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Learning objectives The student should be capable to: 1. Know about composition of blood. 2. Describe the functions of blood. 3. Be familiar with plasma and its composition. 4. Know about RBCs: their structure, function and count. 5. Know about WBCs: their types, structure, function and count. 6. Know about Platelets: their structure, function and count. Lecture outline Composition of blood And Cellular elements Blood is slightly denser and approximately 3-4 times more viscous than water, blood consists of cells which are suspended in a liquid. Blood consist of cellular material. 99% red blood cells, with white blood cells and platelets making up the remainder. Water, amino acids, proteins, carbohydrates, lipids, hormones, vitamins, electrolytes, dissolved gases, and cellular wastes. By volume. Plasma is about 92% water, with plasma proteins as the most abundant solutes. The main plasma protein groups are albumins, globulins, and fibrinogens. The primary blood gases are oxygen, carbon dioxide, and nitrogen. Blood functions include: Transport of cells and compounds. Regulate pH and electrolytes of interstitial fluids. Limit blood loss through damaged vessels. Defend against pathogens and toxins. Absorb and distribute heat as a part of temperature regulation. The Composition of Whole Blood. Separated blood: Centrifuged blood: Plasma 55% Buffy coat WBCs <1% Erythrocytes Hematocrit, 45%. Plasma. 90% water 10% solutes o Ions, e.g., Na+, Cl-, Ca++ o Nutrients, e.g., simple sugars, amino acids, lipids o Wastes, e.g., urea, ammonia, CO2 o Miscellaneous: O2, hormones, vitamins, plasma proteins. Plasma proteins. Albumin o Helps control osmotic pressure o Helps control diffusion of water (recall edema) Globulin o Includes antibodies (Abs) o Transport proteins (lipids, iron, copper, etc.) Fibrinogen o Involved in clotting Serum: Blood plasma from which the protein fibrinogen, which causes clotting of the blood, has been removed. The Composition of Whole Blood: Formed elements. RBCs (erythrocytes) WBCs (leukocytes) o Granulocytes o Agranulocytes Blood smear o Light microscope o Stained RBCs: In embryos they are produced in their GALL BLADDER, then in their LIVER, and starting from the second half of their lives – in their BONE MARROW. They are oval single-nucleus cells. Red blood cells (RBCs) are the most numerous cells in the body. They circulate for about four months before being recycled; millions are produced each second. The hemoglobin inside transports oxygen from the lungs to peripheral tissues and carbon dioxide from the tissues to the lungs. Properties of RBCs Transport oxygen and carbon dioxide in blood stream Have large surface to volume ratio o Speeds up gas loading/unloading Lack most organelles o Makes more room for hemoglobin Degenerate after about 120 days. Leukocytes (WBCs). produced in RED BONE MARROW, some of them (lymphocytes) in thymus, spleen and lymph nodes. They are the most diverse cells, morphologically and functionally. In the human body: 4-10 thousands in 1 ml of blood. Part of defense system o Protect against bacteria, viruses, parasites Attracted to sites of infection Diapedesis: leave capillary by squeezing between endothelial cells. Amoeboid movement o Travel toward infection Exhibit chemotaxis — Move toward specific chemicals released by bacteria or injured cells. Granulocytes WBCs with granules in cytoplasm o Visible with LM Neutrophils Eosinophils Basophils Phagocytic Larger than RBCs Lobed nuclei. Neutrophils. 60% of WBCs Lobed nucleus Light staining granules Digestive enzymes Function Phagocytize & destroy bacteria First cells to respond to infection Secrete antibacterial chemicals Phagocytize & digest bacteria. Eosinophils. 1-4% of WBCs Lobed nucleus Eosin-staining granules Phagocytize allergen-Ab complexes Secrete antihistamine Attack parasites. Basophils. 0.5% of WBCs Lobed nucleus Large granules stained dark purple Granules o Histamine – creates inflammation in allergic reaction. Lymphocytes. Agranulocyte 20-45% of WBCs Spherical, dark-staining nucleus Thin rim of blue staining cytoplasm Each lymphocyte recognizes and acts against a specific antigen. T lymphocytes can attack foreign cells directly. B lymphocytes transform into plasma cells and secrete antibodies. Monocytes. Agranulocyte 4-8% of WBCs Horseshoe shaped nucleus Grey-blue stained cytoplasm Become wandering macrophages after diapedesis. Platelets. Fragments of megakaryocytes in bone marrow Attracted to hemorrhage o Plugs leaks o Promotes constriction of blood vessel o Triggers inflammation o Initiates clotting reaction. Hematopoiesis. Occurs in red marrow Red marrow replaced by yellow in limbs between 8-18 yrs Blood stem cells o Pleuripotential Myeloid stem cell Lymphoid stem cells. Sickle cell disease : Genetic condition 1 nucleotide substitution 1 amino acid substitution Hbs With low O2 Hbs polymerizes Creates “sickle” shape Genetic condition 1 nucleotide substitution 1 amino acid substitution Hbs With low O2 Hbs polymerizes Creates “sickle” shape Disorders of the Blood Disorders of leukocytes Leukemia – a form of cancer Classified as lymphoblastic or myeloblastic Disorders of platelets Thrombocytopenia Abnormally low concentration of platelets. The Blood Throughout Life : First blood cells develop with the earliest blood vessels Mesenchyme cells cluster into blood islands Late in the second month Liver and spleen take over blood formation Bone marrow becomes major hematopoietic organ at month 7