Filtration and Reabsorption in Capillary Beds

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2–4 minutes

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Pressures

There’s a hydrostatic pressure, which is the pressure of water. It’s kind of like if you had a water balloon. That pressure is the water exerting force from the inside out of the balloon. And there’s also something called colloid osmotic. A colloid is just a substance in water that attracts water. Basically, these are solutes. That’s what a colloid is. Colloids attract water.  We measure colloids in your blood by the blood colloid osmolarity. So, let’s say that you have one of these house plants. 


Movements

In the capillary below in the picture, the hydrostatic pressure is present. This pressure of water pushes water and solutes out of the capillary to the surrounding tissues. The colloid osmotic pressure attracts that water back. There are two kinds of exchange. There’s filtration, which is the blue arrow pushing solutes and water from the capillary to the surrounding tissues. And then there is reabsorption, which is mostly just water. That’s the Green Arrow, representing the attraction back into the capillary of fluids. The diagram also shows a capillary with surrounding tissue cells. There is open space between the capillary and the tissue cells. This open space would be the interstitial fluids.

Filtration is depicted on the left side of this diagram. The arrows show substances moving from the capillary to the interstitial fluid. They also indicate the movement into the intracellular fluid of the tissue cells. Filtration is the movement of plasma components into the interstitial fluids. It pushes water out, but most of the larger solutes stay in. Some solutes, like glucose and amino acids, can escape. This process is driven by the hydrostatic pressure of water.

Arrows on the right side of the diagram show reabsorption. They represent substances that move from the interstitial fluids back into the plasma. This is when mainly fluid moves back into the capillary. Water is attracted to the solutes inside the capillary, which is driven by the colloid osmotic pressure.


Net Filtration Pressure

The diagram in your book illustrates blood entering a capillary from an arteriole. As blood enters the capillary bed, filtration occurs, pushing substances out of the capillary. Later, reabsorption takes place as substances move back into the capillary. This creates a net filtration pressure—the difference between filtration and reabsorption pressures. Since filtration exceeds reabsorption, the excess fluids are managed by the lymphatics. The lymphatic system is a drainage system. It takes up the difference, including larger substances like white blood cells and proteins. It returns them to circulation at the subclavian vein.


Tissue Perfusion

Filtration and reabsorption are crucial for tissue perfusion—the exchange of oxygen, glucose, and water into tissues. Good tissue perfusion ensures proper distribution of oxygen, carbon dioxide, and hormones. It removes toxins and pathogens via the lymphatic system because these cannot re-enter capillaries. A common issue arises from an imbalance in filtration and reabsorption. This issue is edema, caused by excess fluid in the tissues. This can result from increased vessel permeability, a lack of colloids or proteins in the capillaries, or elevated hydrostatic pressure. When colloids are insufficient, water cannot be reclaimed through reabsorption, leading to swelling. Bruising, starvation, or high blood pressure can exacerbate this condition. Prolonged issues may result in peripheral congestion, often associated with problems in the right side of the heart.


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