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Hemoglobin (Hb)
Iron-rich protein found in RBCs that carries O₂, CO₂, and H⁺
~200 million per RBC; made of 4 polypeptide chains + 4 heme groups
Oxyhemoglobin
Hemoglobin bound to oxygen (HbO₂)
Forms in the lungs; releases O₂ at tissues: HbO₂ → Hb + O₂
Carbaminohemoglobin
Hemoglobin bound to CO₂ (HbCO₂)
Forms at tissues; releases CO₂ at lungs: HbCO₂ → Hb + CO₂
Deoxyhemoglobin (HHb)
Hemoglobin bound to H⁺ ion
H⁺ + Hb → HHb; releases H⁺ at the lungs
Carboxyhemoglobin
Hemoglobin bound to carbon monoxide (CO)
CO blocks O₂, CO₂, and H⁺ binding — inhibits respiration
Carbonic anhydrase (CA)
Enzyme that catalyzes: H₂O + CO₂ ⇌ H₂CO₃ ⇌ H⁺ + HCO₃⁻
Present in red blood cells; speeds up both directions of reaction
Bicarbonate ion (HCO₃⁻)
Buffer that keeps blood pH constant
Most CO₂ is transported in the blood as HCO₃⁻
Internal respiration
Gas exchange between blood and body tissues/organs
O₂ released to tissues, CO₂ picked up; HbO₂ → Hb + O₂
External respiration
Gas exchange between blood and the lungs (alveoli)
CO₂ exhaled, O₂ loaded onto Hb: Hb + O₂ → HbO₂
Hb & temperature/pH rule
Hb binds O₂ more readily at lower temp & basic/neutral pH (lungs); releases O₂ more easily at higher temp & acidic pH (tissues)
Active tissues are warmer and more acidic → O₂ released there
Alveoli
Tiny air sacs in the lungs where gas exchange occurs
One cell layer thick; surrounded by capillary beds; secrete lipoprotein to prevent collapse; high SA:V ratio
Inspiration (inhalation)
Diaphragm + intercostal muscles contract → chest volume increases → pressure decreases → air flows in
Negative pressure maintained by the pleural membrane
Expiration (exhalation)
Diaphragm + intercostal muscles relax → chest volume decreases → pressure increases → air forced out
Air moves from high pressure inside to lower pressure outside
Pleural membranes
Membranes lining the outside of chest walls and inside of lungs
Fluid between them creates an air-tight seal and maintains pressure difference
Medulla oblongata
Breathing control center in the brain
Detects CO₂/H⁺ via chemoreceptors; sends nerve impulses to diaphragm & intercostal muscles
Tidal Volume (TV)
Amount of air inhaled or exhaled during normal quiet breathing (~500 mL)
Vital Capacity (VC)
Total air forcibly exhaled after maximum inspiration
= IRV + TV + ERV
Residual Volume (RV)
Air remaining in lungs after a maximal exhalation
Cannot be exhaled — keeps alveoli from collapsing
Plasma
Liquid component of blood (55%)
Contains water, plasma proteins (albumin, fibrinogen, globulin), gases, nutrients, salts, wastes, hormones
Erythrocytes (RBCs)
Red blood cells — transport O₂, H⁺, CO₂; no nucleus; >95% of formed elements
Contain ~200 million hemoglobin molecules each
Leukocytes (WBCs)
White blood cells — fight infection; two types: granular and agranular
Granular: basophils, neutrophils, eosinophils; Agranular: monocytes, lymphocytes
Thrombocytes (platelets)
Cell fragments that participate in blood clotting
Activated by injury; release clotting factors
Neutrophil
Granular WBC that identifies and destroys pathogens via phagocytosis
First responder to infection
Basophil
Granular WBC that releases histamine during allergic/inflammatory responses
Triggered by bradykinin (BK) released from injured tissues
Eosinophil
Granular WBC with toxic proteins that kill parasites; promotes inflammation
Causes swelling and itching at injury sites
Monocyte
Agranular WBC that patrols for infection; becomes macrophages to engulf dead/damaged cells
Stimulates release of other WBCs from bone marrow
Lymphocyte
Agranular WBC that recognizes/remembers antigens, produces antibodies
3 types: B cells, Helper T cells, Cytotoxic T cells
B cells
Lymphocytes that produce antibodies
Activated by Helper T cells
Helper T cells
Lymphocytes that activate B cells to produce antibodies
Cytotoxic T cells
Lymphocytes that destroy cells infected with pathogens
Bind to cells displaying specific antigens on their surface
Antigen
Protein or carbohydrate on the surface of a pathogen that triggers an immune response
e.g. protein coat of a virus or bacteria
Antibody (immunoglobulin)
Protein made by lymphocytes that binds to a specific antigen (lock-and-key) to neutralize a pathogen
Variable region binds antigen; constant region held together by disulfide bonds
Bradykinin (BK)
Chemical released by injured tissues that causes basophils to release histamine
Also stimulates nerves, causing pain
Histamine
Chemical released by basophils that dilates and increases permeability of capillaries
Causes swelling that isolates pathogens from further tissue contact
Blood clotting steps
Injury → prothrombinase released (needs Vit. K) →
prothrombin → thrombin (needs Ca²⁺) →
fibrinogen → fibrin →
fibrin network forms clot
Platelets + activated by injury; fibrin strands trap RBCs
Inactivated vaccine
Contains a dead virus — cannot cause disease but triggers immune response
Attenuated vaccine
Contains a weakened (live) virus — may cause mild symptoms but builds immunity
mRNA vaccine
Injects mRNA coding for a viral protein → cells produce the protein → immune system makes antibodies against it
mRNA is destroyed by the body in 1–3 days; does NOT alter DNA
Albumin
Plasma protein secreted by the liver; transports nutrients and waste
Also helps maintain blood osmotic pressure
Fibrinogen
Plasma protein secreted by the liver; involved in blood clotting
Thrombin converts fibrinogen → fibrin to form clot