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Anatomy and Physiology II
Chapter 19: The Cardiovascular systme- THE BLOOD
55
Biology
Undergraduate 2
02/22/2010

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Term
Blood
Definition
1) Transportation
Gases, nutrients, hormones, waste products

2) Regulation
pH, body temperature, osmotic pressure

3) Protection
Clotting, white blood cells, proteins
Term
Components of Blood
Definition
1) Blood plasma

2) Formed elements
Term
Blood plasma – water liquid extracellular matrix
Definition
91.5% water, 8.5% solutes (primarily proteins)
Hepatocytes synthesize most plasma proteins
Albumins, fibrinogen, antibodies
Other solutes include electrolytes, nutrients, enzymes, hormones, gases and waste products
Term
Formed elements – cells and cell fragments
Definition
Red blood cells (RBCs): erythrocytes
White blood cells (WBCs): leukocytes
Platelets: thrombocytes
Term
BLOOD
Definition
55% PLASMA
45% RBC
Term
55% PLASMA
Definition
7% PROTEINS
91.5% WATER
1.5% SOLUTE
Term
7% PROTEIN
Definition
54% ALBUMINS
38% GLOBULINS
7% FIBROGENS
1% ALL OTHERS
Term
1.5% OTHER SOLUTES
Definition
ELECTROLYTES
NUTRIENTS
GASES
REGULATORY SUBSTANCES
WASTE PRODUCTS
Term
45% FORMED ELEMENT (RBC)
Definition
150K-400K PLATELETS (THROMBOCYTES)
5K-10K (WBC) LEUKOCYTES
4.8 - 5.4 MIL (RBC) (ERYTHOCYTES)
Term
5K- 10K WHITE BLOOD CELLS
Definition
60- 70% NEUTROPHILS

20-25% LYMPHOCYTES

3-8% MONOCYTES

2-4% EOSINOPHILS

0.5- 1% BASOPHILS
Term
Formation of Blood Cells
Definition
1) Hemopoiesis or hemotopoiesis
2) Red bone marrow primary site
3) Pluripotent stem cells have the ability to develop into many different types of cells
Term
Pluripotent stem cells
Definition
PRODUCE 2 KINDS

1)Myeloid stem cells

2) Lymphoid stem cells
Term
Myeloid stem cells
Definition
Give rise to:
1) red blood cells,
2) platelets,
3) monocytes,
4) neutrophils,
5) eosinophils
6) basophils
Term
Lymphoid stem cells
Definition
give rise to:

Lymphocytes (B-CELL, T-CELL, AND NK)
Term
Hemopoiesis OR hemotopoiesis
Definition
The process of differentiation into red blood cells. All cellular blood components are derived from haematopoietic stem cells.
Term
GRANULAR LEKOCYTES
Definition
EOSINOPHIL
BASOPHILS
NEUTROPHILS
Term
AGRANULAR LEUKOCYTES
Definition
MONOCYTES
T- LYMPHOCYTES (T-CELL)
B- LYMPHOCYTES (B-CELL)
NATURAL KILLER (NK)
Term
PROGENITOR CELL > PROERYTHOBLAST > RETICULOCYTE
Definition
RED BLOOD CELL
Term
PROGENITOR CELL > MEGAKARYOTE > MEGAKARYOBLAST > MEGAKARYOCYTE >
Definition
PLATELET (THROMBOCYTES)
Term
Red Blood Cells/ Erythrocytes
Definition
1) Contain oxygen-carrying protein hemoglobin

2) Production = destruction with at least 2 million new RBCs per second

3) Biconcave disc – increases surface area

4) Strong, flexible plasma membrane
Glycolipids in plasma membrane responsible for ABO and Rh blood groups

5) Lack nucleus and other organelles
A) No mitochondria – doesn’t use oxygen
Term
GLYCOLIPIDS
Definition
1) are lipids with a carbohydrate attached.

2) to provide energy

3) serve as markers for cellular recognition.
Term
Hemoglobin
Definition
Globin – 4 polypeptide chains
Heme in each of 4 chains

1) Iron ion can combine reversibly with one oxygen molecule

2) transports 23% of total carbon dioxide

3) Combines with amino acids of globin

4) Nitric oxide (NO) binds to hemoglobin
A) Releases NO causing vasodilation to improve blood flow and oxygen delivery
Term
RBC life cycle
Definition
1) Live only about 120 days
2) Cannot synthesize new components – no nucleus
3) Ruptured red blood cells removed from circulation and destroyed by fixed phagocytic macrophages in spleen and liver
4) Breakdown products recycled
5) Globin’s amino acids reused
6) Iron reused
7) Non-iron heme ends as yellow pigment urobilin in urine or brown pigment stercobilin in feces
Term
Erythropoiesis
Definition
1) Starts in red bone marrow with proerythroblast
2) Cell near the end of development ejects nucleus and becomes a reticulocyte
3) Develop into mature RBC within 1-2 days
4) Negative feedback balances production with destruction
4) Controlled condition is amount of oxygen delivery to tissues
5) Hypoxia stimulates release of erythropoietin
Term
HYPOXIA
Definition
a pathological condition in which the body as a whole or region of the body is deprived of adequate oxygen supply
Term
White Blood Cells/ Leukocytes
Definition
1) Have nuclei
2) Do not contain hemoglobin
3) Granular or agranular based on staining highlighting large conspicuous granules
4) Granular leukocytes
Neutrophils, eosinophils, basophils
5) Agranular leukocytes
Lymphocytes and monocytes
Term
EOSINOPHIL
Definition
1) control mechanisms associated with allergy and asthma.
2) Release histaminase, phagocytize antigen-antibody complexes and effective against certain parasitic worms


2) combating multicellular parasites and certain infections in vertebrates
Term
BASOPHILS
Definition
1) has 2 lobes. The mast cell, a cell in tissues, has many similar characteristics.

2) leave capillaries and release granules containing heparin, histamine and serotonin, at sites of inflammation
Intensify inflammatory reaction
Involved in hypersensitivity reactions (allergies)


2) both cell types store histamine, a chemical that is secreted by the cells when stimulated in certain ways (histamine causes some of the symptoms of an allergic reaction).
Term
NEUTROPHILS (Attracted by chemotaxis)
Definition
active phagocytes:
1)nucleus divided into 2-5 lobes
2) FIGHT bacterial infection and some cancers
3) neutrophils are one of first-responders of inflammatory cells to migrate toward the site of inflammation
5) respond most quickly to tissue damage by bacteria
Uses lysozymes, strong oxidants, defensins
Term
LYMPHOCYTE
Definition
1) ANTIBODIES: T CELL, B CELL, NK
2) SMALL PLASMA- LOTS NUCLEOUS
Term
MONOCYTES (Attracted by chemotaxis)
Definition
active phagocytes:
1) HORSE-SHOE SHAPE
2) Tissues monocytes mature into
macrophages
3) take longer to arrive but arrive in larger numbers and destroy more microbes
4) Enlarge and differentiate into macrophages
Term
Leukopenia/leukocytopenia, or leucopenia
Definition
is a decrease in the number of white blood cells (leukocytes) found in the blood, which places individuals at increased risk of infection.
Term
Leukocytosis
Definition
1) is a raised white blood cell count above the normal range.

2) Leukocytosis is a sign that needs to be taken seriously,as it can be as sign of life threatening bacterial infections such as sepsis,pneumonia,and meningitis,or,less commonly,a malignancy such as leukemia.
Term
Functions of WBCs
Definition
1) Usually live a few days
2) Except for lymphocytes – live for months or years
3) Far less numerous than RBCs
4) Leukocytosis is a normal protective response to invaders, strenuous exercise, anesthesia and surgery
5) Leukopenia is never beneficial
6) General function to combat invaders by phagocytosis or immune responses
Term
diapedesis OR LEUKOCYTES EXTRAVASATION
Definition
Leukocyte extravasation is the movement of leukocytes out of the circulatory system, towards the site of tissue damage or infection. T
Term
heparin,
Definition
an anticoagulant substance
Term
histamine
Definition
cause inflammation
Term
serotonin
Definition
1) vasoconstrictor
2) antidepressants
3) "happy" hormone
Term
B cells
Definition
destroying bacteria and inactivating their toxins
Term
T cells
Definition
attack viruses, fungi, transplanted cells, cancer cells
Term
Natural Killer (NK) cells
Definition
attack a wide variety of infectious microbes and certain tumor cells
Term
Platelets/ Thrombocytes
Definition
1) Myeloid stem cells develop eventually into a megakaryocyte
2) Splinters into 2000-3000 fragments
3) Each fragment enclosed in a piece of plasma membrane
4) Disc-shaped with many vesicles but no nucleus
5) Help stop blood loss by forming platelet plug
6) Granules contain blood clot promoting chemicals
7) Short life span – 5-9 days
Term
Stem cell transplants
Definition
1) Bone marrow transplant
2) Cord-blood transplant
Term
Cord-blood transplant
Definition
1) Stem cells obtained from umbilical cord shortly before birth
2) Easily collected and can be stored indefinitely
3) Less likely to cause graft-versus-host-disease
Term
Bone marrow transplant
Definition
1) Recipient's red bone marrow replaced entirely by healthy, noncancerous cells to establish normal blood cell counts
2) Takes 2-3 weeks to begin producing enough WBCs to fight off infections
3) Graft-versus-host-disease – transplanted red bone marrow may produce T cells that attack host tissues
Term
3 mechanisms reduce blood loss
Definition
1) Vascular spasm
2) Platelet plug formation
3) Blood clotting (coagulation)
Term
Platelet plug formation
Definition
Platelets stick to parts of damaged blood vessel, become activated and accumulate large numbers
Term
Vascular spasm
Definition
Smooth muscle in artery or arteriole walls contracts
Term
Blood Clotting
Definition
1) Serum is blood plasma minus clotting proteins
2) Clotting – series of chemical reactions culminating in formation of fibrin threads
3) Clotting (coagulation) factors – Ca2+, several inactive enzymes, various molecules associated with platelets or released by damaged tissues
Term
3 Stages of Clotting
Definition
1) Extrinsic or intrinsic pathways lead to formation of prothrombinase
Prothrombinase converts prothrombin into thrombin
Thrombin converts fibrinogen (soluble) into fibrin (insoluble) forming the threads of the clot
Term
Blood Clotting: Common pathway
Definition
1) Marked by formation of prothrombinase
2) Prothrombinase with Ca2+ catalyzes conversion of prothrombin to thrombin
3) Thrombin with Ca2+ converts soluble fibrinogen into insoluble fibrin
4) Thrombin has 2 positive feedback effects
A) Accelerates formation of prothrombinase
B) Thrombin activates platelets
C) Clot formation remains localized because fibrin absorbs thrombin and clotting factor concentrations are low
Term
Blood Groups
Definition
based on presence or absence of various antigens
1) At least 24 blood groups and more than 100 antigens
A) ABO and Rh
Term
Agglutinogens
Definition
surface of RBCs contain genetically determined assortment of antigens
Term
ABO Blood Group
Definition
1) Based on A and B antigens
2) Type A blood has only antigen A
3) Type B blood has only antigen B
4) Type AB blood has antigens A and B
5) Universal recipients – neither anti-A or anti-B antibodies
6) Type O blood has neither antigen
(Universal donor)
7) Reason for antibodies presence not clear
Term
Hemolytic Disease (Rh)
Definition
1) normally, blood plasma does not contain anti-RH antibodies
2) if blood from Rh+ fetus contacts Rh-mother during birth, anti-Rh antibodies are made
1) Affect is on second Rh+ baby
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