Erythropoesis Flashcards

(28 cards)

1
Q

What are the features of RBCs?

A

full of Hb to carry blood
no nucleus or mitochondria
high surface area:volume ratio - allows gas exchange
flexible

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2
Q

What are the downsides to RBCs specialised features?

A

oxygen carries oxidation risk
Hb = high oncotic pressure
no nucleus so cant replace damaged proteins
no mitochondria to relys on glycolysis for energy generation

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3
Q

How does the RBC membrane keep the ion concentration correct?

A

Na/K pump

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4
Q

What is the structure of Hb?

A

tetrameric

per subgroup: 1 heme and 1 Fe 2+ iron

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5
Q

What is the composition of adult Hb (HbA)?

A

2 alpha 2 beta

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6
Q

What is the composition of foetal Hb (Hbf)?

A

2 alpha 2 gamma

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7
Q

What state must iron be in to carry oxygen?

A

Fe2+

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8
Q

Whats the function of Hb?

A

deliver oxygen to tissues when pO2 is too low
act as a buffer for H
CO2 transport

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9
Q

What type of binding do O2 and Hb exhibit?

A

allosteric - once O2 binds it makes it easier for the other 3 Hb units to bind O2

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10
Q

What type of curve does Hb and O2 binding show?

A

sigmoidal curve

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11
Q

What mediates eryhropoesis?

A

EPO - erythropoitin

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12
Q

What triggers EPO release?

A

hypoxia - sensed by the hypoxia center in the kidneys

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13
Q

What produced EPO?

A

kidneys

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14
Q

What is required for erythropoesis?

A

B12, folate, iron, EPO

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15
Q

What is the average RBC lifespan?

A

120 days

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16
Q

Where are RBCs destroyed?

A

liver and spleen

17
Q

What are globin chains broken down into?

18
Q

What is heme broken down into?

A

iron and bilirubin which is taken to the liver and conjugated then excreted in bile

19
Q

What do free radicals do to Fe2+?

A

oxidise it to Fe3+ which does not transport oxygen

20
Q

Name two reactive oxygen species/free radicals?

A

superoxide and hydrogen peroxide

21
Q

How do reacive oxygen species cause damage?

A

they have unpaired electrons so damage molecules

22
Q

How are free radicals prevented from damaging oxygen?

A

Glutathione reacts with hydrogen peroxide to form water and GSSG

23
Q

What replenished Glutathione?

24
Q

How is NADH generated?

A

hexose monophosphate shunt

25
What is the rate limiting step of the hexose monophosphate shunt?
G6PD
26
What're the 3 ways that CO2 travels?
10% dissolved in solution 30% bound to Hb as carbamino Hb 60% bicarbonate - generated by the RBC
27
What are the features of myoglobin?
monomeric has the highest affinity for oxygen found in muscle tissue
28
How does 2,3, BPG act in chronic anaemia?
elevated