L5 - Blood Cells Flashcards

1
Q

Key facts about the blood (5)

A
  • avg human has 5L of blood
  • blood cells (45-55%)
  • plasma
  • human plasma proteome >10,000 proteins
  • serum
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2
Q

Why separate the blood components?

A

rapid assessment of blood composition

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3
Q

What is the hematocrit?

A

% of blood volume that is composed of RBCs

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4
Q

What is the plasma?

A

blood w/o cell components

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5
Q

What is plasma used for? (3)

A
  • blood substitute, to increase volume during surgery/after trauma
  • controls bleeding, aids wound healing
  • many drugs at therapeutic conc bind to plasma proteins
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6
Q

What is serum?

A

plasma w/o clotting factors and fibrinogen

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7
Q

What is serum used for? (2)

A
  • diagnostic measurements, cosmetics
  • growth media for cell culture
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8
Q

What are the 3 types of blood cells?

A
  • Erythrocytes (RBC): O transport, pH buffer
  • Leucocytes (WBC): Granulocytes, lymphocytes, important in host defence
  • Platelets (derived from megakaryocytes) - important in blood clotting
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9
Q

What is bone marrow? why is it important?

A
  • soft, spongy tissue in the centre of bones
  • contains collagen and glucosamine: important for healthy bones and joints
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10
Q

What are the types of bone marrow?

A
  • red - blood cells
  • yellow - cartilage, fat and bone cells
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11
Q

What is bone marrow like in children vs adults?

A

children: bone marrow of most bones gen blood cells

adult: blood cell production from bones of chest, base of the skull, spinal vertebrae, upper section of limbs

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12
Q

What are blood cells derived from?

A

Hematopoietic stem cells
(undifferentiated cells capable of producing the precursors of dif blood cells)

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13
Q

What differentiates from hematopoietic cells?

A
  • myeoloid progenitor cell
  • lymphoid progenitor cell
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14
Q

What differentiates from myeloid progenitor cells? (6)

A
  • megakaryocytes = platelets
  • eosinophil
  • basophil
  • erythrocytes
  • neutrophyl
  • monocyte = dendritic cell, macrophage
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15
Q

What is the condition called where there is a lack in blood cells?

A

anemia

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16
Q

What are the key functions of the blood? (3)

A
  • transport: O, CO2, nutrientrs and excretory prodcuts
  • regulation: delivery or hormones, diversion of blood, temp regulation
  • protection: leukocytes in infection, clotting mechanisms
17
Q

Description of healthy blood vessels (in order) (6)

A

Heart - main circulatory pump
Arteries - v thick muscular layer, withstands high blood pressures, pumps blood around the body
Arterioles - slightly thinner walls
Capillaries - pass through tissues, one cell thick = good diffusion
Venules - smaller veins
Veins - blood back into the heart

18
Q

What are erythrocytes? What do they do? (4)

A

RBCs
- transport O2, CO2
- contain Hb
- biconcave: high SA:vol
- membrane polysaccharides/proteins confers to blood group

19
Q

What is erythropoiesis? (2)

A

The production of RBCs
- controlled by hormone erythropoietin (EPO)
- secreted in small amounts from kidney

20
Q

What triggers EPO production?

A

Decreased O2 levels
- high altitude
- lung disease
- insufficient pumping of the heart
- anaemia

21
Q

What is anemia?

A

Decrease in the total number of erythrocytes and decreased conc Hb per erythrocyte

22
Q

What is anemia often caused by? (3)

A
  • iron/vitamin B12 deficiency
  • failure in BMw production - aplastic anemia
  • genetic disorders - thalassemia, sicle cell anemia
23
Q

What are leucocytes involved in? And which types?

A

Host immunity
- innate immunity
- adaptive immunity

24
Q

What is innate immunity?

A

Myediated by meloid cells/ granulocytes
- first line of defense against pathogens

25
What is adaptive immunity? (3)
Mediated by lymphocytes - 2nd line - highly specific to particular pathogen (antigen specific) - longer lasting protection
26
What are the type of myeloid cells? (3)
Monocytes (blood), macrophage (tissue), Neutrophils: phagocytic cells, innate immunity Eosionphil: defense against parasitic infection, key mediators in asthma Basophil/ mast cells: circulating immnue cells (histamine, pathogenesis of allergic reaction, inflammation
27
What are agranulocytes? What do they do? (3)
Monocytes/macrophages - Engulf bacteria - release inflammatory mediators (cytokines) - antigen presenting cells (APCs) to T cells
28
What are granulocytes? Eg (3)
Densely stained granules in cytoplasm (Polymorphonuclear leukocytes) - neutrophils - basophils - eosinophils
29
What are the types of lymphocytes? (3)
- B cell, plasma cell - a/bod production - Th cells - activation stimulus to other immune cells - NK cells/cytotoxic Tcells - lyse virally infected cells
30
What are the leucocyte disorders?
Too few - patient is immunosuppressed/immunocompromised, susceptible to opportunistic infections Too much - immune system activated inappropriately - requires immunosuppressive drugs
31
What are platelets? + info (3)
Known as thrombocytes - no nucleus (anucleate) - important in blood clotting - progenitor cells differentiate to megakaryocytes = break off into platelets
32
What is platelet production controlled by?
Thrombopoeitin (from liver) - binds to platelets = normal = free TPO low = low = free TPO leve high = platelet production stimulated
33
What are platelet disorders?
Low platelets (thrombocytopenic purpura) - excessive bleeding Anti-platelet drugs reduce risk of blood clots in thromboembolic diseases Treat: ischaemic stroke, myocardial infarction, deep vein thrombosis