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36 Cards in this Set

  • Front
  • Back
erythrocytes
composition of blood
35% of the volume of whole blood
reticulocytes
- 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
erythrocyte features
- 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
total hemoglobin in blood value
14-18 g/dL
--> iron-deficiency anemia in females < 10g/dL
clincal presentation of iron-deficiency anemia
paleness (due to reduced amounts of oxygenate hemoglobin), fatigue, weakness
biological membrane composition
45% lipid
45% protein
10% carbohydrate

--> neutral and negative sugars contribute to overall negative charge of surface
membrane bilayer
- the lipids form a layer
- proteins are embedded in this bilayer and carbohydrates are attached to the outer surface
integral proteins
- 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
lipid-anchored proteins
- covalently attached to the lipid
- anchored to intracellular or extracellular surface of membrane
carbohydrates
- attached to lipids and proteins on the outside surface
- glycolipids and glycoproteins are important in cell-cell recognition
erythrocyte membrane features
- membran proteins may be separated via polyacrimade gel electrophoresis (PAGE)
--> distinct band patterns
anion exchange protein
- 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
spectrin
- primary protein that comprises the cytoskeletal structure of RBC membrane
- heterodimers (alpha chain and beta chain)
- binds ankyrin, actin, and band 4.1 protein
ankyrin
- binds to band 3 --> secures spectrin to membrane
actin in RBCs
- double helical structure
- interacts with the end of spectrin dimer
- also binds 4.1 protein
band 4.1 protein
- interfaces with glycophorins in membrane and membrane phospholipids
--> helps connect cytoskeleton and lipid bilayer
myoglobin
-found in muscle tissues where it stores O2
hemoglobin
- found in the blood, especially in RBCs, and carries O2 from the lungs to the tissues and CO2 from tissues to the lungs
Heme
- porphyrins
- iron atom liganded to 4 nitrogen atoms in a pyrrole structure
- active iron is reduced form Fe 2+ --> ferrous iron
ferrous iron
- active form of iron in heme
- six valence electrons
--> 4 bind to heme
--> 5th binds to histidine
--> 6th valence electron binds to oxygen (O2)
ferric iron
Fe 3+ --> oxidized form
--> ferrihemoglobin or methemoglobin
myoglobin
- 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
hemoglobin structure
- 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
alpha gene cluster
- alpha 1 and alpha 2 are duplicated genes both of which are transcribed
- zeta gene is only expressed at the embryonic stage
beta gene cluster
- 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
Beta family vs alpha family
beta family has higher affinity for oxygen than alpha family
thalassemias
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
alpha thalassemias
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
silent (asymptomatic) carriers
only one of the four alpha loci are affected
--> sufficient to permit normal Hb production
alpha thalassemia minor (trait)
- two alpha globin loci are affected
--> mild microcytic (small RBC size) hypochromic anemia
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)
alpha thalassemia major
- if all four loci are affected--> fetus cannot survive
beta thalassemias
if beta chain production is reduced --> delta chains are able to increase in expression

- beta and delta genes are adjacent on chromosome
beta thalassemia minor
only one beta globin allele is mutated
--> mild microcytic anemia (asymptomatic)
beta Thalassemia intermedia
affected individuals can often manage a normal life with occasion transfusions
beta thalassemia major
or
Cooley's anemia
both alleles have mutations
--> severe microcytic, hypchromic anemia
--> untreated leads to death before 20
--> transfusion dependent