A cell membrane is a phospholipid bilayer with hydrophilic heads projecting outwards and lipid tails facing each other. Smaller or lipid soluble molecules can easily move in and out of the cell membrane through process of simple diffusion. However, lipid insoluble or hydrophilic molecules require specific carriers for their transportation across the cell membrane. Proteins are embedded in this phospholipid bilayer to move hydrophilic or larger molecules in and out of the cell membrane. This proposed model is called fluid-mosaic model of the cell membrane.

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Fluid mosaic model of the cell membrane

Image: “Fluid mosaic model of the cell membrane” by OpenStax – https://cnx.org/contents/FPtK1zmh@8.25:fEI3C8Ot@10/Preface. License: CC BY 4.0


The endothelium is the innermost layer of a blood vessel. It is a thin layer of simple squamous cells called endothelial cells. In arteries and veins, the endothelium is surrounded by a thick muscular and an elastic layer.

However, capillaries are made up of a single layer of endothelial cells. They are the site where rapid exchange of substances occurs. For example, skeletal muscles require glucose and oxygen for rapid respiration, which is transported to them as the blood flows through the capillaries.

Types of capillaries

Illustration of blood vessels including artery, arteriole, capillaries, vein and venule.

Image: “Illustration of blood vessels including artery, arteriole, capillaries, vein and venule.” by National Cancer Institute, National Institutes of Health – http://training.seer.cancer.gov/anatomy/cardiovascular/blood/classification.html. License: Public Domain

Capillaries can be divided into the following three types, based upon the arrangement of endothelial cells.

  • Continuous capillaries have an uninterrupted lining of endothelial cells. These allow only the smallest molecules and ions to pass through their intercellular clefts. However, lipid soluble molecules can easily pass through them. These capillaries are found in the skeletal muscles, central nervous system, skin.
  • Fenestrated capillaries have several pores measuring 60-80nm nanometers) in diameter in their endothelial lining. These pores have a thin layer of fibrils that limit the movement of proteins. Such type of capillary is found in the glomeruli of kidneys, endocrine glands, intestines and pancreas.

Sinusoidal capillaries, also known as discontinuous capillaries have relatively larger openings in their endothelial lining measuring 30-40μm (micrometers) in diameter. The basal lamina (or basement membrane) is also discontinuous. Blood cells and proteins can easily move out of these capillaries. Such capillaries are found in liver, spleen, bone marrow and adrenal glands.

three major capillary types

Image: “Three major capillary types” by OpenStax College – Anatomy & Physiology, Connexions Web site. http://cnx.org/content/col11496/1.6/, Jun 19, 2013. License: CC BY 3.0

Fenestrations and Endothelial Transport

Fenestrated capillaries are able to move larger molecules in and out and therefore do not require carrier proteins. However, the movement of molecules is dependent upon three factors:

  1. Permeability, which includes the number and size of the pores. Both of them have a positive correlation with permeability and the rate of movement of molecules.

  2. Hydrostatic pressure in capillaries. Hydrostatic pressure is higher in arteries and decreases as the blood moves towards the capillaries. Therefore, transport of substances out of the capillary is greater at the arterial end.

  3. Colloid osmotic pressure, which is the pressure exerted by the proteins present in blood plasma or interstitial fluid. The greater the colloid osmotic pressure, the greater will be movement of water towards that compartment.

Smaller molecules such as oxygen and carbon dioxide can easily move by simple diffusion and are not dependent upon the factors mentioned above. Water also moves by osmosis. The phenomenon of osmosis arises from the propensity of a pure solvent (water) to move through a semi-permeable membrane and into a solution containing a solute (e.g. proteins) to which the membrane is impermeable. This process is of vital importance in biology as the cell’s membrane is semipermeable, and there are proteins in the blood as well as in the interstitum.

capillary exchange

Image: “Role of hydrostatic and colloid osmotic pressure in movement of molecules across the capillary” by OpenStax College – Anatomy & Physiology, Connexions Web site. http://cnx.org/content/col11496/1.6/, Jun 19, 2013. License: CC BY 3.0

Glomerular Filtration

As mentioned above, the capillaries found in the glomerulus of the kidney are fenestrated capillaries. The basic structure of the filtration unit (membrane) includes:

  1. the innermost lining of fenestrated endothelium

  2. a common basement membrane

  3. the inner epithelium of Bowman’s capsule. The cells form foot processes and are therefore called podocytes.

As blood flows into the afferent arteriole it has high hydrostatic pressure. Plasma along with other soluble molecules such as glucose, peptides, amino acids, ions, drugs and other metabolic waste substances, move from glomerulus into the Bowman’s capsule. Blood cells and proteins are left behind. The fluid that has moved into the Bowman’s capsule is known as the ultrafiltrate.

glomerular physiology

Image: “Glomerular filtration.” by Tieum – https://commons.wikimedia.org/wiki/File:PhysiologieGlom%C3%A9rulaire.png. License: CC BY-SA 4.0

Any disease process that damages the structure of the filtration membrane may cause proteins or red blood cells to spill into the Bowman’s capsule and they will appear in the urine. The conditions are called proteinuria and hematuria, respectively.

Transport across the endothelium

Two cellular pathways controlling endothelial barrier function have been identified:

The transcellular pathway transports plasma proteins of the size of albumin or greater via the process of transcytosis in vesicle carriers originating from cell surface caveolae. Specific signalling cues are able to induce the internalisation of caveolae and their movement to the basal side of the endothelium. Caveolin-1 is the primary structural protein required for the formation of caveolae.

Caveolin-1 is also important in regulating vesicle trafficking through the cell by controlling the activity and localisation of signalling molecules that mediate vesicle fission, endocytosis, fusion and finally exocytosis.

An important function of the transcytotic pathways is to regulate the delivery of albumin and immunoglobulins, thereby controlling tissue oncotic pressure and host-defence.

The paracellular pathway induced in continuous endothelium during inflammation, is formed by gaps between endothelial cells at the level of adherens and tight junctional complexes. Paracellular permeability is increased by second messenger signalling pathways involving Ca2+ influx via activation of store-operated channels, protein kinase Calpha (PKCalpha), and Rho kinase that together participate in the stimulation of myosin light chain phosphorylation, actin-myosin contraction, and disruption of the junctions.

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