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Blood is transported throughout the body by a network of blood vessels.
An artery is a vessel that carries blood away from the heart and progressively branches into smaller vessels.
The smallest arteries, known as arterioles, further divide into capillaries, which are microscopic vessels where the exchange of gases, nutrients, and waste products occurs between the blood and surrounding tissues.
Blood leaving the capillaries enters venules, small vessels that merge to form veins, which return blood to the heart.
Arteries and veins function within two interconnected circulatory pathways:
the systemic circuit
the pulmonary circuit.
In the systemic circuit, arteries deliver oxygen-rich blood from the heart to the tissues of the body. After oxygen and nutrients are exchanged at the capillary level, blood with a lower oxygen content is returned to the heart through systemic veins.
In contrast, the pulmonary circuit carries oxygen-poor blood from the heart to the lungs via the pulmonary arteries, where gas exchange occurs. The pulmonary veins then return freshly oxygenated blood from the lungs to the heart, allowing it to be pumped into the systemic circulation.
Although arteries and veins differ in structure and function, they share several common features that allow them to efficiently transport blood throughout the body.
Arteries and veins differ in structure because they operate under different pressures.
Arteries have thick, muscular walls and smaller lumens to withstand the high pressure produced by the heart.
Veins have thinner walls and larger lumens because blood pressure is much lower after passing through capillaries. Many veins, especially those in the limbs, contain valves that prevent backflow and help move blood toward the heart against gravity.
Despite their differences, arteries and veins share several features.
All vessels have a lumen, the hollow space through which blood flows.
Their walls are made of living tissue that requires nutrients and oxygen.
Because blood moves too quickly through large vessels to nourish these cells, larger arteries and veins contain vasa vasorum, small blood vessels that supply the vessel walls. Blood vessels also contain nervi vasorum, small nerves that regulate contraction and relaxation of the vessel walls.
Layers of Blood Vessel Walls
Blood vessel walls consist of three tissue layers called tunics. There are: the tunica intima, tunica media, and tunica externa.
The tunica intima is the innermost layer and includes the endothelium, a smooth lining that reduces friction and helps regulate blood flow.
Damage to the endothelium can lead to blood clot formation. The endothelium also releases chemicals that can cause blood vessels to constrict or dilate, affecting blood pressure.
In large arteries, the tunica intima includes an internal elastic membrane that allows the vessel to stretch.
The tunica media is the middle layer and is usually the thickest layer in arteries. It contains smooth muscle and elastic fibers arranged mainly in circular layers.
Contraction of this muscle causes vasoconstriction, narrowing the vessel and increasing blood pressure. Relaxation causes vasodilation, widening the vessel and decreasing blood pressure. These changes are controlled by nerves, hormones, and local chemical signals.
The tunica externa is the outer layer made mostly of connective tissue. It helps anchor the vessel in place and contains vasa vasorum and nervi vasorum. In veins, this layer is often the thickest and may contain some smooth muscle fibers.
“Structure of Blood Vessels” by OpenStax College, from Anatomy & Physiology, Connexions Web site (http://cnx.org/content/col11496/1.6/, June 19, 2013), licensed under CC BY 3.0 (https://creativecommons.org/licenses/by/3.0/).
Changes made: Labels deleted and replaced, image cropped.
Arteries carry blood away from the heart and must withstand high pressure. Their thick walls contain elastic and muscular tissue that allows them to stretch and recoil as blood is pumped through them.
Large arteries close to the heart are called elastic arteries.
Their high elastic fiber content allows them to expand when blood enters and recoil between heartbeats. This recoil helps maintain steady blood pressure and continuous blood flow.
As arteries branch farther from the heart, they become muscular arteries. These vessels contain more smooth muscle and fewer elastic fibers.
Their main role is to distribute blood to specific organs by adjusting blood flow through vasoconstriction and vasodilation.
Arterioles are very small arteries that lead directly to capillaries.
They play a critical role in regulating blood pressure because their narrow diameter creates resistance to blood flow. Changes in arteriole diameter are the primary means of controlling how much blood reaches different tissues.
Capillaries are the smallest blood vessels and are the main sites of gas and nutrient exchange. Their thin walls allow oxygen, carbon dioxide, nutrients, and wastes to move between blood and surrounding tissues. Blood flow through capillaries is slow, allowing time for exchange.
There are three types of capillaries based on their permeability:
Continuous capillaries have small gaps that allow water and small molecules to pass and are found in most tissues.
Fenestrated capillaries contain pores that allow larger molecules to pass and are common in organs involved in absorption and filtration, such as the intestines and kidneys.
Sinusoid capillaries have large openings and incomplete walls, allowing proteins and cells to move through. They are found in the liver, spleen, bone marrow, and some endocrine organs.
“Types of Capillaries” by OpenStax College, from Anatomy & Physiology, Connexions Web site (http://cnx.org/content/col11496/1.6/, June 19, 2013), licensed under CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/).
Changes made: Labels deleted and new labels added; image cropped and individual components rearranged to modify layout.
“Capillary Bed” by OpenStax College, from Anatomy & Physiology, Connexions Web site (http://cnx.org/content/col11496/1.6/, June 19, 2013), licensed under CC BY 3.0 (https://creativecommons.org/licenses/by/3.0/).
Changes made: Image cropped; original labels deleted; new labels added.
Metarterioles connect arterioles to capillary beds. Rings of smooth muscle called precapillary sphincters regulate blood flow into capillaries.
When tissues need oxygen or nutrients, these sphincters open; when demand is low, they close, allowing blood to bypass the capillary bed through a vascular shunt.
Venules collect blood from capillary beds and gradually merge to form veins. They have thin walls and are important sites where white blood cells exit the bloodstream to enter tissues.
A vein is a blood vessel that carries blood toward the heart. In comparison to arteries, veins have thinner walls and larger, often irregularly shaped lumens. These structural features reflect the fact that veins transport blood under much lower pressure than arteries.
Because venous blood pressure is low, especially in vessels far from the heart, many larger veins (particularly those in the limbs) are equipped with valves. These valves ensure the one-way flow of blood toward the heart by preventing backflow toward the capillaries.
Venous valves are especially important in counteracting the effects of gravity and maintaining efficient circulation, as blood flow in veins would otherwise become sluggish or reversed.
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Gray, H. (1918). Anatomy of the human body (W. H. Lewis, Ed.; 20th ed.). Lea & Febiger.
J Gordon Betts, Desaix, P., Johnson, E., Johnson, J. E., Korol, O., Kruse, D., Poe, B., Wise, J., Womble, M. D., & Young, K. A. (2013). Anatomy & physiology. Openstax College, Rice University. https://openstax.org/details/books/anatomy-and-physiology
Based on OpenStax, Anatomy and Physiology (2013), licensed under CC BY 4.0.
Access for free at https://openstax.org/books/anatomy-and-physiology/pages/1-introduction.
Content paraphrased; adaptations were made.