The Endothelial Cell Flashcards

(42 cards)

1
Q

The exact location of the endothelium in the cardiovascular system

A

In the endocardium layer of the heart; it lines the entire circulatory system

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2
Q

What function does the endothelium play as a barrier between the blood and other structures of the circulatory system?

A

It is a thin barrier that allows blood to move more smoothly and therefore circulate more quickly through out the body

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3
Q

List the four primary types of tissue in the body

A

1) Epithelium 2) connective tissue 3) nervous tissue 4) muscle tissue

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4
Q

Describe why the endothelium has a selectively permeable membrane

A

It’s lipid structure permits lipid-soluble molecules such as O2, CO2, and anesthetics to cross between blood and tissue

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5
Q

What role does the glycocalyx play as part of the endothelium

A

A coating of biopolymers on the lumen surface, forms a semipermeable layer, reflects plasma proteins but permits the passage of smaller solutes and water.

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6
Q

List and describe the different functions of the endothelium (there are seven of them)

A

see individual cards for each function

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7
Q

Function 1 of the endothelium

A

Regulates blood-tissue exchange through a semipermeable membrane that retains plasma & blood cells inside the circulation, yet permit nutrient transfer into the tissues.

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8
Q

Function (1) of the endothelium

A

Regulates blood-tissue exchange through a semipermeable membrane that retains plasma & blood cells inside the circulation, yet permit nutrient transfer into the tissues.

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9
Q

Function (2) of the endothelium

A

Regulates vascular tone; secretes vasoconstrictor peptide and three vasodilator agents: nitric oxide, endothelium-derived hyper-polarizing factor, and prostacyclin

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10
Q

Function (3) of the endothelium

A

Surface enzymes modify vasoactive peptides in the blood stream, angiotensin-converting enzyme is a primary enzyme modifier of circulating vasoactive peptides.

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11
Q

Function (4) of the endothelium

A

Secretes both anti-thrombotic and pro-clotting factors. Nitric oxide & prostacyclin, but also inhibit platelet aggregation. Also secretes von Willebrand factor (a component of the clotting cascade).

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12
Q

Function (5) of the endothelium

A

Participates in the inflammatory defense against pathogens,

venular endothelium inserts adhesion molecules in an inflamed tissue in order to capture circulating leukocytes & promote their migration in the source of inflammation.

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13
Q

Function (6) of the endothelium

A

Initiates new blood vessel formation (angiogenesis).

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14
Q

Function (7) of the endothelium

A

Endothelial dysfunction contributes to atheroma (abnormal fatty deposit in an artery); this is the single biggest cause of morbidity and mortality.

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15
Q

Differentiate and summarize functions of the endothelium

A
  • angiogenesis (growth of new blood vessels), serve as a barrier
  • control development of heart muscle in embryo
  • regulate function of myocardium
  • inflammation, immune response, atherosclerosis
  • endothelial dysfunction, atherosclerosis
  • loss of healthy endothelial function associated w/ smoking, CAD, diabetes, hypercholesterolemia, high BP
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16
Q

What role does actin-myosin structure play as part of the endothelium?

A

actin-myosin cytoskeleton provides shape & structure: anchors surface molecules, anchors intracellular junction, resists the shearing effect of the blood stream.

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17
Q

What are intercellular clefts?

A

Provides a pathway for water and nutrient transfer; small lipids-insoluble solutes, glucose, amino acids, and drugs can cross the endothelial barrier here

18
Q

What are gap junctions

A

arterial endothelium-transmit signal: homo-cellular - transmit ions, membrane potential, chemical messages between cells. Hetero-cellular conveys signals between endothelium & underlying vascular smooth muscle. Together, they cause ascending vasodilation along small arteries.

19
Q

Describe Intercellular cleft

A

20 nm wide and occupy only 0.2 - 0.4% of the capillary surface. Provides pathway for water and small, lipid-insoluble solutes

20
Q

Describe intercellular gap junction

A

proteins form holes between adjacent cells allowing ions and molecules to pass freely between cells

21
Q

Describe the function of the glycocalyx

A

negatively charged barrier to macromolecules. “Sugar coat” located on the outer surface, semipermeable membrane allows small solutes but not plasma proteins or LDL to pass through.
Functions: a) aids in attachment of some cells (b) binds antigens and enzymes to cell surface (c) facilitates cell-cell recognition (d) protects cells from injury (e) assists T cells and antigen-presenting cells to align with each other

22
Q

Describe why the basal lamina is an important part of the endothelium

A

prevents capillary rupture by blood pressure.

23
Q

What are ion channels

A

channels that influence intracellular Ca2+ ion concentration & regulate functions: nitric oxide production & hyper-permeability of inflammation

24
Q

Describe EDRF and its relationship to nitric oxide

A

Endothelium-Derived Relaxing Factor: nitric oxide. Acetylcholine stimulates the release of this vasodilator.

25
Describe why endothelin's are an important part of the cardiovascular system
Endothelin: vasoconstrictor peptide. Contributes to basal vascular tone.
26
List and describe the effects of nitric oxide on the cardiovascular system
1) lowers vascular tone in veins, large arteries. 2) contributes to gap formation in venules during inflammation. 3) inhibits platelet aggregation; protects from thrombosis 4) inhibits vascular myocyte proliferation (component of atheroma) 5) inhibits transcription of leukocytes binding adhesion molecules 6) VCAM - vascular cell adhesion molecule - mediates the adhesion of lymphocytes, monocytes, eosinophils, and basophils to vascular smooth muscle.
27
describe the relationship between renin-angiotensin-aldosterone system and the endothelium
When BP drops ACE converts angiotensin I into angiotensin II (strong vasoconstrictor) in the lungs. Decrease in renal perfusion from the low BP will stimulate this.
28
Describe how the endothelium reacts and responds to the inflammatory process
redness & heat (result of vasodilation: vacillation), swelling (rapid escape of plasma from circulation through gaps in venular endothelium), migration of leukocytes (pus formation).
29
Describe how the endothelium contributes to angiogenesis
endothelial cells can multiply rapidly, forming a simple endothelial tube in a few days that can mature into an artery, vein, or capillary.
30
Define atheroma
a patchy cholesterol-rich deposit in the sub-endothelial intima of large arteries. Also known as atherosclerosis (atheroma with hardening).
31
Describe how atheroma contributes to heart attacks and strokes
The atheroma forms a plaque that narrows the artery lumen, leading to tissue ischemia and thrombosis. In the brain it causes transient ischemic attacks and thromboembolic strokes.
32
List 5 chief predisposing factors of endothelial atheroma
1) high LDL 2) high plasma fibrinogen 3) smoking 4) diabetes 5) hypertension
33
What structure forms a barrier between the blood and the other structures of the circulatory system and allows blood to flow more smoothly and therefore circulate more quickly throughout the body?
Endothelium
34
Of the three distinct Actin-myosin systems, which one helps, resists the shearing effect of the blood stream by gluing the cell down?
Basal stress fibers
35
List THREE of the seven Endothelium functions mentioned in this module
1) Regulates vascular tone 2) Regulates blood-tissue exchange 3) Secretes both anti-thrombotic and pro-clotting factors
36
True/False - Loss of endothelial dysfunction is associated with smoking
True
37
What cell structure allows various ions and molecules to pass freely between cells?
Gap Junctions
38
What are the multiple effects of nitric oxide?
1) Lowers vascular tone 2) contributes to gap formation 3) inhibits platelet aggregation
39
Which of the two angiotensin is a strong vasoconstrictor?
Angiotensin II
40
True/False - Angiogenesis contributes to cancer growth
True
41
What is the commonest cause of serious morbidity and death in the Westernized society?
Atheroma
42
List three chief predisposing factors of endothelial atherosclerosis
1) High LDL 2) smoking 3) diabetes