Midterm #2 Review Flashcards
Describe the life cycle of a RBC
- RBC live 120 days because of the wear and tear, their plasma membranes undergo as they squeeze through blood capillaries
- No nucleus, so they can’t synthesize new components to replace damaged ones
What is the life span of a RBC
120 Days
Worn out, old, damaged RBCs are phagocytized in which organs
Spleen and liver
Describe 11 steps to RBC recycling
1) RBC that are old, brought into a macrophage in spleen, liver and red bone marrow with phagocytosis
2) RBC are broken down into Heme and Globin
3) Globin (protein) is broken down into amino acids and reused for protein synthesis
4) Heme is broken down and save the Iron (Fe3), Iron can be toxic in blood stream. It is transported via Transferrin
5) Transferrin moves the Iron to the Liver, where the Iron (Fe3) is stores as Ferritin
6) Once Iron is needed, it joins back with Transferrin and transported anywhere in the body.
7) Usually transported to Red Bone Marrow, combining with Globin, Vitamin B12 & Erythropoietin (hormone stimulates blood cell synthesis) which is Erythropoiesis
8) New RBC last into circulation for 120 days where it filters back to the beginning of the cycle
9) Heme is broken down into Biliverdin and Bilirubin
10) Bilirubin stored in Liver transports to small intestine
11) Broken down in digestion of the intestine into Urobilinogen, Urobilin (excreted in urine) and Stercobilin (Feces)
Immature, non-functioning but non-nucleated RBC found in bone marrow generally unless there is a high demand for RBC replacement- for example after a bleed.
Reticulocyte
Mature functioning, hemoglobin and oxygen carrying RBC
Erythrocyte
The non-iron portion of heme converted to this green pigment
Biliverdin
Yellow-orange pigment stored in the Liver
Bilirubin
Bacteria converts bilirubin into this in the Large Intestine
Urobilinogen
Urobilinogen converted into a yellow pigment, excreted in urine
Urobilin
Urobilinogen eliminated in feces in brown pigment
Stercobilin
Straw colored liquid. Blood plasma minus the clotting proteins
Serum
Gel like substance that separates from liquid of blood
-Network of insoluble protein fibers called fibrin
Clot
Process of Gel formation
-Series of chemical reactions that culminates in formation of fibrin threads
Coagulation
Formed when blood clots too easily in undamaged blood vessel
-Clotting in unbroken blood vessel
Thrombosis
Dissolves small inappropriate clots and dissolves clots at a site of damage once the damage is repaired
Fibrinolytic System
Dissolution (breaking down) of a clot
Fibrinolysis
Inactive plasma enzyme incorporated into the clot
Plasminogen
Active plasma enzyme converted from plasminogen by substances in body tissue and blood
Plasmin
Dissolves clot by digesting fibrin and inactivating fibrinogen, prothrombin Factors V & XII
Plasmin
Clot in unbroken blood vessel
Thrombus
Embolus that blocks blood flow to vital organ
Embolism
Blood clot, bubble of air, fat from broken bone, piece of debris transported by blood stream
Embolus
Antigens on surface of Erythrocytes, composed of Glycoproteins and Glycolipids
-Occur in characteristic combinations
Agglutinogens
Clumping of red blood cells, due to incompatible blood
Agglutination
Rupture of RBC, releasing hemoglobin into blood plasma causing kidney damage
Hemolysis
Factor X combines with Factor V and Calcium to form this
- Converts prothrombin into the enzyme thrombin
Prothrombinase
In Red bone marrow, results in production of red blood cells, which enter the circulation (Globin, Vitamin B12 and Erythropoietin)
Erythropoiesis
Clotting Factor I
Fibrinogen: Liver -> Common
Clotting Factor II
Prothrombin: Liver -> Common
Clotting Factor III
Tissue Factor(Thromboplastin):Damaged tissue/activated platelet->Extrinsic
Clotting Factor IV
Calcium Ions (Ca2): Diet, bones, platelet -> All
Clotting Factor V
Proaccelerin, Labile factor, (ACG): Liver, platelet -> Extrinsic/Intrinsic
Clotting Factor VII
SPCA, Stable factor, Proconvertin: Liver -> Extrinsic
Clotting Factor VIII
AHF, Factor A, AHG: Liver -> Intrinsic
Clotting Factor IX
Xmas Factor, PTC, Factor B: Liver -> Intrinsic
Clotting Factor X
Stuart Factor, Prower Factor, Thrombokinase: Liver -> Extrinsic/Intrinsic
Clotting Factor XI
PTA, Factor C: Liver -> Intrinsic
Clotting Factor XII
Hageman Factor, Glass Factor, Contract, Factor D: Liver -> Intrinsic
Clotting Factor XIII
Fibrin-Stabilizing Factor (FSF): Liver and Platelets -> Common
Which clotting pathway is more complex – extrinsic or intrinsic?
Intrinsic is more complex and slower
Which clotting factor is activated by platelets coming in contact with collagen fibers?
Clotting Factor XII
Describe what happens in the Common Pathway for blood clotting?
Starts when Prothrombinase is formed
- Final 2 steps of clotting stages:
1) Prothrombinase and Calcium cause conversion of prothrombin to thrombin
2) Thrombin with Calcium converts soluble Fibrinogen to insoluble fibrin threads. Strengthened by Clotting Factor XIII
Describe clot retraction
- Tightening of fibrin clot
- Fibrin threads contract, edges of damaged vessel pull together
- Retraction depends on number of platelets which release Factor XIII, strengthen, and stabilize clot
What role does vitamin K play in clot formation?
Produced by bacteria that inhabit large intestine and necessary to make up the 4 clotting factors
Why does clotting happen at the site of damage and not throughout the body?
- Fibrin absorbs thrombin into the wound site
- Clotting factors are not in high concertation throughout the body, more activated in injured area
What are your natural anti-coagulants?
1) Anti-thrombin
2) Heparin (produced by mast cells, basophils combined with anti-thrombin)
3) Activated Protein C (APC)
How are blood types determined?
- By the presence or absence of various antigens
- Major groups are ABO & Rh
What is the universal recipient blood type?
- Type AB blood
- Can receive blood from all 4 types, no Anti A or B
What is the universal donor blood type? .
- Type O
- Have neither A or B antigens, can donate to everyone
How do vaccinations work?
- You are given a small dosage of an antigen the body then builds antibodies to fight the disease if they are faced with the antigen again
Immunity (Specific Resistance):
- The ability of the body to defend itself against specific invading agents such as: o Viruses o Bacteria o Toxins o Foreign Tissue
Branch of science that deals with the responses of the body when challenged by antigens
Immunology
Substances that are recognized as foreign and provoke an immune response
Antigen
Complete their development in Red Bone Marrow this process continues throughout life
B cells
Develop from pre-T cells that migrate from the Red Bone Marrow into the Thymus where they mature, this mostly occurs before puberty
T cells
Ability to carry out adaptive immune responses
Immunocompetence
Antibody synthesized by plasma cells derived from B lymphocytes in response to the introduction of an antigen
Antibodies (immunoglobulins)
The ability to provoke an immune response by stimulating the production of specific antibodies, the proliferation of specific T cells or both
Immunogenicity
Ability of the antigen to react specifically with the antibodies or cell it provokes
Reactivity (of an antigen)
Certain small parts of large antigen molecule that act as triggers from immune responses
Epitope
Smaller substance that has reactivity but lacks immunogenicity can only stimulate an immune response if attached to a larger carrier molecule (Ex: poison ivy combines with body protein)
Hapten
Self-antigens located in plasma membrane of body cells. They are unique unless you have an identical twin. Their normal function is to help T cells recognize that an antigen is foreign and not self-antigens
Major Histocompatibility Complex (MHC)
Foreign antigens that are present in fluids Outside body cells
Exogenous Antigen
Types of Antigen: bacteria, bacteria toxins, parasitic worms, pollen, dust, and viruses that have not yet infected a body cell
What are these an example of?
Exogenous Antigen
Foreign antigens that are present Inside the body cells
Endogenous Antigen
Types of Antigen: viral proteins produced a virus infects the cell and takes over the cells metabolic machinery, toxins produced from intracellular bacteria
What are these example of?
Endogenous Antigen
Small protein hormones that stimulate or inhibit many normal cell functions such as cell growth and differentiation
Cytokines
Process of diversity is the result of shuffling and rearranging a few hundred versions of several small gene segments
Genetic Recombination
Location of specialization of B Cell and T Cell
B Cell: Red Bone Marrow
T Cell: Thymus
Type of immune response in B and T Cell
B Cell: Antibody Mediated Immune Response
T Cell: Cell Mediated Immune Response
Name of mature cells in B and T Cells
B Cell: Plasma Cells giving off Antibodies
T Cell: Cytotoxic T Cells
Effective against which antigens in B and T Cell
B Cell: Extracellular Pathogens (viruses, bacteria, fungi), fluids outside the cell
T Cell:
- Intracellular Pathogens
- Some Cancer Cells
- Foreign Tissue Transplant
At which point can the cells develop immunocompetence? in B and T Cell?
B Cell: Before leaving the Red Bone Marrow
T Cell: Before leaving the Thymus
What are the two factors that distinguish immunity from non-specific immunity? Describe both and how they play a role in immunity.
1) Specificity from foreign molecules (antigens), which involves distinguishing “self” from “non-self” molecules
2) Memory for most previously encountered antigens so that a 2nd encounter prompts an even more rapid and vigorous response
Compare CD4 proteins to CD8 proteins
1) CD4: Helper T Cells (CD4 T Cells), meaning their plasma membranes include a protein called CD4
2) CD8: Cytotoxic T cells (CD8), meaning their plasma membranes contains a protein called CD8
- Compare Cell-mediated immune response to antibody-mediated immune response
2 Responses Antigens Trigger:
1) Cell Mediated Immune Response:
- Cytotoxic T cells that directly attack invading antigens
2) Antibody Mediated Immune Response:
- B cells transform into plasma cells which synthesize and secrete specific proteins called antibodies or immunoglobulin’s
Compare MHC-I to MHC-II
1) MHC-1: Built into the plasma membrane of all body cells except RBC’s
2) MHC-II: Molecules appear on the surface of antigen-presenting cells
What substances can be considered “antigenic”
Tissue transplant for another person
Which substances are not usually considered antigenic?
1) Cellulose and most plastic (Heart valves and joints made of plastic)
- (This means that the body will not detect them as a foreign object, and will not reject them from the body)
Describe the 3 routes by which antigens can enter lymphatic tissue
1) Enter the bloodstream through an injured blood vessel and trapped as they flow through the spleen
2) Penetrate the skin, enter the lymphatic vessels and lodge in your lymph nodes
3) Penetrate mucous membranes are entrapped by Mucosa-associated Lymphatic Tissue (MALT)
When antigenic proteins are broken down into peptide fragments that then associate with MHC molecules
Antigen processing