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Portrait of Capillary

Anatomy ยท Heart & blood vessels

Capillary

Smallest blood vessel, about 5โ€“10 micrometres wide

Microcirculation ยท site of exchange

The smallest and thinnest blood vessels, linking arterioles to venules. A capillary wall is a single layer of endothelial cells on a basement membrane, so oxygen, nutrients, carbon dioxide and wastes can pass between blood and tissue. Capillaries are so narrow, about 5โ€“10 micrometres in diameter, that red blood cells squeeze through in single file.

How to spot them

  • โ–ธA wall one cell thick: endothelium on a basement membrane, with scattered pericytes
  • โ–ธLumen barely wider than a red blood cell, about 5โ€“10 micrometres
  • โ–ธThree types: continuous, fenestrated (with pores) and sinusoidal (discontinuous, large gaps)
  • โ–ธOrganised into beds, fed by arterioles through precapillary sphincters and drained by venules

What to know

The smallest blood vessels, with a lumen only about as wide as a red blood cell

Capillary โ€” about 5โ€“10 micrometres across.

Their wall is a single layer of endothelium on a basement membrane, allowing gases and nutrients to cross

Capillary โ€” the site of exchange between blood and tissue.

Marcello Malpighi saw them in a frog's lung in 1661, completing William Harvey's picture of the circulation

Capillary โ€” the missing link Harvey could not see.

Three types are recognised: continuous, fenestrated and sinusoidal

Capillary โ€” fenestrated in the kidney glomerulus and gut; sinusoidal in the liver and marrow.

The blood-brain barrier is formed by a continuous type with tight junctions, surrounded by astrocyte end-feet

Capillary โ€” cerebral capillaries.

Blood flow is slowest here because their combined cross-sectional area is the largest of any part of the circulation

Capillary โ€” allows time for exchange.

Smooth-muscle rings at the entrance of each bed regulate its blood supply

Capillary โ€” precapillary sphincters.

August Krogh won the 1920 Nobel Prize for discovering how the muscles' beds of these vessels are regulated

Capillary โ€” Krogh, capillary motor regulating mechanism.

Key ideas

  • Starling forces: hydrostatic pressure pushes fluid out at the arteriolar end, and plasma protein oncotic pressure draws most back at the venular end. Excess is returned by lymphatics.
  • Velocity falls as total cross-sectional area rises: aorta about 3 cm2, capillaries about 4,000 cm2 in total.

Quick-fire facts

  • โ€ขDiameter roughly 5โ€“10 micrometres, similar to a red blood cell (about 7โ€“8 micrometres).
  • โ€ขWall: endothelial cells and basal lamina; pericytes wrap around them.
  • โ€ขContinuous capillaries are found in muscle, skin and brain; fenestrated in kidneys, endocrine glands and intestine; sinusoidal in liver, spleen and bone marrow.
  • โ€ขDiscovered by Marcello Malpighi in 1661 using a microscope on frog lung.
  • โ€ขWilliam Harvey, in 1628, had predicted such links between arteries and veins but could not see them.
  • โ€ขThe total capillary surface area of the body is often quoted at 600โ€“700 square metres; figures vary widely by source.
  • โ€ขAugust Krogh received the 1920 Nobel Prize in Physiology or Medicine for his discovery of the capillary motor regulating mechanism.
  • โ€ขCapillary refill time, pressing on a fingertip and timing return of colour, is a bedside test of perfusion.

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