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Cells of the Vessels Within a blood vessel there are three main layers, which we will consider in vascular tissue, described later. Endothelial cells are on the inside (lumen) of a blood vessel. In some vessels, smooth muscle cells wrap them. Fibroblasts secrete extracellular matrix in the large vessels, creating a connective tissue outer layer. Figure 12 Endothelial Cells Any surface that comes in contact with blood, including the inside of the heart and every blood vessel, is lined with a special cell called an endothelial (endo-inside) cell. Vascular endothelium line the blood vessels, and there are special endothelial cells of the lymph system. Endothelium of the interior surfaces of the heart chambers is called endocardium. The layer of endothelium is only one layer thick, and these cells have several important functions. Mechanical-chemical Stimulation Endothelial cells sense changes in local chemical and mechanical environment, and signal to the underlying muscle cells. For example, under certain conditions, increased force on the vessels cause endothelial cells to release vasodilator chemicals (such as nitric oxide), which cause the smooth muscle cells to relax, leading to a dilated (expanded) vessel. Immune Response When tissues have been compromised by damage or invasion of pathogens, the immune system releases chemical signals (cytokines) into the region. These cytokines activate the endothelial cells to promote association with circulating immune cells. Also, pores open up between endothelial cells to allow immune cells from the circulation to leave the lumen of the vessel and invade the tissue. Forming New Blood Vessels As we grow or repair damaged tissue, we need new blood vessels to carry nutrients and oxygen into new tissue. The process of blood vessel formation is called angiogenesis, and involves stimulation of endothelial cells. Vascular endothelial growth factor (VEGF) stimulates the normally quiescent (non-dividing) endothelial cells to begin to divide. The cells then break down the extracellular matrix and form new blood vessels. Without angiogenesis, we could not repair any damaged tissue or adapt to changes. However, cancer cells will often secrete VEGF or other angiogenic factors to cause the ingrowth of vessels into the tumor, supporting its rapid growth. Preventing Clot Formation One important function of endothelial cells is only really observable as a dysfunction: thrombus prevention. A thrombus, or a blood clot inside the vessel, can occur because of the easily activated coagulation proteins that flow through the blood stream. Endothelial cell dysfunction, such as loss or inflammation, can cause clots to form on the inner surface of the blood vessel. Large thrombi can occlude (or completely block) blood vessels, so material cannot pass through. Just as dangerous, these thrombi can dislodge from the vessel wall and may travel to the vessels of the heart or brain and cause heart attacks or strokes, respectively. Smooth Muscle Cells Smooth muscle tissue is found throughout the body, including around organs in the digestive, respiratory, and reproductive tracts and around blood vessels. In the cardiovascular system, smooth muscle cells form a layer outside of the endothelial cells. Here they provide strength to blood vessels and provide a mechanism for vessel adaptation. Smooth muscle cells contract via the actin-myosin contraction mechanism described in the muscular unit. Smooth muscle cells adjust their contraction based on sensed stretch or the concentration of various chemical factors. For example, hormones related to exercise or anxiety can cause vessel constriction and nitric oxide can cause vasodilation. Extra-Cellular Matrix of the Vessels Besides the endothelial lining found in all blood vessels, and the smooth muscle cell layer found in most vessels, all vessels except capillaries also have one or more layers of connective tissue associated with them. These vessels have an outer connective tissue layer (tunica externa, or adventitia), while some also have a thin layer of connective tissue, called the internal elastic lamina that is found between the endothelial layer and smooth muscle layer. The types and concentrations of molecules in these connective tissue layers provide structure, support, and determine how easily the vessels will passively (without relaxation of muscle cells) expand. Elastin Even without active changes in smooth muscle tension, blood vessels need an ability to deform and return to form when internal or external pressures are applied. The elastin molecule in the connective tissue layers of blood vessels gives them this property. Elastin, when combined with other extracellular components, helps blood vessels and other tissues, including skin, to return to their original shapes after expansion or deformation. Elastin molecules are disorganized, entangled and crosslinked. When stretched, these fibers straighten out, but will recoil back to normal when force is released on the tissues. Collagen Collagen is a stiff, filamentous extracellular protein found in most connective tissues. Collagen filaments are composed of twisted protofilaments, and protofilaments themselves are also twisted. Thus, collagen has ropelike qualities that provide stiffness. In blood vessels, collagen is found in the tunicia externa and provides stiffness to the blood vessel to prevent rupture. Arteries contain blood at higher pressure than veins so they have a thicker layer of collagen than veins. Blood as a Connective Tissue Blood is a liquid connective tissue. Connective tissues are defined as tissues with multiple cell types and a large extracellular matrix component. The blood cells, described before, serve different functions and the plasma acts as the extracellular matrix. Blood is a unique, complex fluid with various physical characteristics and functions needed to maintain a stable internal environment in the body. Blood volume is the combination of hematocrit (45 percent) and plasma volume (55 percent). Hematocrit (hct) is the fraction of blood that is composed of red blood cells (RBCs). Besides RBC, leukocytes (white cells) and platelets make up the rest of the formed elements. The process of producing blood cells is calledhematopoiesis. Stem cells are nascent cells in the bone marrow that differentiate into various types of formed elements in blood.