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Lecture1:StructureandFunction

Lungsmainfunction:moveO2fromairtovenousbloodandmoveCO2fromarterialbloodto
air
Otherfunctions:
1. inactivate,activate,metabolize,filtervarioussubstancessuchaslocallyactive
hormones
2. routeforheat/waterloss
3. respiratorypumpenhancevenousreturntoheart
4. homeostasisacidbasebalance
5. enablevocalization

FICKSLAWOFDIFFUSION:

Q=constantx(Ax P)/ x

Amountofgas(Q)thatmovesacrosssheetoftissueis
directlyproportional
to:
surfaceareaofmembrane
partialpressuredifference
diffusionconstant(dependentongasandtissue)
Amountofgas(Q)thatmovesacrosssheetoftissueis
indirectlyproportional
to:
thicknessofmembrane

DaltonsLaw
directproportionalitybetweenthecompositionofamixtureofgasesandthepressure
exerted
eachgasexertsapressureindependentofanygaspresent
eachgascanbeconsideredseparatelyandindependently

PartialPressureofair
:

N2:79%PN2~600mmHg
O2:20.9%PO2~160mmHg
CO2:0.04%PCO2~0.3mmHg

Howtooptimizegasexchange:
1. maximizesurfaceareaofairfilledspaceandbloodfilledspace
2. minimizethicknessofmembrane
3. maximizepartialpressuredifference

MaximizeAirFilledSpace
Conductingzone:nogasexchangegenerations016
Respiratoryzone(acinusorlobule):gasexchangegenerations1723
1

rapidincreaseofcrosssectionalarea
occupiesvolumeof2.53L,300millionalveolihave50100sq.mtotalsurfacearea

Maximizesurfaceareaofbloodfilled
space
:

pulmonarybloodvesselsform
branchingtubesfrompulmonaryartery
tocapillariesandbacktopulmonary
veins.
Capillariesformadensenetwork
inthewallsofalveoli.
diameterofacapillarysegment
is10mjustlargeenoughforared
bloodcell.

FineStructureofConductingAirways
:

changeat3levelsbronchus,
bronchiolus,alveolus

Bronchus
pseudostratifiedcell
layer
liningcells(ciliated)
andsecretorycells
(Goblet)
smoothmuscle
thickfibrouscoat
cartilage
smallglands

Bronchiolus

Alveolus

cuboidalcelllayer
liningcells(ciliated)
andsecretorycells
smoothmuscle
thinnerfibrouscoat
nocartilage

squamouscellpayer
liningcells(not
ciliatedEP1)and
secretory(EP2)
macrophages
nosmoothmuscle
nofibrouscoat
nocartilage

Cellandtissuetypesfoundin/onalveolarcapillarywall:

1. typeIepithelial(alveolar)cells:flat,participateinbuildingwallsofalveoli
2. typeIIepithelial(alveolar)cells:secretepulmonarysurfactantalveolar
2

3. macrophages:movefreelyoversurfaceofalveoliphagocytoseanyextraneous
materialenteringalveoli(bacteria,particulates),clearedviaairwaysandlymphatics.
4. capillaryendothelialcell
5. elasticfiberswithininterstitialspacenomusclecellsinalveolivolumechangesof
lungoccurindirectlythroughchangesinvolumeofthoraciccavity
6. Lungparenchyma(parenchyma=tissueofanorganthatisquintessentialforits
function,asopposedtosupportiveandconnectivetissue)
7. EP1,EP2,capillaryendothelialcell

RemovalofInhaledParticles

1. Largerparticlesarefilteredoutinthenosebythe
ciliatedlinings
oftherhinalcavity
(similartobronchiallinings)
2. Smallerparticlesinconductingairwaysremovedbyescalatorlikemovementof
mucus
whichcontinuouslysweepsdebristotheepiglottisswallowedor
expectorated.MucusissecretedbymucousglandsandGobletcellsinbronchialwalls
propelledbytinyciliawhichmoverhythmicallyat20Hzciliadevelopfineclaws
graspmucusblanketduringforwardbeatandonreturnmoveglidepasttheblanket
3. Alveolihavenociliaparticlesdepositedareengulfedbymacrophages

ParticulateMatter(PM)
combinationofextremelysmallsolidsandaerosolsformedin
atmospherefromgaseouscombustionbyproducts
Particles<10mindiameterareespeciallydangerousbecausetheygenerally
passthroughthethroatandnoseandenterthelungsserioushealthissues
PM10:coarseparticlesdirtanddustfromroads,farming,factories,mold,
spores,pollen
PM2.5:fineparticlessmoke,haze,toxicorganiccompounds,automobile
emissions

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