Red Blood Cells Flashcards

1
Q

Blood Gas Transport overview

A

Haemoglobin binds O2 in lungs (where PO2 is high) and unbinds it in tissues (where PO2 is low) Hb moves CO2 in opposite direction Cooperativity and chemical allosteric effects -> more O2 is bound in lungs and is deposited in tissues.

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2
Q

Characteristics of oxygen

A
  • Poorly soluble in plasma – normal arterial blood carries 70X more O2 on Haemoglobin (Hb in RBCs) than dissolved directly in plasma

Hb is needed to carry O2

Thus, it is possible for arterial PO2 to be normal but hypoxia to occur (b/c there is no Hb to carry O2)

Why you need O2:

  • Oxidative Respiration Produces More Energy
    muscle: C6H12O6 + 6 O2 -> 6 CO2 + 6 H2O + ~36 ATP
  • In RBCs without mitochondria (anaerobic glycolysis):

C6H12O6 -> 2 lactate + 2 ATP

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3
Q

How is Hb able to deliver O2 to tissues?

A

Hb must bind O2 and also release

O2 binding must be weak enough to be reversible

the two mechanisms involved are - Cooperativity and “right shifting” of binding curve

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4
Q

Why do we need Oxygen

A

Oxidative respiration produces more energy

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5
Q

Haemoglobin characteristics

A
  • 95% of dry weight of RBC
  • Each subunit has a small haem group (616 Da) + a large globin peptide (17,000 Da)
  • Haem is coloured, contains one Iron atom, and is site of O2 binding
  • picks up oxygen in lungs and releases it in tissues
  • haemoglobin has allosteric properties:
  • cooperativity
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6
Q

Haem group

A

Each Haemoglobin and myoglobin subunit has 1 haem group

§ Haem carries O2

haem group

§ Haem is a porphyrin ring

§ They are rigid, 2 dimensional, and highly coloured due to sharing of electrons

  • Hence red and blue colour
  • Not due to Iron

conjugated to iron ion

§ Ferrous (Fe2+)

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7
Q

Explain Hb Cooperativity

A

§Each subunit can carry 1 O2 molecule on its haem

§Each subunit influences its 3 neighbours

§O2 binding —> more O2 binding

§O2 release —> more O2 release

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8
Q

Difference between Adult and child Hbs

A

Healthy Adults (HbA)

§2 alpha subunits + 2 beta subunits (4 subunits = tetramer)

§Also called “maternal Haemoglobin”

Foetal Haemoglobin (HbF)

§2 alpha subunits + 2 gamma subunits

§Adults have a small percentage of HbF

§Binds O2 more strongly than HbA

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9
Q

Explain the Bohr effect

A

the “Bohr effect”

↑ blood carbon dioxide level —> ↓ affinity of Hb for O2

↓ blood pH —> ↑ affinity of Hb for O2

b/c of carbonic anhydrase rxn

↑ blood carbon dioxide level —> ↓ blood pH

CO2 & H+ bind Hb but at a different site from O2

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10
Q

Outline the three ways CO2 is carried in blood

A

A) 10% as dissolved, B) 22% as carbamino, C) 68% as HCO3-

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11
Q

Oxygen binding by myoglobin and haemoglobin curve

A

Sigmoid shape of binding curve = that given the average binding affinity, at low levels the affinity will be lower than you expect, while at higher levels the affinity will be higher than you expect. It also means that middle range binding is very strongly substrate dependent. This is quite a useful trait for a carrier, although a less useful trait for a storage bank.

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12
Q

Regulation of oxygen affinity:

explain the cause of and the effect of rightward shift of the Hb dissociation curve

A

CO2 -> rightward shift (R)

H+ -> rightward shift

Cl- -> rightward shift

2,3-DPG -> R

Diphospho-glycerate

Bis-phospho-glycerate

Muscle activity encourages Hb to release O2

Cause

R (rightward shift) -> ↑ affinity for O2​

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13
Q

Facts about 2,3-DPG

A
  • Binds to Hb
  • Lowers affinity of Hb for O2
  • 2,3-DPG found in erythrocytes at 5 mM
  • Tiny molecule compared with Hb
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14
Q

Effect of 2,3 DPG on the Hb dissociation curve

A

↑ 2,3-DPG —> ↓ affinity for O2

foetal Hb F has low affinity for 2,3-DPG

  • versus maternal blood
  • Thus Hb F has a higher binding affinity for oxygen than Hb A
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15
Q

Foetal vs Maternal Hb O2 saturation curves

A

Adult Haemoglobin curve (green) is S shaped.

This is b/c of cooperativity

Myoglobin curve (red) is exponential; not S shaped.

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16
Q

Outline Blood Gas exchange at active muscles

A

O2 is low

CO2 is high

Blood is slightly acidic

  • Due to CO2 and lactic acid

Temperature is higher

There is myoglobin (left-shifted saturation vs Hb)

All the above contribute to causing the following:

As blood runs along the capillary

  • O2 leaves the Hb (cooperativity)
  • CO2 and H+ bind to Hb – shifts Hb saturation to right
  • HCO3- leaves RBC à plasma,
  • Cl- leaves plasma à enters RBC (Cl- shift)
17
Q

How does O2, CO2 and H+ control breathing?

A

O2

  • O2 must drop significantly for respiratory drive to increase

H+

  • The Main Driver to increased respiratory rate is the presence of H+ in CSF (Not blood)
  • CO2 gas enters the CSF easily and Carbonic Anhydrase converts it to H+
  • H+ is slow to cross into CSF

CO2

  • The response to CO2 is > the response to H+
  • because blood H+ is only based on signal from carotid arch.
  • Medullary receptors
  • §sample from the interstitial and CSF fluid.

18
Q

Erythrocytes: Appearance

A

Red blood cells (RBCs)

“definitive” = mature

Biconcave disc

Anucleate, lack organelles

7 um diam, 2 um height

Contain haemoglobin

Red when oxygenated - Out of body -> O2