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blood updated

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Circulation
pattern
Characteristics
Blood is what type of tissue?
Blood
Formed
elements &
plasma
Processes &
Regulation
Veins
Arteries
Pulmonary
Circuit
Venules
Arterioles
Right Side  Lungs
Left Side  Body
Capillary
beds
Functions
Distribution
•
•
•
•
•
O2
Nutrients
CO2
Waste
Hormones
Regulation
•
•
•
•
Temperature
pH
Volume
Osmolarity
Protection
• Prevent
blood loss
• Prevent
infection
Plasma
Solutes
Proteins
Lactic
acid,
urea,
creatinine
90%
water
Nutrients
O2 CO2
Common Proteins
Albumins
Globulins
60%
Transport
Fibrinogen
Prothrombin
Blood
clotting
Transport
lipids
Protection
Formed Elements
• Erythrocytes (RBCs), Leukocytes (WBCs), Platelets
• Hematocrit – %RBC / total blood volume
Erythrocyte
Leukocyte
Thrombocyte
No nuclei
Complete cells
Platelets
Biconcave
Gas transport
2 categories
Surveillance &
Immunity
Pieces of cells
Clotting
Note the biconcave shape
Interesting facts about RBCs
O2 is not very soluble in blood
About 2.4 million are made every
second
Each RBC contains about 280 million
hemoglobin molecules (each binds 4 O2)
They live 100 – 120 days
Erythrocyte
•
•
•
•
anaerobic, >surface area, Hemoglobin
binds O2 & CO2 reversibly
Heme + Globin
2alpha, 2beta
Fe within Heme
Hemoglobin (Hb)
Hemoglobin + O2 =
Oxyhemoglobin
Oxygen Loading
Lung
Hemoglobin – O2 =
Deoxyhemoglobin
Oxygen Unloading
Tissue
Hemoglobin + CO2 =
Carbaminohemoglobin
Tissue
Vit. B12
Folic
Acid
Proteins
Lipids
Erythropoiesis
Carbs
Iron
stores
EPO
Stimulates
marrow
Ferritin
Hemosiderin
Transferrin
Erythropoiesis
red bone marrow
It’s highly controlled with
Erythropoietin
Too few RBC
Anemia
Too many RBC
Polycythemia
Negative or Positive Feedback?
More RBC increases
O2 in blood
Tissue Hypoxia
Kidney
produces EPO
EPO stimulates
Erythropoiesis
What gets created must be
destroyed…
After 100-120 days…
membranes become fragile
RBCs die and are phagocytized
Liver/Spleen Macrophage phagocytize
Hg  Globin & Heme
Globin’s amino acids
are recycled
Liver  Bilirubin,
Ferritin, Hemosiderin
Bilirubin (intestines)  bile
 stercobilin (bacteria)
Stercobilin excreted in
feces
Test Yourself
Why Does Poor Liver Function
Result In Jaundice?
Thalassemia results in malformed
globin. How might this affect Hct?
Sickle cell anemia results in ‘sickled’ RBCs
with brittle plasma membranes. How
might this affect their function?
Leukocytes… note the diversity
Interleukins
Macrophage
T cells
Leukopoiesis
Increase
with
infection
Colony
stimulating
factors
Stem cells
Hemocytoblast
Myeloid stem cell
Committed
Myeloblast
cells
Myeloblast
Lymphoid stem cell
Myeloblast
DevelopPromyelocyte Promyelocyte Promyelocyte
mental
pathway
Eosinophilic
myelocyte
Basophilic
myelocyte
Neutrophilic
myelocyte
Eosinophilic
band cells
Basophilic
band cells
Neutrophilic
band cells
Eosinophils
Basophils Neutrophils
(a)
(b)
(c)
Lymphoblast
Promonocyte
Prolymphocyte
Monocytes
Lymphocytes
(e)
(d)
Agranular leukocytes
Granular leukocytes
Some become
Macrophages (tissues)
Some
become
Plasma cells
Thrombocytes
megakaryocytes, granules
Serotonin, Ca2+, enzymes, platelet-derived growth factor
Form Platelet Plug
Inactivated by NO
Hemocytoblast
Megakaryoblast
Promegakaryocyte
Megakaryocyte
Platelets
Figure 17.12
SEM 4100x
Broken vessels must be plugged
1
3
Coagulation
Vascular
spasm
Hemostasis
2
Platelet
plug
formation
Vasoconstriction
Platelets
Fibrin strands
in clot
Blood clot
Collagen fibers
Platelet plug
Vessel injury
Erythrocyte
in clot
Erythrocyte
Endothelial
cells
1 Vascular spasm
Blood vessel constricts to limit blood escape.
2 Platelet plug formation
Platelets arrive at site of injury and stick
to exposed collagen fibers.
3 Coagulation phase
Coagulation cascade converts inactive
proteins to active forms and forms a
blood clot.
Vascular
Spasm
Platelet Plug
Formation
Coagulation
Chemicals from
Endothelial cells
Endothelial cell
damage
Cascade 
soluble proteins
Smooth muscle
contraction
Localized
Intrinsic &
Extrinsic
Positive feedback Serotonin 
30 minutes
Chemotaxis
Prothrombin
Activator 
Prothrombin 
Thrombin 
Fibrinogen 
Fibrin
Clot Retraction and Repair
• Stabilizes clot (serum squeezed from fibrin)
• Repair
– PDGF  rebuilding of vessel wall
– Fibroblasts  new connective tissue
– Growth Factors  endothelial cells divide
Why control clotting?
Bleeding
occurs
Blood flow is
blocked
Remove clotting factors quickly
Inhibit clotting factors
• Thrombin blocked by Fibrin, Antithrombin III, Heparin
Preventing Undesirable Clotting
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