D’YOUVILLE COLLEGE BIOLOGY 108/508 - HUMAN ANATOMY & PHYSIOLOGY II LECTURE # 11 BLOOD I RED CELLS 1. Properties and Functions of Blood: a. Volume: approx. 5 liters (5000 ml.); consists of formed elements (approx. 45% by volume) and plasma (approx. 55% by volume) (fig. 17 - 1) b. Plasma: water & solutes (plasma proteins, salts, nutrients, hormones, etc.) c. Formed Elements: erythrocytes or red cells (> 99%), leukocytes (white cells) and thrombocytes (platelets) (fig. 17 - 2) d. Functions: • transport of gases, nutrients, wastes, hormones, etc. • defense against infection and repair of tissue damage • regulation of body temperature, osmotic balance, pH • prevention of blood loss from vessels (hemostasis) 2. Erythrocytes (Red cells): • biconcave discs, enucleated and metabolically deficient (fig. 17 - 3) • contain hemoglobin (97% of intracellular solids) (fig. 17 - 4) and carbonic anhydrase • lifespan averages 120 days; replaced by marrow; disposal by spleen & liver a. Disposal: damaged/dying red cells phagocytized by macrophages in spleen, transferred to liver (fig. 17 - 7) • hemoglobin ------> globin (to amino acid pool) + heme (to iron & porphyrin) • porphyrin -----> bile pigments, e.g. bilirubin (excreted with bile); excessive bilirubin (hyperbilirubinemia) causes jaundice • iron - recycled into new Hb (65%), transported in blood (bound to transferrin), stored in liver, spleen, & bone marrow (bound to protein, ferritin); small loss each day (0.9 mg, in men; 1.7 mg. in women) b. Erythropoiesis (red cell formation): bone marrow populated with stem cells for all types of formed elements (hemocytoblasts) (fig. 17 - 5) • hemocytoblasts ---> erythroblasts ---> ---> ---> reticulocytes ---> erythrocytes • developmental sequence requires several nutrients (iron, vitamins B6, B12 and folacin + amino acids); also requires erythropoietin c. Erythropoietin Mechanism (fig. 17 - 6): • hypoxia stimulates release of renal product (erythrogenin) that causes erythropoietin formation from a plasma protein • erythropoietin promotes erythropoiesis in bone marrow d. Methods of Assessing Red Cell Status of Blood: a. Red Cell Count: averages 4 - 5.5 x 106/cu. mm. Bio 108/508 lec. 11 - p. 2 b. Hematocrit (packed cell volume): 45% average (fig. 17 - 1) c. Hemoglobin: 12 - 17 gm./dl. d. Derived Values: aid in diagnosing type of anemia/red cell disorder Mean Corpuscular Volume (MCV): hematocrit divided by red cell count Mean Corpuscular Hemoglobin (MCH): Hb divided by RBC count Mean Corpuscular Hemoglobin Concentration (MCHC): hemoglobin divided by hematocrit e. Anemias (red cell deficiencies): arise through depletion (blood loss), nutrient deficiency (inadequate iron, inadequate vitamin B12), or excessive rate of breakdown (hemolysis, e.g. sickle cell anemia) (fig. 17 - 8) f. Polycythemias (elevated RBC levels): arise through overproduction (bone marrow tumor), or elevated erythropoietin mechanism (high altitude, respiratory disease, kidney disease or kidney ischemia)