GAS ExCHAnGE
Ventilation
Lung Structure
Ventilation is the exchange of gases between the lungs and
the atmosphere (achieved by the physical act of breathing)
These gases are integral to the process of cell respiration
• Oxygen is an input, carbon dioxide is a by-product
larynx
trachea
alveolus
intercostal
muscles
bronchus
Ventilation maintains the concentration gradient necessary
for passive diffusion (O2 = into lungs, CO2 = out of lungs)
Ventilation rates will change with exercise and can be
measured via spirometry (measures amount / rate of air)
rib
bronchiole
lung
diaphragm
Mechanism of Breathing
Pneumocytes
Breathing utilises antagonistic sets of respiratory muscles in
order to facilitate the passage of air (inhalation / exhalation)
• Muscles change lung volume to create negative pressure
• Negative pressure is equalised by air from atmosphere
• Air flows in / out according to the volume of the thorax
Pneumocytes (alveolar cells) line the alveoli and comprise
the majority of the inner surface of the lungs
Inhalation
• Diaphragm muscles contract (diaphragm flattens)
• External intercostal muscles pull ribs up (outwards)
• This increases the volume of the thoracic cavity
• Pressure in lungs decreases below atmospheric pressure
• Air flows into the lungs in order to equalise the pressure
Exhalation
• Diaphragm muscles relax (diaphragm curves upwards)
• Internal intercostal muscles pull the ribs down (inwards)
• Abdominal muscles contract to push diaphragm upwards
• This decreases the volume of the thoracic cavity
• Pressure in lungs increases above atmospheric pressure
• Air flows out of the lungs to equalise the pressure
Air in
Ribs move
outwards
Diaphragm
flattens
INHALATION
Air out
Ribs move
inwards
Diaphragm
rises
EXHALATION
Type I pneumocytes:
• Involved in gas exchange between alveoli and capillaries
• Are extremely thin (minimises gas diffusion distances)
Type II pneumocytes:
• Responsible for the secretion of pulmonary surfactant
• This creates a moist surface that reduces surface tension
(prevents sides of alveoli from adhering to each other)
Lung Disorders
Lung Cancer
Cancer is uncontrolled cell proliferation, leading to tumors
• Lungs possess a rich blood supply (for gas exchange),
increasing the chances of metastasis (spread of cancer)
There are many factors that contribute to lung cancer:
• Intrinsic: Genetics, age, certain diseases / infections
• Extrinsic: Smoking, asbestos, radiation exposure
Emphysema
Emphysema is the abnormal enlargement of the alveoli
• These form air spaces and lower the overall surface area
Emphysema is most commonly caused by smoking
• Chemicals in the cigarettes damage the alveoli
• Phagocytes release elastase as part of immune response
• Elastase destroys the elastic fibres in the alveolar walls
• Huge air spaces (pulmonary bullae) develop in the lungs
Gas Exchange (Mechanism of Breathing)
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