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compact
__ bone is on the outside
cancellous/spongy
__ bone lines marrow space
bone marrow
the source of all blood
blood vessels (lots and lots)
red marrow
yellow marrow
hematopoietic cells
contents of bone marrow
red marrow (hematopoetic)
marrow where lots of blood cells are formed
yellow marrow
marrow that contains mostly fat
hematopoetic stem cells
give rise to all blood cells
sinusoidal capillaries
newly formed blood cells penetrate these to enter circulation. all the blood vessels and bone marrow vessels have large spaces to push cells into them
plasma + blood cells + platelets
blood =
blood
delivers oxygen and nutrients to cells
transports metabolic waste products away
regulates body temperature
maintains balance of bodily fluids
acts as pathway for migration of WBCs
organic compounds
electrolytes
90% water
9% protein (albumin, globulins, clotting factors, plasma lipoproteins)
1% everything else
contents of plasma
yellowish fluid (appears yellow w/o blood)
appearance of plasma
plasma
what makes up the bulk of blood?
albumin (bulk of proteins)
globulins (immune and non-immune, antibodies and non-antibodies)
clotting factors
plasma lipoproteins
what proteins make up plasma?
albumin
>50% of all plasma protein
liver
albumin is made in the
albumin
regulates concentration gradient between blood and extracellular fluid (colloid osmotic pressure)
albumin
does not readily move through normal capillary pores, while water and smaller biologic structures move freely
albumin
sodium is highly attracted to this, and they help maintain COP (colloid osmotic pressure)
by attracting water into the intravascular space
plasma
all body fluids are derived from
plasma
interstitial fluid of connective tissues is derived from
serum
plasma without clotting factors
plasma
brings in clean fluid and takes out dirty fluid
giemsa
good stain for blood cells
bone marrow
all blood cells are produced in
red blood cells (erythrocytes)
produced through erythropoietin stimulation in the bone marrow
progenitor → reticulocyte → mature RBC
2 million new cells/sec
120 day life span
after maturation, they don’t grow, divide, or make new proteins (anucleate)
they die in the spleen
how are erythrocytes formed
O2
(they need more erythropoetic cells to produce RBC to carry O2)
what would someone who lives at higher elevations need more of?
disc shape creates large surface area
what allows red blood cells to maximize O2 carrying ability?
contains haemoglobin (special pigment that combines/carries oxygen)
no nucleus (more space for haemoglobin and oxygen)
disc-shaped
large surface area compared to volume
features of red blood cell
hemoglobin
carries O2 in red blood cells
myoglobin
carries O2 in muscle
2 alpha chain genes
2 gamma chain genes
1 beta chain gene
1 delta chain gene
each chromosome contains how many of each chain gene?
HbA1 (96%)
HbA2 (3%)
HbF (<1%)
types of hemoglobin in adults
HbF (later becomes HbA1 ad HbA2)
type of hemoglobin in infants
2 alpha chains + 2 beta chains
HbA1 =
2 alpha chains + 2 delta chains
HbA2 =
2 alpha chains + 2 gamma chains
HbF =
4
each hemoglobin molecule has how many heme groups?
1:1
heme contains Fe2+ which binds oxygen in which ratio?
oxygenated, deoxygenated
blood is bright red when Hb is __, dark red when Hb is __
leukocytes
what are white blood cells called?
4500-11000 per mm³ blood
general normal range of leukocytes in blood
lysosomes
and different substances based on cell type
non-specific (azurophilic) granules that are contained in WBC
non-specific (azurophilic) granules
granulocytes (polymorphonuclear cells)
agranulocytes (B cells and T cells)
contents of leukocytes
neutrophils (most abundant)
eosinophils
basophils (least abundant)
granulocytes contained in leukocytes
lymphocytes
monocytes
agranulocytes contained in leukocytes
40-70% of all WBCs
most critical cells of acute inflammatory response
phagocytic
azurophilic (primary) granules contain myeloperoxidase
specific (secondary) and gelatinase (tertiary) granules
has a horseshoe-shaped tri-lobed nucleus (3 lumps)
neutrophils
killer protein that destroys bacterial organisms
myeloperoxidase
leukemia
cancer caused by overproduction of neutrophils
promyelocyte (azurophilic) → myelocyte (specific) → metamyelocyte (gelatinase) → neutrophil (secretory)
stages of granulocyte development
promyelocyte
granulocyte development: ROS (reactive oxygen specieis) and killing within phagosomes
myelocyte
granulocyte development: intracellular and extracellular killing
metamyelocyte
granulocyte development: migration and extravasation
neutrophil
granulocyte development: adherence
myeloperoxidase
this is contained in all stages of neutrophil, even the immature stages
<4% of WBCs
bilobed nucleus
released in response to allergic rxns, parasitic infections
azurophilic granules contain hydrolytic enzymes
specific granules contain crystalloid bodies
eosinophils
bright red appearance
appearance of azurophilic granules
<1% of all WBCs
function similar to mast cells (important in initial rxns)
hypersensitive rxns and inflammation
azurophilic granules contain hydrolytic enzymes
specific granules contain heparin, histamine
basophils
blue ish purple ish
appearance of basophiles
30-40% of all WBCs
similar to size of RBC
can develop outside of bone marrow
not terminally differentiated
only blood cell that can exit and re-enter circulation
B-cells, T-cells, NK-cells
lymphocytes
thymus gland
T lymphocytes mature in the
T lymphocytes
long life span
cell-mediated immunity (T-cells trigger allergic rxn)
sub0classified as CD4 and/or CD8 (on cell surface)
secondary lymphoid organs
B lymphocytes mature in the
B lymphocytes
can further differentiate in plasma cells which produce antibodies
express CD20 on cell surface
natural killer (NK) cells
programmed to kill virus-infection and tumor cells
secrete interferon gamma
plasma cell (antibody secreting cell)
after appropriate activation the B cell differentiates into
monocytes
precursors to macrophages
mononuclear phagocytic system
largest WBC in circulation
differentiate into macrophages and antigen-presenting cells after exiting circulation
megakaryocyte
largest blood cell in the bone marrow itself
platelets (thrombocytes)
first response to the wound that aggregate to the wound site to stop the bleeding
thrombocytes (platelets)
anucleate cytoplasmic fragments
derived from megakaryocytes
function in coagulation and tissue repair
megakaryocytes
grow and die in bone barrow. as they die/disentigrate, their cytoplasm becomes our platelets
are not (they’re cytoplasmic fragments)
platelets (are/are not) cells
hematocrit
ratio of red cells against the entire volume of blood
leukocytes and platelets
buffy coat is made up of
anemia
low hematocrit
RBC overproduction
high hematocrit
leukocytosis
high WBCs
leukopenia
low WBCs
neutropenia (susceptible to infection)
low neutrophils
eosinophila
high eosinophils
thrombrocytosis
high platelets
thrombocytopenia (spontaneous bleeding)
low platelets
leukemia
cancer of WBCs or cancer of granulocytes
mass
bump
lymphoma
cancer of lymphocytes (B cells, T cells, NK cells)
cancer of plasma cells
spots on skull
arterties
carry blood away from the heart
veins
carry blood to the heart
arteries and veins
two types of blood vessels
arteries
carry oxygenated blood (except in the heart)
veins
carry deoxygenated blood (except in the heart)
specialized simple squamous epithelium
all blood vessels are lined with
vascular endothelium
maintains a selectively permeable barrier
synthesizes growth factors and mediators
modulates blood flow and vascular resistance
regulates immune and inflammatory responses
metabolism of low density and very low density lipoproteins
modified LDLs taken up by macrophages to form foam cells
accumulation of foam cells leads to atheromatous plaques leading to atherosclerosis
vascular endothelium
60,000 miles of blood vessels
simple diffusion
transcellular transport
paracellular transport
receptor-mediated endocytosis
types of transport by the vascular endothelium
ensures blood vessels remain intact
the vascular endothelium maintains a non-thrombogenic barrier which
tube
all blood vessels have a __ shape
tunica intima
tunica media
tunica adventitia
3 tissue layers of large blood vessels
tunica intima
endothelium tissue layer that forms the internal elastic membrane in arteries