Transport endothelial cell wall

The compartments and barriers to methylmercury transport in the tissue compartments and placenta are shown in Figure 2-6. The cell membrane is assumed to be the barrier for methylmercury transport for all tissues except the brain and placenta. The barrier to methylmercury transport to the brain is the endothelial cell wall of the cerebral vascular system (the blood-brain barrier). The placenta is modeled as four compartments, with separate transfer constants for placental barrier and placental tissue transport. There is a tissue compartment for both the maternal and fetal sides of the placenta. 

The structure of the blood capillary wall is complex and varies in different organs and tissues. It consists of a single layer of endothelial cells joined together by intercellular junctions. Each endothelial cell, on an average, is 20-40 pm long, 10-15 pm wide, and 0.1-0.5 pm thick, and contains 10,000-15,000 uniform, spherical vesicles called plasmalemmal vesicles. These vesicles range in size between 60 and 80 nm in diameter. About 70% of these vesicles open on the luminal side of the endothelial surface, and the remaining open within the cytoplasm. Plasmalemmal vesicles are believed to be involved in the pinocytic transport of substances across the endothelium. The transition time of pinocytic vesicles across the cell is... 

Atherosclerotic lesions are thought to arise from transport and retention of plasma LDL through the endothelial cell layer into the extracellular matrix of the subendothelial space. Once in the artery wall, LDL is chemically modified through oxidation and nonenzymatic glycation. Mildly oxidized LDL then recruits monocytes into the artery wall. These monocytes then become transformed into macrophages that accelerate LDL oxidation. 

Figure 11.1 Ultrastructure of the human lung alveolar barrier. The tissue specimen is obtained via lung resection surgery. (A) Section through a septal wall of an alveolus. The wall is lined by a thin cellular layer formed by alveolar epithelial type I cells (ATI). Connective tissues (ct) separate ATI cells from the capillary endothelium (en) within which an erythrocyte (er) and granulocyte (gc) can be seen. The minimal distance between the alveolar airspace (ai) and erythrocyte is about 800-900 nm. The endothelial nucleus is denoted as n. (B) Details of the lung alveolar epithelial and endothelial barriers. Numerous caveolae (arrows) are seen in the apical and basal plasma membranes of an ATI cell as well as endothelial cell (en) membranes. Caveolae may partake transport of some solutes (e.g., albumin). (C) ATII cells (ATII) are often localised in the comers of alveoli where septal walls branch off. (D) ATII cells are characterised by numerous multilamellar bodies (mlb) which contain components of surfactant. A mitochondrion is denoted as mi.

Capillary endothelial cells comprise 30-42% of cells in the alveolar region and comprise the walls of the extensive network of blood capillaries in the lung parenchyma. The endothelium forms a continuous, attenuated cell layer that transports respiratory gases, water, and solutes. However, it also forms a barrier to the leakage of excess water and macromolecules into the pulmonary interstitial space. Pulmonary endothelial cells, like type I cells, are vulnerable to injury from inhaled substances and substances in the systemic circulation. Injury to the endothelium results in fluid and protein leakage into the pulmonary interstitium and alveolar spaces, resulting in pulmonary edema. 

In the previous section, the permeation of solutes through uniform lipid membranes was discussed however, cell membranes and cellular barriers are not perfectly uniform (Figure 5.1). Proteins interrupt the continuous lipid membrane and provide an additional pathway for the diffusion of water-soluble molecules. Protein channels in the membrane, for example, permit the selective diffusion of certain ions. In the blood vessel wall, water-filled spaces between the adjacent endothelial cells provide an alternate path for transport. 

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