physiology week 9 Flashcards

-RBC,Anemia and polycythemia

1
Q

What is the primary role of red blood cells

A
  • Transports hemoglobin, which carries oxygen from lungs to tissues
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2
Q

Why must the hemoglobin remain inside the red blood cells

A
  • To avoid loss through the capillary and kidney membranes
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3
Q

What else does red blood cells contain

A
  • Carbonic anhydrase, which is an enzyme that catalyses the conversion of C02 and water into carbonic acid
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4
Q

What are the roles of carbonic anhydrase

A
  • An enzyme that catalyses the conversion of c02 and water into carbonic acid
  • It enables efficent C02 transport as bicarbonate ions
  • Contributes to acid-base buffering in the blood due to hemoglobin properties
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5
Q

What is the shaoe and size of RBC

A
  • Has a biconcave disc
  • Volume of 90-95 cubic meters
  • Has a flexible bony like structure which allows the deformation for passage through capillaries without rupture
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5
Q

What are the sites of red blood cell production in the embroyonic stage:
-Early weeks
-Middle trimester
-Last trimester+ after birth

A
  • Early weeks:
    -Primitive nucleated red blood cells are produced in the yolk sac
    Middle trimester
    -The liver is the primary ogran for RBC and some is also produced in the spleen and lymph
    LAST TRIMESTER & AFTER BIRTH
    -RBC production shifts to the bone marrow
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5
Q

During childhood where are red blood cells produced

A
  • In the marrow of nearly all bones up to 5 years of age
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6
Q

During Adulthood where is red blood cells produced

A
  • In the membranous bones:
    -Vertberae
    -Sternum
    -Ribs
    -ilia
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7
Q

What is the aging effect in relation to bone marrow

A
  • Bone marrow productivity decreases as age increases even in membranous bones
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8
Q

Where do circulating red blood cells orginate from

A
  • Multipotential hematopoietic stem cells (HSCs) in the bone marrow
  • The stem cells self renew to maintain their supply, but their numbers decrease with age
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9
Q

What happens as HSCs( hematopoietic stem cells) reproduce

A

-Most cells differentiate into specific cell types while a small portions remains a HSCs

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10
Q
  • Where do commited cells arise from
A
  • They arise from multipotent stem cells and are specific to a cell line
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11
Q

Whay do commited stem cells produce

A
  • They produce colonies of specific blood cells such as
  • CFU-E , which forms erythrocytes)RBC)
    -CFU-GM, which formes granulocytes and monocytes
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12
Q

What are growth inducers
And how many exist

A
  • They are proteins that control growth and reproduction of stem cells
  • At least 4 major growth inducers exist
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13
Q

Name an example of a growth inducer and its role

A
  • Interleukin -3 and it promotes the growth of nearly all types of committed cells
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14
Q

What are differentiation inducers

A

-Proteins that control differentiation of stem cells into specific blood cell types.
Each differentiation inducer acts on a specific committed stem cell.

15
Q

Name factors outside the bone marrow that regulate growth and differentiation

A

–Low oxygen levels which increases RBC production
-Infections which stimulates production of specific white blood cells to combat the infection