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Function of blood
Blood is the vehicle for long distance mass transport, from one part of the body to another.
Functions of plasma proteins
Blood clotting, defense of foreign invaders, carriers of steroid hormones, cholesterol, drugs, and certain ions as a Fe2+, and some act as hormones or extracellular enzymes.
Eosinophils
Type of cells that increases during parasitic infections.
Neutrophils and monocytes
Types of cells that increase during bacterial infections.
Lymphocytes
Type of cells that increases during viral infections.
Leukemia
Abnormal growth and development of WBCs.
Thrombocytopenia
Condition characterized by less platelets.
Anemia
Condition characterized by not enough RBCs.
Neutropenia
Condition characterized by few WBCs.
Thrombopoiesis
The growth and maturation of megakaryocytes (the parent cell of platelets).
Leukopoiesis
Production and development of leukocytes.
Erythropoiesis
Regulate erythrocyte production.
Cytokines
Peptides or proteins released from one cell that affect the growth or activity of another.
Erythropoietin
Cytokine produced in kidney cells primarily that affects RBCs.
Thrombopoietin
Cytokine produced in liver primarily that affects megakaryocytes.
Colony-stimulated factors, interleukins, stem cell factor
Cytokines that mobilize hematopoietic stem cells and affect all types of blood cells.
Hemostasis
The process of keeping blood within a damaged blood vessel.
Coagulation
The process that seals the hole until tissues are repaired.
Intrinsic pathway of coagulation
Initiated by damage to tissue exposing collagen.
Extrinsic pathway of coagulation
Initiated by damage to tissue exposing tissue factor III (tissue thromboplastin).
Fibrinolysis
The breakdown of blood clots (a fibrin clot).
Thrombin
Activates fibrinogen and fibrin (factor I) and forms insoluble fibers that stabilize the platelet plug.
Vitamin K
Needed for synthesis of factors II, VII, IX, X.
vWF (Von Willebrand Factor)
Regulates level of factor VIII; a deficiency or defect can cause prolonged bleeding.
Fibrinogen and Fibrin (factor I)
Form insoluble fibers that stabilize the platelet plug.
Calcium ions in coagulation cascade
Ca2+ is required for several steps of the coagulation cascade, and it is never a limiting factor.
Functions of heparin
Works with antithrombin III to block factors IX, X, XI, XII.
Functions of prostacyclin
Eicosanoid that blocks platelets adhesion (normal endothelial cells).
Functions of NO
Mechanism involved in limiting the extent of blood clotting within vessels.
Functions of RBCs
Facilitate oxygen transport from the lungs to cells and carbon dioxide from the cells to lungs.
Functions of platelets
Help blood clot and stop bleeding.
Causes of hemophilia
Anticoagulants used in blood samples do not contain calcium (factor VIII deficiency in clotting).
Immunity
The body's ability to protect itself against infectious disease.
Neutrophils
Help protect the body from infections by killing bacteria, fungi, and foreign debris.
Lymphocytes
Consist of T cells, natural killer cells, and B cells to protect viral infections and produce antibodies.
Monocytes
Part of the immune response and help inflammation.
Basophils
Involved in inflammation and immune response.
Eosinophils
Part of the immune response and help in inflammation.
Mast cells
Involved in inflammation and immune response.
Components of the immune system
Lymphoid tissue and various types of immune cells (chemical signals that coordinate responses).
Functions of the spleen
Ingest old, abnormal RBCs and break down Hb (iron) Aa, bilirubin - Secondary lymphoid tissue.
Functions of lymph nodes
Kill foreign invaders and remove abnormal/damaged cells.
Functions of thymus
Produces T lymphocytes and peptides (thymosin, thymopoietin, and thymulin) - Primary lymphoid tissue.
Two lines of defense in the body
1. Physical chemical and mechanical barriers 2. Internal immune response.
Antigens
Substances that trigger an immune response.
Antibodies
Help the immune system recognize and destroy specific antigens (also neutralizes harmful pathogens).
Innate Immunity
Responds to a range of signals, present from birth, immediate response.
Acquired Immunity
Attacks a specific pathogen or antigen, slower but stronger response, cell-mediated (cell contact - cytotoxic lymphocytes) & humoral immunity (antibodies).
Allergies
An inflammatory response to a nonpathogenic antigen (called allergen).
Responses of the immune system against allergens
Regulatory T cells suppress other lymphocytes and prevent excessive immune responses.
Functions of T lymphocytes
Develop either into cells, regulate other immune cells (helper T cells), attack and destroy virus infected cells (cytotoxic cells).
Functions of B lymphocytes
Become plasma cells that secrete antibodies.
Functions of different antibodies (immunoglobulins Ig) in acquired immunity
IgG: Give infants immunity; IgA: External secretions, bind to pathogen and flag them for phagocytosis; IgEs: Target gut parasites and are associated with allergic reactions; IgM: React to red blood antigens; IgD: Surface of B lymphocytes.
Autoimmune disease
An incorrect immune response (e.g. T1D).
Function of the membrane attack complex
Eliminate pathogenic cells by cytolysis, penetrate cell membranes of microbes to form cytotoxic pores.
Cytokine
A protein that functions as a chemical messenger in the immune system.
Types of cytokines produced in response to viral infections
Interleukins: IL-1 is secreted by macrophages, and it modulates the immune response.
PRRs and PAMPs
PRRs (pattern recognition receptors) are receptors in leukocytes; PAMPs (pathogen-associated molecular pattern) are molecules in surface cells of pathogens.
Functions of antibodies or immunoglobulins
Ig’s
Functions of interferons
Respond to viral infections, tumors, and other immune threats.
Functions of Major Histocompatibility complex (MHC) proteins
Help our immune system defend against intracellular pathogens and cancers.
Functions of helper T cells (TH)
Not provided in the notes.
Functions of cytotoxic T cells (TC)
Not provided in the notes.
Inflammation
A hallmark reaction of innate immunity that attracts other cells, increases capillary permeability, and causes fever.
Primary immune response
Occurs after the initial exposure to an invader, characterized by slower and lower magnitude antibody production.
Secondary immune response
Occurs upon subsequent exposure to the same antigen, characterized by quicker and larger antibody production.
Functions of the respiratory system
1. Exchanging gases between the atmosphere and the blood 2. Homeostatic regulation of body pH 3. Protection from inhaled pathogens 4. Vocalization.
Mucociliary escalator
Filtration of air and movement of mucus towards the pharynx.
Tidal Volume (TV)
Volume of air that moves during a respiratory cycle.
Inspiratory Reserve Volume (IRV)
Volume you inspire above the tidal volume.
Expiratory Reserve Volume (ERV)
The amount of air forcefully exhaled after the end of a normal respiration.
Residual Volume (RV)
Volume of air in the respiratory system after maximal exhalation (it cannot be measured directly).
Lung capacities
The sum of two or more lung volumes.
Vital Capacity (VC)
Maximum amount of air that can be voluntarily moved into or out of the respiratory system with one breath (VC = IRV + ERV + TV).
Total Lung Capacity (TLC)
Vital capacity (VC) + residual volume (RV).
Inspiratory Capacity
TV + IRV.
Functional Residual Capacity
ERV + RV.
Function of ventilation
Our respiratory system produces a pressure gradient, produced by changes in the volume of the chest cavity.
Type I alveolar cells
Exchange gases CO2 and O2, produce surface tension which creates resistance to stretch.
Type II alveolar cells
Produce surfactant molecules that disrupt cohesive forces between water molecules on the alveolar surface.
Glomus cells in respiration
Release neurotransmitter when PO2 decreases.
Compliance
The ability of the lung to stretch.
Elastance
The ability of the lung to resist being deformed.
Apnea
Cessation of breathing.
Eupnea
Normal, quiet breathing.
Hyperventilation
Increased respiratory rate and/or volume without increased metabolism.
Hypoventilation
Decreased alveolar ventilation.
Dyspnea
Difficulty breathing, sometimes described as 'air hunger.'
Pneumothorax
Results in a collapsed lung that cannot function normally.
Hypercapnia
Excessive CO2 in the bloodstream.
Hypoxia
Low levels of oxygen in body tissues.
Carbaminohemoglobin
A compound formed when CO2 combines with hemoglobin in the blood.
Oxyhemoglobin
Hemoglobin in which oxygen is bound.
Bohr effect
A phenomenon that explains how hemoglobin binds to oxygen in the lungs and releases it in the tissue due to a shift in the Hb saturation curve from a change of pH.
Total pulmonary ventilation
6 L/min
Total alveolar ventilation
4.2 L/min
Maximum voluntary ventilation
125-170 L/min
Respiration rate
12-20 breaths/min
Alveolar ventilation
Ventilation rate x (tidal volume - dead space volume)
Emphysema
Destruction of alveoli means less surface area for gas exchange