Anatomy & Physiology: The Unity of Form and Function, 7th Edition

Published by McGraw-Hill Education
ISBN 10: 0073403717
ISBN 13: 978-0-07340-371-7

Chapter 20 - Section 20.3 - Study Guide - Assess Your Learning Outcomes - Page 798: 10

Answer

Various chemicals can affect capillary permeability and filtration by altering the integrity of the capillary walls and influencing the movement of fluids and solutes. These chemicals can either increase or decrease capillary permeability, which, in turn, affects the balance between filtration and reabsorption. Here are some examples: **Chemicals that Increase Capillary Permeability (Promote Filtration):** 1. **Histamine:** Released during allergic reactions and inflammation, histamine increases capillary permeability by causing endothelial cells to contract and the gaps between them (intercellular clefts) to widen. This allows more fluid and proteins to move out of the capillaries and into the interstitial spaces, leading to edema. 2. **Bradykinin:** This peptide is released during tissue injury and inflammation. It increases capillary permeability by dilating blood vessels and promoting the release of other vasoactive substances, leading to increased filtration. 3. **Prostaglandins:** Certain prostaglandins, such as PGE2, can increase capillary permeability as part of the inflammatory response. They can also influence blood vessel dilation and immune cell migration, affecting fluid movement. **Chemicals that Decrease Capillary Permeability (Promote Reabsorption):** 1. **Epinephrine (Adrenaline):** Epinephrine can constrict blood vessels and reduce capillary permeability. This response is part of the body's "fight or flight" response to maintain blood volume and redirect blood flow to vital organs during stress. 2. **Corticosteroids:** Glucocorticoid hormones, such as cortisol, have anti-inflammatory effects that include reducing capillary permeability. They can help mitigate the effects of inflammation and edema. 3. **Albumin:** Plasma proteins like albumin exert an osmotic force that helps draw fluid back into the capillaries. Maintaining adequate levels of albumin is crucial for preventing excessive fluid accumulation in tissues. 4. **Antihistamines:** These drugs block the effects of histamine, helping to reduce capillary permeability and prevent excessive fluid leakage during allergic reactions. 5. **Vasoconstrictors:** Certain medications that constrict blood vessels, such as alpha-adrenergic agonists, can indirectly reduce capillary permeability by decreasing blood flow to the capillary beds, resulting in lower hydrostatic pressure and promoting reabsorption. It's important to note that the effects of these chemicals can vary depending on their concentration, the specific tissue or organ involved, and the overall physiological context. In certain situations, the same chemical may have different effects. For example, histamine, which usually increases permeability during allergic reactions, can also have a role in normal physiological processes, like regulating gastric acid secretion. The balance between these chemicals and their effects on capillary permeability is essential for maintaining proper fluid distribution and tissue function, as well as responding to various physiological challenges and conditions.

Work Step by Step

Various chemicals can affect capillary permeability and filtration by altering the integrity of the capillary walls and influencing the movement of fluids and solutes. These chemicals can either increase or decrease capillary permeability, which, in turn, affects the balance between filtration and reabsorption. Here are some examples: **Chemicals that Increase Capillary Permeability (Promote Filtration):** 1. **Histamine:** Released during allergic reactions and inflammation, histamine increases capillary permeability by causing endothelial cells to contract and the gaps between them (intercellular clefts) to widen. This allows more fluid and proteins to move out of the capillaries and into the interstitial spaces, leading to edema. 2. **Bradykinin:** This peptide is released during tissue injury and inflammation. It increases capillary permeability by dilating blood vessels and promoting the release of other vasoactive substances, leading to increased filtration. 3. **Prostaglandins:** Certain prostaglandins, such as PGE2, can increase capillary permeability as part of the inflammatory response. They can also influence blood vessel dilation and immune cell migration, affecting fluid movement. **Chemicals that Decrease Capillary Permeability (Promote Reabsorption):** 1. **Epinephrine (Adrenaline):** Epinephrine can constrict blood vessels and reduce capillary permeability. This response is part of the body's "fight or flight" response to maintain blood volume and redirect blood flow to vital organs during stress. 2. **Corticosteroids:** Glucocorticoid hormones, such as cortisol, have anti-inflammatory effects that include reducing capillary permeability. They can help mitigate the effects of inflammation and edema. 3. **Albumin:** Plasma proteins like albumin exert an osmotic force that helps draw fluid back into the capillaries. Maintaining adequate levels of albumin is crucial for preventing excessive fluid accumulation in tissues. 4. **Antihistamines:** These drugs block the effects of histamine, helping to reduce capillary permeability and prevent excessive fluid leakage during allergic reactions. 5. **Vasoconstrictors:** Certain medications that constrict blood vessels, such as alpha-adrenergic agonists, can indirectly reduce capillary permeability by decreasing blood flow to the capillary beds, resulting in lower hydrostatic pressure and promoting reabsorption. It's important to note that the effects of these chemicals can vary depending on their concentration, the specific tissue or organ involved, and the overall physiological context. In certain situations, the same chemical may have different effects. For example, histamine, which usually increases permeability during allergic reactions, can also have a role in normal physiological processes, like regulating gastric acid secretion. The balance between these chemicals and their effects on capillary permeability is essential for maintaining proper fluid distribution and tissue function, as well as responding to various physiological challenges and conditions.
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