The Ultrastructural Basis of Transcapillary Exchanges
The Ultrastructural Basis of Transcapillary Exchanges MORRIS J. KARNOVSKY From the Department of Pathology, Harvard Medical School, Boston, Massachusetts 02115 ABSTRACT A brief survey is given of current views correlating the ultra- structural and permeability characteristics of capillaries. Observations based on the use of peroxidase (mol wt 40,000), as an in vivo, and colloidal lanthanum, as an in vitro, ultrastructural tracer, are presented. In capillaries with "con- tinuous" endothelium, the endothelial intercellular junctions are thought to be permeable to the tracers, and are regarded as maculae occludentes rather than zonulae occludentes, with a gap of about 40 A in width between the maculae. Some evidence for vesicular transport is also presented. It is inferred that the cell junctions are the morphological equivalent of the small-pore system, and the vesicles the equivalent of the large-pore system. Peroxidase does not appar- ently cross brain capillaries: the endothelial cell junctions are regarded as zonulae occludentes, and vesicles do not appear to transport across the endo- thelium. This is regarded as the morphological equivalent of the blood-brain barrier for relatively large molecules. The tracers appear to permeate the fen- estrae of fenestrated capillaries, and the high permeability of these capillaries to large molecules is attributed to the fenestrae. Capillaries with discontinuous endothelium readily allow passage of the tracers through the intercellular gaps. A continuous basement membrane may act as a relatively coarse filter for large molecules. In general, the morphology of capillaries correlates well with physiological observations. Since the introduction of the electron microscope and the elucidation of the ultrastructure of cells, the physiologist, biochemist, and morphologist have been able to make considerable advances in the correlation of structure and function, at least at the macromolecular level.
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