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36 Cards in this Set
- Front
- Back
erythrocytes
composition of blood |
35% of the volume of whole blood
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reticulocytes
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- formed from erythropoietic precursor cells (contain nucleus and protein synthesis machinery)
- precursor to erythrocytes - do not have nucleus - contain ribosomes - mature into erythrocytes about a day after entering blood --> lose mitochondria and ribosomes |
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erythrocyte features
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- no intracellular organelles
- plasma membrane - discoid in shape -purpose: transport oxygen from lungs to tissues and return carbon dioxide from the tissue to lungs - important protein: hemoglobin - other proteins: enzymes of glycolysis |
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total hemoglobin in blood value
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14-18 g/dL
--> iron-deficiency anemia in females < 10g/dL |
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clincal presentation of iron-deficiency anemia
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paleness (due to reduced amounts of oxygenate hemoglobin), fatigue, weakness
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biological membrane composition
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45% lipid
45% protein 10% carbohydrate --> neutral and negative sugars contribute to overall negative charge of surface |
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membrane bilayer
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- the lipids form a layer
- proteins are embedded in this bilayer and carbohydrates are attached to the outer surface |
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integral proteins
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- span the lipid bilayer with domains that extend on both the inside and outside of the cell
- trans-membrane domain looks like a spring --> alpha helix secondary structure - the rest of the domains are globular |
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lipid-anchored proteins
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- covalently attached to the lipid
- anchored to intracellular or extracellular surface of membrane |
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carbohydrates
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- attached to lipids and proteins on the outside surface
- glycolipids and glycoproteins are important in cell-cell recognition |
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erythrocyte membrane features
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- membran proteins may be separated via polyacrimade gel electrophoresis (PAGE)
--> distinct band patterns |
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anion exchange protein
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- band 3
- transmembrane protein that crosses the membrane multiple times - dimer --> forms channels - exchange chloride ion (Cl-) with bicarbonate (HCO3-) -->bicarbonate is derived from CO2 product of aerobic metabolism -->bicarb is exchanged for chloride in lungs - N-terminal end of band 3 interacts with hemoglobin, band 4.1 protein and ankyrin |
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spectrin
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- primary protein that comprises the cytoskeletal structure of RBC membrane
- heterodimers (alpha chain and beta chain) - binds ankyrin, actin, and band 4.1 protein |
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ankyrin
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- binds to band 3 --> secures spectrin to membrane
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actin in RBCs
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- double helical structure
- interacts with the end of spectrin dimer - also binds 4.1 protein |
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band 4.1 protein
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- interfaces with glycophorins in membrane and membrane phospholipids
--> helps connect cytoskeleton and lipid bilayer |
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myoglobin
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-found in muscle tissues where it stores O2
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hemoglobin
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- found in the blood, especially in RBCs, and carries O2 from the lungs to the tissues and CO2 from tissues to the lungs
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Heme
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- porphyrins
- iron atom liganded to 4 nitrogen atoms in a pyrrole structure - active iron is reduced form Fe 2+ --> ferrous iron |
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ferrous iron
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- active form of iron in heme
- six valence electrons --> 4 bind to heme --> 5th binds to histidine --> 6th valence electron binds to oxygen (O2) |
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ferric iron
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Fe 3+ --> oxidized form
--> ferrihemoglobin or methemoglobin |
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myoglobin
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- 75% of structure is comprised of alpha helices
- globin proteins contain eight distinct alpha helical regions (A-H) - distal and proximal histidines - interior amino acids are non-polar - structure driven by hydrophobic forces --> major stabilizing force |
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hemoglobin structure
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- tetrameric protein--> four polypeptide chains
- chains derived from two families 1. includes alpha and zeta chains 2. includes beta, delta, gamma, epsilon chaings - each chain contains heme prosthetic group - adult hemoglobin (HbA1) is alpha2 beta2 |
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alpha gene cluster
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- alpha 1 and alpha 2 are duplicated genes both of which are transcribed
- zeta gene is only expressed at the embryonic stage |
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beta gene cluster
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- delta gene is found in 3-5% of adult Hb --> HbA2
- Gϓ and Aϓ refer to duplicated fetal genes that differ in a single amino acid and are found in fetal HbF (alpha2 gamma2) - epsilon gene is only expressed at the embryonic stage |
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Beta family vs alpha family
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beta family has higher affinity for oxygen than alpha family
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thalassemias
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autosomal recessive diseases
--> both copies of a globin gene must be mutated --> reduced rate of globin chain synthesis --> causes anemia due to improperly assembled and abnormal tetramers |
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alpha thalassemias
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four genetic loci: two alleles of alpha 1 and alpha 2
- most commonly involve gene deletions --> reduction in alpha chains results in excess beta chains in adults and excess gamma chains in newborns |
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silent (asymptomatic) carriers
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only one of the four alpha loci are affected
--> sufficient to permit normal Hb production |
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alpha thalassemia minor (trait)
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- two alpha globin loci are affected
--> mild microcytic (small RBC size) hypochromic anemia |
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alpha thalassemia intermedia
or hemoglobin H disease |
- HbH (beta4) and Hb Barts (gamma4)
- when three loci are affected -unstable and high affinity for oxygen --> not delivered to tissues --> microcytic hypochromic anemia, cells and Heinz bodies (damaged precipitated Hb) |
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alpha thalassemia major
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- if all four loci are affected--> fetus cannot survive
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beta thalassemias
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if beta chain production is reduced --> delta chains are able to increase in expression
- beta and delta genes are adjacent on chromosome |
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beta thalassemia minor
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only one beta globin allele is mutated
--> mild microcytic anemia (asymptomatic) |
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beta Thalassemia intermedia
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affected individuals can often manage a normal life with occasion transfusions
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beta thalassemia major
or Cooley's anemia |
both alleles have mutations
--> severe microcytic, hypchromic anemia --> untreated leads to death before 20 --> transfusion dependent |