lymphatic vessels
3
參考資料
• Junqueira's Basic Histology, twelfth
edition, text and atlas, Anthony L.
Mescher, McGraw-Hill Companies
4
Summary
• HEART
• STRUCTURAL PALN OF BLOOD
VESSELS
• LYMPHATIC VASCULAR SYSTEM
5
Circulatory system:
blood & lymphatic vascular systems
Blood vascular system: composed
heart : pump blood
arteries: efferent vessels, carry blood with
nutrients & oxygen Æ tissue
capillaries: smallest blood vessels, interchange
veins: convergence of capillaries, convey blood
Æ heart
6
Lymphatic vascular system:
begin with lymphatic capillaries
closed-ended tubules Æ larger vessels
Æ blood vascular system
return fluid of tissue space Æ blood
7
Internal surface: endothelium
Circulatory system:
macrovasculature:
vessels more than 0.1mm in diameter
large arterioles, muscular &
elastic arteries, muscular veins
microvasculature:
arterioles, capillaries,
post-capillary venules
functional important:
site of interchange
8
HEART
A muscular organ
contract rhythmically, pumping blood
R & L ventricles: blood Æ lung & rest of body
R& L atria: receive blood from body & lung
Walls of heart:
internal endocardium
middle mycardium
external epicardium
9
Endocardium
A single layer of squamous endothelial cells
Thin layer of loose connective tissue:
elastic & collagen fibers &
smooth muscle cells
Subendocardial layer:
veins & nerves, branch of impulse-conducting
system
10
Myocardium
Thickest, consist of cardiac muscle cells
Arranged in layers: surround heart chambers
complex spiral
Ventricles thicker than atria
Epicardium
Simple squamous epithelium (mesothelium)
support by a thin layer of connective tissue
Subepicardial layer:
veins, nerves, adipocytes
11
Heart valves:
central core: dense fibrous connective tissue
(containing elastic & collagen fibers)
both sides: endothelial layers
bases: attach to strong fibrous rings
part of fibrous skeleton
site of origin & insertion of
cardiac muscle fibers
12
Heart: specialized system
generate a rhythmic stimulus for contraction
Consist:
2 nodes located in right atrium:
sinoatrial (SA) node: pacemaker
atrioventricular (AV) node
Atrioventricular bundle (of His)
13
SA node:
a small mass of modified cardiac muscle cells
fusiform, smaller & fewer myofibrils
AV node:
similar to SA node
cytoplasmic projections branch in various
directions
AV bundle:
originate from node
pass along interventricular septum
split into L & R bundles
branches to both ventricles
14
Distal fibers of AV bundles:
larger than ordinary cardiac muscle fibers
conducting myofibers or Prukinje fibers
1 or 2 nuclei
cytoplasm: rich in mitochondria, glycogen
myofibrils: sparse, restricted to periphery
Both parasympathetic & sympathetic
neural components Æ heart
Ganglionic nerve cells & nerve fibers:
present close to SA & AV nodes
affect heart rate & rhythm
15
Parasympathetic: slow heartbeat
Sympathetic: accelerate rhythm
Between muscle fibers:
afferent free nerve endings
sensibility & pain
Partial obstruction of coronary arteries:
reduce supply of oxygen
cause pain (angina pectoris)
16
STRUCTURAL PALN OF BLOOD VESSELS
3 layers of vascular wall:
Tunica intima
One layer of squamous epithelial cells
Subendothelial layer: loose connective tissue
smooth muscle found in
In arteries:
internal elastic lamina
most external component of intima
composed of elastin
holes (fenestrated) allow diffusion
17
Tunica media
Middle layer
Concentric layers of helically arranged
smooth muscle cells
Among smooth muscle cells:
elastic fibers & lamellae, reticular fibers,
proteoglycans, glycoprotein
In arteries:
external elastic lamina
separate from adventitia
18
Tunica adventitia (tunica externa)
Consist of type I collagen & elastic fibers
Continuous with stromal connective tissue of organs
Large vessels:
vasa vasorum
consist of arterioles, capillaries, venules
in tunica adventitia & outer part of media
provide metabolites to cells of those layers
large vessels: walls too thick
to be nourished by diffusion from lumen
19
Larger vessels:
supplied with sympathetic nerve fibers
norepinephrine Æ vasoconstriction
nerve not enter media of arteries:
neurotransmitter – diffusion
smooth muscle : gap junctions
Thinner walled veins:
nerve ending: in adventitia & media
overall density :
less than encountered arteries
20
In skeletal muscle:
arteries: also receive cholinergic vasodilator
nerve supply
Acetylcholine: act on endothelium
produce nitric oxide
diffuse to smooth muscle cells
Æ muscle relax Æ lumen dilated
21
22
Large Elastic Arteries
Help to stabilize blood flow
Include: aorta & its large branches
Fleshly: yellowish color from elastin in media
Intima: thicker than muscular arteries
internal elastic lamina: present
may not easily discerned
Media:
elastic fibers & concentrically
arranged elastic laminae
smooth muscle cells, reticular
fibers, proteoglycans,
glycoproteins
Adventitia: relatively underdeveloped
23
Muscular Arteries
Control blood flow Æ organs
Intima: very thin subendothelial layer
prominent internal elastic lamina
Media: up to 40 layers of more
prominent smooth muscle cells
intermingled with elastic lamellae, reticular
fibers, proteoglycans
external elastic lamina:
only in larger muscular arteries
Adventitia: connective tissue
contain lymphatic capillaries, vasa vasorum,
nerves
24
Arterioles
Muscular arteries branch repeatedly
Æ smaller and smaller
Æ 2 or 3 medial layers of muscle
Arterioles:
smallest arteries
1 or 2 layers of smooth muscle layers
generally less than 0.5 mm in diameter
lumen as wide as wall is thick
subendothelial layer: very thin
elastic laminae: absent
media: circularly arranged smooth
muscle cells
adventitia: very thin & inconspicuous
25
Capillaries
Permit different levels of metabolic exchange
between blood & tissues
Composed of :
a single layer of endothelial cells
Endothelial cells: form a tube
Capillaries:
5-10 μm average diameter
length: 50 μm
comprise over 90% of all blood vessels
total length: 96000km
total diameter: 800 times larger than aorta
26
Velocity of blood:
in aorta: 320 mm/s
in capillaries: 0.3 mm/s
because their thin wall & slow flow
a favorable place for exchange
water, solutes, macromolecules
In general:
endothelial cells: polygonal & elongated
in the direction of blood flow
nucleus: bulge into lumen
junctions of tight zonula occludentes type present
27
Pericytes:
enclosed by a basal lamina
may fuse with that of endothelial cells
well-developed networks of myosin, actin,
tropomyosin : contractile function
After tissue injuries:
pericytes proliferate & differentiate
Æ form tunica media & cells with various
other functions in re-establishing
microvasculature & its ECM
28
Capillary: structural variations
3 types
1. continuous (tight) capillaries
allow regular exchange of material
most common type
found in muscles, connective tissue,
exocrine glands & nervous tissue
pinocytotic vesicles : luminal
& basal surface
transport of material
29
2.Fenestrated capillaries:
allow more extensive molecular exchange
presence of small circular fenestrae
covered by a very thin diaphragm
containing heparan proteoglycans
no lipid bilayer
basal lamina: continuous voering fenestrae
found in kidney, intestine, choroid plexus,
endocrine glands
30
3. Sinusoid (Discontinuous) capillaries :
permit maximal exchange
endothelial cells:
large fenestrae without diaphragm
form a discontinuous layer
separate from one another:wide space
basal lamina: also discontinuous
irregularly shaped
diameter: 30-40μm
found in liver, spleen, some endocrine organs,
bone marrow
31
Venules
Transition from capillaries to venules:
gradually
Postcapillary venules:
similar structurally to capillaries
with pricytes
but diameter: from 15-20μm
participate in exchange
converge Æ larger collecting venules
Æ 2 or 3 smooth muscle layers
Æ muscular venules
32
Veins
Blood entering vein: very low pressure
move forward heart:
contraction of tunica media
external compression from surrounding
muscles or organs
Valve:
projection from tunica intima
to prevent back-flow of blood
Most veins: small or medium veins
diameter less than 1 cm
located in parallel with
muscular arteries
33
Intima
thin subendothelial layer
Media
small bundles of smooth muscle cells
intermixed with reticular fibers & a delicate
network of elastic fibers
Adventitia
collagenous
well-developed
34
Big venous trunks, paired with elastic arteries:
large veins
Well developed intima
Media: relative thin
few layers of smooth muscle cells
abundant connective tissue
Adventitia:
thick in large veins
frequently contain longitudinal bundles of
smooth muscle
Both media & adventitia:
contain elastic fibers
not like those of elastic arteries
35
LYMPHATIC VASCULAR SYSTEM
Collect excess interstitial fluid from tissue space
return to blood
Fluid: lymph
Flow in only one direction: toward the heart
Lymphatic capillaries
originate in various tissue
thin, closed-ended vessels
a single layer of endothelium +
an incomplete basal lamina
held open by bundles of anchoring filaments
of elastic fiber system
also bind vessels to connective tissue
36
Lymphatic capillaries Æ larger lymphatic vessels
Interposed in path : lymph nodes
Lymphatic: found in almost all organs
except CNS & bone marrow
Larger lymphatics:
similar to veins
thinner walls
lack a clear-cut separation between tunics
more numerous internal valves
37
Lymphatic vessels:
dilated
assumed a nodular or beaded, between valves
Lymphatic circulation:
aided by external forces
contraction of skeletal muscles
unidirectional flow: many valves
contraction of smooth muscles of larger
lymphatic vessels: also help to propel
End up as 2 large trunk:
thoracic duct & right lymphatic trunk
empty lymph Æ veins
38
Structure of lymphatic ducts:
similar to that of large veins
reinforced smooth muscle in middle layer
muscle bundles:
longitudinally & circularly arranged
former predominating
adventitia: relatively undeveloped
contain vasa vasorum & neural network
Lymphatic vessels:
also a major distributor of lymphocytes,
antibodies, immune components
39