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Blood Capillaries

*Vasa capillaria*

For medical students2 min readUpdated 2026-10-10

Blood capillaries are the smallest vessels of the microvasculature, connecting arterioles and venules in dense networks. Their primary function and key distinction from other vessels is facilitating extensive substance exchange between the blood and surrounding tissues.

DiameterRanges from 4 µm (narrow) to 70 µm (sinusoidal/lacunar).
Wall structureLacks the classical division into three distinct tunics.
EndotheliumThe primary cellular element forming a continuous uninterrupted layer.
LocalizationFenestrated capillaries are typical for renal glomeruli and intestinal villi.

General Structural Plan of the Wall

Unlike arteries and veins, the wall of blood capillaries is not divided into tunics (tunicae). Its structural framework is formed by three cell types:

  1. Endothelial cells (Endotheliocytes). Form the continuous inner lining and rest directly on the basal lamina.
  2. Pericytes. Branched connective tissue cells located within the split of the endothelial basement membrane. They do not form a continuous layer, but partially wrap around the capillary like a basket. Functionally, pericytes occupy an intermediate position between fibroblasts and myocytes. They are progenitor (cambial) elements capable of differentiating into other cell types during angiogenesis.
  3. Adventitial cells. Undifferentiated connective tissue elements located on the outer aspect of the vessel. Like pericytes, they do not form a continuous layer and serve as a cambial reserve.

Capillary permeability depends directly on the structure of two main components: the endothelial layer and the basement membrane.

Classification by Wall Structure

Based on the structural characteristics of the endothelium and basement membrane, capillaries are divided into three types (in order of increasing permeability):

Classification by Diameter

The dimensions of blood capillaries vary significantly depending on their type and localization. Histology recognizes the following diameter gradations:

Note: Renal glomeruli may feature capillaries of typical (standard) diameter that simultaneously possess fenestrae and large pores.

Regulation of Permeability

The ability of capillaries to transmit various substances depends on the state of the basement membrane and the extracellular matrix surrounding adventitial cells. Under the action of specific enzymes (e.g., hyaluronidase), the degree of polymerization of matrix macromolecules decreases. As a result, the permeability of the vascular bed at the capillary level increases significantly.

Differences from Lymphatic Capillaries

Lymphatic capillaries have a fundamentally different organization. Their cellular composition includes only a single cell type — endothelial cells. They completely lack a basement membrane. To prevent vessel collapse, endothelial cells are firmly anchored to the surrounding connective tissue by collagen anchoring filaments.

Mnemonic

C-F-D in order of increasing 'leakiness': Continuous (Closed/Somatic) → Fenestrated (with Fenestrae/windows) → Discontinuous/sinusoidal (with Porous/disrupted membrane).

Frequently asked questions

What are the functions of pericytes in the capillary wall?

Pericytes perform a complex of functions ensuring structural integrity and regulation of the microvasculature.

  • Structural/Mechanical function — participate in synthesizing basement membrane components and provide an external framework for the capillary.
  • Hemodynamic regulation — alter capillary lumen diameter through active contraction or volume changes in response to neural and humoral signals.
  • Angiogenesis and regeneration — capable of differentiating into smooth muscle cells and fibroblasts, and releasing factors that halt endothelial division to stabilize the vessel.
  • Inflammation — act as intermediaries in transmitting signals to the endothelium and stimulating adhesion molecule expression.
How is substance transport achieved across the wall of a continuous capillary?

The primary mechanism of transport across the wall of a continuous capillary is pinocytosis. The cytoplasm of endothelial cells contains numerous pinocytotic vesicles that carry metabolites, moving them from one side of the cell to the other.

From which embryonic source do capillary endothelial cells develop?

Capillary endothelial cells develop from embryonic mesenchyme. During embryogenesis, specific clusters of mesenchymal cells—blood islands—form in the yolk sac wall, chorion, and subsequently within the embryo's body. Peripheral cells of these islands gradually flatten and differentiate into endothelial cells, forming the primary wall of future blood vessels.

What is the main difference between a capillary wall and an artery or vein?

The capillary wall lacks the division into three classical tunics. Its framework is formed solely by three cell types: endothelial cells, pericytes, and adventitial cells.

Where in the body are sinusoidal (discontinuous) capillaries located?

They are located in hematopoietic organs (red bone marrow, spleen) and the liver. Their large pores are necessary for the migration of whole blood cells between tissues and the vascular lumen.

What are anchoring filaments?

These are specialized collagen structures unique to lymphatic capillaries. They attach endothelial cells to the surrounding tissue, preventing the vessel from collapsing due to the absence of a basement membrane.

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