The Respiratory System
There are two primary components to the
human respiratory system:
Ventilation
The movement of air in and out of the lungs
Gas exchange
The exchange of oxygen (O2) and carbon
dioxide (CO2) between the lung tissue and
the circulatory system
Cell respiration creates a constant
demand for oxygen and a need to
remove carbon dioxide
The Respiratory Sytem
The human respiratory
system is generally
divided into two main
sections:
The upper respiratory
Mouth, nose, pharynx etc
The lower respiratory
Bronchi, lungs etc
Lung Structure
Air enters through the nose or mouth and then passes through the
pharynx to the trachea
The trachea is positioned in front of the oesophagus and is held open by rings of
cartilage
The air travels down the trachea until it divides into two bronchi (singular:
bronchus) which connect to the left and right lungs
The bronchi divide into many smaller airways called bronchioles
Each bronchiole terminates with a cluster of air sacs called alveoli, where
gas exchange with the bloodstream occurs
A large muscle called the diaphragm sits under the lungs to assist
ventilation
Lung Structure
Lung Structure
Lung Structure
Ciliated, mucus-secreting epithelial cells lines the trachea and bronchi,
which traps and removes dust and pathogens before they reach the gas
exchange surfaces
Ventilation
Ventilation of the lungs occurs due to the
action of the respiratory muscles
Respiratory muscles contract to change the
volume of the thoracic cavity and hence
alter the pressure in the lungs
Changing volume creates a pressure
differential between the lungs and
atmosphere – with air then moving to
equalise
Ventilation
The mechanism of breathing occurs
according to the principle of Boyle’s
Law: pressure is inversely proportional to
volume
When the volume of the thoracic cavity
increases, pressure in the thorax decreases
When the volume of the thoracic cavity
decreases, pressure in the thorax increases
Gases will move from a region of high
pressure to a region of lower pressure
(pressure gradient)
Inspiration
During inspiration, the respiratory
muscles contract and increase the
thoracic volume which decreases the
pressure in the lungs
The diaphragm flattens and pulls down when
it contracts, and the external intercostal
muscles lift the ribs up
Air then flows into the lungs in response
to decreased pressure inside the lungs
Expiration
During expiration, the respiratory muscles
relax and decrease the thoracic volume
which increases the pressure in the lungs
The diaphragm returns to its dome shape and
pushes up against the lungs, and the external
intercostal muscles let the ribs lower
Air then flows passively out of the lungs
to equalize with the air pressure
Other muscles can assist in forced breathing
(inspiration or expiration)
Respiratory Muscles
Gas Exchange
The numerous alveoli at the terminal bronchioles provides a large surface area
for gas exchange (about 70 m2)
Each lung contains more than 150 million alveoli
Gases are exchanged by diffusion between the alveoli and the surrounding
capillaries
The alveoli provide the wet membranes needed for diffusion of oxygen and
carbon dioxide, but water loss (and the risk of them drying out) is reduced as
they are protected inside the body
Efficient diffusion is achieved by:
The short distance and minimal membranes that need to be crossed between the alveoli
and the capillaries
Concentration gradients that are maintained by the continuous flow of blood through the
capillaries and the continuous movement of air in and out of the alveoli
Gas Exchange
Summary of key gas exchange
features:
Alveoli are small and numerous which
generates a large surface area for
diffusion
The number of membranes that
needs to be crossed is minimal – just
the alveoli and capillary membranes
The distance between the alveoli and
capillary is small – shorter distance
to diffuse
Gas Exchange
The blood arriving at the alveoli is
deoxygenated blood that has
come to the lungs via the right
ventricle/pulmonary arteries so it
will have a low concentration of
oxygen and a high concentration
of carbon dioxide
The air entering the alveoli is going
to have a high concentration of
oxygen and low concentration of
carbon dioxide
As these gradients are continuously
maintained, efficient gas exchange
can be also be maintained
Alveoli Tissue
The inner surface of the alveolus is lined by two special types of alveolar
cell called a pneumocyte
Type I pneumocytes
Thin, flat cells – minimises distance for diffusion to occur
Form 95% of alveoli surface
Tight junctions between the cells prevents tissue fluid entering the alveoli
Type II pneumocytes
Secrete pulmonary surfactant which reduces the surface tension within the alveoli
and prevent collapse when it recoils after expanding (the alveoli also contains
elastic connective tissue)
Alveoli Tissue
Alveoli have wet surfaces, as it is easier for the
oxygen to diffuse if it is dissolved
The surfactant prevents the collapse and resistance
to inflation that can occur in the alveoli by reducing
surface tension
Oxygen Transport
Oxygen is transported in red blood cells by the protein haemoglobin
(Hb)
Haemoglobin can reversibly bind up to four oxygen molecules
(Hb + 4O2 = HbO8)
As each O2 molecule binds, it alters the conformation of haemoglobin,
making subsequent binding easier (cooperative binding)
Oxygen Dissociation Curves
Because binding potential changes with each
additional O2 molecule, the saturation of
haemoglobin is not linear with regards to
oxygen levels (as partial pressure)
The oxygen dissociation curve for adult
haemoglobin is sigmoidal (S-shaped) due to
cooperative binding
There is a low saturation of haemoglobin when
oxygen levels are low (haemoglobin releases O2 in
hypoxic tissues)
There is a high saturation of haemoglobin when
oxygen levels are high (haemoglobin binds O2 in
oxygen-rich tissues)
Oxygen Dissociation Curves
Foetal haemoglobin has a higher affinity
for oxygen than adult haemoglobin
(dissociation curve is shifted to the left)
This is important as it means foetal
haemoglobin will load oxygen when
adult haemoglobin is unloading it (i.e. in
the placenta)
Carbon Dioxide Transport
Carbon dioxide produced by the cells is transported by one of three
mechanisms:
Some is bound to haemoglobin to form HbCO2 (carbon dioxide binds to the globin not the
heme group and so doesn’t compete with O2 binding)
A very small fraction gets dissolved in water and is carried in solution (~5% as carbon
dioxide dissolves poorly in water)
The majority (~75%) diffuses into the erythrocyte and gets converted into carbonic acid
(a reaction catalysed by the enzyme carbonic anhydrase - CAH)
Carbonic acid (H2CO3) then dissociates to form hydrogen ions (H+) and bicarbonate
(HCO3
–)
The hydrogen ions make the environment more acidic/less alkaline, causing
haemoglobin to release its oxygen
The process is reversed in the lungs so the carbon dioxide can be released into the
alveoli and breathed out of the lungs
Carbon Dioxide Transport
Bohr Shift
Carbon dioxide lowers the pH of the blood
(by forming carbonic acid), which causes
haemoglobin to release its oxygen
This is known as the Bohr effect – a decrease
in pH shifts the oxygen dissociation curve to
the right
Cells with increased metabolism (i.e.
respiring tissues) release greater amounts of
carbon dioxide (product of cell respiration)
Hence haemoglobin is promoted to release
its oxygen at the regions of greatest need