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The Circulatory System Circulation and Blood Functions of the Circulatory System 1. 2. 3. a. To transport oxygen from the lungs to the tissue cells of the body for cellular respiration. b. To transport CO2 from the tissue cells of the body to the lungs for excretion. To distribute nutrients (due to digestion) from the intestinal capillaries to all cells of the body. To transport: a. Metabolic (nitrogenous) wastes to the kidneys, including urea. b. Toxic substances to the liver. 4. 5. 6. 7. To distribute hormones to the tissues/organs on which they act. To regulate body temperature: i. Donation of heat ii. Flow shunting To prevent blood loss through blood clotting. To protect the body from pathogens (viruses/bacteria) due to the circulation of antibodies and white blood cells. DEFINITIONS: (see fig. 13.7 p. 246) Systemic Circulation – Blood pumped by the LEFT side of the heart, which services the entire body except the lungs. Pulmonary Circulation – Blood pumped by the RIGHT side of the heart, which services only the lungs. ‘Services’ = provides O2 & nutrients, while carrying away CO2 and other wastes. The Major Components of the Human Circulatory System I. II. III. Blood Vessels (5 types) Blood Heart Blood Vessels (refer to fig. 13.1 p. 240) i. Arteries • Carry blood AWAY from the heart. The thickest of all vessel-types; they possess three layers of tissue: i. Inner epithelial layer (aka endothelium)possesses elastic fibres and promote smooth flow. ii. Middle smooth muscle layer (contracts or relaxes to regulate blood flow and pressure) * the thickest layer iii. Outer fibrous (elastic) connective tissue which serves a protective function as well as allowing the artery to stretch and recoil. • Vein Artery The walls of major arteries (eg. Aorta) are so thick that they must be supplied by their own blood vessels. ► Arteries in the systemic circuit carry oxygenated blood, whereas arteries in the pulmonary circuit carry ► deoxygenated blood. ► Notice the smaller inner diameter of arteries compared to that of veins – due to the thicker middle muscle layer in arteries. ii. • • • • Arterioles Small arteries (same structure, but smaller) into which arteries have been divided (just visible to naked eye). It is easier for blood to enter arteries than it is for it to exit them, due to the narrower nature of arterioles creates noticeable blood pressure during both heart contraction (systole) and relaxation (diastole), because the heart contracts again before enough blood has flowed into the arterioles to completely relieve the pressure in the arteries. This causes artery walls to elastically snap back and forth (reason for our pulse). This impedance by the arterioles is known as peripheral resistance. As a consequence of elastic arteries working against peripheral resistance, there exists noticeable blood pressure even during diastole, thus continuously driving blood into arterioles and eventually capillaries. ► Blood flow into arterioles, and eventually capillaries, is controlled in two ways (through nervous/endocrine signals) (see fig. 13.2 p. 241): Smooth muscles lining arterioles constrict, thus allowing less blood to enter; however, the arteriole does not fully close, so some blood enters… The ‘back-up’ plan involves precapillary sphincter muscles contracting or relaxing in order to respectively close or open access into capillary beds; if closed off, blood flows to venules through a thoroughfare channel so that it can reach more ‘useful’ areas quicker. Why restrict access to arterioles/capillaries??? ► Example scenarios: Cold weather; want blood (with heat) to flow to core of body, not periphery…blood gets shunted to core through the ‘closing off’ of the peripheral arterioles/sphincter muscles. Exercising; want blood (with O2 and nutrients) to flow to skeletal muscles and heart, not the digestive tract or other non-necessary places…blood gets shunted to muscles. Good or bad to exercise after eating and why? Relaxing; blood shunted to digestive tract to pick up nutrients etc… iii. Capillaries • Very tiny vessels with walls that are one cell thick (comprised of endothelium with a basement membrane), which allow for efficient exchange of substances. • Present in all bodily regions thus, a cut anywhere will draw blood. • Small diameter allowing for ‘single file’ passage of red blood cells (again, helps with efficient exchange of, in this case, oxygen and CO2). • Surround cells/tissues/organs like a ‘spider web’ or ‘basket’. • Capillaries are, at most, 0.2 μm away from any cell in the body (also aids the exchange of substances). • Certain capillary beds may be open or closed depending on demands & subsequent flow shunting. In general, only about 5-10% of the body’s blood is in the capillaries at any one time. iv. Venules • Same structure as a vein (see below), only smaller. • Collect blood from the capillaries and/or the thoroughfare channels and join/enlarge to form veins. v. Veins • Thin-walled compared to arteries. -- this provides veins with a larger interior diameter than arteries. Thinner muscle layer • • • • • Same three layers of tissue as arteries, but the middle smooth muscle layer is thinner. Carry blood TOWARDS the heart. There exists a lower blood pressure in veins since they are further from the heart, and because of the larger interior diameter. VALVES (one-way) assist with the upward (against gravity) movement of blood back to the heart (valves prevent the backflow of blood). Malfunctioning valve varicose vein. Generally, 70% of the body’s blood is in the veins…acts as somewhat of a blood resevoir. ONE-WAY VALVES ► Veins are located closer to the surface of the body than arteries, and they are surrounded by skeletal muscle. ► The contraction of these skeletal muscles aid in blood flow through the veins (ie. The skeletal muscles are the “hearts” for the veins). ► In the systemic circuit, veins carry deoxygenated blood. ► In the pulmonary circuit, veins carry oxygenated blood Against Gravity Blood Pressure and Blood Velocity (fig. 13.9 p.248) Blood Pressure (BP): The hydrostatic pressure that blood exerts against the wall of a vessel. - - - highest in arteries due to their receiving of blood from the heart and due to the peripheral resistance created by the smaller arterioles. that said, the BP within arteries varies with respect to the heart contracting (systole) and relaxing (diastole) systolic pressure is higher than diastolic pressure. BP begins to drop in arterioles as the blood simply gets further from the heart’s push, and it ‘spreads out’ more. BP in the capillaries is somewhat ‘medium’ in that even though the blood is far from the heart’s pump, the vessel openings are small and the walls are thin allowing for a greater hydrostatic pressure against them. - - By the time the blood reaches the veins, its pressure is not affected much by the heart due to its travel (and coupled ‘slow-down’) through tiny-diameter arterioles and capillaries. Thus, very low BP in veins (the lowest, in fact): - Blood is furthest from heart; - Blood experienced extreme resistance within arterioles/capillaries; - Veins possess a very large (relative to arteries) interior diameter. *BP can also increase with higher blood volume! Blood Velocity: the speed of blood moving through vessels. blood velocity is highest in the arteries due to the heart’s pump; - Blood velocity is lowest in the capillaries due to the single-file RBC flow through them and the massive ‘spreading-out’ of the blood to the millions of capillary beds in the body; - Blood velocity picks up again (but not to the arterial level) in veins due to their large interior diameter (‘freeway’) and due to the action of skeletal muscles to propel the blood back to the heart. * The cross-sectional area (area of vessel wall in contact with blood) of the vessels is greatest in capillaries and lowest in arteries and veins. - Normal BP = 120 mm Hg/80 mm Hg (systolic/diastolic). Major Blood Vessels (fig. 13.8 p. 247) Red vessels: usually arteries except for pulmonary circuit. Carry oxygenated blood. Blue vessels: usually veins except for pulmonary circuit. Carry de-oxygenated blood. Aorta – carries oxygenated blood out from the Left Ventricle of the heart and services the entire systemic circuit by eventually branching into various arteries. *Houses special nerves cells (Aortic Bodies) that sense H+, CO2, and O2 levels in blood. 2. Coronary Arteries and Veins – Arteries: branch off of the aorta and service the actual heart muscle (these vessels are seen on the surface of the heart) (*Blood in the heart’s chambers does not actually service the heart). Coronary Veins: carry ‘spent’ blood back to the heart’s chambers. 3. Carotid Arteries – branch off of the aorta to service the brain/head region. Highly specialized contain special nerve cells (Carotid Bodies): 1. i. Chemoreceptors that detect O2, H+, and CO2 content in the blood. ii. Pressure Receptors that detect blood pressure changes. -- the carotid artery can be used to measure one’s pulse. 4. Jugular Veins – opposite of carotid arteries. Carry blood from the brain/head region back to the heart. Possess no valves since gravity aids the flow. 5. Subclavian Arteries/Veins – service the arms. Within the right subclavian vein there is a union between the lymphatic system and the circulatory system. Mesenteric Arteries – carry blood from the aorta to the intestines (gut). Subdivide into villi capillaries. 7. Hepatic Portal Vein – carries blood from the intestines to the liver. *Hepatic = liver-related 8. Hepatic Vein – carries blood from the liver back to the heart. 9. Renal Arteries/Veins – service the kidneys. *Renal = kidney-related 10. Iliac Arteries/Veins – service the legs. 6. Anterior (Superior) and Posterior (Inferior) Vena Cava – collect/receive all of the blood from the various veins of the systemic circuit and conduct it back into the right atrium of the heart. Anterior (Superior) Vena Cava – collects blood from above the heart. Posterior (Inferior) Vena Cava – collects blood from below the heart. 12. Pulmonary Arteries/Veins – only major vessels of the pulmonary circuit. Pulmonary arteries carry deoxygenated blood from the heart to the lungs. Pulmonary veins carry oxygenated blood from the lungs back to the heart. * Pulmonary Trunk – first vessel to receive blood (bound for the lungs) from the heart. Splits into two pulmonary arteries (one for each lung). 11. Aorta The aorta and the coronary system…heart not shown. Blood Made up of, and will separate into, two components: 1. Plasma – comprises 55% of the blood volume 2. Formed Elements (Cells) – comprise 45% of the blood volume. - includes Red Blood Cells (RBCs), White Blood Cells (WBCs), and Platelets (which aren’t whole cells, but cell fragments). *fig. 13.10 p. 249. ► Plasma - 90-92% water maintains blood volume and pressure; transports substances due to its flowing and polar nature. Primarily absorbed by small and large intestines. *Regulates temperature too! - 7-8% Plasma Proteins maintain blood O.P./volume, etc. Produced by the liver. Too large to leave blood through capillaries. - Albumins: maintain BP and blood volume; transport bilirubin. - Immunoglobulins: antibodies that fight infection (pathogens); transport cholesterol. - Fibrinogen/Prothrombin: aid in blood clotting. - <1% Other stuff: - Salts/Electrolytes (minerals): maintain OP and BP, pH, and aid in metabolism in many ways; absorbed primarily in small intestine. - Gases: oxygen/carbon dioxide from lungs/tissues respectively; - Nutrients: fats, glucose, amino acids from small intestine; - Nitrogenous wastes: urea and uric acid from liver; - Hormones to aid bodily processes; - Vitamins from small intestine to aid in enzymatic reactions. Formed Elements Red Blood Cells (RBCs) – fig. 13.11 p. 250 - aka erythrocytes, RBCs are the most numerous of the - blood cells; there exist about 25 trillion in our (on average) 5 L of blood (in fact, RBCs comprise 99% of blood cells). Structure promotes Function: - RBC is a biconcave disk (flatter in center) allowing them to thread through capillaries very efficiently and providing them with a large SA to Volume ratio. - Lack nuclei and mitochondria to help limit size – without nuclei, RBCs live (on avg.) 120 days and are then destroyed (by phagocytic cells through phagocytosis) in the liver or spleen. Without mitochondria, RBCs metabolize anaerobically so that they do not use the very oxygen that they carry, in order to make their ATP energy. Large SA:Volume promotes RBCs’ main function: to transport O2 in the blood and have it diffuse into/out of them at the lungs and tissues, respectively. (RBCs also carry CO2 and H+, but to a lesser extent than O2). - Each RBC houses about 250 million molecules of hemoglobin, an iron-containing protein responsible for carrying O2 (primarily) – hemoglobin is purple-red without O2 and bright red with O2. Hemoglobin is made up of four tertiary proteins (two alpha, two beta), four heme groups, and four Fe2+ ions. It can associate with, and carry, four O2 molecules at any one time (more in Respiration Unit). - Hemoglobin’s iron is sent to the bone marrow to be reused when RBCs are destroyed; heme becomes bilirubin (released in bile pigments); and the alpha and beta chains are hydrolyzed and the amino acids reused. - Manufacture of RBCs (fig. 13.12 p. 251) - RBCs are formed in the BONE MARROW of large bones: - bones of the chest (ribs), upper arms (humerus), upper legs (femur), hips, skull. - multipotent stem cells in the bone marrow become erythroblasts (RBC precursor), which lose their nuclei, gain hemoglobin, and mature or differentiate into an erythrocyte (RBC). - Certain hormonal/nervous signals ‘tell’ stem cells how to develop as they have the ability to form any type of blood cell. Control of RBC Production Oxygen-sensitive chemoreceptors in various locations (medulla oblongata, aortic/carotid bodies, renal artery, hepatic vein) sense low O2 levels in the blood. - Stimulus sent to kidney to produce the hormone erythropoietin (EPO), which stimulates production of RBCs in bone marrow, and acts to slow the rate of RBC destruction – this allows for more O2 to be carried in the blood as we exhale plenty of it. - Once O2 levels are restored, chemoreceptors send negative feedback message to kidney to cease release of erythropoietin. - Some causes of lower than average O2 levels: exercise, loss of blood, high altitudes, poor hemoglobin/RBC production/formation (anemia) - - Most common cause of anemia is iron deficiency. Blood Typing A couple of definitions: Antigen – a foreign substance that elicits a defensive response from the immune system. In the case of RBCs, an antigen (if present) is a protein that is displayed on the surface of the cell and serves as an ID tag for that cell. Antibody – an antigen-binding protein, produced by certain WBCs, that bind to certain antigens, ‘tagging’ them for destruction by phagocytic WBCs. FYI: Anti-gen = Antibody generating ABO System See table 14.2 p. 278 for Pop’n distribution O most common, then A, then B, then AB… Key Points: If antibody B (say) comes into contact with antigen B, it will tag each B antigen for destruction (the blood clumps and causes flow problems). Antibodies exist only in the plasma. Donated blood is made up of primarily RBCs only. So…a person with AB blood can receive blood from anyone; whereas, a person with type O blood can donate to anyone. AB = Universal Recipient; O = Universal Donor. Another Antigen: Rh protein (see fig. 14.13, p. 279 – excellent figure!) An Rh antigen is present in people with Rh+ blood (no antibody), and is not present in people with Rh- blood (also, no antibody). If a person who is Rh- is exposed to Rh+ blood, antibodies will then be produced that will tag each Rh+ RBC for destruction…happens often during a pregnancy where a mother is Rh- and her fetus is Rh+…the fetus’ RBCs move across the placenta (late in the pregnancy or during delivery, when the placenta begins to break down) and stimulate the mother to produce Rh antibodies which can then cross the placenta (usually in a subsequent pregnancy) to tag and destroy the fetus’ RBCs. Solved by injection of anti-Rh antibodies during, or just after, delivery of ‘first’ child, which destroy any Rh+ RBCs that entered the mother’s system, leading to prevention of production of Rh antibodies in mother and ‘saving’ second fetus if he/she is Rh+ as well. White Blood Cells (WBCs) (fig. 13.10 p. 249) - aka Leukocytes Can be granular or agranular. - Very large in size (have a nucleus) relative to RBCs and platelets. - In general, WBCs fight infection and resist disease by aiding in the development of immunity. - Produced in the bone marrow from the same stem cells as RBCs, but follow a different developmental pathway. Two Classes and Five Types: Class I: Granular Leukocytes (filled with vesicles of enzymes that ‘defend’ against ‘invaders’) a. Basophils – release histamines that cause allergic reactions (clotting of area, dilation of vessels to allow neutrophils/monocytes to arrive). - b. Eosinophils – attack parasites by releasing substances that kill them. c. Neutrophils – attack and engulf foreign invaders, destroying themselves in the process (pus); aka phagocytes. Most numerous (60-70% of WBCs). Class II – Agranular Leukocytes a. Monocytes (Macrophages) – like neutrophils except that they possess pseudopodia (‘arms’) that can extend out to capture invaders. As well, they may live through an encounter and even act to engulf dead neutrophils. b. Lymphocytes (T and B) – produce antibodies that tag specific invaders for destruction. Colony-stimulating Factors (CSFs) are secreted by ‘living’ WBCs to promote the WBC developmental pathway, leading to an increase in WBC production (akin to EPO for RBCs). RBC = R Agranular WBC (Monocyte) = N Granular WBC (Eosinophil) = E Platelets (fig. 13.14 p. 254) – Cell Fragments - regulated by hormone thrombopoietin, which is released by the liver and/or kidneys when platelet counts are low. - They lack a nucleus; are fragments of megakaryocytes, which are derived from bone marrow stem cells. - Play a major role in blood clotting; when a blood vessel is broken, it must be repaired. In order for the tissue to regenerate, the blood flow through the cut must be stopped; a clot serves this function. - When a cut occurs, platelets congregate and stick to the irregular surface created by the cut. - If it is a minor cut, this congregation clogs the hole. - If it is a major cut, a sequence of events takes place: - - - Platelets and damaged tissue cells release enzyme Prothrombin Activator, which, along with Ca2+ ions in the plasma, acts to convert the plasma protein prothrombin to the protein thrombin. The liver produces prothrombin with help from Vitamin K (a lack of K in diet leads to hemorrhagic disorders). Thrombin then acts as an enzyme to convert the plasma protein fibrinogen to fibrin, a thread (filament)-like protein that winds around the platelet congregation to stabilize it. Fibrin threads also capture RBCs that act to further plug holes in the clot. The fibrin web eventually contracts (like actin fibers) to pull the tissue back together (forms a scab). Tissue repair occurs beneath scab. Once repairs are complete, the clot is released and destroyed by the enzyme plasmin (present in blood). Types of Body Fluids Name Blood Composition Formed elements and plasma Water, proteins, Plasma salts, etc. Plasma minus Serum fibrinogen (after clotting) Tissue (ECF) fluid Plasma minus proteins Tissue Fluid in Lymph lymphatic vessels Capillary Exchange – fig. 13.15 p. 255 The diffusion of water, hormones, O2, nutrients, CO2, and other wastes occurs between the capillaries and the ECF (and eventually, body cells). ► Capillaries are very close (at most 0.2 micrometers) to body cells, and their walls are one-cell thick (easy exchange). ► Water is the transfer medium for the substances diffusing; it is the osmotic gradient that is followed. Thus, tonicity (Osmotic Pressure (OP)) and Blood Pressure (BP) within capillaries are important to analyze. ► Ultimate goals: to move O2 and nutrients from blood into ECF, and eventually into cells; and to move CO2 and other wastes from ECF (originally from cells) into capillaries. ► Picture two regions of the capillary: the arterial end and the venous end. ► At the arterial end, the BP > OP (in fact, BP = 30 mmHg and OP = 21 mmHg), so there is a net movement (9 mm Hg) of water and its contained stuff (O2/nutrients) out of blood into the ECF. The movement of O2 and nutrients follows their own conc. gradients. Most water, O2, nutrients eventually enter cells. ► At the venous end, since the plasma proteins were unable to move out of the capillary, and due to the movement of water, OP > BP (in fact, OP = 21 mmHg and BP = 15 mm Hg). Thus, there is a net movement (6 mmHg) of water and its contained stuff (CO2/other wastes – following their own conc. gradient) from the tissue cells/ECF into the capillary for eventual disposal from/by the body. ► The excess water (3 mmHg diff.) is taken up by lymph capillaries…this excess can be greater if the [plasma proteins] is lower than average. ► Ignore these numbers… pay attention to the premise only… Now…see the Lymphatic System…