3.2 Histology blood vessels & capillaries

Blood and Cardiovascular System

Blood Vessel Functionality

  • Blood vessels form circuits that work with the heart.

    • Arteries: Transport oxygenated blood away from the heart (includes elastic arteries, muscular arteries, arterioles).

    • Veins: Return deoxygenated blood to the heart (includes venules, medium veins, large veins).

Comparison of Arteries and Veins

  • Arteries and veins have distinct structural differences:

    • Both have tunica intima, tunica media, and tunica externa.

    • Arteries contain more smooth muscle and elastic fibers.

    • Veins primarily consist of collagen fibers and have fewer smooth muscle layers.

    • Tunica intima in both types is thin and closest to the lumen.

    • Tunica media in arteries is thicker, regulating blood flow with elastic tissue.

    • Tunica externa is thickest in veins, consists of dense fibrous connective tissue, contains vasa vasorum.

Wall layers in large vessels

  • Blood vessels are tubular structures with three primary layers:

    • Tunica interna/intima: Innermost layer composed of endothelium.

    • Tunica media: Middle layer primarily made up of smooth muscle.

    • Tunica externa/adventitia: Outermost layer providing structural support.

  • Vessel wall complexity varies with size and distance from the heart.

Vessel wall layers

  • Tunica interna/intima

    • inner most layer (thin)

    • Endothelium

      • Thin, simple squamous epithelium

      • smooth

      • antithrombogenic

    • Basement membrane

    • subendothelial connective tissue has fine elastic and collagen tissue, has fine elastic & collagen fibres

    • Internal elastic laminate-IEL

  • Tunica media

    • Middle layer, thickest in arteries

    • Variable quantities of elastic tissue and smooth muscles

      • Smooth Muscle

        • Smooth muscle is characterized by a concentric arrangement of fibers.

        • Contraction and relaxation of smooth muscle lead to variations in luminal diameter, which results in a decrease or increase in blood flow.

      • Elastic Laminae/Lamellae

        • Elastic laminae contain fenestrations that allow for flexibility and expansion of the blood vessel walls.

  • Tunica Externa/Adventitia

    • The outermost layer of the blood vessel wall.

    • Thickest in veins

    • Provides structural support to the blood vessel.

    • Composed of dense fibrous connective tissue.

    • Contains vasa vasorum, which are small blood vessels that supply the walls of larger vessels.

Specific Vessel Structures

  • Elastic arteries:

    • Large diameter blood vessels that have thick walls and a high content of elastin.

    • Function: Mitigate blood pressure fluctuations by stretching during ventricular systole and recoiling during diastole.

    • Media contains numerous concentric elastic laminae (sheets) making up more than 50% of this layer, interspersed with smooth muscle cells which help regulate vessel diameter and maintain blood pressure.

  • Muscular arteries:

    • Smaller than elastic arteries with pronounced internal elastic lamina.

    • Contain larger amounts of smooth muscle (25-40 cell layers).

    • Function: Allow for vasoconstriction and dilation, adjusting blood flow to various tissues and organs.

    • Tunica media is dominant, allowing for precise regulation of blood flow.

    • Vasa vasorum present in the dense connective tissue of the tunica adventitia.

  • Arterioles:

    • Small diameter, thick tunica media controls diameter.

      • <5mm diameter

      • Thick wall relative to luminal diameter

      • Tunica media (smooth muscle) are the most prominent

      • Constriction and dilation of smooth muscle vary the vessel diameter.

      • This variation reduces blood pressure for flow through capillaries.

      • Regulates blood distribution and flow through capillaries.

      • Arterioles regulate blood flow and pressure as they control the diameter of blood vessels.

      • They play a key role in reducing blood pressure before blood reaches the capillaries, allowing for efficient exchange of nutrients and waste.

      • Through constriction and dilation, arterioles adjust blood distribution to various tissues and organs based on metabolic needs.

  • Venules:

    • Collect blood from capillaries, thin walls, supported by pericytes.

    • Generally 8-100 micrometers in diameter

    • The tunica media is the middle layer of blood vessels, primarily composed of smooth muscle, which is the most prominent layer.

    • It allows for constriction and dilation, varying the diameter of the vessel, which helps regulate blood flow.

    • This variation in diameter serves to reduce blood pressure as blood flows through capillaries and plays a key role in the distribution of blood throughout the body.

  • Medium veins:

    • High capacitance, thin walls, irregular lumens, valves to prevent backflow.

    • Have thin walls compared to arteries, allowing for flexibility and expansion.

    • Characterized by irregular lumens that support blood flow.

    • Contain valves to prevent the backflow of blood, ensuring efficient circulation back to the heart.

  • Large veins:

    • Lack valves and internal elastic lamina, thinner tunica media, prominent adventitia with high collagen content.

    • No valves, no Internal elastic lamina (IEL), no External elastic lamina (EEL)

Summary of Vessel Structure Differences

  • Arteries:

    1. High pressure

    2. pressure reservoir

    3. vessels at full blood capacity

    4. No valves

    5. circumferential muscle layer

    6. Thinner adventitia

    7. small lumens, thick walls overall, hold circular cross sectional shape

  • Veins:

    1. low pressure

    2. blood reservior

    3. vessels contain 30-70% of blood capacity

    4. presence of valves

    5. reduced muscle in media, less compact, ‘patchy’ distribution

    6. adventitia is usually thicker

    7. Vessels have large lumens, thin walls, collapsed/irregular profiles in sections

Differences in large vessel structures

  • Large veins

    • Thinner walls

    • No valves large capacity reservoirs

    • Valves for unidirectional flow

    • Capacitance vessels

  • Large (elastic) arteries

    • Thicker walls

    • Conducting Vessels

    • Distributing vessels

    • Resistance vessels

Transition to Capillaries

  • Capillaries play crucial roles in substance exchange across the endothelium:

    • Types include continuous, fenestrated, and sinusoidal capillaries.

    • Continuous capillaries: Characterized by tight junctions and abundant vesicles.

    • Fenestrated capillaries: Allow extensive exchange through regulated fenestrations (holes), often with thin diaphragms.

    • Sinusoidal capillaries: Discontinuous structure, larger diameters, irregular pathways, optimize exchange.

  • Structural characteristics

    • Reduced complexity

      • Endothelium: Thin inner lining made of endothelial cells.

        • +/- Fenestrations: Small openings that allow for selective permeability and exchange of substances, present in some capillaries.

        • +/- Tight junctions: Cell junctions that regulate the passage of materials between endothelial cells, contributing to the barrier function of the capillary wall.

        • Pinocytotic vesicles: Small vesicles that facilitate the transport of materials across the endothelial layer, enabling larger molecules to move in and out of the bloodstream.

      • Basal lamina: A layer of extracellular matrix that supports the endothelium and regulates its function.

        • +/- Pericytes: Contractile cells associated with capillaries that help regulate blood flow and maintain capillary stability.

      • Smallest diameter vessels: Capillaries are the smallest blood vessels, measuring approximately 5-10 micrometers in diameter, facilitating efficient exchange of nutrients and waste between blood and tissues.

Endothelial cells

  • Thin (attenuated): Maximizes exchange between blood and tissues.

  • Anti-thrombogenic function: Helps to prevent blood clot formation.

  • Breakdown of lipoproteins: Converts lipoproteins into triglycerides and cholesterol for metabolism.

  • Intercellular tight junctions: Restrict passage between endothelial cells, maintaining barrier integrity.

  • Pinocytotic vesicles: Facilitate the transport of materials across the endothelium, aiding in nutrient uptake and waste removal.

Continuous capillary

  • Most widespread capillary type

    • Tight junctions

    • Many pinocytotic vesicles for exchange

    • No gaps between endothelial cells

  • Less common continuous type

    • Very tight junctions - more selective barrier

    • Few pinocytotic vesicles

    • No gaps between endothelial cells

    • restricted exchange between blood and tissues

Fenestrated capillary

  • Characterised by interruptions in endothelium: The endothelial cells have pores, known as fenestrations.

  • Endothelial cell cytoplasm is pierced by pores: These fenestrations extend through the full thickness of the wall.

  • Allow for extensive exchange: They facilitate exchange between blood and tissue, though with some limitations on particle size.

  • +/- Thin diaphragm: Some fenestrations may have a thin diaphragm, which is thinner than the cell membrane.

Continuous capillary vs Fenestrated capillary

  • Continuous: slower exchange more selective

  • Fenestrated: More rapid exchange, less selective

Sinusoidal Capillaries/sinusoids

  • Characterized by larger diameters: Wider compared to other capillary types.

  • Irregular pathways: Exhibit tortuous and non-linear arrangements, enhancing surface area for exchange.

  • Discontinuous endothelial lining: The endothelial layer is incomplete, facilitating greater permeability.

  • Numerous large fenestrations: Large openings present in the walls that allow for the passage of larger molecules and cells.

  • Discontinuous basal lamina: The supportive layer is also disjointed, promoting additional transport capabilities.

  • Maximum exchange: Designed to maximize the exchange of materials between blood and surrounding tissues.

  • Gaps enable transport of whole cells: Allow for the movement of entire cells, crucial for processes like immune response and tissue repair.

  • Location: Found mainly in organs such as the liver, spleen, and bone marrow, where significant exchange occurs.