red blood cells Flashcards

1
Q

what does haemoglobin do? 3

A
  • binds to oxygen in the lungs where PO2 is high
  • unbinds in tissues (where Po2 is low)
  • must be weak enough to be reversible
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2
Q

what mechanisms reduce oxygen affinity?

A

cooperativity

right shifting of the binding curve

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3
Q

what does each subunit of haemoglobin have? 5 how many subunits?

A
  • small haem group
  • coloured red/blue
  • contains an iron atom- binding site of the oxygen
  • 2D rigid structure
  • porphyrin ring

-4

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4
Q

explain cooperativity? 4

A
  • each subunit can carry 1 oxygen molecule on its haem
  • each subunit influences its neighbours
  • if one binds, so do the others
  • if one releases, so do the others
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5
Q

what are the two main types of haemoglobin?
their subunits
where they are found

A

-HbA
in healthy adults
2 alpha and 2 beta (tetramer)
maternal haemoglobin

-HbF
2 alpha, 2 gamma
adults have a small percentage
binds to oxygen more strongly 
foetal haemoglobin
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6
Q

what is the bohr effect? 4

A
  • increased blood carbon dioxide leads to decreases affinity for oxygen
  • decrease in blood pH leads to decrease in affinity for oxygen
  • increase in blood and carbon dioxide lead to decreases in blood pH
  • CO2 and H+ bind to Hb but at different sites to O2
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7
Q

how can carbon dioxide be transported? 3

A
  • 10% in blood plasma
  • 22% as carbamino (natural substance in the blood)
  • 68% as HCO3- (bicarbonate)
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8
Q

what is the chloride shift?

A
  • more Cl- inside the RBCs in venous blood than arterial
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9
Q

what is pO2

A

partial pressure of oxygen

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10
Q

when comparing the graph of fractional saturation against partial pressure of oxygen for myoglobin and haemoglobin what do they curves look like?

A
  • Hb= sigmoidal (s shaped) implies cooperativity

- myoglobin= hyperbolic implies small amounts of oxygen fill the myoglobin until it cannot hold anymore

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11
Q

what can lead to a rightward shift of oxygen affinity? 4 what is a rightward shift?

A
  • decrease in affinity for oxygen
  • co2
  • H+
  • CL-
  • 2,3 DPG
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12
Q

what is 2,3 DPG?

what does it do?

A

diphospho-glycerate

-binds to Hb
tiny compared to Hb
-lowers affinity of Hb for O2
-HbF has a low affinity for 2,3 DPG compared to maternal blood, so HbF has a higher affinity for oxygen

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13
Q

what happens in active muscles? 9

A
  • oxygen is low
  • carbon dioxide is high
  • blood is slightly acidic due to lactic acid and CO2
  • temp is higher
  • myoglobin is present
  • as blood runs along capillary, oxygen leaves Hb (cooperativity)
  • CO2 and H+ bind to the Hb shifting the Hb saturation right
  • HCO3- leaves the RBC into the plasma
  • CK_ leaves the plasma and enters the RBC (CL- shift)
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14
Q

how is breathing controlled by o2, co2 and H+? 5

A
  • plasma o2 must drop a lot before respiratory drive increases
  • main driver to increase respiratory rate is H+ in the CSF
  • H+ is slow to get to the CSF, but CO2 can get in
  • once CO2 is in the CSF it makes carbonic acid and H+
  • medullary receptors sample from the interstitial fluid and CSF fluid
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15
Q

what is the structure of a erythrocyte? 7

A
  • definitive= mature
  • biconcave disc
  • anucleate
  • no organelles
  • 7 micrometres diameter, 2 micrometers height
  • contain haemoglobin
  • red when oxygenated out of body
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16
Q

what is the function of a RBC? 5

A
  • most numerous blood cell
  • bag of haemoglobin
  • transport o2 and co2
  • survive around 120 days
  • very flexible and stack in blood vessels
17
Q

what is erythropoiesis? 4

A
  • development of RBC
  • only in bone marrow after birth
  • after 20, only in membranous bones
  • during embryogenesis in lover, spleen, lymph nodes and yolk sac
18
Q

what is haematopoiesis?

A

formation of blood cells

19
Q

what is the development of cells from stem cells? 7

A
  • multipotent stem cells
  • multipotent progenitor cell
  • commitment
  • lineage committed progenitor cell
  • proliferation
  • terminal differentiation
  • mature cells
20
Q

what is erythropoietin? 6

A
  • cytokine/hormone that drives erythropoiesis
  • made in kidney
  • usually in response to hypoxia
  • used medically to stimulate erythropoiesis
  • risk of severe off target effects
  • performance enhancer for athletes
21
Q

what are reticulocytes? 5

A
  • red blood cell precursor before complete extrusion of nucleus and organelles
  • 2 days in blood
  • diagnostic tool in anaemia
  • indicator of bone marrow activity
  • high in haemolytic anaemia (not enough RBC)
22
Q

what is methemoglobinemia? 2

cause? 3

A
  • hB cannot transport o2
  • Fe in Hb is oxidised
  • congenital globin mutations
  • hereditary decrease of NADH
  • toxic substances
23
Q

what is carbon monoxide poisoning? 5

treatment?

A
  • Hb cannot transport oxygen
    -CO and O2 have same binding site, O2 is displaced
    -affinity for CO is 250x
    lethal
    -blood turns bright red
    -brain affected first-disorientation

-95% o2/ 5% co2

24
Q

what is polycythemia? 5

A
  • increased number of RBC
  • increases blood viscosity
  • clog vessels
  • normal at high altitude living
  • polycythemia vera- neoplasm which is asymptomatic and incurable- risk of thrombotic events
25
Q

how is iron stored in the body? 3

A
  • 65% in Hb
  • intracellularly as ferritin and hemosiderin
  • in reticuloendothelial system- liver, spleen, erythrocytes, bone marrow
26
Q

why is vitamin B12 and folic acid needed? 2

A
  • important for rapidly dividing tissue

- essential for DNA formation

27
Q

what can an iron deficiency cause? 2

A
  • hypochromic microcytic anaemia

- the cells keep dividing but they cannot fill up with Hb

28
Q

what can a folic acid B12 deficiency cause?

A
  • megaloblastic anemia

- the cells keep filling up, but they cannot divide fast enough