Blood and immune Flashcards

1
Q

The average person has how many litres of blood?

A

5L

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2
Q

_____L of blood circulates through your heart every ___ hr.

A

14,000L circulates through your heart every 24 hr.

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3
Q

Large vessels -

Small vessels -

A

Large vessels - High volume/low flow.

Small vessels - Low volume/high flow.

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4
Q

Vast network of tiny capillaries

A

requires quite high pressures to force blood through

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5
Q

What do muscular arteries and valves provide?

A

Muscular arteries and valves provide pressurized directional flow from lungs to tissue and organs

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6
Q

what do blood pressure ensure?

A
  1. Even and efficient flow through the small capillaries.

2. Low enough to prevent capillary leakage but high enough to avoid coagulation.

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7
Q

Major components of blood (6 and examples)

A
  1. Cells –erythroid, myeloid, and lymphoid.
  2. Proteins – albumin, haemoglobin, fibrinogen,
    immunoglobulins are the major plus many others.
  3. Lipids bound in lipoproteins HDL, LDL, VLDL
  4. Electrolytes, salts, and minerals (HCO3-, Na+, Cl-,
    Ca++, Mg++, K+, creatine, creatinine).
  5. Vitamins, hormones.
  6. Glucose.
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8
Q

Centrifugation of blood (with anti-coagulant)

A

Plasma (55%)
Red blood cells (45%)
Buffy coat composed of white blood cells and platelets

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9
Q

Blood cells (3)

A

Erythrocytes: Oxygen transport ~5-6 million/ml
Leukocytes: Immune defense ~10,000/ml
Platelets: Coagulation and tissue repair ~400,000/ml

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10
Q

Blood proteins - separation (3)

A

PLASMA- The viscous liquid fraction of blood without cells. Contains fibrinogen that is removed with
coagulation
SERUM- Less viscous yellow liquid remaining after removal of the clot.
SERUM ELECTROPHORESIS-
Serum proteins exposed to an electric field
separates into 5 distinct bands.
1. Albumin ~ 50% of total
2. Globulin ~ 40% of total
• α1, α2, β, γ (immunoglobulins)

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11
Q

what is multiple myeloma?

A
Multiple myeloma is a form of
leukaemia where a malignant
lymphocyte produces monoclonal Ig.
Serum electrophoresis is used to
diagnose this condition
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12
Q

Major blood proteins

A
  1. Albumin constitutes 50% of total blood
    protein. Maintains colloidal osmotic pressure.
    Binds and transports many small molecules,
    hormones.
  2. Fibrinogen constitutes 7% of the total blood
    protein. Activated through the coagulation
    cascade to form cross-linked fibrin.
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13
Q

Major blood components (section 2)

A

Immunoglobulins – Antibodies. Diverse repertoire of antigen binding proteins – produced by B lymphocytes

Complement - 9 proteins that “coat” bacteria targeting them for phagocytosis. C3 is the major component. Opsonisation.

Coagulation factors - 13 proteins cleaved in an ordered cascade resulting in fibrinogen -> fibrin. Ca++ is essential to coagulation. Haemophilia’s result from a missing component. Factor VIII deficiency is the commonest form of haemophilia.

Electrolytes- Isotonicity and buffering. Blood pH is very tightly maintained at 7.4. Free Ca++ and K+ - also tightly maintained critical for regulation of cell membrane channels, ion pumps and normal nerve
and muscle function such as heart.

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14
Q

Adaptive immunity involves what?

A

small lymphocyte
T/B lymphocyte
Plasma cell

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15
Q

innate immunity involves what?

A
Basophil
neutrophil
eosinophil
monocyte
macrophage
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16
Q
Three important factors that
drive hematopoiesis ( the production of all of the cellular components of blood and blood plasma)
A

-Granulocyte macrophage
colony-stimulating factor

-Erythropoietin

-Granulocyte colony-stimulating
factor

17
Q

GM-CSF
Granulocyte macrophage
colony-stimulating factor

A

Produced by macrophages, T
cells, endothelial cells and
fibroblasts.

Stimulates production of
neutrophils, eosinophils,
basophils and monocytes.

18
Q

Erythropoietin

A

Drives production of
erythrocytes

Produced mainly by the
kidney during adulthood and
liver in perinatal.