Gautam, BIOL 235 12 half
Blood
Gautam BIOL 235 12 Blood
1
3 Major Functions
Distribution:
Oxygen
Nutrients
Hormones
Gautam BIOL 235 12 Blood
2
3 Major Functions
Maintaining:
Body temps
Normal pH
Fluid volume
Gautam BIOL 235 12 Blood
3
3 Major Functions
Protection:
Immune protection from infection
Gautam BIOL 235 12 Blood
4
Blood Components
Composed of:
erythrocytes
Leukocytes and platelets
Plasma
The % of erythrocytes in blood volume is the hematocrit.
hematocrit is an indirect measurement of the O2-carrying capacity of the blood.
More red blood cells mean more O2 carried by the same volume of blood.
Gautam BIOL 235 12 Blood
5
Components: Plasma
Blood plasma consists of mostly water (90%), and solutes including nutrients, gases, hormones, wastes, products of cell activity, ions, and proteins
(p. 636; Table 17.1).
Gautam BIOL 235 12 Blood
6
Components: Plasma
Plasma Proteins:
account for 8% of plasma solutes, mostly albumin, which function as carriers (p. 636).
Most produced by the liver
Are not used as fuels or metabolic nutrients by cells
Gautam BIOL 235 12 Blood
7
Components: Plasma
Plasma Proteins: Albumin
About 60% of plasma proteins consists of Albumin
It functions as
a carrier to transfer molecules through circulation
Buffer
Plasma osmotic pressure
Gautam BIOL 235 12 Blood
8
Formed Elements
The cellular portion of blood produced by bone marrow
Consists of erythrocytes, leukocytes, and platelets
Most blood cells do not divide, they are continuously renewed by division of cells in red bone marrow
Gautam BIOL 235 12 Blood
9
Erythrocytes
are small cells
biconcave in shape.
lack nuclei and most organelles
contain mostly hemoglobin.
Gautam BIOL 235 12 Blood
10
Hemoglobin (Hb)
Hemoglobin is an oxygen-binding pigment that is responsible for the transport of most of the oxygen in the blood.
Adult hemoglobin is made up of the protein globin bound to the red heme pigment.
Globins consist of four polypeptide chains, 2 α and 2 β subunits.
Gautam BIOL 235 12 Blood
11
Hemoglobin (Hb)
Each subunit binds
to 1 heme group.
The heme group has
a ferrous ion (Fe2+ )
that will bind a gas molecule
Therefore each
hemoglobin molecule has
4 heme groups that
can bind 4 O2,
H+ or CO molecules
Gautam BIOL 235 12 Blood
12
Heme
Gautam BIOL 235 12 Blood
13
is a square planar molecule
made of 4 pyrrole groups
in the middle of this ‘net’ is an iron atom, Fe+2 state called ferrous iron
Fe+2 has 6 available bonds it can form
the nitrogens of the pyrrole rings form 4 covalent bonds with the Fe
the 5th bond is formed with a histadine amino acid called the proximal histadine (called F8)
the 6th position is unbound: oxygen, CO can bind here
bound oxygen is stabilized by a distal histadine (E7)
Heme
Gautam BIOL 235 12 Blood
14
Heme
Gautam BIOL 235 12 Blood
15
Heme
Gautam BIOL 235 12 Blood
16
Myoglobin (Mb)
Is similar to Hb
Is made of a singular subunit
It has a heme group that
binds oxygen molecules (O2)
O2 binds to the Fe+2 atom in the center of the heme group
It is found in striated muscle cells
Gautam BIOL 235 12 Blood
17
Hemoglobin (Hb) O2 Binding
The oxygen molecules bind cooperatively,
which means that when the first O2
binds, this causes a conformational
change in Hb by breaking salt bridges
b/t the subunits.
This causes the subunits to move
further away from each other, making it
easier for the second subunit to bind O2,
making it easier for the third subunit to
bind O2, finally the fourth subunit
binds O2 easiest.
Oxygenated Hb = HbO2(red)
Deoxygenated Hb= DeoxyHb (blue)
Gautam BIOL 235 12 Blood
18
Hemoglobin (Hb) O2 Binding
Cooperative binding
also influences bond strength
b/t O2 and the heme such that
the first O2 binds weakly,
but induces a conformational
change that causes the
second to bind more tightly,
and so on so that the fourth
oxygen is bound several
hundred times more strongly
than the first.
Gautam BIOL 235 12 Blood
19
Hb Cooperative Binding
Oxygen binding changes the confirmation of the hemoglobin that facilitates the binding of other oxygen molecules.
Gautam BIOL 235 12 Blood
20
Hemoglobin (Hb)
a high partial pressure of
oxygen is required to bind
the first oxygen
Therefore oxygen loading
occurs in the lungs, where it
there is more oxygen
but not in the oxygen-poor
tissues elsewhere, where it
needs to be released.
Gautam BIOL 235 12 Blood
21
Myoglobin O2 binding
Only has one subunit
Only has one O2 binding site
Can bind only 1 O2 molecule
O2 binding is NOT cooperative
Binds O2 tighter than Hb, ie. has a higher affinity for O2 than Hb
Gautam BIOL 235 12 Blood
22
Mb O2 binding
Gautam BIOL 235 12 Blood
23
Mb O2 binding
Gautam BIOL 235 12 Blood
24
When O2 binds to the Fe+2, the Fe+2
becomes Fe+3
Fe+3 is smaller than Fe+2
This pulls the O2 into the pocket and
the O2 is stabilized by the distal histidine
E7
Making the bond b/t O2 and Mb heme
stable and therefore strong
Hb vs Mb O2 binding
Gautam BIOL 235 12 Blood
25
Hemoglobin (Hb)
Gautam BIOL 235 12 Blood
26
2, 3 BPG and Hb O2 loading
Gautam BIOL 235 12 Blood
27
Hemoglobin (Hb)
DeoxyHb blood travels to the lungs
2. O2 diffuses from the air sacs into the blood and binds to the Ferrous iron of the hemes
Gautam BIOL 235 12 Blood
28
Hemoglobin (Hb)
3- HbO2 enters the heart
4- HbO2 blood is pumped
out to the rest of the body
via arteries
Gautam BIOL 235 12 Blood
29
Hemoglobin (Hb)
5-When the HbO2 reaches the tissues the pO2 is
low, as well as the pH (≈7.2), which facilitates the release of bound O2 .
Gautam BIOL 235 12 Blood
30
Gas Exchange in Tissues
Metabolizing cells produce CO2 which diffuses into the blood and enters the circulating red blood cells (RBCs).
Within RBCs the CO2 is rapidly converted to
carbonic acid through the action of the RBC enzyme
carbonic anhydrase as shown in the equation 1 below:
(Eq 1) CO2 + H2O ——> H2CO3 ——> H+ + HCO3–
Gautam BIOL 235 12 Blood
31
Gas Exchange in Tissues
(Eq 2) CO2 + H2O ——> H2CO3 ——> H+ + HCO3–
The bicarbonate ion produced in this dissociation reaction diffuses out of the RBC and is carried in the blood to the lungs. (equation 2)
This effective CO2 transport process accounts for the transportation of approximately 80% of the CO2 produced in metabolizing cells is transported to the lungs in this way.
Gautam BIOL 235 12 Blood
32
Gas Exchange in Tissues
About 15-20 % of CO2 is transported to the lungs bound to N-terminal amino groups of the DeoxyHb.
This reaction, equation 3, forms what is called carbamino-hemoglobin.
this reaction also produces H+, thereby lowering the pH in tissues where the CO2 concentration is high.
(Eq 3) CO2 + Hb-NH2 <——> H+ + Hb-NH-COO–
Gautam BIOL 235 12 Blood
33
Gas Exchange in Tissues
(Eq 3) CO2 + Hb-NH2 <——> H+ + Hb-NH-COO–
The formation of H+ leads to release of the bound O2 to the surrounding tissues. (equation 3)
(Eq 4) H+ + HbO2 - -> HbH + O2
Gautam BIOL 235 12 Blood
34
Gas Exchange in Tissues
(Eq 5) DeoxyHb + Ox - -> HbO2 + H+ (in lungs)
Within the lungs (Eq 5), the high O2 content results in O2 binding to hemoglobin with the concomitant release of H+.
The released protons then promote the dissociation of the carbamino to form CO2 which is then released with expiration. (equation 3, reverse)
(Eq 3) CO2 + Hb-NH2 <——> H+ + Hb-NH-COO–
Gautam BIOL 235 12 Blood
35
Gas Exchange in Tissues
These effects of hydrogen ion concentration are responsible for Bohr effect
increases in hydrogen ion concentration decrease the amount of oxygen bound by hemoglobin at any oxygen concentration (partial pressure).
Coupled to the diffusion of bicarbonate out of RBCs in the tissues there Cl- ion is moved into the RBCs to maintain electrical neutrality.
This is the role of Cl- and is referred to as the chloride shift.
In this way, Cl– plays an important role in bicarbonate production and diffusion and thus also negatively influences O2 binding to hemoglobin.
Gautam BIOL 235 12 Blood
36
Bohr Effect
1-CO2 enters RBC
2- HCO3- formation
3-HCO3 and Cl-
are switched
3a-(Chloride Shift)
4- H+ binds to Hb
forming HbH+
5- Release of O2 due
to binding of H+
6- O2 enters tissue
Gautam BIOL 235 12 Blood
37
1
2
3
4
5
6
3a
Bohr Effect
An increasing concentration of H+ and/or CO2 will decrease the affinity of Hb for oxygen.
Gautam BIOL 235 12 Blood
38
Bohr Effect
Gautam BIOL 235 12 Blood
39
Effect of pH on O2 Hb binding
Gautam BIOL 235 12 Blood
40
Effect of temp on O2 Hb binding
Gautam BIOL 235 12 Blood
41
Factors Effecting Hb O2 binding
Gautam BIOL 235 12 Blood
42
Fetal Hb (HbF)
Gautam BIOL 235 12 Blood
43
HbF vs HbA
Gautam BIOL 235 12 Blood
44
Hematopoiesis
Hematopoiesis- (blood cell formation) occurs in the red bone marrow.
Erythropoiesis, (formation of erythrocytes) begins when a myeloid stem cell is transformed to a proerythroblast, which develops into mature erythrocytes.
Erythrocyte production is controlled by the hormone erythropoietin (EPO).
Dietary requirements for erythrocyte formation include iron, vitamin B12, and folic acid, as well as proteins, lipids, and carbohydrates.
Blood cells have a short life span due to the lack of nuclei and organelles; destruction of dead or dying blood cells is accomplished by macrophages.
Gautam BIOL 235 12 Blood
45
Erythropoiesis
Stages of Development
1- Proerythroblast:
The first erythrocyte precursor
It has a large nucleus with free
ribosomes in the cytoplasm
giving the cytoplasm
a basophilic appearance.
Gautam BIOL 235 12 Blood
46
46
Erythropoiesis
Stages of Development
2- Basophilic erythroblasts
form next produce many ribosomes
Gautam BIOL 235 12 Blood
47
47
Erythropoiesis
Stages of Development
3- Erythroblasts
form next
Hb is formed
Fe is accumulated
Gautam BIOL 235 12 Blood
48
48
Erythropoiesis
Stages of Development
4-Normoblasts
form next
color changes to pink
due to Hb formation
eventually the nucleus is ejected 🡪 biconcave shape
Gautam BIOL 235 12 Blood
49
49
Erythropoiesis
Stages of Development
5-Reticulocytes
form next
filled with Hb
enter bloodstream
after 2 days of release, the ribosomes degrade
Gautam BIOL 235 12 Blood
50
50
Hormonal Control of Erythropoiesis
Gautam BIOL 235 12 Blood
51
Hormonal Control of Erythropoiesis
Gautam BIOL 235 12 Blood
52
RBC Fate
1- RBC fromation in bm
2- RBCs in bloodstream
3- Amino acids are used
to make proteins
4- Aged RBCs are
phagocytized in the liver
and spleen
Gautam BIOL 235 12 Blood
53
RBC Fate
5- Heme components
are recylced:
a- Iron is transferred in
the blood by the protein
transferrin and stored
in the liver by the
protein ferritin
b- Heme is converted into
bilrubin and excreted as
part of bile in the liver
Gautam BIOL 235 12 Blood
54
Sickle Cell
A point mutation in
which Val replaces
a Glu in the β chain
of the Hb globin.
This causes the β chains
to stick together under
low [O2] thus collapsing
the biconcave shape
Gautam BIOL 235 12 Blood
55
Sickle Cell
The sickled cells are
rigid and rupture easily
They also block blood
flow in the vessels
Gautam BIOL 235 12 Blood
56
Sickle Cell
Gautam BIOL 235 12 Blood
57
Valine
Glutamine
Blood
Gautam BIOL 235 12 Blood
1
3 Major Functions
Distribution:
Oxygen
Nutrients
Hormones
Gautam BIOL 235 12 Blood
2
3 Major Functions
Maintaining:
Body temps
Normal pH
Fluid volume
Gautam BIOL 235 12 Blood
3
3 Major Functions
Protection:
Immune protection from infection
Gautam BIOL 235 12 Blood
4
Blood Components
Composed of:
erythrocytes
Leukocytes and platelets
Plasma
The % of erythrocytes in blood volume is the hematocrit.
hematocrit is an indirect measurement of the O2-carrying capacity of the blood.
More red blood cells mean more O2 carried by the same volume of blood.
Gautam BIOL 235 12 Blood
5
Components: Plasma
Blood plasma consists of mostly water (90%), and solutes including nutrients, gases, hormones, wastes, products of cell activity, ions, and proteins
(p. 636; Table 17.1).
Gautam BIOL 235 12 Blood
6
Components: Plasma
Plasma Proteins:
account for 8% of plasma solutes, mostly albumin, which function as carriers (p. 636).
Most produced by the liver
Are not used as fuels or metabolic nutrients by cells
Gautam BIOL 235 12 Blood
7
Components: Plasma
Plasma Proteins: Albumin
About 60% of plasma proteins consists of Albumin
It functions as
a carrier to transfer molecules through circulation
Buffer
Plasma osmotic pressure
Gautam BIOL 235 12 Blood
8
Formed Elements
The cellular portion of blood produced by bone marrow
Consists of erythrocytes, leukocytes, and platelets
Most blood cells do not divide, they are continuously renewed by division of cells in red bone marrow
Gautam BIOL 235 12 Blood
9
Erythrocytes
are small cells
biconcave in shape.
lack nuclei and most organelles
contain mostly hemoglobin.
Gautam BIOL 235 12 Blood
10
Hemoglobin (Hb)
Hemoglobin is an oxygen-binding pigment that is responsible for the transport of most of the oxygen in the blood.
Adult hemoglobin is made up of the protein globin bound to the red heme pigment.
Globins consist of four polypeptide chains, 2 α and 2 β subunits.
Gautam BIOL 235 12 Blood
11
Hemoglobin (Hb)
Each subunit binds
to 1 heme group.
The heme group has
a ferrous ion (Fe2+ )
that will bind a gas molecule
Therefore each
hemoglobin molecule has
4 heme groups that
can bind 4 O2,
H+ or CO molecules
Gautam BIOL 235 12 Blood
12
Heme
Gautam BIOL 235 12 Blood
13
is a square planar molecule
made of 4 pyrrole groups
in the middle of this ‘net’ is an iron atom, Fe+2 state called ferrous iron
Fe+2 has 6 available bonds it can form
the nitrogens of the pyrrole rings form 4 covalent bonds with the Fe
the 5th bond is formed with a histadine amino acid called the proximal histadine (called F8)
the 6th position is unbound: oxygen, CO can bind here
bound oxygen is stabilized by a distal histadine (E7)
Heme
Gautam BIOL 235 12 Blood
14
Heme
Gautam BIOL 235 12 Blood
15
Heme
Gautam BIOL 235 12 Blood
16
Myoglobin (Mb)
Is similar to Hb
Is made of a singular subunit
It has a heme group that
binds oxygen molecules (O2)
O2 binds to the Fe+2 atom in the center of the heme group
It is found in striated muscle cells
Gautam BIOL 235 12 Blood
17
Hemoglobin (Hb) O2 Binding
The oxygen molecules bind cooperatively,
which means that when the first O2
binds, this causes a conformational
change in Hb by breaking salt bridges
b/t the subunits.
This causes the subunits to move
further away from each other, making it
easier for the second subunit to bind O2,
making it easier for the third subunit to
bind O2, finally the fourth subunit
binds O2 easiest.
Oxygenated Hb = HbO2(red)
Deoxygenated Hb= DeoxyHb (blue)
Gautam BIOL 235 12 Blood
18
Hemoglobin (Hb) O2 Binding
Cooperative binding
also influences bond strength
b/t O2 and the heme such that
the first O2 binds weakly,
but induces a conformational
change that causes the
second to bind more tightly,
and so on so that the fourth
oxygen is bound several
hundred times more strongly
than the first.
Gautam BIOL 235 12 Blood
19
Hb Cooperative Binding
Oxygen binding changes the confirmation of the hemoglobin that facilitates the binding of other oxygen molecules.
Gautam BIOL 235 12 Blood
20
Hemoglobin (Hb)
a high partial pressure of
oxygen is required to bind
the first oxygen
Therefore oxygen loading
occurs in the lungs, where it
there is more oxygen
but not in the oxygen-poor
tissues elsewhere, where it
needs to be released.
Gautam BIOL 235 12 Blood
21
Myoglobin O2 binding
Only has one subunit
Only has one O2 binding site
Can bind only 1 O2 molecule
O2 binding is NOT cooperative
Binds O2 tighter than Hb, ie. has a higher affinity for O2 than Hb
Gautam BIOL 235 12 Blood
22
Mb O2 binding
Gautam BIOL 235 12 Blood
23
Mb O2 binding
Gautam BIOL 235 12 Blood
24
When O2 binds to the Fe+2, the Fe+2
becomes Fe+3
Fe+3 is smaller than Fe+2
This pulls the O2 into the pocket and
the O2 is stabilized by the distal histidine
E7
Making the bond b/t O2 and Mb heme
stable and therefore strong
Hb vs Mb O2 binding
Gautam BIOL 235 12 Blood
25
Hemoglobin (Hb)
Gautam BIOL 235 12 Blood
26
2, 3 BPG and Hb O2 loading
Gautam BIOL 235 12 Blood
27
Hemoglobin (Hb)
DeoxyHb blood travels to the lungs
2. O2 diffuses from the air sacs into the blood and binds to the Ferrous iron of the hemes
Gautam BIOL 235 12 Blood
28
Hemoglobin (Hb)
3- HbO2 enters the heart
4- HbO2 blood is pumped
out to the rest of the body
via arteries
Gautam BIOL 235 12 Blood
29
Hemoglobin (Hb)
5-When the HbO2 reaches the tissues the pO2 is
low, as well as the pH (≈7.2), which facilitates the release of bound O2 .
Gautam BIOL 235 12 Blood
30
Gas Exchange in Tissues
Metabolizing cells produce CO2 which diffuses into the blood and enters the circulating red blood cells (RBCs).
Within RBCs the CO2 is rapidly converted to
carbonic acid through the action of the RBC enzyme
carbonic anhydrase as shown in the equation 1 below:
(Eq 1) CO2 + H2O ——> H2CO3 ——> H+ + HCO3–
Gautam BIOL 235 12 Blood
31
Gas Exchange in Tissues
(Eq 2) CO2 + H2O ——> H2CO3 ——> H+ + HCO3–
The bicarbonate ion produced in this dissociation reaction diffuses out of the RBC and is carried in the blood to the lungs. (equation 2)
This effective CO2 transport process accounts for the transportation of approximately 80% of the CO2 produced in metabolizing cells is transported to the lungs in this way.
Gautam BIOL 235 12 Blood
32
Gas Exchange in Tissues
About 15-20 % of CO2 is transported to the lungs bound to N-terminal amino groups of the DeoxyHb.
This reaction, equation 3, forms what is called carbamino-hemoglobin.
this reaction also produces H+, thereby lowering the pH in tissues where the CO2 concentration is high.
(Eq 3) CO2 + Hb-NH2 <——> H+ + Hb-NH-COO–
Gautam BIOL 235 12 Blood
33
Gas Exchange in Tissues
(Eq 3) CO2 + Hb-NH2 <——> H+ + Hb-NH-COO–
The formation of H+ leads to release of the bound O2 to the surrounding tissues. (equation 3)
(Eq 4) H+ + HbO2 - -> HbH + O2
Gautam BIOL 235 12 Blood
34
Gas Exchange in Tissues
(Eq 5) DeoxyHb + Ox - -> HbO2 + H+ (in lungs)
Within the lungs (Eq 5), the high O2 content results in O2 binding to hemoglobin with the concomitant release of H+.
The released protons then promote the dissociation of the carbamino to form CO2 which is then released with expiration. (equation 3, reverse)
(Eq 3) CO2 + Hb-NH2 <——> H+ + Hb-NH-COO–
Gautam BIOL 235 12 Blood
35
Gas Exchange in Tissues
These effects of hydrogen ion concentration are responsible for Bohr effect
increases in hydrogen ion concentration decrease the amount of oxygen bound by hemoglobin at any oxygen concentration (partial pressure).
Coupled to the diffusion of bicarbonate out of RBCs in the tissues there Cl- ion is moved into the RBCs to maintain electrical neutrality.
This is the role of Cl- and is referred to as the chloride shift.
In this way, Cl– plays an important role in bicarbonate production and diffusion and thus also negatively influences O2 binding to hemoglobin.
Gautam BIOL 235 12 Blood
36
Bohr Effect
1-CO2 enters RBC
2- HCO3- formation
3-HCO3 and Cl-
are switched
3a-(Chloride Shift)
4- H+ binds to Hb
forming HbH+
5- Release of O2 due
to binding of H+
6- O2 enters tissue
Gautam BIOL 235 12 Blood
37
1
2
3
4
5
6
3a
Bohr Effect
An increasing concentration of H+ and/or CO2 will decrease the affinity of Hb for oxygen.
Gautam BIOL 235 12 Blood
38
Bohr Effect
Gautam BIOL 235 12 Blood
39
Effect of pH on O2 Hb binding
Gautam BIOL 235 12 Blood
40
Effect of temp on O2 Hb binding
Gautam BIOL 235 12 Blood
41
Factors Effecting Hb O2 binding
Gautam BIOL 235 12 Blood
42
Fetal Hb (HbF)
Gautam BIOL 235 12 Blood
43
HbF vs HbA
Gautam BIOL 235 12 Blood
44
Hematopoiesis
Hematopoiesis- (blood cell formation) occurs in the red bone marrow.
Erythropoiesis, (formation of erythrocytes) begins when a myeloid stem cell is transformed to a proerythroblast, which develops into mature erythrocytes.
Erythrocyte production is controlled by the hormone erythropoietin (EPO).
Dietary requirements for erythrocyte formation include iron, vitamin B12, and folic acid, as well as proteins, lipids, and carbohydrates.
Blood cells have a short life span due to the lack of nuclei and organelles; destruction of dead or dying blood cells is accomplished by macrophages.
Gautam BIOL 235 12 Blood
45
Erythropoiesis
Stages of Development
1- Proerythroblast:
The first erythrocyte precursor
It has a large nucleus with free
ribosomes in the cytoplasm
giving the cytoplasm
a basophilic appearance.
Gautam BIOL 235 12 Blood
46
46
Erythropoiesis
Stages of Development
2- Basophilic erythroblasts
form next produce many ribosomes
Gautam BIOL 235 12 Blood
47
47
Erythropoiesis
Stages of Development
3- Erythroblasts
form next
Hb is formed
Fe is accumulated
Gautam BIOL 235 12 Blood
48
48
Erythropoiesis
Stages of Development
4-Normoblasts
form next
color changes to pink
due to Hb formation
eventually the nucleus is ejected 🡪 biconcave shape
Gautam BIOL 235 12 Blood
49
49
Erythropoiesis
Stages of Development
5-Reticulocytes
form next
filled with Hb
enter bloodstream
after 2 days of release, the ribosomes degrade
Gautam BIOL 235 12 Blood
50
50
Hormonal Control of Erythropoiesis
Gautam BIOL 235 12 Blood
51
Hormonal Control of Erythropoiesis
Gautam BIOL 235 12 Blood
52
RBC Fate
1- RBC fromation in bm
2- RBCs in bloodstream
3- Amino acids are used
to make proteins
4- Aged RBCs are
phagocytized in the liver
and spleen
Gautam BIOL 235 12 Blood
53
RBC Fate
5- Heme components
are recylced:
a- Iron is transferred in
the blood by the protein
transferrin and stored
in the liver by the
protein ferritin
b- Heme is converted into
bilrubin and excreted as
part of bile in the liver
Gautam BIOL 235 12 Blood
54
Sickle Cell
A point mutation in
which Val replaces
a Glu in the β chain
of the Hb globin.
This causes the β chains
to stick together under
low [O2] thus collapsing
the biconcave shape
Gautam BIOL 235 12 Blood
55
Sickle Cell
The sickled cells are
rigid and rupture easily
They also block blood
flow in the vessels
Gautam BIOL 235 12 Blood
56
Sickle Cell
Gautam BIOL 235 12 Blood
57
Valine
Glutamine