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    Structure of the Microcirculation

    Capillary System Metarterioles

    Precapillary sphincter Large preferential channels Small true capillaries

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    Structure of the Microcirculation

    Venule

    Arteriole

    PreferentialChannel

    Metarteriole

    PrecapillarySphincter True Arterioles

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    Structure of the Microcirculation

    BasementMembrane(Collagen Type I)

    VesicularChannel?

    Endothelial Cell

    IntercellularCleft

    PlasmalemmalVesicles

    (1 Endothelial Cell Thick)

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    Transport Mechanisms

    Diffusion Intercellular Clefts

    Plasmalemmal Vesicles Tight Junctions (brain) Open Junctions (liver)

    Fenestra (kidney)

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    Capillary Vasomotion

    Intermittent flow regulated by precapillarysphincters.

    Controlled by O2 concentration.

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    Diffusion through CapillaryMembrane

    Lipid soluable through endothelial cellmembrane.

    Water soluable through intercellularpores

    Size Dependent

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    Diffusion through Capillary Membrane

    This figure illustrates that the permeability of substances throughcapillary membrane decreases roughly with the logarithm of size.

    0

    0.2

    0.4

    0.6

    0.8

    1

    1.2

    10 100 1000 10000 100000

    Molecular Weight (Daltons)

    P e r m e a

    b i l i t y ( R e l a t

    i v e

    t o W a t e r

    ) Water

    Albumin

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    Limphatic system

    End collecting vessels of system aresingle walled endothelial cells

    lacking tight junctions

    possess fine filaments which anchor them toconnective tissue

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    Limphatic system

    with contractions, these filaments can pull onendothelial cells, allowing protein, largeparticles or cells to enter lymph system

    Contain one-way valves, like the veins Collecting vessels drain into larger vessels, whichultimately enter the right and left subclavian veins

    Recover and return about 15% of blood volume lostthrough capillary filtration

    In a single day, this is equivalent to the total plasmavolume

    returns proteins to the blood In a single day, this is represents about to the

    circulating plasma proteins

    Disease: Lymphodema Severe edema in affected area

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    Lymphatic systemLymph capillaries drain excess fluid from

    interstitial spacesNo true lymphatic vessels found in

    superficial portions of skin, CNS,endomysium of muscle, & bones

    Thoracic duct drains lower body & leftside of head, left arm, part of chest

    Right lymph duct drains right side of head,neck, right arm and part of chest

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    CNS-modified lymphatic

    functionNo true lymphatic vessels in CNSPerivascular spaces contain CSF &

    communicate with subarachnoid spacePlasma filtrate & escaped substances in

    perivascular spaces returned to thevascular system in the CSF via thearachnoid villi which empties into duralvenous sinuses

    Acts a functional lymphatic system in CNS

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    Formation of LymphExcess plasma filtrate-resembles ISF

    from tissue it drains[Protein] 3-5 gm/dl in thoracic duct

    liver 6 gm/dlintestines 3-4 gm/dlmost tissues ISF 2 gm/dl

    2/3 of all lymph from liver & intestines Any factor that filtration and/or

    reabsorption will lymph formation

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    Rate of Lymph Formation/Flow

    Thoracic duct- 100 ml/hr.Right lymph duct- 20 ml/hr.

    Total lymph flow- 120 ml/hr (2.9 L/day)Every day a volume of lymph roughly equal

    to your entire plasma volume is filtered

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    Function of Lymphatics

    Return lost protein to the vascular systemDrain excess plasma filtrate from ISF space

    Carry absorbed substances/nutrients(e.g. fat-chlyomicrons) from GI tractFilter lymph (defense function) at lymph

    nodeslymph nodes-meshwork of sinuses lined withtissue macrophages (phagocytosis)