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Blood, Blood Cells, and Immunity: Study Notes for Anatomy & Physiology

스터디 가이드 - 스마트 노트

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Blood and Its Components

Important Functions of Blood

Blood is a vital connective tissue that performs several essential functions in the human body:

  • Transport: Delivers dissolved substances such as O2, CO2, nutrients, hormones, and wastes throughout the body.

  • Regulation: Maintains pH and ion composition of interstitial fluids; absorbs and neutralizes acids.

  • Restriction of Fluid Loss: Contains enzymes and proteins important in the clotting process to prevent blood loss at injury sites.

  • Defense: Transports white blood cells (WBCs) and antibodies to fight infection and remove debris.

  • Stabilization of Body Temperature: Absorbs heat and redistributes it to other tissues; heat loss occurs across the skin, redirecting warm blood to temperature-sensitive organs.

General Characteristics of Blood

  • Temperature: Normal blood temperature is approximately 38°C (100.4°F).

  • Viscosity: Blood is about five times as viscous as water.

  • pH: Slightly alkaline, typically between 7.35 and 7.45.

  • Volume: Blood volume is about 7% of body weight (in kilograms). Adult males have 5–6 liters; adult females have 4–5 liters.

Composition of Blood

  • Plasma: Makes up about 55% of blood volume; includes plasma proteins, solutes, and water.

  • Formed Elements: Includes platelets, red blood cells (RBCs), and white blood cells (WBCs).

Plasma Proteins

  • Albumins (60%): Major contributors to plasma osmolarity and osmotic pressure; transport fatty acids, thyroid hormones, and steroid hormones.

  • Globulins (36%): Include antibodies (immunoglobulins) and transport proteins (hormone-binding, metalloproteins, apolipoproteins, steroid-binding proteins).

  • Fibrinogen (4%): Functions in clotting; converted to fibrin during clot formation.

  • Other Proteins (1%): Includes hormones such as insulin, TSH, FSH, LH.

Solutes in Plasma

  • Gases: O2 and CO2

  • Ions: Na+, K+, Ca2+, etc.

  • Nutrients: Glucose, amino acids, fatty acids, cholesterol, glycerides

  • Organic Wastes: Urea, uric acid, bilirubin

Red Blood Cells (RBCs) and Hemoglobin

Abundance and Structure

  • RBCs make up roughly 1/3 of all cells in the body.

  • Hematocrit: Percentage of whole blood volume made up of RBCs; determined by spinning blood in a centrifuge.

  • RBCs are small, highly specialized biconcave discs, thin in the middle and thicker at the edge.

Effects of RBC Shape on Function

  • High surface-to-volume ratio allows for quick absorption and release of O2.

  • Discs form stacks (rouleaux) for smooth flow through narrow blood vessels.

  • Discs are flexible, allowing them to bend and flex through capillaries.

Mature RBCs

  • Lack most organelles, including nuclei, mitochondria, and ribosomes.

  • Cannot repair themselves or perform aerobic metabolism.

  • Live about 120 days.

Hemoglobin (Hb)

  • Function: Binds and transports O2 and CO2.

  • Structure: Complex protein with four globular subunits, each containing a heme group that binds one O2 molecule.

Oxygen and Carbon Dioxide Transport

  • O2 binds to iron in heme; amount of O2 bound depends on plasma O2 content.

  • CO2 binds to globin chains, not to heme iron.

Hemoglobin Recycling

  • Phagocytes in spleen, liver, and bone marrow break hemoglobin into components.

  • Globular proteins are broken down to amino acids.

  • Heme is stripped of iron and converted to biliverdin, then to bilirubin, which is transported to the liver for excretion in bile.

  • Iron is recycled and stored or transported by transferrin.

Blood Typing

  • Blood types are determined by the presence or absence of specific surface antigens (A, B, Rh) on RBCs.

  • Antibodies in plasma attack foreign antigens, leading to agglutination if incompatible blood is transfused.

Blood Type

Surface Antigen

Antibodies Produced

A

Antigen A

Anti-B antibodies

B

Antigen B

Anti-A antibodies

AB

Both A and B

Neither anti-A nor anti-B

O

Neither A nor B

Both anti-A and anti-B

Rh Factor

  • Rh-positive (Rh+) has the Rh antigen; Rh-negative (Rh-) does not.

  • Anti-Rh antibodies are only produced after exposure to Rh+ blood.

White Blood Cells (WBCs) and Immunity

General Features

  • Also called leukocytes.

  • Have nuclei and other organelles, but lack hemoglobin.

  • Defend against pathogens, remove toxins and wastes, and attack abnormal cells.

Types of WBCs

Type of WBC

General Characteristics and Function

Neutrophils

Contain lysosomal enzymes and bactericides; engulf and digest bacteria; release prostaglandins and leukotrienes to increase capillary permeability and inflammation.

Eosinophils

Attack objects coated with antibodies via phagocytosis; release toxins via exocytosis; effective against multicellular parasites.

Basophils

Migrate to injury sites and discharge granules of histamine (dilates blood vessels) and heparin (prevents blood clotting); involved in inflammation.

Monocytes

Become macrophages in peripheral tissues; aggressive phagocytes; release chemicals to attract other phagocytes and fibroblasts.

Lymphocytes

T cells: cell-mediated immunity; B cells: humoral immunity (antibody production); NK cells: immune surveillance (destroy abnormal cells).

WBC Production (Leukopoiesis)

  • Granulocytes (neutrophils, eosinophils, basophils) develop from myeloid stem cells.

  • Monocytes develop from myeloid stem cells and complete development in peripheral tissues.

  • Lymphocytes develop from lymphoid stem cells in bone marrow and thymus.

Platelets (Thrombocytes)

Structure and Function

  • Appear as disc-shaped cell fragments.

  • Play a major role in the vascular system and clotting process.

  • Functions include releasing chemicals for clotting, temporarily patching damaged vessel walls, and reducing the size of a break in a vessel wall.

Platelet Production (Thrombopoiesis)

  • Occurs in bone marrow from megakaryocytes, which shed cytoplasm in membrane-enclosed packets.

  • Controlled by hormones such as thrombopoietin (TPO), interleukin-6 (IL-6), and multi-CSF.

Sample Questions and Key Concepts

  • Oxygen Transport: Hemoglobin is the molecule that transports O2 in the blood.

  • Protein Structure: Four levels—primary (amino acid sequence), secondary (alpha helices and beta sheets), tertiary (3D folding), quaternary (multiple polypeptide chains).

  • Plasma Membrane Carbohydrates: Glycoproteins assist in self vs. non-self recognition.

  • Rupture of RBCs: Known as hemolysis.

  • Blood Tissue Type: Connective tissue.

  • Red Blood Cell Names: Erythrocytes.

  • Inflammation Signs: Redness, heat, swelling, pain.

  • Mast Cell Molecules: Histamine (vasodilation, increased permeability), heparin (anticoagulant).

  • Skin Molecule: Keratin provides water resistance.

  • Cell Junctions: Desmosomes lock skin cells together.

  • Jaundice: Yellowing of skin due to bilirubin buildup.

  • RBC Formation: Occurs in red bone marrow.

  • Neuroglia Phagocytosis: Microglia remove debris and pathogens.

  • Temperature Regulation: Hypothalamus contains the temperature-regulating center.

Additional info: Some explanations and context have been expanded for clarity and completeness based on standard Anatomy & Physiology curriculum.

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