Immunology Flashcards
The majority of fluid distributed in the body is where?
Intracellularly
Where is plasma contained?
Cardiovascular system
What is the most common plasma protein?
Albumins
Where are the plasma proteins synthesized?
In the Liver
Binding to plasma proteins helps what with hormones?
prevents inappropriate metabolism and/or excretion
Plasma albumin binds mainly to?
acidic drugs
The general functions of plasma include what?
transport of nutrients for energy, growth and repair, removal of wastes; transport of hormones and regulation of body temperature
Plasma is what percentage of blood volume?
55%
Plasma is ___ percent water
91%
What is the lifespan of Erythrocytes?
100-120 days
what is the duration of development of Erythrocytes?
5-7 days
How many Erythrocytes are in a microliter of blood?
4-6 million
what is the function of Erythrocytes?
Transport oxygen and carbon dioxide
How many Neutrophils are in a microliter of blood?
3000-7000
How many Eosinophils are in one microliter of blood?
100-400
How many Basophils are in one microliter of blood?
20-50
How many lymphocytes are in one microliter of blood?
1500-3000
How many monocytes are in one microliter of blood?
100-700
How many platelets are in one microliter of blood?
150,000-500,000
What is the Duration of development for Neutrophils?
6-9 days
What is the duration of development for Eosinophils?
6-9 days
What is the duration of development for Basophils?
3-7 days
What is the duration of development for Lymphocytes?
days to weeks
what is the duration of development for monocytes?
2-3 days
what is the duration of development for platelets?
4-5 days
what is the life span of neutrophils?
6 hours to a few days
How many Leukocytes are in one microliter of blood?
4800-11,000
What is the lifespan of eosinophils?
8-12 days
what is the lifespan of Basophils?
a few hours to a few days
what is the lifespan of lymphocytes?
hours to years
what is the lifespan of platelets?
5-10 days
what is the function of neutrophils?
destroy bacteria by phagocytosis
what is the function of Eosinophils?
turn off allergic responses and kill parasites
what is the function of Basophils?
Release histamine and other mediators of inflammation
what is the function of lymphocytes?
mount immune response by direct cell attack (T-cells) or via antibodies (B-cells)
what is the function of monocytes?
Phagocytosis; develop into macrophages in tissues
what is the function of platelets?
Seal small tears in blood vessels; instrumental in blood clotting
Hemoglobin (Hb) is a _____ protein
heterotetrameric
Do mature RBC’s have a nucleus?
no, they cannot divide
Do mature RBC’s have any mitochondria or endoplasmic reticulums?
No, they only produce energy through glycolysis
what state is the iron in when used by hemoglobin?
Ferrous (Fe 2+)
Where are RBC’s produced after twenty years of age?
membranous bones such as the vertebrae, sternum, and ribs.
In the embryo primitive nucleated RBC’s are produced in the ___ ___
yolk sac
By the middle of the last trimester production of RBC’s has moved exclusively to the ___ ____ in the ____ and ____
bone marrow in the femur and tibia
All blood cells originate from ____ _____ stem cells
pluripotential hematopoietic
By the _____ stage the ____ and ____ have either been absorbed or ejected from the immature RBC.
reticulocyte stage; nucleus and ER
Reticulocytes leave the bone marrow and enter the circulation to complete the maturation process which lasts how long?
one to two days
Lack of oxygen stimulates what?
Erythropoietin which causes an increase in production of RBC’s but only can be worked with a little because it thickens the blood
What is hypoxia?
lack of oxygen delivery to tissues
What produces Erythropoietin?
The kidneys
What is anemia?
a decrease in the ability of the blood to carry oxygen
what vitamins are important for RBC’s?
Iron, B12 and folate
How is hemoglobin formed?
Succinyl-CoA combines with glycine to form pyrrole and four of these compose to make protoporphyrin IX which binds to ferrous to make heme. Lastly heme is joined to the polypeptide globin.
fetal Hb has a ____ ____ to oxygen than the mother
higher affinity
The iron in each heme group binds how many oxygen molecules?
one
Each hemoglobin molecule can bind to how many oxygen molecules
four (100% saturated)
Where does the body transfer the iron from?
GI tract
Where do RBC’s self-destruct in the body?
in the spleen as they squeeze through the “red pulp” reticular mesh
Pernicious anemia results from
lack of absorption of B12
Sprue results from
lack of absorption of Folic acid
Sickle cell anemia is due to what?
a single amino acid change in a specific position in the globin polypeptide chain of Hb
What is Erythroblastosis fetalis?
when a Rh- mother has a child with Rh + and the mother’s immune system produces antibodies to attack the baby (will have severe anemia)
What is polycythemia vera?
when too many RBC’s are produced: causes the blood to be difficult to pump
what is hemostasis?
the prevention of blood loss when a vessel is severed or ruptured.
To limit blood loss what does a vessel do?
vascular constriction, formation of a platelet plug, formation of a blood clot, clot retraction, and finally removal of the clot, (dissolved), after repair.
What is the synthesis of TXA2?
PLA2 to Arachidonic acid to COX then to TXA2
what is the most important factor to cause vasoconstriction?
Thromboxane A2 (TXA2)
When activated platelets become ____
sticky
platelets are formed from
megakaryocytes in the bone marrow or blood from cell fragmentation
Platelets contain remnants of the ____ and ____ ____ in order to produce enzymes and store calcium.
ER and Golgi apparatus
fibroblasts are necessary for the platelets to do what?
multiply and grow
fibrin-stabilizing factor is necessary for platelets to do what?
repair
what prevents platelets from adhering to the undamaged vessel walls?
glycoproteins
platelets contain high concentrations of ____ that are involved in blood clotting.
phospholipids
platelets are removed by what?
macrophages in the spleen
What strengthens the clot?
fibrin fibers
A blood clot starts to form after ______ if trauma is significant and after ____ if minor
15-20 seconds if significant and 1-2 minutes if minor
after ____ most reasonable holes are plugged
3-6 minutes
after _____ the clot retracts due to platelets and closes the hole even tighter.
20-60 minutes
Once a clot has formed it can do what two things?
be invaded by fibroblasts or be dissolved
If invaded by fibroblasts the repair is usually _____ after 1-2 weeks
complete
Synonym for fibrinogen
factor I
synonym for prothrombin
factor II
synonym for tissue factor
factor III
synonym for calcium
factor IV
synonym for factor V
Proaccelerin
synonym for factor VII
serum prothrombin conversion accelerator (spca)
synonym for factor VIII
antihemophilic factor (AHF)
synonym for factor IX
plasma thromboplastin component (PTC)
synonym for factor X
stuart factor
synonym for factor XI
plasma thromboplastin antecedent (PTA)
synonym for factor XII
Hageman factor
synonym for factor XIII
fibrin stabilizing factor
synonym for prekallikrein
fletcher factor
synonym for high-molecular-weight kininogen
fitzgerald factor
What is the rate of turnover of RBC’s?
10 to the 11th power
What kind of fats make vessels rougher?
saturated fats
what two factors are inhibited by activated protein C?
factor V and factor VIII
what is the most important in preventing inappropriate clotting?
endothelial surface factors
What inactivates or removes thrombin?
fibrin fibers and alpha-globulin a.k.a antithrombin III