1.9 (PSIO 202)

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Physical Properties of Blood and Erythrocytes

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What is the order that nutrients and oxygen follow when diffusing from the blood?
blood → ISF → cells
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What order does wastes move in?
cells → ISF → blood
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What are erythrocytes?
red blood cells
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What is plasma?
special cell fragments
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What are leukocytes?
white blood cells
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What are the granular leukocytes?
neutrophils, eosinophils, basophils
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What are the agranular leukocytes?
lymphocytes and monocytes
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What are thrombocytes?
platelets
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What is the major function of platelets?
blood clotting
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What is blood plasma’s composition?
>90% water, \~7% proteins, and \~2% other solutes
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Where are plasma proteins created?
the liver
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What proteins are present in plasma?
albumin, immunoglobulins, and fibrinogen
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What is albumin?
maintains blood osmotic pressure
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What are immunoglobulins?
antibodies that bind antigens; form antigen-antibody complexes
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What is fibrinogen?
for clotting; precursor to fibrin, the sticky protein to form clotting network
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What other solutes are present in plasma?
electrolytes, nutrients, hormones, gases and waste products
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What is the normal hematocrit range in females?
38-46%
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What is the normal hematocrit range in males?
40-54%
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What is anemia?
not enough RBCs (or hemoglobin) for proper O2 transfer
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What is polycythemia?
having an excess of RBCs; can result in dehydration, tissue hypoxia, blood doping
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What is hemoglobin?
a protein that carries oxygen
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What is hemoglobin composed of?
\-globins; 4 large protein chains (2 alpha 2 beta)

\-a heme group (within each chain)
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What is the heme group?
a porphyrin ring that surrounds a single iron molecule
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How many O2 molecules can each hemoglobin carry?
4
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What does CO2 bind to in hemoglobin?
amino acids in the globin portion
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What is erythropoiesis?
RBC formation
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Where does erythropoiesis occur?
in the red bone marrow
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What are RBCs formed from after birth?
stem cells
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Stem cells differentiate into:
proerythroblasts
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Proerythroblasts then become _____ __and then__ ________.
erythroblast; reticulocytes
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When a reticulocyte reaches maturity, hemoglobin is produced and the nucleus is ejected, resulting in the formation of a mature __________.
erythrocyte
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What is the role of hemopoietic growth factors?
regulation of differentiation and proliferation of blood cells
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What are the 3 hemopoietic growth factors?
erythropoietin, thrombopoietin, and cytokines
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What does erythropoietin do, and what produces it?
increases RBC precursors, produced by kidneys
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What does thrombopoietin do, and what produces it?
stimulates platelet formation, produced by liver
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What are cytokines and what do they do?
local hormones of bone marrow; stimulate proliferation in other marrow cells; colony-stimulating factors (CSFs) and interleukins stimulate WBC production
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What is an example of a medical usage of erythropoietin?
treating decreased RBC production of end-stage kidney disease
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What is an example of a medical usage of thrombopoietin?
helps prevent platelet depletion during chemotherapy
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How long do RBCs live?
about 120 days
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What causes RBCs to wear out?
bending to fit thru capillaries
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What happens to worn out RBCs?
removed by macrophages in the spleen and liver; the globin portion is broken down into amino acids and recycled; the heme portion is split into iron and biliverdin
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What happens to the iron portion of the heme of a worn down RBC?
it is transported in blood attached to protein transferrin; stored in liver, muscle, or spleen; attached to ferritin protein; transported to bone marrow for use in hemoglobin synthesis