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Download The Red Blood Cells
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The Red Blood Cells Introduction The Red Blood Cells • The red cells are not true cells in the strict sense. • They contain no nucleic acids, and cannot reproduce. • They contain no cell organelles and possess no synthetic activities Composition of the RBCs • Red cells contain 35 % solids, mainly Hb • Hemoglobin, the chief protein of the red cells. • Other proteins are present in combination with lipids and oligosaccharide chains, forming the stroma and cell membrane. • Potassium, magnesium, and zinc concentrations in red cells are much higher than in the plasma. Metabolism • Erythrocytes contain no mitochondria, so there is no respiratory chain, no citric acid cycle, and no oxidation of fatty acids or ketone bodies. • Energy is obtained from the glycolytic breakdown of glucose with the production of lactate. • ATP produced being used for the Na+ pump. Metabolism contd. • Rapoport and Luebering described a special enzymatic side-pathway in glycolysis. • Bisphosphoglycerate mutase converts 1,3bisphosphoglycerate(1,3-BPG) to 2,3bisphosphoglycerate(2,3-BPG). • This reaction wastes the high- energy bond in 1,3BPG without generation of ATP. • This explain the fact that the red blood cells utilize more glucose than is required to maintain their vitality Metabolism contd. • The red cells contain an active pentose phosphate pathway that supplies NADPH • NADPH is important in keeping glutathione in the reduced glutathione. • Reduced glutathione plays a very important role in the survival of the red blood cells. • Deficiency of glucose 6- phosphate dehydrogenase leads to reduced red cell survival Metabolism contd. • The erythrocytes contain carbonic anhydrase. carbon dioxide combines with water only after it enters the red cells where hemoglobin, the most important buffer for the resulting carbonic acid, is present. • The red cell also contain rhodanese enzyme responsible for the detoxication of cyanides. Red Cell Membrane Structure • RBCs must be able to squeeze through some tight spots in microcirculation. • For that RBCs must be easily & reversibly deformable, its membrane must be both fluid & flexible . • About 50% of membrane is protein, 40% is fat & up to 10% is carbohydrate. • RBCs membrane comprise a lipid bilayer( which determine the membrane fluidity), proteins ( which is responsible for flexibility ) are either peripheral or integral penetrating the lipid bilayer. • Carbohydrates occur only on the external surface. • The major lipid classes are phospholipids & cholesterol. Glycoshingolipids as gangliosides including ABO blood group substances constitute 5-10% of the total lipids. Red Cell Aging • Examples of changes occurring in aging red cells: Increased in old cells Decreased in old cells Hb Glycosylated Hb Diphosphoglycerate Membrane Osmotic fragility Na+ Binding of IgG Sialic acid K+ Lipids and Proteins G6PD Pyruvate dehydrogenase Others Enzymes General Cell density Sphericity Deformability Disc like shape