Blood Flashcards
What are the functions of blood?
FUNCTIONS OF BLOOD
Transportation: of nutrients and proteins (fragments and specialised cells)
Regulation: of temperature/calcium levels/body fluids/pH levels
Protection: blood clotting - platelets, immunity - white blood cells
Blood is a connective tissue composed of…
Blood is a connective tissue composed of…
- Blood plasma (liquid extracellular matrix)
- Various cells & cell fragments (dissolved & suspended in blood plasma)
What are the components of blood?
COMPONENTS OF BLOOD
- 55% blood plasma (watery liquid extracellular matrix containing dissolved substances)
- 45% formed elements (99% of these are red blood cells & 1% of these are white blood cells & platelets
What is blood plasma made up of?
BLOOD PLASMA
91.5% is water
7% is proteins (half of which are albumins)
1.5% is other solutes - electrolytes, nutrients, gases, enzymes, hormones, vitamins, waste products (urea, bilirubin)
Red blood cells are called?
Red blood cells are called erythrocytes
What are erythrocytes?
Erythrocytes are red blood cells
What is hemoglobin?
Hemoglobin is in erythrocytes (RBCs) and is an oxygen carrying protein, which is a pigment that gives blood its red colour.
Characteristics of RBCs
- Membrane contains glycolipoproteins ABO and Rh - Contains hemoglobin (oxygen carrying protein - pigmented, gives RBCs their colour) - Lack nucleus & other organelles - Cannot reproduce - Have a biconcave shape
What is the make up of RBCs?
- Each RBC contains about 280 million Hb molecules. Hb = hemoglobin
- Each Hb molecule can carry 4 oxygen molecules
- Heme - Iron ion (Fe2+)
- Globin - Protein - four polypeptide chains (2 alpha, 2 beta)
- Nitric Oxide (NO) bound to Hb
produced by endothelial cells
Release of NO > vasodilation> increased blood flow > enhanced delivery of O2, nutrients and removal of wastes
How long does a red blood cell live for?
Lives only about 120 days. Ruptured RBC’s are removed from circulation
destroyed by phagocytic macrophages in spleen & liver
Breakdown products are recycled
What is hemopoiesis (or hematopoiesis)?
Hemopoiesis is the formation of blood cells from hemopoietic stem cells in red bone marrow
What am I?
- Highly vascularised
- 0.05-1% of the cells are derived from mesenchyme and are called pluripotent stem cells (capacity to develop into many different type of cells)
- Sinusoids are entry points of formed blood cells into circulation
Red bone marrow
What are Hemopoietic Growth Factors?
Hormones that regulate differentiation & proliferation of particular progenitor cells
- Erythropoietin (EPO) - Is produced primarily in the kidneys and increases number of RBC precursors
- Thrombopoietin (TPO) - Produced by the liver and stimulates thrombocyte (platelet) formation
- Cytokines - Typically produced
What is Erythropoiesis?
Erythropoiesis is the production of RBC’s.
- Precursor cell called proerythroblast, ejects its nucleus causing cell to indent –> biconcave shape – now called reticulocyte.
Still retain some mitochondria, ribosomes, E.R.
Squeezes between endothelial cells of blood capillaries from red bone marrow into the blood stream.
- Reticulocytes take 1-2 days to mature in the blood stream > now called erythrocyte
What is the stimulus for Erythropoiesis?
STIMULUS FOR ERYTHROPOIESIS:
- Hypoxia: due to high altitude, blood disorder etc. Hypoxia stimulates the kidneys to stimulate the release of erythropoietin –> speeds up the development of proerythroblasts into reticulocytes. Increased RBCs = Increased oxygen delivery
- Low levels of atmospheric O2
- Increase in exercise
- Hemorrhaging
Please describe erythrocyte homeostasis….
ERYTHROCYTE HOMEOSTASIS
Classic negative feedback control:
drop in RBC count causes hypoxemia to kidneys.
Erythropoietin ↑ > stimulation of bone marrow
RBC count ↑ in 3-4 days
What are leukocytes (leuko=white)
Leukocytes are white blood cells
How are white blood cells classified?
WBCs are classified according to their microscopic appearance upon dye injection:
- Granular leukocytes
- Agranular leukocytes
WBCs have a nuclei
What are the names of the granular leukocytes (WBCs)?
Granular WBCs
- Eosinophils: 2-4% of all WBC’s
- Basophils: 0.5-1% of all WBC’s
- Neutrophils: 60-70% of all WBC’s
What are the names of the agranular leukocytes (WBCs)?
Lymphocytes: 20-25% of all WBC’s - includes T cells, B cells, Natural Killer (NK) Cells
Monocytes: Enlarge & differentiate into fixed and wandering macrophages (=large eaters) in tissues
What are Major Histocompatibility (MHC) Antigens?
Major Histocompatibility (MHC) Antigens are proteins protruding from plasma membrane into ECF. MHC antigens are found in all WBC’s and other nucleated cells in body MHC Antigens are “Cell identity markers” and unique for each person
WHat are the functions of leukocytes (WBCs)?
WBC FUNCTIONS:
- Destroy invading pathogens: by phagocytosis, by immune responses
Note: they may have to leave blood stream to do so…
- Leukocytosis (increase in numbers of WBC’s above 10,000/uL)
- Leukopenia (abnormal low level of WBC’s below 5000/uL)
Which WBCs are active in phagocytosis?
Neutrophils & Macrophages are active in phagocytosis - including ingestion & digestion of bacteria, disposal of dead matter
What are phagocytes?
Phagocytes are the white blood cells that protect the body by eating (phagocytosing) dirt, bacteria and dead or dying cells. They are important for fighting infections. They are also important for becoming immune.
The professional phagocytes are neutrophils, monocytes, macrophages, dendritic cells, and mast cells. The reason they are called professional phagocytes is because they have receptors on their surfaces that can detect harmful objects, such as bacteria. Phagocytes are very important in fighting infections and in getting rid of dead and dying cells
What is chemotaxis?
CHEMOTAXIS
Chemicals released by microbes & inflamed tissues which attract phagocytes (WBCs neutrophils and macrophages).
Why is the detection of changes in numbers of circulating WBCs (percentages of each type) important?
Detection of changes in numbers of circulating WBCs is important as percentages of each type indicate infection, poisoning, leukemia, chemotherapy, parasites or allergy reaction
Normal WBC counts
- neutrophils 60-70% (up if bacterial infection)
- lymphocyte 20-25% (up if viral infection)
- monocytes 3- 8 % (up if fungal/viral infection)
- eosinophil 2-4 % (up if parasite/ allergy reaction)
- basophil <1% (up if allergy or hypothyroid)
Why are leukocytes called “major soldiers”?
Leukocytes are “Major soldier” in immune system battles as they continually move between blood, lymph tissue & lymph.
How do B-cells assist in immunity?
B-cells: destroy bacteria & inactivate their toxins
How do T-cells assist in immunity?
T-cells attack viruses, fungi, transplanted cells, cancer cells…
How do Natural Killer (NK) cells assist in immunity?
NK-cells: attack wide variety of infectious microbes
What is Blood Type Incompatibility caused by?
Blood type incompatibility is due to:
- The presence of Agglutinogens – antigens on RBC plasma membrane composed of glycoproteins & glycolipids
- The presence of Agglutinins – corresponding specific antibodies in blood plasma
- Presence or absence of antigens genetically determined – blood type is inherited
What are the two main blood groups called?
Two main blood groups
ABO
RH
What is agglutinogens?
Agglutinogens are antigens
What are agglutinins?
agglutinins are antibodies
If type A blood is infused into a patient with type O blood, which of the following adverse reactions would you expect to observe in the patient?
ADVERSE RECTIONS WITH TYPE A BLOOD IS INFUSED IN PATIENT WITH TYPE O BLOOD:
- Agglutination (clumping) of the transfused blood cells. A- antibodies in the recipient’s blood (typeO) would bind to A- antigens on the donated RBC’s (Type A) causing clumping of RBC’s.
- Complement-induced haemolysis of the transfused blood cells. A-antigen- A-antibody complexes form that activate complements that lead to RBC’s leaking haemoglobin into the blood plasma.
- Released haemoglobin clogging the filtration membrane of the kidneys. The liberated haemoglobin may cause kidney damage by clogging the kidney filtration membranes.
What type of antibodies (or agglutinin) does a type B person contain in their plasma?
Blood type B has B antigens on its RBC surface and consequently anti- A antibodies (also called agglutinins) in the blood. Thus a person with blood type B contains only anti-A agglutinin in their plasma.
Hematocrit
The percentage of RBCs in blood
Polycythemia
A disorder characterised by above average hematocrit (above 55%) eg hypertension, thrombosis, hemorrhaging.
What are stem cells?
Stem cells are are cells that are unspecified
What are pluriopotent cells?
Pluriopotent are stem cells that can form into red blood cells
What is erthropoiesis?
Erythropoiesis is the formation of red blood cells.
A person has antibodies for any antigens that their RBC’s lack, eg blood type O would have both A and B antibodies. Blood type A has A antigens on its RBC surface.
WHAT ANTIBODIES & ANTIGENS WOULD BLOOD TYPE O HAVE?
BLOOD TYPE O: You would find the following antibodies in the plasma: Anti A and Anti B. Type O blood has no antigens on the surface of its RBC’s hance the presence of both antibodies in the blood.
What role does iron play in hemoglobin?
Iron attaches itself to an iron-storage protein called ferritin in liver cells. Globin is the non- iron portion of a hemoglobin molecule. Biliverdin is produced from the breakdown of the non-iron portion of heme