28
The Respiratory System 1

The Respiratory Systemmmsalemscienceteacher.weebly.com/uploads/2/3/3/6/... · 2018. 9. 9. · Gas Exchange •Gas exchange is driven by differences in partial pressures •Blood returning

  • 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