6.2 The blood system
Essential Idea: The blood system continuously transports substances to cells and simultaneously collects waste products.
Essential Idea: The blood system continuously transports substances to cells and simultaneously collects waste products.
In the Blood System unit we we learn about how our blood system provides a delivery and collection service for the whole body. The heart, blood and blood vessels make up a most efficient transport system that reaches all cells, bringing the substances they need and taking away their waste. You will also learn that humans and other mammals have what is known as a closed circulatory system with blood contained inside a network of arteries, veins and capillaries.
Be able to:
State the function of arteries.
Outline the role of elastic and muscle tissue in arteries.
State the reason for toughness of artery walls.
The function of arteries is to convey blood at high pressure from the heart ventricles to the tissues of the body and lungs. Because large volumes of blood are flowing directly out of the heart, arteries must be able to withstand the high pressure and high blood volume created when the ventricles contract. Arteries have a specialised structure in order to accomplish this task:
They have a narrow lumen (relative to wall thickness) to maintain a high blood pressure (~ 80 – 120 mmHg)
They have a thick wall containing an outer layer of collagen to prevent the artery from rupturing under the high pressure
Very thick wall of smooth muscle tissue surrounding arteries makes them strong and elastic in nature with a narrow lumen (area where the blood flows).
Elastin fibres store energy when they are stretched by the flow of blood. As they recoil the blood is further propelled through the artery.
The thick smooth muscle layer in the arteries can be used to help regulate blood pressure by changing the diameter of the arteries.
Be able to:
Describe the structure and function of the three layers of artery wall tissue.
Tunica externa – outer layer made from connective tissue; is a tough layer consisting largely of loosely woven collagen fibres that protect the blood vessel and anchor it to surrounding structures.
Tunica media– thick layer containing smooth muscle and elastin fibres; This layer is usually the thickest of the three layers.
Tunica intima– This layer lines the inside of the artery.This is the innermost layer and is in direct contact with the blood in the lumen. It includes the endothelium that lines the lumen of all vessels; thus forming a smooth, friction-reducing lining
Be able to:
Describe the mechanism used to maintain blood flow in arteries between heartbeats.
Define systolic and diastolic blood pressure.
Define vasoconstriction and vasodilation.
Blood is expelled from the heart upon ventricular contraction and flows through the arteries in repeated surges called pulses. This blood flows at a high pressure and the muscle and elastic fibres assist in maintaining this pressure between pumps
The muscle fibres help to form a rigid arterial wall that is capable of withstanding the high blood pressure without rupturing. Muscle fibres can also contract to narrow the lumen, which increases the pressure between pumps and helps to maintain blood pressure throughout the cardiac cycle
The elastic fibres allow the arterial wall to stretch and expand upon the flow of a pulse through the lumen. The pressure exerted on the arterial wall is returned to the blood when the artery returns to its normal size (elastic recoil). The elastic recoil helps to push the blood forward through the artery as well as maintain arterial pressure between pump cycles
When the ventricles of the heart contract (systole), the blood leaves the heart through the arteries at a very high pressure.
Be able to:
Describe the structure and function of capillaries.
Describe the cause and effect of diffusion of blood plasma into and out of a capillary network.
The function of capillaries is to exchange materials between the cells in tissues and blood travelling at low pressure (<10mmHg):
Capillaries have a very narrow diameter (10 µm) with thin surrounding endothelium cells to allow the shortest distance for O2 to diffuse into the blood from the alveoli in the lungs and from the blood into the body tissues. CO2 also can easily diffuse out of the blood into the alveoli in the lungs and from the tissue into the blood after respiration.
The walls have pores, making them very permeable allowing plasma to leak out and form tissue fluid, which contains oxygen, glucose and all other substances contained in the blood plasma, except proteins (too large to fit through the pores in the capillary wall)
Highly branched networks of capillaries increase the surface area, maximizing the amount of nutrients and gases that can move in and out of the capillaries.
Because they are highly branched, the blood slows down to allow efficient transfer of O2 and CO2 into and out of the capillaries.
Below are examples what capillaries look like. The pores or holes that allow certain substances to leave get larger from left to right, with Sinusoid capillaries having the largest openings. Specific names of these types of capillaries is not required.
Capillaries structure may vary depending on its location in the body and specific role:
The capillary wall may be continuous with endothelial cells held together by tight junctions to limit permeability of large molecules
In tissues specialised for absorption (e.g. intestines, kidneys), the capillary wall may be fenestrated (contains pores)
Some capillaries are sinusoidal and have open spaces between cells and be permeable to large molcules and cells (e.g. in liver)
Be able to:
State the function of veins.
Outline the roles of gravity and skeletal muscle pressure in maintaining flow of blood through a vein.
The function of veins is to collect the blood from the tissues and convey it at low pressure to the atria of the heart:
Transport blood back to the heart from the capillary beds in tissues.
Very low blood pressure and therefore the walls can be thin. Blood is pushed back to the heart through the contraction of skeletal muscles. As the muscles contract, the veins are squeezed, pushing the blood back towards the heart
Large lumen allows large amounts of blood to slowly return to the heart because the blood has to slow down as it passes through the capillary beds.
Be able to:
Outline the structure and function of a pocket valve.
Since the blood pressure in the veins is quite low because the blood slows down considerably when it reaches the capillary bed and there is not another pump like the heart to speed up the flow and increase the pressure, veins have a series of valves to prevent backflow.
Valves are flaps of tissue that form pockets to prevent blood from flowing backwards in the wrong direction
If the blood starts to flow backwards, it gets caught in the pocket valves causing that section of the vein to fill.
When another contraction occurs and the blood starts to flow in the correct direction, the valves open allowing the blood to continue its movement towards the heart.
Be able to:
Draw a diagram to illustrate the double circulation system in mammals.
Compare the circulation of blood in fish to that of mammals.
Explain the flow of blood through the pulmonary and systemic circulations.
Explain why the mammalian heart must function as a double pump.
Humans and other mammals have a two different circulations of blood (blood is pumped twice). One circulation (systemic circulation) goes from the left ventricle to the rest of the body and back to the right atrium. The second circulation (pulmonary circulation) goes from the right ventricle to the lungs and returns to the left atrium of the heart.
Pulmonary Circulation
Blood flows from the right atrium into the right ventricle through the R.atrio-ventricular valve. The right atrium contracts right when the ventricle is almost full in order to push the rest of the blood into the ventricle.
The right ventricle contracts sending the blood out of the ventricle (past a semi-lunar valve), through the pulmonary arteries to the lungs.
The atrio-ventricular valve shuts preventing back flow into the atrium.
The blood flows through capillaries obtaining oxygen from the lungs and returning to the heart by the pulmonary veins; which empty into the left atrium.
This blood is actually returning to the heart from the lungs at the same time as the blood that returns to the right atrium from the rest of the body.
Systemic Circulation
The blood then flows into the left ventricle through an L atrio-ventricular valve.
The left ventricle contracts, sending the blood through another semi-lunar valve and out through the biggest artery in the body called the aorta.
Again the atrio-ventricular valve shuts, preventing backflow into the atrium.
The oxygenated blood flows to all the tissues and organs in the body to be used in aerobic respiration. (Arteries --> Arterioles --> Capillaries)
Blood then flows from the capillaries to the numerous venules and then through the different veins in the body
These will all eventually dump the blood into the inferior and superior vena cava
Blood returns to the right atrium of the heart flowing from the inferior vena cava (blood from lower body) and the superior vena cava (blood coming upper body and head).
Note: Both ventricles contract at the same time sending blood to the lungs and the other parts of the body.
Be able to:
Define myogenic contraction.
Outline the role of cells in the sinoatrial node.
The contraction of the heart is myogenic. This means that the signal for cardiac compression arises within the heart tissue itself. In other words, the signal for a heartbeat is initiated by the heart muscle cells (cardiomyocytes) rather than from the brain:
Membrane of the heart muscle cell depolarizes when the cell contracts, which then activates the adjacent cells so they contract
Sinoatrial node: Group of small special muscle cells in the wall of the right atrium that beats at the fastest rate
Cells have extensive membranes
Sinoatrial node initiates each heartbeat because the cells depolarizes the first
Be able to:
State the reason why the sinoatrial node is often called the pacemaker.
Within the wall of the right atrium are a specialized cluster of cardiomyocytes which direct the contraction of heart muscle tissue.
This cluster of cells are collectively called the sinoatrial node (SA node or SAN) sinoatrial node acts as a pacemaker. If defective, the sinoatrial node might be replaced by an artificial pacemaker
The electrical conduction of a heart beat occurs according to the following events:
Sinoatrial node initiates a heartbeat by contracting and sending out an electrical signal that spreads through the walls of the atria.
Electrical signal can spread because there are connections between adjacent fibers across which allows for the signal to be spread.
The spread of the electrical signal causes the left and right atria to contract.
After 0.1 seconds, electrical signal is passed to the ventricles
Time delay allows for atria to pump blood into the ventricles
Blood is then pumped from ventricles into the artery
This second node – the atrioventricular node (AV node) – sends signals down the septum via a nerve bundle (Bundle of His).
The Bundle of His innervates nerve fibres (Purkinje fibres) in the ventricular wall, causing ventricular contraction.
This sequence of events ensures there is a delay between atrial and ventricular contractions, resulting in two heart sounds - Lub Dub.
Be able to:
Outline conditions that will lead to epinephrine secretion.
Explain the effect of epinephrine on heart rate.
Hormones are chemical messengers released into the bloodstream that act specifically on distant target sites (like the heart). Heart rate can undergo a sustained increase in response to hormonal signalling in order to prepare for vigorous physical activity
Cardiac nerves also cause the release of norepinephrine (adrenalin) from the adrenal glands during strenuous physical activity or times of high levels of stress. This is also known as the fight or flight response
The Vagus nerve causes the heart rate to slow down through the release of acetylcholine, which has an inhibitory action on the heart rate
Be able to:
Describe the cause and consequence of atherosclerosis.
Outline the effect of a coronary occlusion on heart function.
The cardiac cycle describes the series of events that take place in the heart over the duration of a single heart beat
Atrial Systole (0 to 0.1 s)
Atria contract, pressure increases in the left and right atria, and the remaining blood is pumped into the ventricles (left atrium into left ventricle)
Ventricle walls relaxed and therefore the pressure is low
AV valves are open and semi-lunar valves are shut
Ventricular Systole (approx. 0.1 – 0.5 s)
Ventricles contract and the pressure increases dramatically in the ventricles
AV valves close (because of the pressure) preventing backflow and the semi-lunar valves open.
Blood is pumped out of the left ventricle into the aorta through the left semi-lunar valve
Pressure in the aorta increases
Pressure falls in the atria
Atrial and Ventricular Diastole (approx. 0.5 to 0.8)
Muscles in the walls of the ventricles and atria relax
The semi-lunar valves close
Since the pressure drops in the atria, blood flows into the left atrium from the pulmonary veins and into the right atrium via the vena cava
AV valves also open as the pressure in the ventricles drops below the pressure in the atria and blood flows from the atria into the ventricles (left atrium into the left ventricle through the left AV valve)
Pressure in the aorta drops but remains quite high throughout the cycle because of the elastic and muscle fibres in the walls
Be able to:
Explain the pressure changes in the left atrium, left ventricle and aorta during the cardiac cycle.
Explain the relationship between atrial and ventricular pressure and the opening and closing of heart valves.
Explain the atrial, ventricular and arterial pressure changes as illustrated on a graph of pressure changes during the cardiac cycle.
Identify the time of opening and closing of heart valves on a graph o f pressure changes during the cardiac cycle.
Consequences
If an embolus breaks free, it can get stuck in a smaller arteriole and cause a blockage of blood supply to that tissue, eventually causing that tissue to die
If this happens to the coronary arteries or arterioles in the heart, and enough of the tissue is deprived of oxygen, a myocardial infarction (heart attack) can occur
If an embolus reaches the brain, and enough of the brain is deprived of oxygen and nutrients, a stroke can occur
If coronary arteries are damaged, by-pass surgery can be performed, that takes an artery typically from a patient’s leg , replacing the damaged coronary artery
Coronary Angioplasty (balloon angioplasty) can be an alternative to a by-pass operation. A catheter (with attached balloon) is inserted in the arm or the leg of a patient and is guided to the obstructed artery by x-ray and tv monitors
A harmless dye is injected into the patient to determine exactly where is the blockage
The balloon is inflated to reestablish blood flow stretching the arterial wall and squashing the plaques
Blood vessels that deliver oxygen and nutrient rich blood to the cardiac muscle tissue of the heart to allow it to pump blood around the body are known as coronary arteries
Causes
Artery walls become damaged as fat (low-density lipoproteins) are deposited under the endothelium and fibrous tissue builds up
Can result from a poor diet, over-eating, constant high blood glucose levels or smoking
The flow of blood is impeded and the heart has to work harder to pump blood to the tissue, increasing blood pressure
The smooth lining of the arteries begins to break down and form lesions called atherosclerotic plaques
Platelets can bind to these lesions, causing an inflammatory response creating a blood clot
The blood clot formed is called a thrombus and an embolus if it breaks free to travel through the bloodstream.
Be able to:
Compare the diameter, relative wall thickness, lumen diameter, number of wall layers, abundance of muscle and elastic fibres and presence of valves in arteries, capillaries and veins.
Given a micrograph, identify a blood vessel as an artery, capillary or vein.
Be able to:
Label a diagram of the heart with the following structure names: superior vena cava, inferior vena cava, pulmonary semilunar valve, aorta, pulmonary artery, pulmonary veins, aortic semilunar valve, left atrioventricular valve, left ventricle, septum, right ventricle, left atrium, right atrium and right atrioventricular valve.
Theories are regarded as uncertain—William Harvey overturned theories developed by the ancient Greek philosopher Galen on movement of blood in the body. (1.9)
Outline Galen’s description of blood flow in the body.
Describe how Harvey was able to disprove Galen’s theory.