Book contents
- Frontmatter
- Contents
- Editor, Associate Editors, Artistic Consultant, and Contributors
- Preface
- PART I CONTEXT
- PART II ENDOTHELIAL CELL AS INPUT-OUTPUT DEVICE
- PART III VASCULAR BED/ORGAN STRUCTURE AND FUNCTION IN HEALTH AND DISEASE
- PART IV DIAGNOSIS AND TREATMENT
- 172 Introductory Essay: Diagnosis and Treatment
- 173 Circulating Markers of Endothelial Function
- 174 Blood Endothelial Cells
- 175 Endothelial Microparticles: Biology, Function, Assay and Clinical Application
- 176 Molecular Magnetic Resonance Imaging
- 177 Real-Time Imaging of the Endothelium
- 178 Diagnosing Endothelial Cell Dysfunction
- 179 Statins
- 180 Steroid Hormones
- 181 Organic Nitrates: Exogenous Nitric Oxide Administration and Its Influence on the Vascular Endothelium
- 182 Therapeutic Approaches to Altering Hemodynamic Forces
- 183 Stent- and Nonstent-Based Cell Therapy for Vascular Disease
- 184 Building Blood Vessels
- 185 Gene Transfer and Expression in the Vascular Endothelium
- 186 Drug Targeting to Endothelium
- PART V CHALLENGES AND OPPORTUNITIES
- Index
- Plate section
184 - Building Blood Vessels
from PART IV - DIAGNOSIS AND TREATMENT
Published online by Cambridge University Press: 04 May 2010
- Frontmatter
- Contents
- Editor, Associate Editors, Artistic Consultant, and Contributors
- Preface
- PART I CONTEXT
- PART II ENDOTHELIAL CELL AS INPUT-OUTPUT DEVICE
- PART III VASCULAR BED/ORGAN STRUCTURE AND FUNCTION IN HEALTH AND DISEASE
- PART IV DIAGNOSIS AND TREATMENT
- 172 Introductory Essay: Diagnosis and Treatment
- 173 Circulating Markers of Endothelial Function
- 174 Blood Endothelial Cells
- 175 Endothelial Microparticles: Biology, Function, Assay and Clinical Application
- 176 Molecular Magnetic Resonance Imaging
- 177 Real-Time Imaging of the Endothelium
- 178 Diagnosing Endothelial Cell Dysfunction
- 179 Statins
- 180 Steroid Hormones
- 181 Organic Nitrates: Exogenous Nitric Oxide Administration and Its Influence on the Vascular Endothelium
- 182 Therapeutic Approaches to Altering Hemodynamic Forces
- 183 Stent- and Nonstent-Based Cell Therapy for Vascular Disease
- 184 Building Blood Vessels
- 185 Gene Transfer and Expression in the Vascular Endothelium
- 186 Drug Targeting to Endothelium
- PART V CHALLENGES AND OPPORTUNITIES
- Index
- Plate section
Summary
BLOOD VESSEL STRUCTURE AND FUNCTION
Diffusion, Convection, and the Circulation
Vertebrate cells depend on the molecular diffusion of nutrients for metabolism and function. Single-celled organisms such as bacteria or protists obtain nutrients directly from their respective environments. Here, distances between the medium and cell interiors are small and well within diffusion distance limitations (assuming sufficient local concentrations exist). In contrast, multicellular organisms have cells that are internal to the organism structure, making access to nutrients by simple diffusion from the external environment difficult or improbable. For example, the maximum distance oxygen (O2) can diffuse in mammalian tissues is 20 to 100 μm (due primarily to a relatively low solubility in aqueous environments) (1,2). This limitation is exacerbated for larger nutrient molecules with smaller diffusion coefficients.
Many multicellular organisms overcome this diffusion limitation through two general mechanisms. First, a transport medium is used to contain and even concentrate nutrients. Second, this medium is delivered to the internal cells through some convective means such as active “pumping” of the medium or current-driven permeation through extracellular spaces. In vertebrates, the transport medium is blood, which contains, in addition to a vast array of molecular and cellular components, hemoglobin-carrying red blood cells. Hemoglobin in the blood overcomes the relatively low solubility of O2 in aqueous environments and creates an “O2 reservoir” that optimizes O2 diffusion gradients from blood to tissue cells. In vertebrates, the cardiovascular system serves to move the blood throughout the body, bringing nutrients into close association with tissue cells, where diffusion can then be effective.
The cardiovascular system is a closed-loop distribution system comprising a series of interconnected conduits – blood vessels – that facilitate convective flow initiated by the heart.
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- Endothelial Biomedicine , pp. 1712 - 1724Publisher: Cambridge University PressPrint publication year: 2007