Gas exchange
🎯What you need to be able to do
- Describe the structure of the human gas exchange system: lungs, trachea, bronchi, bronchioles, alveoli and the capillary network.
- Describe the distribution of cartilage, ciliated epithelium, goblet cells, squamous epithelium, smooth muscle and capillaries.
- Recognise those tissues in slides, photomicrographs and electron micrographs.
- Recognise trachea, bronchi, bronchioles and alveoli, and draw plan diagrams of the walls of the trachea and bronchus.
- Describe how ciliated epithelial cells, goblet cells and mucous glands maintain the health of the system.
- Describe the functions of cartilage, smooth muscle, elastic fibres and squamous epithelium.
- Describe gas exchange between the air in the alveoli and the blood in the capillaries.
📚The biology
The route air takes
Air passes from the trachea into two bronchi, one to each lung, which divide repeatedly into bronchioles, ending in clusters of alveoli. Each alveolus is wrapped in a dense capillary network. As the tubes narrow, their walls change in a systematic way, and knowing the pattern lets you identify any section on sight.
What is in the wall, and where
- Cartilage — C-shaped rings in the trachea, irregular plates in the bronchi, absent from bronchioles. It holds the airway open against the pressure changes of breathing, so it cannot collapse when pressure inside falls during inspiration. The rings are incomplete at the back so the oesophagus can expand when swallowing.
- Smooth muscle — present throughout, and proportionally most important in the bronchioles, which have no cartilage. Contraction narrows the airway, constricting airflow; relaxation widens it. This is what happens in an asthma attack.
- Elastic fibres — throughout, and abundant in the alveolar walls. They stretch during inspiration and recoil during expiration, helping to force air out; they also allow the airway to return to shape after the smooth muscle relaxes.
- Ciliated epithelium — lines the trachea, bronchi and larger bronchioles; it becomes thinner and disappears in the smallest bronchioles.
- Goblet cells and mucous glands — among the ciliated cells in the upper airways.
- Squamous epithelium — the alveolar wall, one flattened cell thick.
- Capillaries — a dense network over the alveoli.
The rule of thumb: as you go deeper, cartilage disappears, cilia and goblet cells disappear, epithelium becomes thinner, and the proportion of smooth muscle and elastic tissue rises.
Keeping the airways clean
Goblet cells and mucous glands secrete mucus, which is sticky and traps pathogens, dust and other particles in the inhaled air. Ciliated epithelial cells have cilia that beat rhythmically, sweeping the mucus with its trapped particles upwards to the throat, where it is swallowed and the pathogens are destroyed by stomach acid.
This is why smoking is so damaging: tar paralyses and destroys the cilia and stimulates goblet cells to produce more mucus, so mucus accumulates, is cleared only by coughing, and the trapped bacteria remain in the airways — hence chronic bronchitis and frequent infection.
Gas exchange at the alveolus
Oxygen dissolves in the film of moisture lining the alveolus and diffuses down its concentration gradient across the squamous alveolar epithelium, then across the capillary endothelium, into the blood plasma and into the red blood cell, where it binds to haemoglobin. Carbon dioxide diffuses the other way.
The adaptations all serve the same three quantities — large area, short distance, steep gradient:
- Enormous total surface area — hundreds of millions of alveoli.
- Very short diffusion distance — alveolar epithelium and capillary endothelium are each one flattened cell thick, so the barrier is well under a micrometre.
- Dense capillary network, with capillaries narrower than a red blood cell so that cells are squeezed flat against the wall, reducing the distance further and slowing them so there is time to exchange.
- A steep concentration gradient maintained by continuous ventilation (bringing fresh air) and continuous blood flow (removing oxygenated blood).
- Moist lining, so gases dissolve before diffusing.
✏️Worked example
(a) This is a bronchus. The presence of cartilage rules out a bronchiole immediately, since bronchioles have none. The cartilage is in irregular plates rather than a C-shaped ring, which distinguishes a bronchus from the trachea. Ciliated epithelium with goblet cells is consistent with both, so it is the shape and arrangement of the cartilage that identifies it.
(b) This is a bronchiole. No cartilage, a relatively high proportion of smooth muscle for the wall thickness, and a thin epithelium lacking goblet cells are all characteristic. In the smallest bronchioles the epithelium becomes cuboidal or squamous and cilia disappear entirely.
(c) Cartilage’s function is to hold an airway permanently open against the pressure changes of breathing. The bronchioles do not need this because they are held open by the surrounding lung tissue and by the elastic fibres in it, and because their diameter must be adjustable. Being free of a rigid ring lets the smooth muscle in the wall contract and relax to control the volume of air reaching the alveoli — constricting to reduce airflow, dilating to increase it, for example during exercise.
In an asthma attack the smooth muscle of the bronchioles contracts, narrowing the lumen, while the lining becomes inflamed and secretes excess mucus, narrowing it further. Airflow to the alveoli falls, less oxygen reaches the gas exchange surface, and breathing out becomes difficult. Inhaled drugs relax that smooth muscle to reverse the constriction.
📝Practise
Work through these, then reveal the answer. Each question targets a different objective from the list above.
1. Explain how the alveolus is adapted for efficient gas exchange, referring to three factors that affect the rate of diffusion.
2. Describe how goblet cells and ciliated epithelial cells work together, and explain the effect of smoking on this system.
3. State where cartilage is found in the gas exchange system and explain its function.
4. Compare the function of smooth muscle and elastic fibres in the airways.
5. A student writes that oxygen ‘is pumped from the alveolus into the blood’. Correct this and describe the actual process.
6. A section of lung tissue from a person with emphysema shows fewer, larger alveoli with reduced elastic tissue. Predict two consequences and explain each.
🔗Go deeper — other people’s work
These are external resources, not mine. If one stops working, tell me and everything above it on this page still stands.
- Histology atlases from any medical school — labelled sections of trachea, bronchus and bronchiole side by side, which is the fastest way to learn the identification pattern
- British Lung Foundation — accessible accounts of asthma, bronchitis and emphysema that connect the histology to real disease
- Any respiratory system animation showing the branching from trachea to alveolus with the wall composition changing — the pattern is much easier to see than to memorise from a table