Upload
others
View
2
Download
0
Embed Size (px)
Citation preview
The Respiratory System
1
Gas Exchange
• One of the major physiological challenges facing
all multicellular animals is obtaining sufficient
oxygen and disposing of excess carbon dioxide
• In vertebrates, the gases diffuse into the
aqueous layer covering the epithelial cells that
line the respiratory organs
• Diffusion is passive, driven only by the difference
in O2 and CO2 concentrations on the two sides
of the membranes and their relative solubilities
in the plasma membrane
2
Lungs
• Lungs of mammals are packed with
millions of alveoli (sites of gas exchange)
• Inhaled air passes through the larynx,
glottis, and trachea
• Bifurcates into the right and left bronchi,
which enter each lung and further
subdivide into bronchioles
• Alveoli are surrounded by an extensive
capillary network3
4
Lungs
Nasal cavity
Nostril
Larynx
Right lung Left lung
PharynxGlottis
Diaphragm
Pulmonary venule
Pulmonary arteriole
Blood flowBronchiole
Alveoli
Smooth muscle
Trachea
Left
bronchus
Capillary
network on
surface
of alveoli
Alveolar
sac
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Gas Exchange
• Gas exchange is driven by differences in partial
pressures
• Blood returning from the systemic circulation,
depleted in oxygen, has a partial oxygen
pressure (PO2) of about 40 mm Hg
• By contrast, the PO2 in the alveoli is about
105 mm Hg
• The blood leaving the lungs, as a result of this
gas exchange, normally contains a PO2 of about
100 mm5
6
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Lung
Systemic arteriesSystemic veins
Peripheral tissues
Peripheral tissues
CO2
O2
Pulmonary
vein
CO2 O2
Pulmonary
artery
O2
CO2
O2CO2Alveolar gas
P = 105 mm Hg
P = 40 mm Hg
O2
CO2
P = 40 mm Hg
P = 46 mm Hg
O2
CO2
P = 100 mm Hg
P = 40 mm Hg
O2
CO2
P = 40 mm Hg
P = 46 mm Hg
O2
CO2
P = 100 mm Hg
P = 40 mm Hg
O2
CO2
Alveolar gas
P = 105 mm Hg
P = 40 mm Hg
O2
CO2
Lung Structure and Function
• Outside of each lung is covered by the
visceral pleural membrane
• Inner wall of the thoracic cavity is lined by
the parietal pleural membrane
• Space between the two membranes is
called the pleural cavity
– Normally very small and filled with fluid
– Causes 2 membranes to adhere
– Lungs move with thoracic cavity7
Lung Structure and Function
• During inhalation, thoracic volume
increases through contraction of two
muscle sets
– Contraction of the external intercostal
muscles expands the rib cage
– Contraction of the diaphragm expands the
volume of thorax and lungs
• Produces negative pressure which draws
air into the lungs
8
Lung Structure and Function
• Thorax and lungs have a degree of
elasticity
• Expansion during inhalation puts these
structures under elastic tension
• Tension is released by the relaxation of
the external intercostal muscles and
diaphragm
• This produces unforced exhalation,
allowing thorax and lungs to recoil9
10
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
a.
Inhalation
Air
Lungs
Sternocleidomastoid
muscles contract
(for forced inhalation)
Muscles
contract
Diaphragm
contracts
Exhalation
b.
Air
Diaphragm
relaxes
Abdominal muscles
contract (for forced
exhalation)
Muscles
relax
11
Lung Structure and Function
• Tidal volume
– Volume of air moving in and out of lungs in a person
at rest
• Vital capacity– Maximum amount of air that can be expired after a
forceful inspiration
• Hypoventilation– Insufficient breathing
– Blood has abnormally high PCO2
• Hyperventilation– Excessive breathing
– Blood has abnormally low PCO212
Lung Structure and Function
• Each breath is initiated by neurons in a
respiratory control center in the medulla
oblongata
• Stimulate external intercostal muscles and
diaphragm to contract, causing inhalation
• When neurons stop producing impulses,
respiratory muscles relax, and exhalation occurs
• Muscles of breathing usually controlled
automatically
– Can be voluntarily overridden – hold your breath13
Lung Structure and Function
• Neurons are sensitive to blood PCO2 changes
• A rise in PCO2 causes increased production of
carbonic acid (H2CO3), lowering the blood pH
• Stimulates chemosensitive neurons in the aortic
and carotid bodies
• Send impulses to respiratory control center to
increase rate of breathing
• Brain also contains central chemoreceptors that
are sensitive to changes in the pH of
cerebrospinal fluid (CSF)14
15
Reduced HCO3− levels (and
corresponding drop in CSF pH) result
in increased respiration, which
subsequently results in lower arterial
PCO2.
Medulla
oblongataSignal to
respiratory
system
Chemosensitive
neuron
Cerebrospinal
fluid (CSF)
H+ + HCO3–
H2CO3
H2O + CO2
CO2
Capillary
blood
Choroid
plexus of
brain
a.
Stimulus Stimulus
Sensor
Comparator Comparator
Response
Effector
b.
Sensor
( – )
( + )
Impulses sent to
respiratory control center
in medulla oblongata
Diaphragm stimulated
to increase breathing
Central chemoreceptors
stimulated (in the brain)Peripheral chemoreceptors stimulated
(aortic and carotid bodies)
H2O + CO2 H2CO3 H+ + HCO3
–
Decreased
CSF pH
Increased blood CO2concentration (PCO2)
Increased tissue
Metabolism
(i.e., muscle contraction)
Inadequate
breathing
Negative
feedbackStimulus
Decreased blood pH
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Respiratory Diseases
• Chronic obstructive pulmonary disease
(COPD)
– Refers to any disorder that obstructs airflow
on a long-term basis
– Asthma
• Allergen triggers the release of histamine, causing
intense constriction of the bronchi and sometimes
suffocation
16
Respiratory Diseases
• Chronic obstructive pulmonary disease
(COPD) (cont.)
– Emphysema
• Alveolar walls break down and the lung exhibits
larger but fewer alveoli
• Lungs become less elastic
• People with emphysema become exhausted
because they expend three to four times the
normal amount of energy just to breathe
• Eighty to 90% of emphysema deaths are caused
by cigarette smoking17
Respiratory Diseases
• Lung cancer accounts for more deaths than any
other form of cancer
• Caused mainly by cigarette smoking
• Follows or accompanies COPD
• Lung cancer metastasizes (spreads) so rapidly
that it has usually invaded other organs by the
time it is diagnosed
• Chance of recovery from metastasized lung
cancer is poor, with only 3% of patients surviving
for 5 years after diagnosis18
19
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
a: © Clark Overton/Phototake; b: © Martin Rotker/Phototake
Healthy Lungs Cancerous Lungs
Hemoglobin
• Consists of four polypeptide chains: two a and
two b
• Each chain is associated with a heme group
• Each heme group has a central iron atom that
can bind a molecule of O2
• Hemoglobin loads up with oxygen in the lungs,
forming oxyhemoglobin
• Some molecules lose O2 as blood passes
through capillaries, forming deoxyhemoglobin
20
21
The structure of the adult hemoglobin protein
Hemoglobin
• At a blood PO2 of 100 mm Hg, hemoglobin is
97% saturated
• In a person at rest, the blood that returns to the
lungs has a PO2 about 40 mm Hg less
• Leaves four-fifths of the oxygen in the blood as a
reserve
• This reserve enables the blood to supply body’s
oxygen needs during exertion
• Oxyhemoglobin dissociation curve is a graphic
representation of these changes22
23
Hemoglobin
Oxyhemoglobin dissociation curve
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Perc
en
t satu
rati
on
0
20
40
60
80
Arteries
100
0 20 40 60 80 100
Amount of O2 unloaded
to tissues during exercise
Amount of O2 unloaded
to tissues at rest
PO2 (mm Hg)
Veins
(exercised)
Veins
(at rest)
Hemoglobin
• Hemoglobin’s affinity for O2 is affected by
pH and temperature
• The pH effect is known as the Bohr shift
– Increased CO2 in blood increases H+
– Lower pH reduces hemoglobin’s affinity for O2
– Results in a shift of oxyhemoglobin
dissociation curve to the right
– Facilitates oxygen unloading
• Increasing temperature has a similar effect24
25
Hemoglobin
The effect of pH and temperature on the oxyhemoglobin dissociation curve
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Perc
en
t o
xyh
em
og
lob
in s
atu
rati
on
0
10
20
30
40
50
60
70
80
90
100
0 20 40 60 80 100 120 140
Perc
en
t o
xyh
em
og
lob
in s
atu
rati
on
0
10
20
30
40
50
60
70
80
90
100
0 20 40 60 80 100 120 140
pH 7.60
pH 7.20pH 7.40
20% more O2 delivered to the
tissues at the same pressure
b. Temperature shifta. pH shift
20% more O2 delivered to the
tissues at the same pressure
PO2 (mm Hg) PO2 (mm Hg)
43°C
20°C
37°C
Transportation of Carbon Dioxide
• About 8% of the CO2 in blood is dissolved in
plasma
• 20% of the CO2 in blood is bound to hemoglobin
• Remaining 72% diffuses into red blood cells
– Enzyme carbonic anhydrase combines CO2 with H2O
to form H2CO3
– H2CO3 dissociates into H+ and HCO3
–
– H+ binds to deoxyhemoglobin
– HCO3– moves out of the blood and into plasma
– One Cl– exchanged for one HCO3– – “chloride shift”
26
27
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
a.
b.
CapillaryErythrocyteAlveolar
epithelium
Nucleus of
alveolar cell
Nucleus of capillary
endothelial cell
Capillary
endothelium
Alveoli CO2
Hemoglobin
+ CO2
CO2 dissolved
in plasma
H2CO3
H2CO3
CO2 + H2O
HCO3– + H+
HCO3–
Cl–
H2CO3
H2CO3 H+ + HCO3–
H+ combines
with hemoglobin
Cl– HCO3–
(72%)
CO2 dissolved
in plasma (8%)
CO2 combines with
hemoglobin (20%)
CO2
Tissue cells
Capillary ErythrocyteCapillary
endothelium
Nucleus of capillary
endothelial cell
CO2 + H2O
Transportation of Carbon Dioxide
• When the blood passes through
pulmonary capillaries, these reactions are
reversed
• The result is the production of CO2 gas,
which is exhaled
• Other dissolved gases are also
transported by hemoglobin
– Nitric oxide (NO) and carbon monoxide (CO)
28