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Blood pressure
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Substances cross capillary walls by
• Diffusion
• Transcytosis
• Bulk flow
Diffusion
Substances such as oxygen, carbon dioxide, glucose,
amino acids, and some hormones cross capillary walls
via simple diffusion
Transcytosis
Large, lipid-insoluble molecules (like insulin) cross
capillary walls in vesicles via endocytosis and
exocytosis
Bulk Flow
Allows large numbers of ions, molecules, or particles in
a fluid move together in the same direction
• Bulk flow occurs from an area of higher pressure to
an area of lower pressure resulting in filtration and
reabsorption
• Bulk flow is more important for regulation of the blood
and interstitial fluid volumes
Bulk flow is a passive process
(no ATP needed)
Hydrostatic pressure
pressure that a liquid puts on
the container that holds it
Colloid osmotic pressure
like a solution, but it’s
larger proteins (like the ones in our plasma) that are
involved instead of smaller molecules
Filtration
pressure-driven movement of fluid and
solutes from blood capillaries into interstitial fluid
Pressures that promote filtration
Blood hydrostatic pressure (BHP)
Interstitial fluid osmotic pressure (IFOP)
Reabsorption
pressure-driven movement of fluid and
solutes from interstitial fluid into blood capillaries
Pressures that promote reabsorption
Interstitial fluid hydrostatic pressure (IFHP)
Blood colloid osmotic pressure (BCOP)
Arterial end
(35+1)-(26+0)+10mmHg
Net filtration
Venous end
(16+1)-(26+0)=-9 mmHg
Net reabsorption
Under normal conditions, the volume of fluid and solutes
reabsorbed is almost as large as the volume filtered
NFP = (BHP + IFOP) − (BCOP + IFHP)
Lymphatic capillaries
reabsorb the remaining fluid and
solutes
Edema, a build up of interstitial fluid can be due to
1. Increased BHP due to hypertension
2. Increased capillary permeability due to vessel trauma
3. Decreased BCOP due to liver disease or burns
Myocytes
mechanically and
electrically coupled by desmosomes
and gap junctions at visible
intercalated discs (via histology)
Cardiac myocytes are linked
by gap junctions
and held
together by desmosomes at
intercalated discs