Local and Humoral Control of Tissue Blood Flow

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What percentage of cardiac output is allocated to the brain under basal conditions?

  • 14% (correct)
  • 22%
  • 20%
  • 10%

Which organ has the highest blood flow in milliliters per minute under basal conditions?

  • Brain
  • Kidneys (correct)
  • Liver
  • Heart

In the inactive state, what is the blood flow to muscles in milliliters per minute per 100 grams of tissue?

  • 500 ml/min
  • 750 ml/min (correct)
  • 1000 ml/min
  • 250 ml/min

What percentage of cardiac output is directed to the liver?

<p>27% (A)</p> Signup and view all the answers

Which tissue has the lowest blood flow in milliliters per minute under basal conditions?

<p>Bone (B)</p> Signup and view all the answers

What happens to local blood flow during total cyanide poisoning of oxygen usage?

<p>It can increase up to sevenfold. (D)</p> Signup and view all the answers

Which theory suggests that increased metabolism leads to the formation of vasodilator substances?

<p>Vasodilator theory (C)</p> Signup and view all the answers

What is the primary factor that influences the vasodilator theory according to the content?

<p>Rate of metabolism (B)</p> Signup and view all the answers

What effect does oxygen deficiency have on blood flow?

<p>It increases blood flow significantly. (D)</p> Signup and view all the answers

Which of the following is NOT mentioned as a potential factor leading to increased blood flow?

<p>Insulin levels (C)</p> Signup and view all the answers

Which mechanism associated with blood flow changes has not been fully understood?

<p>Changes in tissue metabolism (D)</p> Signup and view all the answers

In what situation might local blood flow increase three times the normal level?

<p>During acute local energy demand (C)</p> Signup and view all the answers

What is the primary consequence of oxygen deficiency on local blood flow regulation?

<p>There is a shift towards increased vasodilator production. (B)</p> Signup and view all the answers

Which factor primarily initiates vasodilation in response to increased metabolism in local tissues?

<p>Increased adenosine levels (B)</p> Signup and view all the answers

What is the relationship between tissue metabolism and blood flow?

<p>Increased metabolism increases blood flow (B)</p> Signup and view all the answers

Which of the following substances are NOT considered vasodilators?

<p>Oxygen (C)</p> Signup and view all the answers

Which vasodilator is most directly related to conditions of oxygen deficiency?

<p>Lactic acid (C)</p> Signup and view all the answers

What effect does a fourfold increase in blood flow have concerning increased metabolism up to normal levels?

<p>It is typical for skeletal muscle (D)</p> Signup and view all the answers

Which of the following statements is true regarding vasodilator substances?

<p>They may be released from tissues under metabolic stress (C)</p> Signup and view all the answers

What role do potassium ions play in tissue blood flow regulation?

<p>They act as a vasodilator in response to metabolic activity (C)</p> Signup and view all the answers

Which condition leads to the release of adenosine and lactic acid into tissue spaces?

<p>Reduction in blood flow (C)</p> Signup and view all the answers

What is the primary function of creating an arteriovenous (A-V) fistula in patients with renal failure?

<p>To provide vascular access for dialysis (D)</p> Signup and view all the answers

What happens to the luminal diameter of the radial artery as a result of a high flow rate through an A-V fistula?

<p>It increases progressively (D)</p> Signup and view all the answers

Which substance is a powerful vasoconstrictor that can significantly increase arterial pressure?

<p>Angiotensin II (B)</p> Signup and view all the answers

What type of remodeling occurs in the radial artery during high shear stress conditions?

<p>Outward remodeling (C)</p> Signup and view all the answers

What does the dual system of control in circulation involve?

<p>Nerve stimulation and blood hormone effects (B)</p> Signup and view all the answers

How does increased blood flow affect the thickness of the vessel wall in the radial artery?

<p>It remains unchanged (C)</p> Signup and view all the answers

What occurs to the cross-sectional area and wall thickness in the venous side of the fistula in response to increased pressure?

<p>Increase in both wall thickness and cross-sectional area (B)</p> Signup and view all the answers

What is the effect of norepinephrine and epinephrine on the circulation?

<p>They cause similar effects as sympathetic stimulation (B)</p> Signup and view all the answers

What is the primary function of precapillary sphincters in relation to blood flow?

<p>To regulate the number of blood vessels open at a time (D)</p> Signup and view all the answers

What phenomenon describes the cyclical opening and closing of precapillary sphincters?

<p>Vasomotion (A)</p> Signup and view all the answers

Which theory suggests that precapillary sphincters close with increased oxygen concentration?

<p>Oxygen demand theory (C)</p> Signup and view all the answers

What does the term 'nutrient demand theory' imply about vascular muscle contraction?

<p>It is indirectly affected by nutrient availability (D)</p> Signup and view all the answers

How often do the precapillary sphincters typically open and close?

<p>Several times per minute (C)</p> Signup and view all the answers

What determines the duration that precapillary sphincters remain open?

<p>Metabolic needs of the tissue (C)</p> Signup and view all the answers

Which statement best describes the relationship between oxygen concentration and sphincter activity?

<p>High oxygen causes sphincters to close until oxygen levels drop (D)</p> Signup and view all the answers

What is a limitation in proving the vasodilator theory regarding blood flow regulation?

<p>Insufficient quantities of single vasodilators found in tissues (A)</p> Signup and view all the answers

What is produced by endothelial-derived nitric oxide synthase (eNOS) enzymes?

<p>Nitric oxide (NO) (A)</p> Signup and view all the answers

What role do PDE-5 inhibitors play in erectile function?

<p>Prevent degradation of nitric oxide (NO) (C)</p> Signup and view all the answers

What is the primary action of nitric oxide in vascular smooth muscle cells?

<p>Cause vasodilation (D)</p> Signup and view all the answers

What triggers the release of endothelin from endothelial cells?

<p>Damage to the endothelium (A)</p> Signup and view all the answers

How long is the half-life of nitric oxide (NO) in the blood?

<p>6 seconds (C)</p> Signup and view all the answers

What compound is converted from cyclic guanosine triphosphate (cGTP) by the action of NO?

<p>Cyclic guanosine monophosphate (cGMP) (A)</p> Signup and view all the answers

What physiological effect does shear stress on endothelial cells primarily cause?

<p>Increase in nitric oxide (NO) release (A)</p> Signup and view all the answers

What is the primary function of the local release of endothelin after severe blood vessel damage?

<p>Cause powerful vasoconstriction (C)</p> Signup and view all the answers

Flashcards

Blood flow to organs (resting)

The amount of blood delivered per minute to various organs under normal conditions.

Brain blood flow (percentage)

The brain receives 14% of the cardiac output at rest.

Kidney blood flow (percentage)

Kidneys receive 22% of cardiac output at rest.

Muscle blood flow (inactive)

Inactive muscles receive approximately 15% of the cardiac output.

Signup and view all the flashcards

Blood flow units

Blood flow is measured in milliliters per minute per 100 grams of tissue.

Signup and view all the flashcards

Tissue Oxygen Deficiency

A situation where a tissue lacks enough oxygen, often due to reduced blood flow or metabolic demand.

Signup and view all the flashcards

Blood Flow Response to Oxygen Deficiency

When a tissue experiences oxygen shortage, its blood flow significantly increases to deliver more oxygen.

Signup and view all the flashcards

Cyanide Poisoning and Blood Flow

Cyanide disrupts oxygen use in cells, causing extreme oxygen deficiency and a sevenfold increase in blood flow to the affected area.

Signup and view all the flashcards

Vasodilator Theory

This theory proposes that low oxygen or high metabolic activity in a tissue leads to the production of vasodilator substances, causing blood vessels to widen and increase blood flow.

Signup and view all the flashcards

Oxygen Demand Theory

This theory suggests that increased oxygen demand by a tissue directly triggers an increase in blood flow to meet the higher requirements.

Signup and view all the flashcards

Blood Flow Regulation Mechanisms

The body uses complex mechanisms like the vasodilator theory and the oxygen demand theory to control blood flow to different tissues based on their needs.

Signup and view all the flashcards

Adenosine and Blood Flow

Adenosine, a compound produced during metabolism, acts as a potent vasodilator, playing a role in local blood flow regulation.

Signup and view all the flashcards

Blood Flow Regulation: Intricate

The processes involved in regulating blood flow to various tissues are intricate and not fully understood.

Signup and view all the flashcards

Vasodilator Substances

Chemicals that cause blood vessels to widen, increasing blood flow to a specific area.

Signup and view all the flashcards

Tissue Metabolism and Blood Flow

Increasing the rate of metabolism in a tissue, like during exercise, leads to increased blood flow to that area.

Signup and view all the flashcards

What happens when oxygen is low?

When tissues don't have enough oxygen, they release vasodilators, causing increased blood flow and delivering more oxygen.

Signup and view all the flashcards

Adenosine

A vasodilator released when oxygen levels are low. It helps bring more blood and thus more oxygen to the area.

Signup and view all the flashcards

Lactic Acid

A substance released when oxygen is low, acting as a vasodilator.

Signup and view all the flashcards

Carbon Dioxide

A vasodilator that increases when oxygen is low. It helps deliver more oxygen to the tissues.

Signup and view all the flashcards

Precapillary Sphincters

Tiny muscles that control blood flow into individual capillaries.

Signup and view all the flashcards

Metarterioles

Short vessels that connect arterioles to capillaries, playing a role in regulating blood flow.

Signup and view all the flashcards

Vasomotion

The cyclical opening and closing of precapillary sphincters and metarterioles, a rhythmic blood flow regulation in tissues.

Signup and view all the flashcards

Nutrient Demand Theory

This theory explains local control of blood flow based on the tissue's needs for nutrients, primarily oxygen. Increased oxygen demand will lead to vasodilation, while higher oxygen levels trigger vasoconstriction.

Signup and view all the flashcards

What does the Nutrient Demand Theory state?

The theory states that the amount of blood flow to a particular tissue is determined by the tissue's need for nutrients, primarily oxygen.

Signup and view all the flashcards

Why do precapillary sphincters close?

When oxygen levels are high or the tissue doesn't need nutrients, these tiny muscles constrict to reduce blood flow in the capillaries.

Signup and view all the flashcards

How does oxygen concentration affect sphincter contraction?

Higher oxygen concentration in the tissue theoretically leads to stronger sphincter contraction, narrowing blood flow.

Signup and view all the flashcards

What happens when oxygen demand increases?

Precapillary and metarteriole sphincters open to allow more blood flow, providing more oxygen and other nutrients to the tissue.

Signup and view all the flashcards

How does vasomotion help regulate blood flow?

The cyclical opening and closing of precapillary sphincters in response to the tissue's needs helps to ensure an adequate supply of oxygen and nutrients.

Signup and view all the flashcards

eNOS

An enzyme found in endothelial cells that produces nitric oxide (NO) from arginine and oxygen.

Signup and view all the flashcards

Nitric Oxide (NO)

A gas released from endothelial cells that acts as a vasodilator, relaxing blood vessels and increasing blood flow.

Signup and view all the flashcards

Soluble Guanylate Cyclase

An enzyme activated by NO in vascular smooth muscle cells, leading to the production of cGMP.

Signup and view all the flashcards

cGMP

A molecule produced by soluble guanylate cyclase, triggering relaxation of smooth muscle cells in blood vessels.

Signup and view all the flashcards

Shear Stress

Force exerted by blood flowing against the endothelial lining of blood vessels.

Signup and view all the flashcards

Endothelin

A potent vasoconstrictor released by damaged endothelial cells, causing blood vessels to narrow.

Signup and view all the flashcards

Vasoconstriction

Narrowing of blood vessels, reducing blood flow.

Signup and view all the flashcards

Why does endothelin increase after blood vessel damage?

Endothelin is released in larger amounts after injury to prevent excessive bleeding from damaged arteries.

Signup and view all the flashcards

Arteriovenous Fistula (AVF)

A surgical connection directly linking a large artery and vein, bypassing smaller vessels. This is often used for dialysis access in patients with kidney failure.

Signup and view all the flashcards

AVF Remodeling: Artery

The artery connected to an AVF undergoes outward remodeling, meaning its diameter increases, while its wall thickness stays the same.

Signup and view all the flashcards

AVF Remodeling: Vein

The vein side of an AVF experiences outward hypertrophic remodeling, meaning both its diameter and wall thickness increase.

Signup and view all the flashcards

Sympathetic Nervous System: Blood Flow Control

The sympathetic nervous system helps regulate blood flow by releasing norepinephrine and epinephrine. These hormones cause vasoconstriction, narrowing blood vessels.

Signup and view all the flashcards

Angiotensin II

A very powerful vasoconstrictor, acting like a tiny muscle squeezing blood vessels. Even a small amount can significantly raise blood pressure.

Signup and view all the flashcards

Angiotensin II: Effect on Blood Flow

Angiotensin II mainly constricts small arterioles, potentially severely reducing blood flow to a specific area if isolated.

Signup and view all the flashcards

Vascular Remodeling

The process by which blood vessels adapt to changes in blood flow, pressure, or shear stress. This can include changes in diameter, wall thickness, and structure.

Signup and view all the flashcards

Study Notes

Local and Humoral Control of Tissue Blood Flow

  • Tissues control their own blood flow based on metabolic needs.
  • Needs include oxygen delivery, nutrient transport (glucose, amino acids, fatty acids), waste removal (CO2, H+), ion regulation, and hormone transport.
  • Certain organs have specific requirements, like skin for temperature regulation and kidneys for waste filtration.
  • Blood flow varies significantly by tissue and organ.
    • Thyroid and adrenal glands have high flows.
    • Liver has a high rate per tissue weight, same as kidneys
    • Inactive muscle has low flow but can increase significantly during exercise
  • Tissue blood flow is usually regulated at the minimal level to meet requirements.
    • Maintaining appropriate oxygenation is critical.
  • Control happens in two phases:
    • Acute: Rapid changes in arterioles, metarterioles, and precapillary sphincters (seconds to minutes).
    • Long term: Gradual changes in blood vessel size and number (days to months).

Importance of Local Blood Flow Control

  • Maintaining consistent high flow throughout the body is unsustainable.
  • Tissues are regulated at a level sufficient for their needs.
  • Precise control minimizes the workload on the heart.

Mechanisms of Blood Flow Control

  • Acute control involves rapid vasodilation/vasoconstriction.

    • Short-term responses adjust rapidly to changing metabolic demands.
  • Long-term control involves gradual changes to blood vessel size/quantity.

    • This ensures better, sustained, long-term response.

Increases in Tissue Metabolism

  • Increases blood flow acutely.
  • As metabolism increases, so does blood flow.

Reduced Oxygen Availability

  • Raises tissue blood flow.
  • This response to reduced oxygen is a crucial mechanism to compensate for low oxygen levels.

Vasodilator Theory

  • Increasing metabolic rate or reducing oxygen availability leads to vasodilator substance release.
  • Substances diffuse and cause dilation of precapillary sphincters, metarterioles, and arterioles.
  • Substances include adenosine, carbon dioxide, adenosine phosphates, histamine, potassium ions and hydrogen ions (possibly lactic acid).

Oxygen Demand Theory

  • Reduced oxygen availability causes blood vessel relaxation.
  • Oxygen deficiency can result in the release of vasodilators like adenosine and lactic acid.

Special Examples of Acute Metabolic Control of Local Blood Flow

  • Reactive hyperemia: Blood flow increases significantly after a period of blockage.
  • Active hyperemia: Blood flow increases when tissue metabolism rate increases (e.g., exercising muscle).

Autoregulation of Blood Flow

  • During pressure changes, local blood flow returns quickly to near normal levels.
    • Metabolic and myogenic mechanisms contribute.

Special Mechanisms for Acute Blood Flow Control in Specific Tissues

  • Kidneys: Tubuloglomerular feedback mechanism controls flow based on distal tubule fluid composition detection.
  • Brain: Blood flow regulated by CO2, H+ concentrations and tissue oxygen levels.
  • Skin: Regulation related to maintaining body temperature.

Humoral Control of the Circulation

  • Humoral control—regulating via hormones and other substances in bodily fluids.
  • Many substances affect blood vessels:
    • Norepinephrine, epinephrine: Powerful vasoconstrictors.
    • Angiotensin II: Powerful vasoconstrictor; helps regulate blood pressure.
    • Vasopressin (ADH): Strong vasoconstrictor.
  • Vasodilators: Bradykinin, histamine, ions (potassium, hydrogen, magnesium), and anions (acetate, citrate).

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

More Like This

Use Quizgecko on...
Browser
Browser