Blood – Erythrocytes Flashcards
What is the shape of erythrocytes (RBC)?
biconcave disc
Why is it important that erythrocytes have high SA:V ratio?
blood needs easy access to oxygen to be able to carry as much oxygen as possible
Do erythrocytes have nuclei?
no
Why are erythrocytes deformable?
need to deform when moving through capillary beds – some capillaries have smaller diameter than RBC
What does the rouleaux formation of erythrocytes do?
prevents deformation (can block blood flow to a region)
How is rouleaux formation of erythrocytes formed?
higher protein content in blood promotes sedimentation of RBC, causing them to stick together and stack in rouleaux formation
What is the carbonic anhydrase concentration of erythrocytes?
high – important for carbonate buffering system
What are erythrocyte membranes highly permeable to?
anions (Cl- and HCO3-)
What do erythrocytes bind?
gas (particularly O2)
also takes CO2 from tissue back to lungs
What is hemolysis?
hypotonic ECF – low [solute] in plasma
movement of fluid from plasma (low osmolality) to cells (high osmolality)
swelling of cells → burst
What is crenation?
hypertonic ECF – high [solute] in plasma
movement of fluid from cell (low osmolality) to plasma (high osmolality)
shrinking of cell
Where does erythropoiesis occur?
primarily in bone marrow
How long does it take for reticulocytes to become erythrocytes?
once reticulocytes are released from bone marrow, they mature in 1-2 days
What are factors involved in erythropoiesis? (6)
- tissue oxygen
- erythropoietin (Epo)
- cytokines (IL-3)
- metals
- folic acid and vitamin B12
- sex steroids
Factors Involved in Erythropoiesis
Tissue Oxygen
- decreased O2 due to hemorrhage
- decreased O2 due to high altitude
Factors Involved in Erythropoiesis
Metals
- iron: for biosynthesis of heme
- copper: component of ceruloplasmin (oxidizes Fe2+ to Fe3+)
Factors Involved in Erythropoiesis
Folic Acid and Vitamin B12
coenzymes in reaction that affects DNA synthesis
Factors Involved in Erythropoiesis
Sex Steroids
- testosterone: increases erythropoiesis
- estrogen: decreases erythropoiesis
What is erythropoietin (Epo)?
hormone that regulates generation of new erythrocytes
What is hypoxia?
low oxygen delivery, sensed in kidney
What promotes synthesis of Epo?
hypoxia-inducible factors (HIF-1α and β)
What can hypoxia result from?
- ↓ blood volume
- ↓ pulmonary function
- ↓ cardiac function
- ↓ erythrocyte oxygen carrying capacity