Blood Flashcards
It is a specialized connective tissue in which cells are suspended in fluid extracellular material called______
BLOOD
plasma
Formed elements:
Red blood cells (Erythrocytes)
White blood cells (Leukocytes)
Platelets (Thrombocytes)
Blood is a distributing vehicle, transporting (5)
O2
CO2
metabolites
hormones
other substances to cells throughout the body.
Blood participates in (3)
heat distribution
the regulation of body temperature
and the maintenance of acid-base and osmotic balance
have diversified functions and are one of the body’s chief defenses against infection
Leukocytes
Components of unclotted whole blood
Plasma
Buffy coat
RBCs
Components of clotted whole blood
Serum
Clot
Composition of whole blood:
Plasma
Erythrocytes
Buffy Coat
Plasma - 55%
Erythrocytes- 44%
Buffy Coat - <1%
Components of Plasma
Water - 92%
Proteins - 7%
Other solutes - 1%
Proteins in Plasma (AGFR)
Albumin - 58%
Globulin - 37%
Fibrinogen - 4%
Regulatory Proteins - <1%
Other solutes in the Plasma
Electrolytes
Nutrients
Respiratory gases
Waste products
T or F| Oxygenated blood is more frequent in veins than arteries
False
Components of Buffy Coat
Platelets
Leukocytes
Leukocytes (5)
Arrange from most numerous to least numerous
NLMEB
Neutrophils - 50-70%
Lymphocytes - 20-40%
Monocytes - 2-8%
Eosinophils - 1-4%
Basophils - 0.5-1%
most abundant plasma protein, made in the liver and serves primarily to maintain the osmotic pressure of the blood
ALBUMIN
made by liver and other cells
- include transferrin and other transport factors;
- fibronectin;
- prothrombin and other coagulation factors;
- lipoproteins and other proteins entering blood from tissues
ALPHA-GLOBULINS & BETA-GLOBULINS
are immunoglobulins (antibodies) secreted by plasma cells in many locations
GAMMA-GLOBULINS
largest plasma protein
also made in the liver
during clotting - polymerizes as insoluble, cross-linked fibers of fibrin that block blood loss from small vessels
FIBRINOGEN
a system of factors important in inflammation and destruction of microorganisms.
COMPLEMENT PROTEINS
Can be studied histologically in smears prepared by spreading a drop of blood in a thin layer on a microscope slide
Blood cells
Blood smears are routinely stained with special mixtures of acidic (____) and basic (____________) dyes
eosin
methylene blue
Physical characteristics od RBCs
Flexible biconcave discs
RBCs _______ shape provides a large surface-to-volume ratio and facilitates gas exchange
Concave
Normal concentration of RBCs
Women
Men
3.9 to 5.5 million per microliter in women
4.1-6.0 million/μL in men
RBCs survive in the circulation for about_____ days
120 days (4months)
- stacking of cells
Rouleaux
RBCs Lacks all ________ but is densely filled with________
organelles
hemoglobin
Tetrameric O2-carrying protein
hemoglobin
RBCs: Lacking mitochondria, erythrocytes rely on _____________ for their minimal energy needs
anaerobic glycolysis
RBCs: Lacking nuclei, they cannot replace__________.
defective proteins
Major protein of RBCs cytoskeleton
Spectrin apha beta
Primary cause of RBCs shape
Spectrin alpha and beta
Leave the blood and migrate to the tissues where they become functional and perform various activities related to immunity
Leukocytes
Key players in the defense against invading microorganisms
Leukocytes
2 types of Leukocytes (based on the density of their cytoplasmic granules)
Granulocytes
Agranulocytes
Types of granulocytes
Neutrophils
Eosinophils
Basophils
Types of agranulocytes
Lymphocytes
Monocytes
Two types of cytoplasmic granules:
lysosomes
specific granules
lysosomes (often called __________ in blood cells)
azurophilic granules
Type: Neutrophils
Nucleus
Specific Granules
Differential Count (%)
Life Span Outside the Blood
3-5 lobes
Faint/light pink
50-70
1-4 d
Type: Eosinophils
Nucleus
Specific Granules
Differential Count (%)
Life Span Outside the Blood
Bilobed
Red/dark pink
1-4
1-2 wk
Type: Basophils
Nucleus
Specific Granules
Differential Count (%)
Life Span Outside the Blood
Bilobed or S-shaped
Dark blue/purple
0.5-1
Several months
Type: Lymphocytes
Nucleus
Specific Granules
Differential Count (%)
Life Span Outside the Blood
spherical
(none)
20-40
Hours to many years
Type: Monocytes
Nucleus
Specific Granules
Differential Count (%)
Life Span Outside the Blood
Indented or C-shaped
(none)
2-8
Hours to years
Kill and phagocytose bacteria
Neutrophils
Kill helminthic and other parasites; modulate local inflammation
Eosinophils
Modulate inflammation, release histamine during allergy
Basophils
Effector and regulatory cells for adaptive immunity
Lymphocytes
Precursors of macrophages and other mononuclear phagocytic cells
Monocytes
Mature________ constitute 54% to 62% of circulating leukocytes; circulating immature forms raise this value by___%
neutrophils
3%
Neutrophil diameter
2-15 μm in diameter
Neutrophils are short-lived cells
Half-life of_____ hours in blood
Life span of ______days in connective tissues
6 to 8 hrs in blood
1 to 4 days in tissues
Polymorphonuclear Leukocytes
Nuclei having two to five lobes
Neutrophils
Neutrophils:
Inactive and spherical while circulating but become actively amoeboid during __________
diapedesis
Band cell turns into
Neutrophils
Eosinophils
Basophils
Active phagocytes of bacteria and other small particles and are usually the first leukocytes to arrive at sites of infection
Neutrophils
Neutrophils:
Release____________ that attract other leukocytes and cytokines that direct activities of these and local cells of the tissue
polypeptide chemokines
Important lipid mediators of inflammation are also released from_________.
neutrophils
resemble lysosomes as large, dense vesicles and have a major role in both killing and degrading engulfed microorganisms
Azurophilic primary granules
3 types of azurophilic granules in neutrophils
Myeloperoxidase
Lysozyme
Defensins
Specific secondary granules of Neutrophils
smaller and less dense, stain faintly pink
Collagenases
Bactericidal proteins
Only 1% to 3% of leukocytes
Bilobed nucleus
Eosinophils
Abundance of large, acidophilic specific granules typically staining pink or red
Eosinophils
Modulate inflammatory responses by releasing chemokines, cytokines, and lipid mediators
Eosinophils
Specific granules of Eosinophils
Major basic proteins (MBP)
- arginine-rich factor, act to kill parasitic worms or helminths
Less than 1% of blood leukocytes
Nucleus is divided into two irregular lobes
Basophils
Basophil specific granules:
stain ______ with the basic dye of blood smear stains and are fewer, larger, and more irregularly shaped
HPEP
Purple
Histamine
Platelet activating factor
Eosinophil chemotactic factor
Phospholipase A
Migrates to connective tissue and supplement the functions of mast cells
Basophils
Have metachromatic granules containing heparin and histamine
Basophils
Have surface receptors for immunoglobulin E (IgE), and secrete their granular components in response to certain antigens and allergens
Basophils
Most numerous type of agranulocyte
Lymphocytes
Smallest leukocytes
Lymphocytes
Spherical nuclei, highly condensed chromatin
Subdivided into functional groups by distinctive surface molecules called “cluster of differentiation” or CD markers
Lymphocytes
Major classes of Lymphocytes
B lymphocytes Helper (CD4+)
T lymphocytes Cytotoxic (CD8+)
T lymphocytes Natural killer (NK) cells
Kill virus-infected and damaged cells
Cytotoxic T cells (CD8)
Help cytotoxic T cells and B cells in their immune functions
Helper T cells (CD4)
Lymphocytes that produce antibodies
B cell
Precursor cells of macrophages, osteoclasts, microglia, and other cells of the mononuclear phagocyte system in connective tissue
Monocytes
Antigen-presenting cells
Monocytes
Nucleus is large and usually distinctly indented or C-shaped
Monocytes
Chromatin is less condensed than in lymphocytes
Cytoplasm is basophilic and contains many small lysosomes or azurophilic granules
Basophils
Small non-nucleated, membrane-bound cell fragments only
2 to 4 μm in diameter
Thrombocytes
Thrombocytes
Originate by separation from the ends of cytoplasmic processes extending from giant polyploid bone marrow cells called________
megakaryocytes
Thrombocytes
Generally discoid, with a very lightly stained peripheral zone, the__________, and a darker-staining central zone containing granules, called the________
hyalomere
granulomere
Thrombocytes
Delta granules
AAS
ADP
ATP
Serotonin
Thrombocytes
Alpha granules
Platelet-derived growth factor (PDGF)
Platelet factor 4
Other Platelet-specific factor
Hemostasis
Primary Aggregation
Secondary aggregation
Blood Coagulation
Clot retraction
Clot removal
Disruptions in the microvascular endothelium
Allow the platelet glycocalyx to adhere to collagen
_________is formed as a first step to stop bleeding
Primary Aggregation
Platelet plug
Platelets in the plug release a specific adhesive glycoprotein and ADP
Induce further platelet aggregation and increase the size of the platelet plug
Secondary aggregation
During platelet aggregation, fibrinogen from plasma, von Willebrand factor and other proteins released from the damaged endothelium
Platelet factor ___ from platelet granules promote the sequential interaction (cascade) of plasma proteins, giving rise to a____
Blood Coagulation
Platelet factor 4
fibrin
The clot that initially bulges into the blood vessel lumen contracts slightly because of the interaction of platelet actin and myosin
Clot retraction
Protected by the clot, the endothelium and surrounding tunic are restored by new tissue, and the clot is then removed, mainly dissolved by the proteolytic enzyme plasmin
Clot removal