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Describe the structure of haemoglobin
Globular protein made up 4 polypeptide chains with a prosthetic haem group attached per polypeptide chain
The prosthetic haem group contains an Fe2+ ion which is able to reversibly combine with oxygen to form oxyhaemoglobin
Each haemoglobin molecule can carry 4 oxygen molecules as a result
Why is haemoglobin soluble?
Haemoglobin's hydrophobic non-polar R-groups are shielded or face inwards to the water
Whereas the hydrophilic polar R-groups are positioned facing outwards on the external surface of the molecule
The external hydrophilic R-groups can form hydrogen bonds with the water molecules in the surrounding cytoplasm or blood plasma, allowing the molecule to dissolve
This makes haemoglobin soluble and good for transport because oxygen is insoluble
What is the formula for the reversible reaction between oxygen and haemoglobin
Oxygen reacts with haemoglobin to form oxyhaemoglobin
Oxygen + Haemoglobin ⇌ Oxyhaemoglobin
4O2 + Hb ⇌ Hb(O2)4
How does oxygen bind to hameoglobin?
Haemoglobin binds to oxygen by a process called co-operative binding
The binding of the first oxygen molecule causes a conformational change in the tertiary structure of the haemoglobin molecule
This increases its affinity for oxygen
This makes it easier for the 2nd and 3rd molecule to bind so they bind quickly and easily
After the 3rd oxygen binds, haemoglobin is nearly saturated, so the fourth oxygen binds more slowly
Describe what is the loading of oxygen
Loading of oxygen:
Occurs in the lungs, where oxygen concentration is high (high pO2)
Haemoglobin binds oxygen molecules at the haem groups
The high oxygen concentration and higher pH in the lungs increase haemoglobin’s affinity for oxygen, so it picks up oxygen efficiently
Describe what is the unloading of oxygen
Unloading of oxygen:
Occurs in respiring tissues, where oxygen concentration is lower and CO₂ concentration is higher (low pO2)
The low pH caused by CO₂ (Bohr effect) reduces haemoglobin’s affinity for oxygen, so oxygen is released.
Oxygen diffuses from the red blood cells into the tissue cells, where it is used in respiration
Describe Bohr’s effect and how it looks on the dissociation curve
The Bohr effect is the decrease in haemoglobin’s affinity for oxygen at high carbon dioxide concentrations or low pH
In respiring tissues, CO₂ is produced, which reacts with water to form carbonic acid, lowering the pH of the blood
This causes haemoglobin to undergo a conformational change, reducing its affinity for oxygen and allowing more oxygen to be released to the tissues
On an oxygen dissociation curve, the Bohr effect causes a rightward shift, ensuring oxygen delivery is matched to the metabolic activity of tissues
Why is oxygen less rapidly unloaded at a high pO2?
Haemoglobin is highly saturated
So most sites are full and affinity is high
Therefore less oxygen is unloaded
Why is more oxygen unloaded at low pO2?
Haemoglobin’s tertiary structure changes to a structure with a lower affinity for oxygen
So oxygen is unloaded rapidly
Why does maternal haemoglobin have a lower affinity than fetal haemoglobin?
Maternal Hb has a lower affinity than fetal Hb
This allows oxygen to be rapidly unloaded at the placenta
Fetal Hb has a higher affinity than maternal Hb
This allows the fetus’s Hb to bind to O2 from the the mother’s blood even when the partial pressure of oxygen is low
Why do llamas Hb have a high affinity for O2?
Llama haemoglobin has a high affinity for oxygen because llamas live at high altitudes, where the partial pressure of oxygen (pO₂) is low
A higher affinity allows haemoglobin to bind oxygen more efficiently even when oxygen levels are low
This ensures enough oxygen is transported to the tissues for respiration
So the oxygen dissociation curve shifts left
Define mass transport
Mass transport is the bulk movement of gases or liquids in one direction, usually via a system of vessels and tubes
What are the features of the circulatory system in humans?
Double circulation – Blood passes through the heart twice for each circuit: once to the lungs (pulmonary circulation) and once to the rest of the body (systemic circulation). This maintains high pressure and efficient oxygen delivery
Closed system – Blood remains in vessels, allowing faster and more controlled transport of oxygen, nutrients, and waste
Describe the functions and adaptations of the arteries
Functions of arteries:
Carry blood away from the heart (usually oxygenated)
Transport blood under high pressure from the heart’s pumping
Adaptations of arteries:
Thick muscular walls – withstand high pressure
Elastic tissue – stretches when blood is pumped and recoils to maintain continuous flow
Small lumen – helps maintain high pressure
Smooth endothelium – reduces friction for efficient blood flow
Thick layer of smooth muscle – strengthens arterial walls and can contract and relax to allow limited vasodilation and vasoconstriction to control and regulate blood flow
Describe the functions and adaptations of the veins
Functions of veins:
Carry blood towards the heart (usually deoxygenated, except pulmonary vein)
Transport blood under low pressure
Adaptations of veins:
Thin walls – blood is under low pressure, so thick walls are unnecessary
Wide lumen – allows blood to flow easily
Valves – prevent backflow and ensure unidirectional blood flow
Smooth endothelium – reduces friction and allows efficient flow
Veins are often surrounded by skeletal muscles, which help push blood towards the heart when muscles contract
Describe the functions and adaptations of the arterioles
Functions of arterioles:
Carry blood from arteries to capillaries
Act as resistance vessels, controlling blood flow into capillary beds and the pressure of blood flow in tissues
Adaptations of arterioles:
Thick muscular walls – can constrict or dilate to control blood flow to specific tissues
Elastic tissue – allows them to withstand pressure changes from arteries
Small lumen – creates a high resistance to blood flow which helps control flow and maintain blood pressure into capillaries
Smooth endothelium – reduces friction for efficient blood movement
Describe the functions and adaptations of the venules
Functions of venules:
Carry blood from capillaries to veins.
Allow exchange of substances between blood and surrounding tissues in some areas.
Adaptations of venules:
Thin walls – blood is under low pressure, so thick walls aren’t needed
Wide lumen – reduces resistance to blood flow allowing it to flow easily
Some valves – help prevent backflow in low-pressure areas
Smooth endothelium – reduces friction and allows efficient blood flow
Permeable walls – re-absorption of tissue fluid back into the blood
Describe the functions and adaptations of the capillaries
Functions of capillaries:
Allow exchange of gases, nutrients, and waste between blood and tissues.
Connect arterioles to venules.
Ensure blood flow is slow enough for efficient exchange and to prevent damage of vessels
Adaptations of capillaries:
One-cell-thick walls (endothelium) – provides a short diffusion pathway.
Very narrow lumen – slows blood flow for more time for exchange.
Large network / extensive branching – increases surface area for exchange.
Permeable walls – allow substances like oxygen, glucose, and waste to pass through easily.
Close association with tissues – ensures efficient delivery and removal of materials.
Define tissue fluid
Tissue fluid is the fluid that surrounds cells in tissues made from small molecules that leave the plasma
Acts as a medium for exchange between the blood and body cells
How is tissue fluid formed?
At the arteriole end of a capillary, hydrostatic pressure due to blood pressure is higher than in the hydrostatic pressure in the tissue fluid
This causes an overall outwards pressure
This pressure forces plasma and small dissolved substances (e.g. glucose, oxygen, ions) out through gaps in the capillary wall
This process is called ultrafiltration
Large proteins and blood cells remain in the capillary because they are too large to pass through
The fluid that leaves the capillary and surrounds the cells is called tissue fluid
As blood moves towards the venule end, fluid leaves causing the hydrostatic pressure decreases
The water potential at the venule end is lower than in the tissue fluid due to the presence of the large plasma proteins and blood cells
So water moves out of the tissue fluid and back into the capillaries by osmosis
Any excess tissue fluid is drained into the lymphatic system which eventually enters the circulatory system
Describe the heart
Myogenic organ (contracts without nerve stimulation)
Cardiac muscle is rich in mitochondria and are supplied by O2 and nutrients by the coronary arteries to allow for continuous contractions
4 chambered structure (atrium are separated from ventricles by septum)
Describe the function of the atrioventricular valves
Atrioventricular (AV) valves:
Located between the atria and ventricles (tricuspid on right, bicuspid/mitral on left).
Function: Prevent backflow of blood from the ventricles into the atria.
They open when atrial pressure is greater than ventricular pressure (during atrial systole).
They close when ventricular pressure rises above atrial pressure (during ventricular systole).
They operate passively due to pressure differences
Describe the function of the semi lunar valves
Semilunar valves:
Located at the base of the aorta and pulmonary artery.
Function: Prevent backflow of blood from the arteries into the ventricles.
They open when ventricular pressure exceeds arterial pressure (during ventricular systole).
They close when arterial pressure becomes greater than ventricular pressure (during diastole).
They also operate passively due to pressure differences
Describe the stages of the cardiac cycle (atrial systole)
In atrial systole, the ventricles relax and the atria walls contract
This decreases the volume of atrial chambers and increases atrial pressure
This pushes blood through the open atrioventricular valves into the ventricles
The semilunar valves remain closed, preventing blood from entering the arteries
There is a slight increase in ventricular pressure and chamber volume as the ventricles receive the ejected blood from the contracted atria
Describe the stages of the cardiac cycle (ventricular systole)
During ventricular systole, the ventricles contract
This causes ventricular pressure to rise and ventricular volume to decrease
When ventricular pressure exceeds atrial pressure, the atrioventricular valves close to prevent backflow into the atria
As ventricular pressure continues to increase and becomes greater than the pressure in the aorta and pulmonary artery, the semilunar valves open
This allows blood to be ejected into the aorta and pulmonary artery
Describe the stages of the cardiac cycle (ventricular diastole)
In ventricular diastole, the ventricles and atria relax
Pressure in the aorta and pulmonary artery becomes higher than in the ventricles
This causes the semilunar valves to close to prevent backflow of blood
Blood returns to the atria from the vena cava and pulmonary veins, causing atrial pressure to rise
As ventricular pressure falls below atrial pressure, the atrioventricular (AV) valves open, allowing blood to flow passively into the ventricles
This completes the cycle, and atrial systole begins again
Define cardiovascular diseases
Diseases of the heart muscle and blood vessels - resulting in restricted blood flow to the heart muscle and reduced oxygen delivery to tissues
What is an atheroma?
A fatty deposit that forms within the artery wall
This develops into a fiborous plaque that narrows the artery lumen
How is an atheroma formed?
Damage occurs to the endothelium wall due to high blood pressure, smoking, or toxins
White blood cells, mainly macrophages, move into the artery wall
Cholesterol and other lipids move from the blood and into the artery wall
Macrophages engulf the lipids, forming foam cells
Fatty streaks become larger and more numerous as more lipids and white blood cells accumulate, causing the artery wall to thicken
Connective tissue forms a fibrous cap over the fatty material deposited in the artery wall forming an atheroma
The atheroma narrows the lumen of the artery and makes the artery less elastic, reducing blood flow and increasing blood pressure
This further damages the artery wall and increases risk of thrombosis, aneurysm, and coronary heart disease
How do atheromas lead to CHD
Atheromas narrow the lumen of the coronary arteries.
Narrowed arteries reduce blood flow to heart muscle (myocardium).
This decreases oxygen supply to the cardiac muscle.
If the heart muscle receives insufficient oxygen, then cannot respire as normal so weaker muscular contractions
This causes a reduced oxygen delivery to rest of the body
If atheromas rupture, a blood clot (thrombus) may form.
The thrombus can completely block the artery, causing a myocardial infarction (heart attack).
Reduced blood flow also increases blood pressure, putting further strain on the heart
How does an aneurysm occur?
An atheroma (fatty deposit) forms in the artery wall.
The atheroma weakens and damages the artery wall, particularly the elastic and muscular layers.
High blood pressure pushes against the weakened section of the artery wall.
This causes a balloon-like bulge in the artery, called an aneurysm.
The aneurysm may rupture, leading to internal bleeding, and possibly a haemorrhage which can be fatal
How does thrombosis occur?
An atheroma (fatty deposit) forms in the artery wall, narrowing the lumen
If the atheroma plaque ruptures, it can damaging the endothelium
The endothelium becomes rough, which stimulates platelet adhesion.
Platelets and fibrin accumulate at the site of damage leading to the formation of a blood clot (thrombus).
The thrombus can partially or completely block the artery, restricting blood flow
If the coronary arteries are blocked, this can cause a myocardial infarction
Or the thrombus can break off and become dislodged, travelling as an embolus (hence can go and block another vessel)
How does myocardinal infarction occur?
A coronary artery becomes partially or completely blocked, usually by a thrombus formed at the site of a ruptured atheroma.
The blockage reduces or stops blood flow to the region of heart muscle supplied by that artery.
Oxygen delivery to the cardiac muscle is insufficient for respiration.
As a result, heart muscle cells are damaged or die, causing a myocardial infarction.
Describe how the cardiac cycle is controlled by the sinoatrial node (SAN) and the atrioventricular node (AVN)
SAN:
Produces myogenic impulses automatically (pacemaker).
Impulse spreads across atria, causing atrial systole.
Ensures blood is pushed into ventricles.
Impulse reaches AVN, which delays it before passing to ventricles.
AVN:
Receives impulse from SAN.
Delays impulse slightly so ventricles contract after atria.
This ensures ventricles fill completely before ventricular systole
What factors cause CHD or increase the likelyhood and how
High blood pressure (hypertension):
How it contributes: High pressure damages the endothelium (inner lining of arteries).
Damaged endothelium makes it easier for LDL cholesterol to enter and form atheromas, increasing the risk of CHD.
Smoking:
Chemicals in smoke (like nicotine and carbon monoxide) damage the endothelium.
Increases LDL cholesterol and reduces HDL cholesterol.
Nicotine also increases heart rate and blood pressure, adding strain on arteries.
High blood cholesterol / high saturated fat diet:
Excess LDL cholesterol in blood can deposit in artery walls, forming atheromas.
High cholesterol narrows the arteries, increasing resistance to blood flow
This causes increasing blood pressure and chance of thrombosis