Blood Vessel Histology

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4–5 minutes

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Tunica intima

This layer of simple squamous creates a continuous lining of all blood cells.  The flatness of the squamous cells reduces friction as blood flows against them.  This layer is called the endothelium and is present in all blood vessels.  Capillaries, the smallest of vessels, have only the tunica intima because they are designed for exchange with the tissues they vascularize.  The tunica intima of large veins of the legs have valves that prevent backflow.  These valves are just extensions of tunica intima that stick out into the lumen of the vein.

Tunica media

The tunica media is the layer of smooth muscle cells that surround all vessels except capillaries.  As you travel from the heart to systemic capillaries, the tunica media decreases in thickness compared to the relative decrease in diameter.  As you travel from capillaries back to the heart, the tunica media increases again, but only to a very small thickness (nothing like the thickness of the aorta that leaves the heart).

Tunica externa

Like all organs, blood vessels have a connective tissue wrapping that separates and secures them to nearby organs.  Some vessels have no tunica externa and some have such a large tunica externa that a vaso vasorum (literally meaning vessel of the vessels) is needed to vascularize the tissue of the tunica external. 

Arteries

Elastic Arteries

Elastic arteries are found close to the heart where the contractive force of the heart is large.  Elastic arteries don’t like to contract and make the diameter of their lumen smaller, but they will contract to maintain the lumen diameter.  

Muscular Arteries

These arteries tend to hold their circular shape quite well in histological pictures.  They are reliably circular with a very distinct layer of smooth muscle around them

Arteriole

These are the most important vessels in controlling blood pressure.  Although they are small, they are found in large numbers throughout the body, giving them the most influence over blood pressure – even more influence than the aorta itself.  Arterioles are often overlooked in histology.  They are smaller than expected and can hold only a few red blood cells in their lumen.  They are often overlooked because of how small they are and the fact that they really just look like a little circle or oval of a few smooth muscle cells.

Capillaries (3 types)

Continuous Capillaries

Continuous capillaries are the most common and least permeable of capillaries.  The prefix inter-means between and a cleft is a channel-like space between two structures.  This term is used in reference to the spaces between the cells of capillaries.  Intercellular clefts can be of varying sizes, and allow only small molecules such as water, ions, and glucose to squeeze between the cells of the tunica intima.

Sinusoidal Capillaries

Sinusoidal capillaries are quite porous and are found in places such as the bone marrow.  Red and white blood cells are generated in bone marrow and the capillaries have to be at least big enough for them to get into them. 

Fenestrated Capillaries

Fenestrated capillaries are somewhere in between sinusoidal and continuous.  The word fenestration means window and these capillaries have holes or windows that are about as big as the protein albumin.  Albumin and other plasma proteins are made by the liver and play an important role in the blood colloid osmotic pressure.  This is the solute level in your blood plasma, giving it the ability to keep your fluids in your blood vessels.  When your fluids are not in your blood vessels, but are still in your body, you have edema (defined as the swelling of a tissue).

Veins

Venules

Venules are the vessels that drain capillary beds.  They are capable of some reabsorption in order to reclaim all the fluids that have moved from the plasma to the interstitial fluids of the tissue.

Veins

Veins are much larger in diameter than their companion arteries.  Veins also hold a majority of the blood held is your vessels.  This reservoir of blood can be mobilized into circulation by contraction of the smooth muscle in the tunica media of large veins.  This gives veins the nickname of capacitance vessels since they have an enormous capacity to hold this blood reservoir.  Large veins of the legs really have to work against gravity to circulate blood back to the heart.  To help aid in this process are infoldings of the tunica intima called venous valves.  These valves prevent the backflow of blood.  For people who might work long hours on concrete floors (such as nurses, teachers, food service, and retail workers), returning blood to the heart and preventing backflow can become problematic as these valves start to fail later in life.  Varicose veins, or the reflection of the pooling blood through the skin, are often the result of such professions).  Early and often use of compression stockings can hold off the progression to varicose veins.  

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