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Blood
Human Physiology
39
Physiology
Undergraduate 4
07/19/2011

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Term
Albumin
Definition
plasma protein
contributes to colloid osmotic pressure
causes water to move into blood
Term
Globulin
Definition
plasma protein
defense against foreign invaders
Term
Fibrinogen
Definition
plasma protein
precursor to fibrin, clotting protein
Term
Carriers
Definition
plasma protein
increase solubility of substances in blood
Ex: transferrin-transports iron
Term
Hormones
Definition
plasma proteins
able to travel in blood without carrier
Ex: amine and peptide
Term
Enzymes
Definition
plasma proteins
Term
Erythrocytes
Definition
Red Blood Cells
5 million cells/microL of blood
function: transport of O2 and CO2
biconcave shape
no nucleus
no mitochondria
glycolysis
flexible membrane with spectrin
Term
Hematocrit
Definition
% of RBC in blood volume
45% for average person
Term
Spectrin
Definition
protein in red blood cell membrane
allows membrane to change shape due to changes in surrounding fluid, allow movement through small spaces, change shape due to diseases
Term
Hemoglobulin
Definition
plasma protein used for transport of O2 and CO2
4 polypeptide chains (2alpha, 2beta)
each chain contains heme group (contains iron)
O2 binds to heme group
CO2 binds to chains
1 hemoglobulin can bind 4 O2
Term
Leukocytes
Definition
White Blood Cells
function: protect body from foreign invaders
4k-11k cell/microL blood
contains nucleus!
five types in order of abundance: NLMEB (neutrophils, lymphocytes, monocytes, eosinophils, basophils)
Term
Neutrophils
Definition
type of white blood cell
phagocytic
release cytokines to increase body temp and increase inflammation
bacterial infection
Term
Lymphocytes
Definition
located in lymphoid tissue (more likely to be exposed to antigens)
tonsils, lymph nodes, spleen
2 types: B and T cells
B cells=antibodies
T cells=cytotoxic (kill infected cells) and helper (stimulate immune response)
viral infection
Term
Monocytes
Definition
type of white blood cell
circulate in blood
enter tissue become--> Macrophage
phagocytes
antigen presenting cells
Term
Eosinophils
Definition
white blood cell
released during allergic reactions and to kill parasitic worms
Term
Basophils
Definition
white blood cells
involved in allergic reactions and inflammation
releases histamine=vasodilation and bronchoconstriction
release heparin=inhibits blood clotting
circulates in blood
enter tissues become-->Mast cells
skin, lungs, digestive tract
Term
Platelets
Definition
cell fragments from megakaryocytes (large cells located in bone marrow)
150k platelets/microL blood
no nucleus
contains granules filled with clotting proteins and cytokines
always present in blood
not active unless damage occurs
plays a role in coagulation
Term
Megakaryocyte
Definition
bone marrow cell that fragments and gives rise to platelets
Term
Hematopoiesis
Definition
production and development of blood cells
all blood cells derived from one precursor cell-->Hemocytoblast
process is age dependent (as child ages, active regions of bone marrow decreases. adults: only areas of production is in bones of the hip, vertebrae, ribs, cranium, and proximal ends of long bones)
hemocytoblast-->uncommitted stem cell-->committed stem cell
Term
Hemocytoblast
Definition
stem cell located in RED bone marrow
can develop into any type of blood cell
Term
Erythropoiesis
Definition
production of red blood cells
controlled by hormone erythropoietin
Term
Erythropoietin
Definition
hormone that controls red blood cell production (erythropoiesis)
made in kidneys
synthesis of hormone is stimulated by hypoxia (low levels of O2 in tissues)
more red blood cells=more oxygen transported
Term
Anemia
Definition
decreased oxygen carrying capacity due to defective hemoglobulin or low red blood cell numbers
2 possible causes
1. abnormal hemoglobuin=sickle cell causes RBC to be sicle cell shape and rupture at high rate
2. inadequate hemoglobulin sysnthetis=due to inadequate intake of dietary iron
Term
Leukopoiesis
Definition
production of white blood cells
controlled by colony stimulating factor
depending on need, differentiation of a particular white blood cell will occur
Ex: bacterial infection=neutrophils
viral infection=lymphocytes
parasitic worms=eosinophils
Term
Thrombopoiesis
Definition
production of megakaryocytes-->production of platelets
controlled by thrombopoietin
Term
Thrombopoietin
Definition
hormone that controls megakaryocyte and platelet production
produced in liver and kidneys
Term
Colony Stimulating Factor
Definition
hormone that controls white blood cell production
produced in endothelial cells, fibroblasts in bone marrow, and white blood cells
Term
Prevention of blood loss steps
Definition
1. Vasoconstriction
2. Platelet Plug
3. Clot
Term
Vasoconstriction in Prevention of Blood Loss
Definition
endothelium release chemicals that cause vasoconstriction of blood vessels to decrease blood flow, blood pressure, and blood loss
Term
Platelet Plug
Definition
platelets adhere to collagen in damaged blood vessel wall
platelets release chemicals to function in vasoconstriction (serotonin, thromboxane A2) and platelet aggregation (ADP, platelet activating factor)
more platelets are attracted and adhere to each other to form platelet plug
Term
Clot
Definition
inactive proteins are activated by the intrinsic or extrinsic pathway to contribute to the clotting process
end result is the formation of fibrin protein from fibrinogen, which stabilizes platelet plug to become a clot
Term
Intrinsic Pathway
Definition
triggered by damage to blood vessel lining
exposure to collagen
collagen activates F12 to begin cascade
F12: F11-->F11a
F11a: F9-->F9a
F9a+F8a: F10-->F10a

F12, F11, F9, F9+F8, F10
Term
Extrinsic Pathway
Definition
triggered by damage to blood vessel lining
exposes tissue factor 3
tissue factor 3 activates factor & to begin cascade
F3a: F7-->F7a
F3a+F7a: F10-->F10a

F3, F7, F3+F7, F10
Term
Common Pathway
Definition
F10a causes prothrombin-->thrombin
thrombin causes fibrinogen--> fibrin
thrombin causes F8-->F8a
F8a causes production of cross linking in fibrin
thrombin acts in positive feedback loop to activate F11 and F7

*Calcium is required for activation of clotting factors
*Vitamin K is required for synthesis of clotting factors and prothrombin
Term
Fibrinolysis
Definition
breakdown of fibrin in blood clot
1. thrombin and tPA (tissue plasminogen activator) activate plasminogen
2. plasminogen-->plasmin
3. plasmin breaks up fibrin in clots
Term
Heparin
Definition
inhibits thrombin formation
Term
Aspirin
Definition
inhibits platelet aggregation
inhibits release of clotting substances
Term
Citrate
Definition
binds to free calcium
lowers the amt of calcium available for coagulation
Term
Warfarin
Definition
disrupts vitamin K activity, which is needed for synthesis of clotting factors
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