Blood Flashcards
What is a ____ connective tissue
special
What are the three functions of blood?
- Transport of gasses, nutrients, waste, hormones
- Controls body temperature (vaso-motor)
- Sphincters
Blood cells live in the _____ matrix
extracellular
Plasma is ____% total volume of bood
55%
Plasma consists of ___% water, __% proteins, and __% solute
90% water
9% proteins
1% solute
Blood cells comprise __% of total volume
RBCs, WBC, Platelets
Water can flow freely between blood _____
compartments
What is blood plasma?
EC matrix of blood tissue
What is blood interstitial Fluid?
EC fluid between cells of connective tissue components of the body
The _____ of capillary system separates the two EC compartments
Endothelium
The Intracellular fluid is located where?
inside cells
What separates the IC compartments from the EC compartments in blood?
Lipid Bilayer
What is Hematocrit?
The RBCs/volume (% of packed RBC)
What would you expect to be at the bottom and top of a tube of blood after you put it in a centrifuge?
RBCs packed at the bottom
Clear plasma layer at the top
What is in the Buffy coat of centrifuge blood?
White blood cells
platelets
What is blood serum?
Plasma without fibrogen
WHere are Fibrinogens made?
Liver
How do Fibrinogens clot wounds?
- Starts soluble
- Turns into insoluble fibrin
- Forms a clot at wound
What are albumins?
- Smallest plasma protein
- Prevent the excessive input of fluid from EC space
- Bind insoluble metabolites as transport proteins
What are Globulins?
- Antibodies
2. Main dissolved proteins in plasma
What are the three plasma proteins?
- Fibrinogens
- Albumins
- Globulins
RBC’s are 7-8 micrometer __________ disks
biconcave disks. Uniform shape and size
Are RBC’s mitotic?
nooooope
RBC’s are highly elastic due to ________
Spectrin
Are RBC’s easily deformed?
hell yeah
RBC’s circulate for _____ days
120
What are key proteins associated with Spectrin?
- Glycophorin
2. Anion transporter channel (band 3)
Glycophorin is a ______ channel and ______ dimer. It attaches to ____ and _____ dimer as well as stabilizes _____ tetramers
Glycophorin is a transport channel and glyprotein dimer. It attaches to actin and spectrin dimers as well as stabilizes spectrin tetramers
The anion transporter channel is a ______ protein that attaches to spectrin via ______. Allows HCO3 to cross plasma membrane in exchange for ___ which releases _____ in the lung.
The anion transporter channel is a glyportein protein that attaches to spectrin via Ankryin. Allows HCO3 to cross plasma mebmbrane in exchange for Cl which releases carbon dioxide in the lung.
Hemoglobin:
- ___ structured protein
- 4 polypeptide chains with a central ____ group
- Pigmented - red
- Oxygenated in _____ - bright red
- Deoxygenated in _______ - dark red
- Entire cell is filled with ____ when mature
- __g Hb/dL blood
Hemoglobin:
- tertiary structured protein
- 4 polypeptide chains with central heme group
- Pigmented - red
- Oxygenated in lungs - bright red
- Deoxygenated in tissue capillaries - dark red
- Entire cell is filled with Hb when mature
- 15g Hb/dL blood
RBC’s are made in the ________ and mature after ___ days
bone marrow
mature after 2 days
What are reticulocytes?
immature RBC’s
What are leukocytes?
WBC’s
White blood cells:
- Defend against _______
- Leave bloodstream in response to _____
White blood cells:
- Defend against bacteria/viruses
- Leave bloodstream in response to dead tissue
Macrophages do what?
remove dead tissue
What is Diapedesis?
movement of blood cels from colonies into venule sinuses
What are the two classes of WBC’s?
Agranulocytes
Granulocytes
Agranulocytes only contain _____ granules.
primary
What are the two types of Agranulocytes?
Lymphocytes
Monocytes
Lymphocytes:
- Smallest and most _______
- _____ takes up most of cell
- Recognizes foreign ____
Lymphocytes:
- Smallest and most prevalent
- nucleus takes up most of cell
- Recognizes foreign Abs
What are the two types of Lymphocytes? What %?
T Cells - 90%
B Cells - 10%
Monocytes:
- Rare and ______
- Macrophage attracted by ______
Monocytes:
- Rare and largest
- Macrophage attracted by chemotaxis
What can monocytes differentiate into depending on the tissue? 4
- Osteoclasts
- Kupffer (liver)
- Alveolar macrophages (lung)
- Langerhans (skin)
Granulocytes contain __________ granules.
primary and secondary
What are the three types of Granulocytes?
- Neutrophils
- Eosinophils
- Basophils
Neutrophils:
- Most ______
- Respond to ______
- Most prevalent
2. Respond to injury inflammation
What is the first line of defense?
Neutrophils
Eosinophils:
- Very _____
- Important in ______ infections
- In _____ _____ - GALT
- Very rare
- parasite infections
- in lamina propria - GALT
Basophils are most ____ and important in ______
rarest. important in allergic reactions (anaphylactic shock)
What are thrombocytes?
platelets
Are platelets cells? What’re they derived from?
Fuck no man
megakaryocytes
Platelets:
- _______
- Extensive _____
- _____ once mature
- Contain various chemicals to repair ______
- ____ and ____ give them shape
- Aggregate at vessel rupture. Known as ____
Platelets:
- Polyploid (multinucleate)
- Extensive cytoplasm
- disaggregate once mature
- Repair blood vessels
- microtubules/Microfilaments give them shape
- clotting
What are the types of platelet granules?
- Alpha granule
- Dense core granule
- Lysosome
- Peroxisome
Platelets release serotonin when clotting, which causes what?
vasodilation
Platelets release thromboplastin when clotting, which causes what?
fibrin clot
Alterations in shape of RBC’s is most likely due to defects in what?
spectrin
Eliptocytosis and Spherocytosis:
- Both _____ dominant.
- Abnormal _____
- Associate with ____, _____, and ______
- Autosomal dominant
- Spectrin
- Jaundice, anemia, enlarged spleen
What is Spherocytosis and what is it associated with?
Cell form round shape. Spectrin deficiency.
Sickle Cell Anemia
- One ____ substitution in __ chain
- Insoluble in ____
- Cells are ___ and ____
- Causes _____ and _____
- Gets trapped in _____
- Increases _____ of blood
Sickle Cell Anemia
- One AA substitution in B chain
- Insoluble in RBC
- Cells are fragile and inflexible
- Causes hemolysis and anemia
- Gets trapped in capillaries
- Increases viscosity of blood
Thelassemia Anemia:
- Defective ____ or ____ chains
- Leads to _____
- Predominant in _____, ____ populations
- Anemia caused by defective synthesis of ______
- hemolysis in _____
- alpha or beta chains
- hemolysis
- Greek / Italian populations
- defective synthesis of hemoglobin
- hemolysis in RBC’s
Thrombocytopenia can result in what?
spontaneous bleeding
Thrombocytopenia is a reduction in what?
platelets
Thrombocytopenia can occur from what?
marrow suppression
Hemophilia:
- ______ recessive disorder
- In severe cases, blood is ______
Hemophilia:
- sex-linked recessive disorder
- In severe cases, blood is incoagulable
Hemophilia A is a defect in clotting factor ____
VII
Hemophilia B is a defect in clotting factor ____
IX
What is haemopoiesis?
Blood development
What are hematopoietic organs?
Mesoderm
liver
spleen
What is the general duration of development? What are the exceptions?
general: 1 week
Lymphocytes and Monocytes: 2 days
Blood cells are always dying and being replaced by ____ cells
stem cells
What is the difference between pluripotent, unipotent, and blasts?
pluripotent (stem) - can become any blood cell
unipotent (progenitor) - develop into one line of cells
blasts (precursor) - can only produce mature cells
Erythropoiesis:
- _____ cell size
- Loss of ______
- Increase _____ synthesis until ____ stage
- Extrusion of _____ - division
- Occurs in ______
- Decreasing cell size
- Loses organelles
- Hemoglobin synthesis until reticulocytes stage
- extrusion of nucleus
- red bone marrow
____ marrow replaces red blood cells during maturation of person. Mainly ____. Relatively ____.
Yellow marrow
mainly fat
relatively inactive
What are the 6 stages of Erythropoiesis?
- Proerythroblast - organelles. NO hemoglobin
- Early normoblast - division slows. Hemoglobin synthesis starts
- Intermediate normoblast - Mitosis ceases
- Late normoblast - Nucleus condenses
- Reticulocytes - pre-circulation
- Erythrocyte
What are the two lineages of Leukocytes?
- Myelocytic
2. Lymphocytic
colony forming units are ________
committed to one cell
While granulocytes last _____ in tissues, monocytes last _____
granulocytes - days
monocytes - months
What are the stages of creating myelocytic cells?
pluripotent -> unipotent -> myeloblast -> promyelocyte -> myeolocyte -> metamyelocyte -> stab cell
What are the stages of creating lymphocytic cells?
unipotent -> lymphoblast -> prolymphocyte -> lymphocyte
Lymphocytes mature in the ____, ___ and ____
lymph glands, spleen, and thymus
Lymphocytes last from ____ to ____
months to years
T cells mature in ______
B cells mature in ______ then go to _____
T cells - thymux
B cells - marrow then go to spleen
What are platelets formed by?
megakaryocytes
Anemia:
- Reduced _____
- usually caused by ____ deficiency
- lack _____
- Reduced RBC’s
- Iron deficiency
- lack Hb
Megaloblastic anemia:
- Abnormally large _________
- _____ deficiency disrupts RBC formation
- Reduction of ____ in gut
- pernicious anemia*
1. Abnormally large precursor megaloblasts
2. Vitamin B12 deficiency
3. HCl