Blood Cells Flashcards

1
Q

Blood is a _____

A

Fluid and a specialized connective tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Blood functions

A
Transport materials
Transport waste
Immune response
Wound healing
Body temp regulation
Maintains osmotic balance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Blood composition

A

55% plasma

45% formed elements (cells)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Plasma compostition

A

91-92% water
7-8% protein
1-2% other

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How much blood is found in a closed circulatory system?

A

About 5-6 Liters

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Makeup of cells in blood (the 45%)

A

Mostly RBC, then platelets
Next are neutrophils
Lymphocytes
Basophils

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Platelets are also called

A

Thrombocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Proportion of leukocytes

A
  1. Neutrophils 50-70%
  2. Lymphocytes 20-40%
  3. Monocytes 5%
  4. Eosinophils 2-4%
  5. Basophils less than 1%
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Blood cells are derived from

A

Hematopoietic stem cells in bone marrow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Hematocrit

What is it? How is it found? Men vs women? What is the “Buffy coat”

A

The percent of RBC in the blood

Steps:

  1. When blood is collected and an anticoagulant (HEPARIN) is added
  2. This mix is centrifuged
  3. The RBC layer on the bottom of the tube is the Hematocrit
MEN hematocrit (% RBC in blood)= 39-50% so about 5 mil RBC/mL of blood
Women= 35-45% so about 4.5 mil RBC/mL of blood

Middle layer Buffy coat: platelets and WBC

TOp layer: plasma 55%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Serum vs plasma in a hematocrit

What is the clinical relevance

A

Serum- non RBC layer made WITHOUT anticoagulant = NO FIBRINOGEN. The RBC layer is left to coagulate
Water
Proteins w NO fibrinogen
Solutes

Plasma- non RBC layer made WITH anticoagulant= HAS FIBRINOGEN
Buffy coat forms and blood does not coagulate
Water
Proteins w fibrinogen
Solutes

MAIN DIFFERENCE IS FIBRINOGEN

Clinical relevance: serum and plasma can be used for blood tests
SERUM is usually preferred bc anticoagulants can interfere with certain tests

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is fibrinogen

A

When a clot forms during a hematocrit centrifuge WITH ANTICOAGULATE, fibrinogen in the plasma is converted into fibrin and integrates w the RBC layer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
RBC morphology
AKA
Lifespan
What happens to old ones
Characteristics
A

Erythrocytes
Live about 120 days
Old RBC move to liver spleen and Bone marrow where Macrophages degrade senescent RBC and engulf them

Biconcave discs (center appears lighter on slides)
This provides a greater SA for gas exchange
Anucleate
Initially nucleated but nucleus is spit out during last stage of development
Non-motile
Flexible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is it called when several RBC are stacked like coins

A

Rouleux formation

*rolex means you got coins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What determines the biconcave shape of RBC?

A

The cytoskeleton of the RBC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the cytoskeleton of a RBC made of and what are the anchors

A

Made of SPECTRIN

SPECTRIN is a large dimeric protein with two chains
A chain
B chain

A and B chains spiral around each other to make one SPECTRIN
When two of these meet head to head its called a tetramer

Transmembrane proteins:
Band 3- binds ankyrin and hemoglobin
Glycophorin

Transmembrane protein ANCHORS:
Protein 4.1 anchors SPECTRIN to glycophorin with ACTIN
Ankyrin anchors SPECTRIN to band 3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Reticulocyte
What is it
What does it make

A

Immature RBC that makes hemoglobin using polyribosomes
Anucleate
Less than 1% of circulating cells, if higher than 1% this means there is abnormal destruction of RBC and the body is overcompensating to make more

Once reticulocyte becomes mature RBC, it is stuffed with hemoglobin and no longer makes it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Do mature red blood cells make hemoglobin

A

NO, immature reticulocytes make it

Adult RBC just store it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

RBC functions

A

Gas exchange

Tissues: deliver oxygen, take co2
Lungs: deliver co2, take oxygen to body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Hemoglobin

A

Oxygen carrier in RBC
2 alpha chains
2 beta chains
Iron containing heme groups attach to EACH chain

These iron heme groups have a high affinity for oxygen and carbon monoxide
Co2 can also bind but binding is irreversible

21
Q

Carbon monoxide poisoning

A

Heme groups on hemoglobin have a high affinity for carbon monoxide, when it is breathed in, the heme attaches to it and this binding is IRREVERSIBLE

22
Q

Venous blood has a ______ oxygen pressure

A

LOW oxygen pressure bc all of the oxygen has gone to the tissues

23
Q

Arterial blood has a _____ oxygen pressure

A

HIGH o2 pressure because these arteries are going from the lungs where oxygen is taken in, they must transport oxy blood to tissues

24
Q
Blood types
A
B
AB
O
A

A= has A antigens, has B antibodies

B= has B antigens, has A antibodies

AB= has ALL antigens, has NO antibodies
UNIVERSAL RECIPIENT

O= has NO antigens, has ALL antibodies
UNIVERSAL DONOR

25
``` RH factor Aka First vs second pregnancy What does it cause Prevention ```
Erythroblastosis fetalis You either have the rH antigen or you don’t HAVE IT= + Do not have it= - When mother is rH- and fetus is rH+ Ok for first pregnancy, BUT if other pregnancies occur it can become dangerous FIRST PREGNANCY: 1. In third trimester fetal blood can leak into mothers circulation through placenta 2. Mother starts producing rH antibodies due to adaptive immunity 3. The mothers immune response is too slow to cause any damage to fetus SECOND PREGNANCY: 1. Fetal blood leaks into mothers circulation 2. Mothers previously made antibodies from the first pregnancy travel through placenta to fetus circulation 3. Antibodies attack fetal blood causing HEMOLYTIC ANEMIA and JAUNDICE Prevention: Give the mother anti-rh antibodies before the third trimester These anti rh antibodies will mask the fetal antigens that leak through Which in turn inhibits the mothers immune response to make antibodies
26
Hemolytic anemia What is it What is it caused by
Hypoxic injury to the heart and the liver | Caused by erythroblastosis fetalis (rH factor)
27
Jaundice what is it What is it caused by
Damage to the CNS | Caused by rH factor
28
Sickle cell anemia What is it What is it caused by
RBC is sickle shaped Poor carrier of o2 Stick together due to shape and cause a pile up that obstructs blood flow Caused by a recessive hereditary disease where a POINT MUTATION in the beta chain This changes glutamate ——-> valine which turns HbA ——-> HbS!!!
29
Heretitary elliptocytosis and spherocytosis
RBC lack the biconcave shape and the pale center due to cytoskeleton abnormalities Ellip: SOME RBC are elliptical shaped Defect in BAND 4.1 AND SPECTRIN Sphero: SOME RBC are spherical shaped Defect in SPECTRIN only *Spherical = Spectrin ONLY
30
Granule yes
Basophils Eosinophils Neutrophils *BEN Short lived
31
Agranulocytes
Lymphocytes Monocytes Have a much longer lifespan
32
Primary vs secondary leukocyte granules
Granulocytes only Primary AZUROPHILIC Present in alllll leukocytes Lysosome like Secondary SPECIFIC present in ONLY granulocytes Unique to each granulocyte Lysozyme and enzymes
33
Neutrophils Granules Features Funtions
Neutral granules *neutrophil = neutral granules Most abundant, first line of defense Stains light pink 3-5 lobes Live 6-7hours in circ, 1-4 days in tissues Functions: Phagocytosis BACTERIA Lysozyme and elastase break it down Motile- half in circ, half loosely attached to endothelium MARGINATION Diapadesis- trasnmigration, when neutrophils go between endothelial lining into CT to fight infection, DO NOT RE ENTER BLOOD
34
Eosinophils Granules Features Funtions
Acidophilic granules *eosinophilic= acidophilic BASIC ``` Features: Vibrant pink Bi lobed nucleus Short lived for about 18 hours FIGHT ALLERGY by recruiting basophils and PARASITES *allergeeeeeeee =eosinophils *parasites are EOSY to get rid of ``` Functions: Trigger allergic reaction and histamine by basophils Granule components Major basic protein - charcot-layden crystals that execute parasites by disrupting membranes, triggers histamine release by basophils Cationic protein- neutralizes heparin and disrupts membrane Peroxidase - binds microorganisms and recruits macros Derived neurotoxin- secretory protein with antiviral activity
35
Basophils Granules Features Funtions
Basophilic granules *basophils= basophilic ACIDIC ``` Features: Stains dark purple Multilobed nucleus that looks like a ton of dots Least abundant Short lived for about 60 hours ``` Functions: Similar to mast cells because of their histamine release- activated by antigens and histamine is released by IgE receptors *igEEEEE = histamineeeeeee Allergic reaction with HISTAMINE and heparin- vasodilation and increased permeability Defense against parasitic worms Deal with acute hypersensitivity reactions * Heparin and histamine are ACIDIC * Heparin Histamine Hypersensitivity Worms
36
What is considered the first line of defense
Innate immunity | NEUTROPHILS
37
MARGINATION
When blood cells loosely attach to the endothelium Neutrophils and platelets
38
Diapadesis
Migration of inflammatory cells from circ to CT They do this when they are ready to attack bacteria and fight infection Neutrophils
39
Major basic protein - Cationic protein- Peroxidase - Derived neurotoxin-
Eosinophil granules components MBP: charcot-layden crystals that execute parasites by disrupting membranes, triggers histamine release by basophils Cationic protein- neutralizes heparin and disrupts membrane Peroxidase - binds microorganisms and recruits macros Derived neurotoxin- secretory protein with antiviral activity
40
Lymphocytes
Agranulocyte Most cells are small GOLGI GHOST Large nucleus takes up most of cell B or T cells Both produced in bone marrow, T cells move on to the thymus to mature Indistinguishable Most are long lived at around 100-200 days to YEARS——> memory cells Large= ACTIVE t/b cell or nk cell Functions: B cell- activated by Th cell, produce antibodies once they become a plasma cell T cells- cytotoxic responses or activate B cells Nk cells- cytotoxic response of tumors and viral cells, INNATE
41
What cell has abundant RER and golgi
Plasma cell! They need these to make antibodies | *GOLGI GHOST
42
Monocytes
Large Half moon fat nucleus takes up half of cell, kidney shaped 10-100 hours They are a precursor to tissue specific macrophages!! They diff into macrophages inside of tissue Ie, liver is a kuppfer cell APC for T cells to recognize
43
Leukocytosis vs leukopenia
Leukocytosis: High WBC count, due to infection, greater release from storage Leukopenia: Low WBC count due to marrow failure due to toxins
44
Platelets
Thrombocytes Small Short lived Made in bone marrow-Megakaryocytes are precursors Cytoplasmic channels and high MT content allow shape change Inactive= sphere Active= highly convoluted, crinkly Vacuoles and mito Integrin proteins on surface act as adhesion receptors Functions: Wound plugging Hemostatis Secrete factors to stim other cells ie serotonin
45
How to platelets form a plug and what is it called | What granules are involved
Hemostatis- hemostatic plug formed Alpha granules 1. Vessel ruptures and collagen fibers are exposed 2. Platelets stick to these fibers due to integrins on surface- adhesion 3. Platelets make thrombin which turns fibrinogen —-> fibrin filaments 4. Fibrin forms a mesh work clot 5. Fibrin secretes factors that recruit other cells for healing
46
Thrombin
Produced by platelets | Turn fibrinogen into fibrin during clot formation
47
Alpha vs dense vs lysosomal granules in platelets
Alpha- proteins that are involved in hemostatis- bleeding prevention Fibrinogen, plasminogen, platelet derived gf Dense- mediators of vascular tone Serotonin is a contractor Phosphate ADP Lysosomal- mediators of thrombus dissolution (fibrinogen into fibrin)
48
Hemophilia
Platelet disease X linked recessive Causes poor clotting and severe bleeding Type A and B differ in their clotting factor defects Treatment= administer synthetic forms of clotting factor
49
Glanzmann thrombasthenia
Platelet disease Autosomal recessive bleeding disorder Mutation in platelet integrins Platelets are not able to adhere to finrinogen during clot formation so bleeding continues