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Ng H Y, et al.

           relatively thicker in arteries than in veins and it spans   lamellae possess the elastic recoil characteristics that can
           the whole space between the internal and external elastic   maintain the continuous and uniform blood flow along
           membrane. External elastic membrane is an elastic layer   the vascular tube as well as the arterial blood pressure.
           that separates tunica media from tunica adventitia. Other   In contrast to the tunica media of the large arteries,
           constituents of the tunica media include reticular fibers,   medium arteries are composed almost entirely of smooth
           elastin and proteoglycans which are intercalated between   muscle but with little amount of elastin and they contain
           layers of smooth muscle cells. Variable amounts of   a prominent internal elastic membrane. Some examples
           circularly arranged elastic lamellae with fenestrations   of muscular arteries are femoral artery, radial artery
           are also found in this layer. Unlike tunica adventitia, all   and popliteal artery. Small arteries and arterioles can
           extracellular components of the tunica intima and media   be distinguished from each other by the thickness of
           such as elastin, collagen and ground substances are
                                           [11]
           synthesized by the smooth muscle cells . The outermost   their smooth muscle layers in tunica media. The smooth
           layer of the blood vessels is the tunica adventitia, a layer   muscle layers in arterioles are only one or two cells
           of loose connective tissue with embedded fibroblasts   thick whereas those in small arteries may be as many
           composed mainly of longitudinal collagenous tissue and   as eight to ten cells thick. Capillaries have the smallest
           some elastic fibers. This layer plays a role in anchoring   diameter amongst all types of blood vessels, each of
           the blood vessel to the surrounding tissue and provision   them consists of only a single layer of endothelium and
           of additional mechanical support [12] . In addition, this   their basal lamina. The diameter of their lumen is only
           layer is found to be relatively thinner in arteries and   large enough to allow one erythrocyte to pass through at
           arterioles and is much thicker in venules and veins   a time. Unlike other vessels, tunica media and adventitia
           as it is the major constituent of their vessel wall. A   are absent in the capillaries.
           vascular network called vasa vasorum and an autonomic   For veins, they usually have thicker tunica adventitia
           nervous network called nervi vasorum (vascularis) are   as compared to the arteries. They are often being
           present in the tunica adventitia of large arteries and   classified into four types based on their size, namely
           veins. These networks work by supplying nutrients and   the venules (postcapillary and muscular), small veins,
           oxygen to the walls of the blood vessels and regulating   medium veins as well as the large veins. The venules
           vasoconstriction as well as vasodilation by sending   can be further subdivided into postcapillary venules and
           signals to the smooth muscles directly from the nervous   muscular venules based on the presence of tunica media
           system, respectively.                               as the former lacks a tunica media in their vascular
            The anatomies of arteries and veins are generally quite   wall. Postcapillary venules receive blood directly from
           similar but can be distinguished by the thickness of   the capillaries and are characterized by the presence of
           tunica and their cellular and protein compositions of the
           layers. Arteries generally have a thicker tunica media and   pericytes. Small veins are continuous with the venules.
           a thinner tunica adventitia. They are traditionally divided   Medium veins usually represent the named veins in our
           into three types based on the size and characteristics of   bodies and are often accompanied by arteries. Some of
           their tunica media, namely the large (or elastic arteries),   the examples of medium veins include the radial vein,
           the medium (or muscular arteries), small arteries and   tibial vein and the popliteal vein. Large veins are veins
           arterioles. Some examples of the large arteries include   with a diameter larger than 10 mm and they include
           the aorta, pulmonary arteries and the brachiocephalic   the superior and inferior vena cava. A summary of the
           trunk. This type of arteries consists of large amount of   characteristics of different types of blood vessels are
           elastic lamellae in their vascular walls. These elastic   shown in Table 1 and Table 2.
           table 1. Characteristics of various types of arteries.

                                                          Arteries
               vessel  large artery (elastic artery) Medium artery (muscular artery)  Small artery  Arteriole  capillary
           Diameter    > 10 mm             2 – 10 mm               0.1 – 2 mm       10 – 100 μm   4 – 10 μm
           tunica intima   Endothelium     Same as large artery except with   Same as large artery   Same as large artery Endothelium only
           (innermost)  Connective tissue  prominent internal elastic membrane except with less
                       Smooth muscle                               prominent internal
                                                                   elastic membrane
           tunica Media   Smooth muscle    Smooth muscle           Smooth muscle (8–10   Smooth muscle (1–2  None
           (middle)                        Collagen fibers         cells thick)     cells thick)
                       Elastic lamellae    Lesser elastic tissue   Collagen fibers
           tunica Adventitia Thinner than tunica media  Same as large artery except with   Same as medium artery Thin, indistinct   None
           (outermost)  Connective tissue  fewer elastic fibers                     connective tissue
                       Elastic fibers
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