Lecture/Lab: Respiratory System Flashcards
What makes up the respiratory system?
- Paired lungs
- A series of air passages that lead to and from the lungs
- Ventilation mechanism (diaphragm creates a low pressure environment)
What are the 3 principle functions of the respiratory system?
air conduction: bringing in air from external environment
air filtration: cleans the air
gas exchange (respiration): site of gas exchange. brining O2 into your blood stream
What is the function of serous fluid?
Serous fluid allows for the coupling of visceral and parietal pleurae
Result: free and rapid movement of the lung in relation to the chest wall. Able to pull the lungs open when you expand rib cage
Lubrication, not much friction as it moves
Conducting portion
Structure: varying levels of wall thickness
* Location: portions outside and inside the
lung
* Function: conduct and condition
* Conducting portion has regions outside and
inside of the lung
* Outside lung:
- Nasal cavity to primary bronchi
* Inside lung:
- Bronchi
- Bronchioles
- Terminal bronchioles
Respiratory portion
Structure: thin wall for efficient gas exchange
* Location: only in the lungs
* Function: gas exchange
* Includes respiratory bronchioles, alveolar
ducts and sacs
Two types of blood circulation in the lungs
Pulmonary circulation and bronchial circulation
Pulmonary circulation
Carrying O2-depleted blood to lungs for gas exchange - returns to heart as well oxygenated blood
What are the vessels within the pulmonary circulation and where are they located?
The pulmonary arteries and veins are the
functional vessels of the respiratory system:
Pulmonary arteries
* Carry deoxygenated blood
* Travel with the branches of the bronchi and bronchioles down to the capillary level
Pulmonary veins
* Carry oxygenated blood
* Located in connective tissue septum (do NOT run with the pulmonary artery)
Usually, arteries and veins are side by side. But in the pulmonary system, arteries are adjacent to the bronchioles as it reaches the alveoli, pulmonary veins are situated away with the CT septa of lungs
Bronchial circulation
Carrying oxygen rich blood to supply the tissues of the lung and airway
Bronchial circulation (nutrient arteries)
Nourish the tissues of the lung:
* Bronchial arteries are branches of the aorta
* Nourish connective tissues including the
walls of the bronchi and bronchioles, and pleura
* Found within the walls of the tissue
* Venous return of bronchial circulation can happen through the systemic system or anastomose with the pulmonary circulation
What type of capillaries are in the lungs?
continuous
because it needs to be the most selective so as to not get fluid or other things in the lungs
Lungs are the largest continuous capillary bed in the body.
What are the different materials in the RS and what so they do?
Cartilage
Hyaline cartilage
* C-shaped rings in trachea
* Plates become smaller at the level of the bronchi
(absent in the bronchioles)
Smooth muscle
* Regulates diameter of the airway
* Absent at the level of the alveolar sacs
Collagen fibers
* Primarily type I in upper regions
* Reticular fibers (type III) support capillary network
Elastic fibers
* Form a network that allow expansion (limited)
and recoil of the lung
* Increased in the distal aspect of the lungs
Too much collagen = not able to expand lungs
Too little elastic fibers = lungs can’t recoil = emphysema
Nasal cavity
Nasal Cavity
- Bony cavity that is divided into three regions
(meatus) by turbinates (concha)
- Majority is made up of respiratory epithelium:
ciliated pseudostratified epithelium
- Small portion in the upper concha is made up of
olfactory epithelium (specialized pseudostratified
columnar epithelium)
* Olfactory sensory neurons
* Sustentacular (support) cells
* Microvillar cells
* In the lamina propria: small olfactory
(Bowman’s) glands that produce specialized
mucous
Trachea
The wall of the trachea consists of the
following layers:
- Mucosa (pseudostratified epithelium, elastic rich lamina propria, no muscularis mucosae)
- Submucosa – glands present “Tracheal submucosa glands”
- Adventitia with C-shaped cartilage ring facing posteriorly
Tracheal epithelium
pseudo-stratified with 5 cell types
Ciliated cells
9+2 microtubules
- Maintain level of periciliary fluid in the periciliary layer (PCL) (layer of water and electrolytes)
- Forms a “mucociliary escalator” that clears mucous away from the airways (toward oral cavity; mucous can’t be too thick and inundate cilia, otherwise cilia can’t beat)
Mucous cells
- Mucinogen granules in cytoplasm
- The mucus floats on a serous fluid
- Cilia moves both serous and mucus toward the oral cavity
Brush cells
- Columnar cells with blunt microvilli
- Basal surface in synaptic contact with afferent nerve ending
- General sensory receptor cells
Brush cells are very difficult to observe in all but thin sections. They are recognized by their lack of cilia and mucus inclusions
Small granule cells
- Difficult to distinguish in light microscopy without special techniques
- Contain secretory granules
- May function in reflexes regulating the airway or vascular diameter
Basal and small granule cells are indistinguishable from each other without special stains
Basal cell
Stem cell for individual cell replacement in the epithelium
Basal and small granule cells are indistinguishable from each other without special stains
Where and how does metaplasia happen in the RS? What pathologies are associated with metaplasia?
Pseudostratified respiratory epithelium changes
to stratified squamous non-keratinized
epithelium
Removal of mucous impaired
Marked increase in the size of the mucus secreting glands of the submucosa in the trachea and large bronchi
Individuals must cough to clear secretions
Pathogenesis:
Inhaled irritants such as smoking
Reversible - if irritant eliminated
Bronchi
Starts at the bifurcation of trachea
The bronchus has the following layers:
- Mucosa - same epithelium, cells as trachea
- ***Muscularis - regulates diameter of airway, allows us to keep airways open
- Submucosa - glands present “BRONCHIAL SUBMUCOSA GLANDS”
- Adventitia/cartilage - plates smaller with decreasing diameter
What changes happen as you go from the trachea to the bronchi?
- Plates of cartilage that become smaller toward the bronchioles
- Layer of smooth muscle (muscularis) is found immediately below the mucosa layer
- Increase in elastic fibers
Bronchioles
No more cartilage
Airways that measure 1mm or less
Diameter increases/decrease with lung volume
Subdivided dependent on function:
- Terminal bronchioles - nonrespiratory (conducting airways)
- Respiratory bronchioles - function as sites of
gas exchange
Simple cuboidal epithelium
Gradual changes - no abrupt changes in this
system
From lab:
The last airway completely lined with a conducting (club cell) epithelium
What changes happen as you go from bronchi to bronchiole?
changes at the level of the bronchioles:
1. Bronchioles lack cartilage
2. Bronchioles lack submucosal glands
3. Note the thick layer of smooth muscle (organized in a spiral fashion)
4. Simple cuboidal epithelium: ciliated cells decrease in number and club cells increase distally