Arteriole

Artery: Arteriole
File:Illu capillary.jpg
Illustration of capillary
File:Rabbitarteriole100x1.jpg
Rabbit arteriole at 100X
Latin	arteriola

An arteriole (pronounced /ɑrˈtɪəri.oʊl/) is a small diameter blood vessel in the microcirculation that extends and branches out from an artery and leads to capillaries.

Arterioles have thin muscular walls (usually only one to two layers of smooth muscle) and are the primary site of vascular resistance. Arterioles receive autonomic nervous system innervation and respond to various circulating hormones in order to regulate their diameter.

Blood pressure in the arteries supplying the body is a result of the work needed to pump the cardiac output (the flow of blood pumped by the heart) through the vascular resistance, usually termed total peripheral resistance by physicians and researchers.

Natural fluctuation

The up and down fluctuation of the arterial blood pressure is due to the pulsatile nature of the cardiac output and determined by the interaction of the stroke volume versus the volume and elasticity of the major arteries.

In a healthy vascular system the endothelium lines all blood-contacting surfaces, including arterioles, arteries, veins, capillaries, and heart chambers. This healthy condition is promoted by the ample production of nitric oxide by the endothelium, which requires a biochemical reaction regulated by a complex balance of polyphenols, various nitric oxide synthase enzymes and L-arginine. In addition there is direct electrical and chemical communication via gap junctions between the endothelial cells and the vascular smooth muscle.

Pathology

Any pathogen which constricts blood flow, such as stenosis, will increase total peripheral resistance and lead to hypertension.

Arteriolosclerosis is the term specifically used for the hardening of arteriole walls. This can be due to decreased elastic production from fibrinogen, associated with ageing, or pathological conditions such as atherosclerosis.

Medication

The muscular contraction of arterioles is targeted by drugs that lower blood pressure (antihypertensives), for example the dihydropyridines (nifedipine and nicardipine), which block the calcium conductance in the muscular layer of the arterioles, causing relaxation.

This decreases the resistance to flow into peripheral vascular beds, lowering overall systemic pressure.

Metarterioles

A "metarteriole" is an arteriole which bypasses capillary circulation.

References

bs:Arteriola uk:Артеріола