Cells 2- Blood and Blood Cells Flashcards
(43 cards)
What are the major functions of blood
Connective Tissue Transport Heat Distribution Immunity Haemostasis Maintain Homeostasis Blood Volume ( 5 litres Male, 3.5 litres Female)
What is Haemostasis
The physiological process through which the body reduces blood loss.
Examples of substances the blood delivers to cells
Products of digestion (fatty acids, amino acids, glucose)
Hormones
Vitamins
Oxygen
Examples of substances the blood removes from cells
Metabolic Waste ( Lactic acid, Urea)
C02
Heat
Water
Describe the roles of red blood cells
Respiratory transport:
O2 from the lungs to the body (oxyhaemoglobin)
C02 from body to lungs ( carbonic anhydrase)
How exactly is CO2 transported in the blood
C02 diffuses out of cells into plasma- where it combines with water to form carbonic acid. Carbonic Anhydrase catalyses the break down of carbonic acid into H+ and HC03-. HCO3- acts as a buffer, H+ combines with haemoglobin to form haemoglobinic acid. In the lungs- reverse process.
What are the adaptations of a red blood cell
Biconcave disk- maximum SA for haemoglobin and for a faster rate of diffusion
Flexible- hence can squeeze easily through capillaries
No nuclei or organelles- more space for haemoglobin
Antigens on the surface confer blood group.
Describe the regulation of erythrocyte production.
Kidney responds to low O2- stimulates the bone marrow stem cells to produce the hormone erythropoietin, which stimulates eryrhropoiesis ( the production of erythrocytes). This increase Blood Hb, and hence blood o2- creating a negative feedback loop.
Testosterone also causes this.
Describe the life cycle of an erythrocyte.
They are produced in the bone marrow form precursors which produce Hb and then lose their organelles. Immature erythrocytes contain ribosomes and these are known as reticulocytes. They have a short life span of around 120 days due to having no nuclei- hence they cannot synthesise proteins. Red blood cells are normally removed by the reticulo-endothelial system where they are ingested by phagocytic macrophages in the spleen.
What are high levels of reticulocytes diagnostic of
Anaemia or Chemotherapy- sign of an Iron deficiency.
Describe the basic structure of Hb
4 polypeptide chains- with a haem group ( ferrous iron Fe2+) bound to each chain.
Describe the role of Hb
Transports oxygen around the body. Each Fe2+ binds to one o2 molecule. Follows cooperative binding- initially the conformational shape of globin molecules makes it difficult for o2 to bind- however when one binds- it breaks the conformational shape- opening up the structure- increasing the affinity of Hb for o2. This allows more oxygen to be carried.
What is methaemoglobin
An oxidised from of Hb- Fe3+- hence cannot carry o2.
Describe the formation of oxyhaemoglobin
Hb + O2 — HbO2
Describe the interaction between CO and Hb
CO has a x200 greater affinity- reducing O2 binding- it is a reversible process.
CO + Hb — COHb- Carboxyhaemoglobin.
What is the haematocrit
Packed cell volume- volume of blood that contains cells.
How do we measure the haematocrit
Fill a tube with blood- centrifuge it.- layers will form.
What is MCH
Mean cell Hb
What is MCHC
Mean cell Hb concentration
What is MCV
Mean Cell volume
Define Anaemia
Low blood Hb concentration.
What is microcytic anaemia.
Small MCV- due to failure of Hb synthesis- normally caused by and Iron deficiency, gradual loss of blood- menstruation. Also it can be caused by gastrointestinal lesions or cancers or by parasitic infections. Blood is not recycled by reticulo-endothelial system hence Hb synthesis is low.
What does Normocytic mean.
Normal MCV- Hb synthesis is fine- but acute blood loss lowers quantity of red blood cells- replaced by blood transfusion
What is Macrocytic Anaemia
Failure of DNA synthesis and cell division, as well as a reduced division of progenitor cells- hence we have fewer but larger erythrocytes- giving a large MCV. This can be due to pregnancy- folic acid deficiency ( required for thymine deficiency)- Vit B12 ( needed for the actions of folic acid) deficiency- autoimmune disease which destroys B12 uptake in gut, or pernicious anaemia- in vegans and vegetarians.