Capillary ultrastructure anatomy and physiology: What is known, what is unknown or missing, what is wrong and what is new?

Ahmed N Ghanem *

Egypt Retired Consultant Urologist Surgeon & Independent Investigator 10 Merton Court, Faculty of Medicine, Mansoura University, The Strand, Brighton Marina, BN2 5XY. The UK.
 
Research Article
GSC Advanced Research and Reviews, 2022, 10(02), 073–094.
Article DOI: 10.30574/gscarr.2022.10.2.0049
Publication history: 
Received on 07 January 2022; revised on 08 February 2022; accepted on 10 February 2022
 
Abstract: 
This article summarizes what is already known about the capillary ultrastructure anatomy and physiology that includes one wrong physiological law of Starling and two misconceptions on capillaries cross section area and blood speed in its lumen. It also identifies missing data such as the number and diameters of capillaries branching from the terminal arteriole, and the speed of blood at the arterial and venous ends. It also summaries the evidence on new knowledge on capillary physiology namely the hydrodynamic of the porous orifice (G) tube built on a scale to capillary ultrastructure anatomy of pre-capillary sphincter and inter-cellular slits pores. It proves Starling’s law wrong and provide its correct replacement. The Tree Branching Law (TBL) corrects both misconceptions on capillaries cross section area being larger that the aorta and capillary blood speed is “very slow”. The TBL proves that the cross-section area of all capillaries is less than that of the aorta, and the blood speed in capillary is faster than generally received. The G tube’ magnetic field like hydrodynamics is the correct replacement for Starling’s law on the capillary-ISF transfer. This new capillary-ISF transfer allows for fast efficient function that meets cells and tissue demands at rest and during strenuous exercise.
 
Keywords: 
Capillary physiology; Capillary blood speed and pressure; Starling’s law; Hydrodynamics; The porous orifice G tube; Tree Branching Law
 
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