Human physiology — In vasodilation, what sequence of effects do proper neural/endothelial signals cause in blood vessels (consider mediator release, vascular smooth muscle tone, and systemic pressure)?

Difficulty: Easy

Correct Answer: All of the above

Explanation:


Introduction:
Vasodilation is the widening of blood vessels due to decreased vascular smooth muscle tone. This question tests understanding of the linked events: mediator release from endothelium, smooth muscle relaxation, and the impact on systemic hemodynamics.


Given Data / Assumptions:

  • Endothelial cells can release nitric oxide (NO) in response to neural and shear stress signals.
  • NO diffuses into adjacent smooth muscle and activates intracellular pathways that reduce tone.
  • Widespread arteriolar dilation lowers total peripheral resistance, tending to decrease blood pressure.


Concept / Approach:
Connect signaling (NO release) to mechanism (smooth muscle relaxation) to outcome (pressure drop). Evaluate each option as part of the same physiological cascade rather than as isolated events.


Step-by-Step Solution:

1) Proper neural/endothelial cues stimulate endothelial nitric oxide synthase to produce NO.2) NO activates soluble guanylate cyclase in smooth muscle → cGMP formation → protein kinase G signaling.3) The result is decreased intracellular calcium sensitivity/availability and relaxation of smooth muscle.4) Systemically, arteriolar dilation reduces total peripheral resistance, which tends to lower mean arterial pressure.


Verification / Alternative check:
Pharmacologic vasodilators (e.g., nitroglycerin) mimic NO signaling and predictably lower vascular tone and blood pressure, confirming the mechanism.


Why Other Options Are Wrong:

e) Reflex vasoconstriction increases resistance and is the opposite of vasodilation.


Common Pitfalls:
Assuming vasodilation always lowers blood pressure regardless of cardiac output; local vasodilation can occur without large systemic pressure changes if compensated by baroreflexes.


Final Answer:
All of the above.

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