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Blood
Blood
73
Immunology
Graduate
10/11/2011

Additional Immunology Flashcards

 


 

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Term
Two reasons we have circulating blood
Definition
1)Deliver oxygen and nutrients to tissues
2)Defense against infection
Term
Components of blood and different staining for each
Definition
RBC’s are erythrocytes, they stain red
WBC’s are leukocytes and are white in test tube
Platelets aka thrombocytes and are abbreviated as PLT’s
Term
The characteristics of blood
Definition
1) connective tissue
2) derived from embryonic mesoderm
3) Connects many tissues throughout body
Term
Blood components (general)
Definition
Cellular Components and Plasma (liquid and proteins)
Term
Cellular components of blood
Definition
1) Erythrocytes (RBC's)
2) Leukocytes (WBC's)
a) granulocytes
b) lymphocytes
3) Platelets (thrombocytes, PLT's)
Term
Components of blood plasma
Definition
1) clotting factors
2) immunoglobins (antibodies)
3) albumin
Term
All tissues required 2 things
Definition
1) oxygen
2) infection control
Term
infarction
Definition
death of cells due to lack of oxygen
Term
organs most sensitive to oxygen exchange/amount
Definition
brain, heart and kidney
Term
infection
Definition
abnormal growth of an invading organism
Term
inflammation
Definition
reactive response to damage
Term
All the tissues that affect blood cell function
Definition
1) GI tract
2) Kidney
3) Liver
4) lungs
5) heart
6) bone
Term
GI tract
Definition
site of absorption of vitamins and minerals needed for blood cell production
Term
kidney
Definition
senses oxygen level in blood and responds accordingly
Term
liver
Definition
produces clotting factors
Term
lungs
Definition
exchanges oxygen for carbon dioxide
Term
heart
Definition
circulates blood
Term
bone
Definition
site of blood cell maturation
Term
two different staining methods for RBC's
Definition
1) unstained
2) Wright-giemsa stain
Term
normal blood volume of person
Definition
about 4.5 - 5 L
Term
Hematocrit
Definition
percentage of blood made of RBC's
Term
Hematocrit of
1) Female
2) Male
3) Newborn
Definition
1) 40%
2) 44 %
3) 50%
Term
Total red cell count in a body
Definition
about 5 million (5x10^6 RBCs/microliter)

5 liters in body means 25 trillion RBC's
or 25X10^12
Term
RBC features: size and shape
Definition
1) small (7-8 microns diameter, 1 micron tall)
2) biconcave disk
3) stains acidophilic (red)
4) anucleate (derived from nucleated cells in bone marrow)
5) reticulocyte= young RBC
Term
reticulocyte
Definition
young RBC
Term
three different categories regarding RBC size
Definition
1) Normocytic
2) Microcytic
3) macrocytic
Term
Different kinds of RBC shapes
Definition
1)normal
2) spherocytes
3) ovalocytes
4) sickle cells
5) target cells
6) shistocytes
7) poikilocytosis
Term
Target cells
Definition
very abnormal red blood cells, that have a bullseye appearance. These cells (from red blood cells) are associated with Hemoglobin C (HbC) disease
Term
shistocytes
Definition
typically irregularly shaped, jagged, and asymmetrical; does not have central pallor; are sometimes referred to as "helmet cells."
Term
poikylocytosis
Definition
word used to describe a predominance of one particular type of abnormally shaped red cells, some of which may indicate possible presence of a specific disease or disorder
Term
two different RBC colors (chromicity)
Definition
1) normochromic
2) hypochromic
Term
Parameters of blooc measured routinely
Definition
1) Mean Cell Volume (MCV)
2) Mean Cell hemoglobin (MCH)
3) Mean cell hemoglobin concentration (MCHC)
4) Red cell distribution width (RDW)
Term
Normal mean cell volume
Definition
80-100 fl
Term
Function of RBC

what does the RBC not do???
Definition
Oxygen-delivering machine


it is not:
an oxygen produced
an oxygen magnet
nor a passive oxygen carrier
Term
hemoglobin
Definition
molecule that delivers oxygen, in RBC's so they can catch/release oxygen. each RBC carries millions of Hgb molecules
Term
Structure of Hemoglobin
Definition
4 (heme + globin)

2 alpha globin chains
2 beta globin chains
Term
what do the 4 globin chains in each Hgb allow it to do?
Definition
display cooperativity
Term
KNOW THE HEMOGLOBIN GRAPHS!!!
Definition
Term
Bohr effect
Definition
role of pH in oxygen affinity of hemoglobin
Term
2,3 diphosphoglycerate (2,3 DPG or 2,3 BPG)
Definition
Derived from glycolysis intermediate (1,3 DPG) and it is used by RBC to regulate the affinity of Hgb for oxygen.
Term
increased 2,3 DPG
Definition
shifts the curve rightward, bc RBC is more generous and lets go of oxygen more easily, at a higher partial pressure of oxygen in the tissues

also is increased in hypoxia, anemia

takes 2-3 days to increase it though (versus pH which decreases in seconds)
Term
what % of adult Hgb is alpha2beta2?
Definition
95%
Term
Hgb alpha2delta2 makes up what % of adult hgb?
Definition
less than 1%
Term
embryonic Hgb
Definition
use alpha and beta chains.
Term
Fetuses use what type of Hgb?
Definition
Hgb F, which is made up of alpha2gamma2
Term
Hgb F
Definition
, in fetus, can steal oxygen from maternal Hgb A because it is resistant to the effects of 2,3, DPG
Term
Hgb S
Definition
has a single point mutation on beta chain that substitutes valine for glutamate at position 6

becomes insoluble when deoxygenated

precipitates causing the cells to sickle
Term
patients who are homozygous for Hgb S mutation have what disease?
Definition
sickle cell anemia
Term
heterozygotes for Hgb S mutation have what?
Definition
sickle cell traits but not full blown disease.... this protects against malaria
Term
For heme iron to bind oxygen, it must be what?
Definition
reduced (ferrous) in Fe2+ form
Term
Heme iron state in which oxygen cannot bind
Definition
oxidized (ferric) state Fe3+
Term
how can heme iron be restored to bind to oxygen again if it originally cannot do so?
Definition
it must be reduced by NADH
Term
superoxide dismutase
Definition
a class of enzymes that catalyze the dismutation of superoxide into oxygen and hydrogen peroxide. As such, they are an important antioxidant defense in nearly all cells exposed to oxygen
Term
catalase
Definition
common enzyme found in nearly all living organisms that are exposed to oxygen, where it catalyzes the decomposition of hydrogen peroxide to water and oxygen
Term
glutathione
Definition
an antioxidant, preventing damage to important cellular components caused by reactive oxygen species such as free radicals and peroxides; it reduces disulfide bonds formed within cytoplasmic proteins to cysteines by serving as an electron donor
Term
treacherous organ the RBC has to travel through
Definition
spleen
Term
deformability
Definition
the right ratio of cytoplasm to membrane, (necessary for RBC's to enter tissue capillaries and splenic cord
Term
what exchange passes through membrane of RBC?
Definition
Na+ out and 2K+ or H+ in.... by Na/K ATPase pump
Term
components of RBC cytoskeleton
Definition
1) spectrin
2) ankyrin
3) Band 4.1
4) Band 3
Term
Spectrin-
Definition
band 1, gives RBC its rubber-like elasticity
Term
ankyrin & band 4.1
Definition
anchor spectrin to membrane
Term
Band 3
Definition
anion exchanger (aka AE1), important for moving bicarbonate in and out
Term
lipid bilayer-skeleton uncoupling vertical interactions
Definition
deficiency of spectrin, ankyrin or band 3 protein --> lipid bilayer skeleton uncoupling --> membrane loss in form of microvesicles --> surface area deficiency leading to spherocytosis
Term
hereditary spherocytosis (HS)
Definition
mutation in spectrin (or ankyrin or Band 3), making fragile spherocytes that have a shorter lifespan than regular RBC's
Term
spherocytosis
Definition
MCV is normal, mean cell diameter on blood smear is reduced though
Term
Hereditary epitocytosis (HE)
Definition
due to spectrin mutation, most people who have this are asymtomatic, confers resistance to malaria
Term
anisocytosis
Definition
variety of sizes of RBC's within a person
Term
relaxed hgb state
Definition
has high oxygen affinity
Term
tense hgb
Definition
has low oxygen affinity (allows hgb to generously give up its oxygen in the tissues)
Term
factors that alter the dissocation curve of oxygen (potential things that shift the graph)
Definition
temperature
pH
level of 2,3, DPG
Term
hemoglobinopathies
Definition
term used to describe a problem with hemoglobin; less of the chain is produced or a mutant chain such as sickle Hgb is produced that makes the Hgb less soluble
Term
RBC's live for
Definition
120 days

(100,000 trips through circulatory system)
Term
macrophages
Definition
remove pieces of RBC membrane or entire RBCs that are no longer in good shape
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