Lecture 21: Blood composition and function Flashcards

1
Q

Why is blood pressure important?

A

Ensures

  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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2
Q

What are the major components of blood?

A
Cells
Proteins
Lipids 
Electrolytes 
Vitamins, hormones
Complement
Glucose
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3
Q

What are the 3 types of cells in the blood

A

Erythyroid
Myeloid
Lymphoid

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4
Q

What are the 3 layers created when blood is centrifuged?

A

Red blood cells on the bottom

Buffy coat, comprised of white blood cells and platelets in the middle

Plasma on the top

Require anti-coagulant

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5
Q

What are examples of proteins found in blood?

A

Albumin - homeostatic function
Haemoglobin - carry oxygen
Fibrinogen - causes blood to clot
Immunoglobulins - antibodies

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6
Q

How are lipids found in the blood?

A

Lipids are found bound in lipoproteins - HDL, LDL, VLDL

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7
Q

What are electrolytes?

A

Salts and minerals e.g. Na+ Cl- Ca2+ etc.

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8
Q

What are erythyroids?

A

Red cells that carry haemoglobin

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9
Q

What are myeloids?

A

Cells involved in internal innate immunity e.g. phagocytes

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10
Q

What are lymphoids?

A

Cells involved in adaptive immunity

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11
Q

What is plasma?

A

The viscous liquid fraction of blood without cells - contains fibrinogen that is removed with coagulation

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12
Q

What is serum?

A

Less viscous yellow liquid remaining after removal of the clot

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13
Q

What is serum electrophoresis?

A

Serum proteins exposed to an electric field separates into 5 distinct bands

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14
Q

What is multiple myeloma?

A

Is a form of leukaemia where a malignant lymphocyte overproduces monoclonal Ig.

Serum electrophoresis is used to diagnose this condition.

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15
Q

What is albumin?

A

Constitutes 50% of total blood protein

Maintains colloidal osmotic pressure. Binds and transports many small molecules, hormones.

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16
Q

What is fibrinogen?

A

Constitutes 7% of total blood protein. Activated through the coagulation cascade to form cross-linked fibrin (blood clot)

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17
Q

What is a complement?

A

Component of blood - 9 proteins that coat bacteria allowing them to be targeted for phagocytosis (process called opsonisation)

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18
Q

What is opsonisation?

A

Binding to pathogen and coat the bacteria

Deposition of complements on microbes become convertases. Convertases are able to activate more complement that then deposits to coat the surface.

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19
Q

What are coagulation factors?

A

13 proteins cleaved in an ordered cascade resulting fibrinogen -> fibrin. Failure for this process to occur due to factor VIII deficiency causes haemophilia

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20
Q

What is the function of electrolytes?

A

Isotonicity and buffering - blood pH is very tightly maintained at 7.4.

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21
Q

What is the name of the stem cell which gives rise to blood cells?

A

CD34+ Multipotential hematopoietic stem cell (hemocytoblast)

22
Q

What are the two progenitor cells formed from hemocytoblast?

A

Common myeloid progenitor and common lymphoid progenitor

23
Q

What is the application of CD34+ antigens?

A

The body contains anti-CD34 antibodies that can select and concentrate HSCs from blood prior to a bone marrow transplant in patients that have undergone chemotherapy (killed stem cells) - autologous human stem cell transplants

24
Q

What are the cells created from the common myeloid progenitor?

A

Megakaryocyte
Erythrocyte
Mast cell
Myeloblast

25
Q

What are megakaryoctes?

A

Cells that produce thrombocytes (platelets)

26
Q

What are the cells created from the myeloblasts?

A

myeloid cells - cells involved in the internal innate immune response

Basophils (filled with granules)
Neutrophil (multi-lobed nucleus)
Eosinophil (stain red and divided nucleus)
Monocyte (forms macrophage)

27
Q

What are the cells created from the common lymphoid progenitor?

A

Natural killer cell

Small lymphocytes

28
Q

What are the types of small lymphocytes?

A

T lymphocyte and B lymphocyte

29
Q

What do B cells do?

A

Produce plasma cells that secrete antibodies

30
Q

What are the three factors that drive haematopoiesis?

A

GM-CSF, EPO, G-CSF drive production of blood components

31
Q

What is the GM-CSF?

A

Granulocyte macrophage colony-stimulating factor

Produced by macrophages, T cells, endothelial cells and fibroblasts

Stimulates production of neutrophils, eosinophils, basophils and monocytes

32
Q

What is the G-CSF?

A

Granulocyte colony-stimulating factor

Produced by many different cells

Stimulates production of granulocytes but also acts to mature neutrophils

33
Q

What is EPO?

A

Erythropoietin - drives production of RBCs

It is produced mainly by the kidney during adulthood and liver in perinatal

Can be taken as a drug for improved oxygen uptake

34
Q

How are GM-CSF and G-CSF used following radio-ablation?

A

These factors are administered to re-populate white cells in leukaemia patients - only small group of white blood cells following transplant

35
Q

Where does oxygen transport occur?

A

At the alveoli in the lung - little air sacks that increase surface area for O2 and CO2 to be exchanged between the capillaries and air space.

36
Q

What is haemoglobin?

A

Protein found in the blood containing 4 heme groups which contain iron atoms that bind oxygen

37
Q

What is the binding of O2 to haemoglobin regulated by?

A

The partial pressure of O2

38
Q

How does cyanide cause death?

A

Cyanide binds to cytochrome C in the ETC interrupting oxidative phosphorylation and preventing the heart from beating

39
Q

What are neutrophils?

A

Phagocyte which engulfs invading bacteria

Functions as the complements in the blood coat the bacteria by opsonisation

40
Q

What are the 3 ways of activating complements?

A

Classical antibody activation
Lectin activation
Alternative activation

41
Q

How does classical antibody activation work?

A

An antibody binds to the pathogen causing a cascade to occur and complement to be activated

42
Q

Which is the most abundant complement component that causes the proteolytic activation cascade?

A

C3 activated to form C3b which bind to the pathogen

43
Q

What are convertases?

A

Deposited complements on pathogens that bind irreversibly via covalent bonds and allow the pathogen to be engulfed by phagocytes

44
Q

How does oponisation allow neutrophils to seek and engulf bacteria?

A

Cleavage of C3, C4, and C5 convertases (deposited complements) produce small fragments when cleaved - C3a, C4a, C5a

These fragments act as powerful chemoattractants called anaphylotoxins that attract and activate neutrophils

45
Q

What are the two pathways for activation of the proteolytic activation cascade which causes coagulation?

A

Intrinsic - caused by contact with surfaces

Extrinsic - caused by tissue damage

46
Q

What is the enzyme that is involved in both the intrinsic and extrinsic pathways to coagulation activation?

A

Factor X forms factor Xa which causes the formation of thrombin from prothrombin

Thrombin then causes fibrinogen to cleave forming fibrin that forms the blood clot

47
Q

What is thrombin?

A

Thrombin is the enzyme that cleaves fibrinogen to fibrin which forms cross-links

48
Q

What do anticoagulants produced by parasites do?

A

As they rely on blood flow, they produce anti-coagulants that target the thrombin step preventing fibrinogen to form fibrin

49
Q

What is plasminogen?

A

An enzyme converted to active plasmin which dissolves the clot - thrombolysis

50
Q

What is TPA and Streptokinase?

A

These are plasminogen activators that are used to treat thrombosis - formation of unwanted blood clots.

Plasminogen will form active plasmin which breaks down blood clots.