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Blood and Immunity

Blood as a Connective Tissue

  • Blood is a fluid connective tissue. It transports oxygen, carbon dioxide, and glucose.

  • It helps in thermoregulation due to its contact with cells that generate heat through cellular respiration.

  • Cellular respiration: Glucose+O<em>2CO</em>2+H2O+HeatGlucose + O<em>2 \rightarrow CO</em>2 + H_2O + Heat

  • Shivering is an involuntary muscle contraction that increases cellular respiration to produce heat, raising blood temperature.

  • Men typically have 5-6 liters of blood, while women have 4-5 liters due to stature and menstruation.

  • Iron supplementation is more critical for women due to periodic blood loss during menstruation.

    • Excess iron in men can lead to hemochromatosis, a condition where iron deposits damage organs.

    • Treatment for hemochromatosis includes therapeutic bloodletting (donating blood).

  • Red blood cells circulate for approximately four months.

    • They lack a nucleus, preventing mitosis and protein synthesis for repair.

    • The bioconcave disc shape of red blood cells allows flexibility for navigating capillaries and maximizes hemoglobin content for transporting respiratory gases.

  • Capillaries are the smallest blood vessels, requiring cells to pass through in single file.

  • Red blood cells lack a nucleus and ribosomes; thus they cannot transcribe mRNA to synthesize new proteins.

Red Blood Cell Production

  • All blood cells originate from a stem cell called a hemocytoblast.

    • When more red blood cells are needed, hemocytoblasts differentiate into cells with a nucleus.

    • These cells create hemoglobin and eventually dissolve their nucleus to become mature red blood cells (erythrocytes).

Functions of the Circulatory System

  • Transports respiratory gases.

  • Transports digestive system byproducts (nutrients).

  • Circulates endocrine system hormones (chemical messages).

  • Provides protection via white blood cells.

  • Facilitates blood clotting through platelets.

  • Regulates fluid balance.

Bone Marrow and Hematopoiesis

  • Red bone marrow, found in spongy bone of vertebrae, ilium, and sternum, is responsible for blood cell production.

    • Compact bone is dense and doesn't allow for bone growth.

    • Spongy bone contains open spaces to allow hematocytoblasts production

  • Hematopoiesis is the process of making more blood cells.

  • Bone marrow biopsies can be performed to examine blood cells, often taken from the ilium due to accessibility and reduced risk to organs.

  • Hematologists are blood doctors while nephrologists are Kidney doctors (related to the Nephron).

Blood Cell Production Regulation

  • Low oxygen levels or decreased red blood cell numbers signal the body to produce more red blood cells.

  • Rapid blood volume decrease may indicate internal bleeding, prompting platelet production to fix leaks.

White Blood Cells (Leukocytes)

  • White blood cells protect against infections and have nuclei, enabling complex functions.

  • Mnemonic to remember the abundance of white blood cells: "Never Let Monkeys Eat Bananas" (Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils).

    • Neutrophils: Most abundant, respond to acute infections.

    • Lymphocytes: Involved in acquired immunity, produce antibodies.

    • Monocytes: Clean-up crew, elevated during chronic infections.

    • Eosinophils: Elevated during parasitic infections and allergic reactions.

    • Basophils: Least abundant, release chemicals (like histamine) to aid other blood cells.

  • Antihistamines counteract histamine's leakiness effect, reducing symptoms like runny nose and swelling.

Platelets and Blood Clotting

  • Platelets are cytoplasmic fragments pinched off from megakaryocytes.

    • They are essential for blood clotting due to their stickiness.

    • Platelets have a lifespan of about ten days.

  • Aspirin thins blood by making platelets less sticky, reducing the risk of coronary artery blockage.

    • It must be taken regularly to maintain the effect.

    • Platelet comes from cell fragments.

Respiratory Gas Exchange and Lymphatic System

  • The heart sends blood to the lungs, where oxygen is taken in and carbon dioxide is released (pulmonary ventilation and external respiration).

  • Boyle's Law.

  • Oxygen goes into the capillaries, while carbon dioxide goes into the lungs. Gas exchange occurs through simple squamous cells (Type I cells in the lungs).

    • Type II are cuboidal producing surfactant to allow external respiration to work

  • Internal respiration occurs at the tissues.

  • The lymphatic system is a parallel system to the circulatory system, collecting excess fluids and immune cells.

    • Lymph nodes filter lymph, trapping pathogens; doctors palpate lymph nodes to check for swelling, indicating infection.

  • Lymph nodes are strategically located (e.g., in joints) to act as checkpoints against infection spread.

  • Lymph node biopsies are used to check for disease spread, such as cancer metastasis.

    • Cancer spreads via blood vessels or lymphatic vessels.

  • Lymphatic disruption can lead to lymphedema (swelling) due to fluid buildup.

Immune System: Non-Specific vs. Acquired

  • Non-specific (innate) defenses provide broad protection.

    • Skin with stratified squamous epithelium protects against external threats.

    • Inflammation, characterized by redness, heat, swelling, and pain, is a non-specific response.

    • Phagocytosis: Eating cells (endocytosis)

    • Exocytosis: pooping it out

  • Acquired (adaptive) immunity develops after exposure to a specific pathogen, creating memory cells for targeted responses.

    • Involves B cells and T cells (lymphocytes).

    • Long