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56 Cards in this Set

  • Front
  • Back
What are the 7 types of cells in blood?
-Red blood cells (erythrocytes)
-Platelets (thrombocytes)
-5 types of white blood cells (leukocytes)
What is the function and composition of plasma?
-Cells are suspended in plasma
-Comprised mainly of water
-Contains proteins, clotting factors, ions, hormones and CO2
What are the 2 main functions of blood?
- Transport through the body; O2, CO2, glucose, lipids, amino acids, Ions, wastes (urea), hormones & heat
-Defence; against infections, injury and malignancy
How many red blood cells are in the normal human?
-Women average 4.8x10^6per microlitre of blood
-Men average 5.4x10^6per microlitre
-Varies depending on health, altitude etc
Where do RBC precursors mature?
Bone marrow
What processes occur in bone marrow during RBC maturation?
-Manufacture haemoglobin until it accounts for 90% of dry weight
-The nucleus is squeezed out of cell
-Nearby macrophages ingest the extruded nuclei and break down their DNA
What are the stages of RBC maturation?
Pronormoblast-->Basophilic Normoblast-->Polychromatic Normoblast-->Orthochromatic Normoblast-->Polychromatic erythrocyte-->Erythrocyte
Describe the shape of RBC's
Bi-concave disk with central region of pallor
What is the structure of haemoglobin?
-Consists of 4 polypeptides; alpha and beta
-each polypeptide is attached to the prosthetic group heme
-there is one iron atom at the centre of each heme
What is the function of haemoglobin?
loads, transports and offloads oxygen
What is 2,3 DPG and its function?
Produced in glycolysis of RBC's, shifts O2 dissociation curve to right
How can oxygen be transported in the blood?
One molecule of oxygen can bind to each haeme group
How is CO2 transported in blood?
-Half is directly bound to haemoglobin (at a different site to O2)
-Most converted to to HCO3- and transported in plasma
-Small amount diffused into plasma
Can RBC differentiate once created?
No, no DNA or nucleus for replication
What is the life span of RBC's?
~120days
How are RBC's broken down? and which parts are reused?
-Most of the iron from haemoglobin is reclaimed for reuse
-Remainder of the heme portion of the molecule is degraded into bile pigments and excreted by the liver
What is hematocrit?
-The fraction of blood occupied by RBC's
-Normally 45%
-Lower in anaemia
What are platlets?
Cell fragments produced from megakaryotypes
What is normal value of platelets in blood?
-150,000 to 450,000platelets per microlitre
-<50,000 there is danger of uncontrolled bleeding
What is the function of platelets?
Solidification of blood via a process of coagulation or clotting at site of vascular injury
What are the components of a blood clot?
-A plug of platelets enmeshed in a network of insoluble fibrin molecules
Describe white blood cells?
-Much less numerous than RBC's
-~5x10^3/microlitre
-Have nuclei
Participate in protecting the body from insults
What are the different types of WBC's?
-Granulocytes; neutrophils, eosinophils, basophils
-Agranulocytes; lymphocytes, monocytes
What are the most abundant type of WBC?
Neutrophils (polymorphs)
Where are precursors for neutrophils visible?
Bone marrow
What is the lifespan of neutrophils in the blood?
6-10hrs
How do neutrophils efffect an action?
-Neutrophils squeeze through the capillary walls and into infected tissue by a chemotactic process where they phagocytise the invaders (eg microbes)
-They die after this process
Where are neutrophils always acting?
Keep bacteria in throat, nasal passages and colon commensal
What can cause dysfunction of neutrophils?
-Heavy doses of radiation
-Chemotherapy
-Stress
-Allows usually harmless bacteria to proliferate
Are eosinophils abundant in blood?
-Normally quite low (0-450/microlitre)
What is the main organism eosinophils act against?
Parasitic worms
How do eosinophils act?
-Cytotoxic action
-Release contents of eosinophilic granules on the invaders
-Granules are basic (high pH) in nature
Where do basophils accumulate?
At the site of infection or inflammation
How do basophils function against invaders?
-They discharge the content of their basophilic granules
-Acidic contents
What mediators are contained in the basophil granules? and what is their function?
-Histamine, serotonin, prostaglandins, leukotrienes
-increases blood flow to area
-Can add to the inflammatory process
What other process do the mediators from basophils play a role in?
allergic responses
What are the 2 common types of lymphocytes?
B-lymphocytes and T-lymphocytes
What is the function of B-lymphocytes?
-Responsible for making antibodies
-Differentiate into plasma cells
What are the subsets of T-cells?
Helper t-cell, Cytotoxic t-cells and regulatory t-cells
What is the function of helper t-cells?
-Enhance the production of antibodies by B-cells
-Produce lymphokines that recruit macrophages and neutrophils to the site of infection or other tissue damage
What is the function of cytotoxic t-cells?
Kill virus infected and tumour cells
What is the function of regulatory t-cells?
-Required for immunological tolerance, they shut down the t-mediated immunity towards the end of a reaction
Where are lymphocytes created and mature to T-cells?
-Bone marrow ultimate source of lymphocytes
-Those that are going to become t-cells migrate to the thymus where they mature
Where do you find both B and T-cells?
Lymph nodes, spleen and other tissues
What is the function of B and T-cells?
-Encounter antigens
-Continue to divide by mitosis
-Mature into fully functional cells
What is the difference between a monocyte and macrophage?
Monocytes become macrophages when they leave the blood
What is the function of macrophages?
-Phagocytose foreign material (antigens) that enter the body as well as dead and dying cells of the body
What is haemopoiesis?
Blood cell development, ongoing process
What are the 3 phases in life which haemopoiesis occurs?
-Yolk sac blood islands
-Fetal liver
-bone marrow and spleen
What is the role of stem cells in haemopoiesis?
-Initially pluripotent, stem cell becomes committed to either lymphoid, myeloid, or erythroid/megakaryocytic lineages
-8 Major lineages possible
Why are stem cells unique?
They have the ability to both self renew to produce more stem cells or differentiate along a specific developmental lineage
Where are adult haemopoietic stem cells (HSC's)found and characterised?
-Very rare, mixed up with connective tissue and stromal cells in bone marrow.
-Characterised by specific surface antigens (CD34)
-Generally in quiescent state(G0)
What controls balance between self renewal and lineage commitment of stem cells?
Stochastic & external factors such as growth factors
What cells are involved in innate immunity (rapid response)?
Dendritic cell
Macrophage
Mast cell
Natural killer cell
Granulocytes
What cells are involved in adaptive immunity (slow response)?
Tcells and Bcells
What cells are involved in both innate and adaptive immunity?
Natural killer t cells and another form of T cell