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Formation and Destruction of
Red Blood Cells
Process Diagrams Step-by-Step
Copyright © 2007 by John Wiley & Sons, Inc.
1 Red blood cell
death and
phagocytosis
Macrophage in
spleen, liver, or
red bone marrow
Key:
in blood
in bile
Globin
2 Heme
1 Red blood cell
death and
phagocytosis
Macrophage in
spleen, liver, or
red bone marrow
Key:
in blood
in bile
3
Globin
Amino
acids
Reused for
protein synthesis
2 Heme
1 Red blood cell
death and
phagocytosis
Macrophage in
spleen, liver, or
red bone marrow
Key:
in blood
in bile
3
Globin
Amino
acids
Reused for
protein synthesis
4
Fe3+
2 Heme
Transferrin
1 Red blood cell
death and
phagocytosis
Macrophage in
spleen, liver, or
red bone marrow
Key:
in blood
in bile
3
Globin
Amino
acids
Reused for
protein synthesis
4
Fe3+
2 Heme
5
Ferritin
Transferrin
1 Red blood cell
Liver
death and
phagocytosis
Macrophage in
spleen, liver, or
red bone marrow
Key:
in blood
in bile
3
Globin
Amino
acids
Reused for
protein synthesis
4
Fe3+
2 Heme
5
Fe3+ Transferrin
6
Ferritin
Transferrin
1 Red blood cell
Liver
death and
phagocytosis
Macrophage in
spleen, liver, or
red bone marrow
Key:
in blood
in bile
7
3
Globin
Amino
acids
Reused for
protein synthesis
4
Fe3+
2 Heme
5
Fe3+ Transferrin
6
Fe3+
Ferritin
Transferrin
1 Red blood cell
death and
phagocytosis
Macrophage in
spleen, liver, or
red bone marrow
Liver
+
Globin
+
Vitamin B12
+
Erythopoietin
Key:
in blood
in bile
Circulation for about
120 days
7
3
Globin
Amino
acids
Reused for
protein synthesis
4
Fe3+
2 Heme
5
Fe3+ Transferrin
6
Fe3+
Ferritin
Transferrin
1 Red blood cell
death and
phagocytosis
Liver
+
Globin
+
Vitamin B12
+
Erythopoietin
8 Erythropoiesis in
red bone marrow
Macrophage in
spleen, liver, or
red bone marrow
Key:
in blood
in bile
Circulation for about
120 days
7
3
Amino
acids
Globin
Reused for
protein synthesis
4
Fe3+
2 Heme
5
Fe3+ Transferrin
6
Fe3+
Ferritin
Transferrin
9
1 Red blood cell
Biliverdin
death and
phagocytosis
Bilirubin
Liver
+
Globin
+
Vitamin B12
+
Erythopoietin
8 Erythropoiesis in
red bone marrow
Macrophage in
spleen, liver, or
red bone marrow
Key:
in blood
in bile
Circulation for about
120 days
7
3
Amino
acids
Globin
Reused for
protein synthesis
4
Fe3+
2 Heme
5
Fe3+ Transferrin
6
Fe3+
Ferritin
Transferrin
Bilirubin
9
1 Red blood cell
Biliverdin
death and
phagocytosis
Liver
Bilirubin
10
+
Globin
+
Vitamin B12
+
Erythopoietin
8 Erythropoiesis in
red bone marrow
Macrophage in
spleen, liver, or
red bone marrow
Key:
in blood
in bile
Circulation for about
120 days
7
3
Amino
acids
Globin
Reused for
protein synthesis
4
6
5
Fe3+
Fe3+ Transferrin
2 Heme
Fe3+
Ferritin
Transferrin
Bilirubin
9
1 Red blood cell
Biliverdin
Bilirubin
11
10
death and
phagocytosis
Small
intestine
12
Macrophage in
spleen, liver, or
red bone marrow
Liver
Bilirubin
Urobilinogen
Stercobilin
+
Globin
+
Vitamin B12
+
Erythopoietin
8 Erythropoiesis in
red bone marrow
Bacteria
Key:
in blood
in bile
Feces
Circulation for about
120 days
7
3
Reused for
protein synthesis
Amino
acids
Globin
4
6
5
Fe3+
Fe3+ Transferrin
2 Heme
Fe3+
Ferritin
Transferrin
Bilirubin
9
1 Red blood cell
Biliverdin
Bilirubin
11
10
death and
phagocytosis
Small
intestine
Kidney
13
12
Urobilin
Macrophage in
spleen, liver, or
red bone marrow
Liver
Bilirubin
Urobilinogen
Stercobilin
+
Globin
+
Vitamin B12
+
Erythopoietin
8 Erythropoiesis in
red bone marrow
Bacteria
Key:
in blood
in bile
Urine
Feces
Circulation for about
120 days
7
3
Reused for
protein synthesis
Amino
acids
Globin
4
6
5
Fe3+
Fe3+ Transferrin
2 Heme
Fe3+
Ferritin
Transferrin
Bilirubin
9
1 Red blood cell
Biliverdin
Bilirubin
11
10
death and
phagocytosis
Small
intestine
Kidney
13
12
Urobilin
Macrophage in
spleen, liver, or
red bone marrow
Bilirubin
Urobilinogen
Stercobilin
Urine
Liver
Feces
+
Globin
+
Vitamin B12
+
Erythopoietin
8 Erythropoiesis in
red bone marrow
Bacteria
Key:
in blood
Large 14
intestine
in bile
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