NORMAL RED CELLS Flashcards

1
Q

how do red cells generate energy

A

glycolysis

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2
Q

why is the RBC membrane structure of protein ‘spars’ and anchors important

A

makes the membrane flexible allowing it to move through small capillaries

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3
Q

describe haemoglobin structure

A

tetrameric globular protein
2 alpha and 2 beta chains
1 heme group Fe2+ per subgroup

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4
Q

what is the ration of oxygen binding to Fe2+

A

one oxygen molecule binds to one Fe2+

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5
Q

where does red cell destruction occur

A

spleen

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6
Q

how are the breakdown products of RBCs recycles

A

globing chains broken down to amino acids

heme group broken down to iron and bilirubin

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7
Q

which breakdown product of RBCs is excreted

A

bilirubin

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8
Q

which molecules are involved in the breakdown pathway of heme to bilirubin

A

heme
porphyrin
biliverdin
bilirubin

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9
Q

how does the body detect a shortage of RBCs

A

the kidneys detect hypoxia

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10
Q

which substance is produced by the kidneys in response to hypoxia

A

erythropoietin

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11
Q

which two products of glycolysis are essential for energy and prevention of oxidation

A

ATP (energy)

NADH (prevention of oxidation)

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12
Q

why can NADH prevent oxidation

A

because it is a reducing agent

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13
Q

why is it important to prevent the oxidation of Fe2+ to Fe3+

A

because Fe3+ (metHb) can’t carry oxygen

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14
Q

which substance protects the RBC from hydrogen peroxide and reactive oxygen species

A

glutathione (GSH)

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15
Q

how does GSH protect RBCs from reactive oxygen species

A

it reacts with hydrogen peroxide to form water and an oxidised glutathione product (GSSG)

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16
Q

how is GSH replenished after it has reacted with H2O2

A

it is reduced by NADPH in the presence of GSSG reductase

17
Q

what is the rate limiting enzyme in the regeneration of GSH

A

glucose-6-phosphate dehydrogenase

18
Q

what is the monophosphate shunt

A

generates NADPH that maintains GSH levels preventing oxidative damage
it is limited by G6PD

19
Q

how is the majority of CO2 transported in the blood

A

dissolved as bicarbonate

20
Q

which enzyme is required in order to convert CO2 to HCO3-

A

carbonic anhydrase

21
Q

which subunits make up adult Hb

A

2 x alpha

2 x beta

22
Q

which subunits make up fetal Hb

A

2 x alpha

2 x gamma

23
Q

why does fetal Hb follow a different dissociation curve to adult Hb

A

fetal Hb saturates more at the same pO2 so effectively takes O2 from the maternal circulation