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Formed elements. Plasma. • 55% of whole blood • Least dense component. Buffy coat. • Leukocytes and platelets •
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Copyright © 2010 Pearson Education, Inc. Figure 17.1
1 Withdrawblood and placein tube.
2 Centrifuge theblood sample.
Plasma• 55% of whole blood• Least dense componentBuffy coat• Leukocytes and platelets• <1% of whole bloodErythrocytes• 45% of whole blood• Most dense component
Formedelements
Copyright © 2010 Pearson Education, Inc.
Copyright © 2010 Pearson Education, Inc. Figure 17.2
Platelets
Neutrophils Lymphocyte
Erythrocytes Monocyte
Copyright © 2010 Pearson Education, Inc. Figure 17.3
2.5 µm
7.5 µm
Side view (cut)
Top view
Copyright © 2010 Pearson Education, Inc. Figure 17.4
Hemegroup
(a) Hemoglobin consists of globin (two alpha and two beta polypeptide chains) and four heme groups.
(b) Iron-containing heme pigment.a Globin chains
b Globin chains
Copyright © 2010 Pearson Education, Inc. Figure 17.5
Stem cell
HemocytoblastProerythro-blast
Earlyerythroblast
Lateerythroblast Normoblast
Phase 1Ribosomesynthesis
Phase 2Hemoglobinaccumulation
Phase 3Ejection ofnucleus
Reticulo-cyte
Erythro-cyte
Committedcell
Developmental pathway
Copyright © 2010 Pearson Education, Inc. Figure 17.6
Kidney (and liver toa smaller extent)releaseserythropoietin. Erythropoietin
stimulates redbone marrow.
Enhancederythropoiesisincreases RBCcount.
O2- carryingability of bloodincreases.
Homeostasis: Normal blood oxygen levels
Stimulus:Hypoxia (low bloodO2- carrying ability)due to• Decreased
RBC count• Decreased amount
of hemoglobin• Decreased
availability of O2
1
2
3
4
5
IMBALANCE
IMBALANCE
Copyright © 2010 Pearson Education, Inc. Figure 17.6, step 1
Homeostasis: Normal blood oxygen levels
Stimulus:Hypoxia (low bloodO2- carrying ability)due to• Decreased
RBC count• Decreased amount
of hemoglobin• Decreased
availability of O2
1
IMBALANCE
IMBALANCE
Copyright © 2010 Pearson Education, Inc. Figure 17.6, step 2
Kidney (and liver toa smaller extent)releaseserythropoietin.
Homeostasis: Normal blood oxygen levels
Stimulus:Hypoxia (low bloodO2- carrying ability)due to• Decreased
RBC count• Decreased amount
of hemoglobin• Decreased
availability of O2
1
2
IMBALANCE
IMBALANCE
Copyright © 2010 Pearson Education, Inc. Figure 17.6, step 3
Kidney (and liver toa smaller extent)releaseserythropoietin. Erythropoietin
stimulates redbone marrow.
Homeostasis: Normal blood oxygen levels
Stimulus:Hypoxia (low bloodO2- carrying ability)due to• Decreased
RBC count• Decreased amount
of hemoglobin• Decreased
availability of O2
1
2
3
IMBALANCE
IMBALANCE
Copyright © 2010 Pearson Education, Inc. Figure 17.6, step 4
Kidney (and liver toa smaller extent)releaseserythropoietin. Erythropoietin
stimulates redbone marrow.
Enhancederythropoiesisincreases RBCcount.
Homeostasis: Normal blood oxygen levels
Stimulus:Hypoxia (low bloodO2- carrying ability)due to• Decreased
RBC count• Decreased amount
of hemoglobin• Decreased
availability of O2
1
2
3
4
IMBALANCE
IMBALANCE
Copyright © 2010 Pearson Education, Inc. Figure 17.6, step 5
Kidney (and liver toa smaller extent)releaseserythropoietin. Erythropoietin
stimulates redbone marrow.
Enhancederythropoiesisincreases RBCcount.
O2- carryingability of bloodincreases.
Homeostasis: Normal blood oxygen levels
Stimulus:Hypoxia (low bloodO2- carrying ability)due to• Decreased
RBC count• Decreased amount
of hemoglobin• Decreased
availability of O2
1
2
3
4
5
IMBALANCE
IMBALANCE
Copyright © 2010 Pearson Education, Inc. Figure 17.7
Low O2 levels in blood stimulate kidneys to produce erythropoietin.1
Erythropoietin levels risein blood.2
Erythropoietin and necessaryraw materials in blood promoteerythropoiesis in red bone marrow.
3
Aged and damagedred blood cells areengulfed by macrophagesof liver, spleen, and bonemarrow; the hemoglobinis broken down.
5
New erythrocytesenter bloodstream;function about 120 days.
4
Raw materials aremade available in bloodfor erythrocyte synthesis.
6
Hemoglobin
Aminoacids
Globin
Iron is bound totransferrin and releasedto blood from liver asneeded for erythropoiesis.
Food nutrients,including amino acids,Fe, B12, and folic acid,are absorbed fromintestine and enterblood.
Heme
Circulation
Iron storedas ferritin,hemosiderin
Bilirubin
Bilirubin is picked up from bloodby liver, secreted into intestine inbile, metabolized to stercobilin bybacteria, and excreted in feces.
Copyright © 2010 Pearson Education, Inc. Figure 17.7, step 1
Low O2 levels in blood stimulatekidneys to produce erythropoietin.1
Copyright © 2010 Pearson Education, Inc. Figure 17.7, step 2
Low O2 levels in blood stimulatekidneys to produce erythropoietin.1
Erythropoietin levels risein blood.2
Copyright © 2010 Pearson Education, Inc. Figure 17.7, step 3
Low O2 levels in blood stimulatekidneys to produce erythropoietin.1
Erythropoietin levels risein blood.2
Erythropoietin and necessaryraw materials in blood promoteerythropoiesis in red bone marrow.
3
Copyright © 2010 Pearson Education, Inc. Figure 17.7, step 4
Low O2 levels in blood stimulatekidneys to produce erythropoietin.1
Erythropoietin levels risein blood.2
Erythropoietin and necessaryraw materials in blood promoteerythropoiesis in red bone marrow.
3
New erythrocytesenter bloodstream;function about 120 days.
4
Copyright © 2010 Pearson Education, Inc. Figure 17.7, step 5
Aged and damaged redblood cells are engulfed bymacrophages of liver,spleen, and bonemarrow; thehemoglobin isbroken down.
5 Hemoglobin
Aminoacids
GlobinHeme
Circulation
Iron storedas ferritin,hemosiderin
Bilirubin
Bilirubin is picked up from bloodby liver, secreted into intestine inbile, metabolized to stercobilin bybacteria, and excreted in feces.
Copyright © 2010 Pearson Education, Inc. Figure 17.7, step 6
Aged and damaged redblood cells are engulfed bymacrophages of liver,spleen, and bonemarrow; thehemoglobin isbroken down.
5
Raw materials aremade available in bloodfor erythrocyte synthesis.
6
Hemoglobin
Aminoacids
Globin
Iron is bound totransferrin and releasedto blood from liver asneeded for erythropoiesis.
Food nutrients,including amino acids,Fe, B12, and folic acid,are absorbed fromintestine and enterblood.
Heme
Circulation
Iron storedas ferritin,hemosiderin
Bilirubin
Bilirubin is picked up from bloodby liver, secreted into intestine inbile, metabolized to stercobilin bybacteria, and excreted in feces.
Copyright © 2010 Pearson Education, Inc. Figure 17.7
Low O2 levels in blood stimulate kidneys to produce erythropoietin.1
Erythropoietin levels risein blood.2
Erythropoietin and necessaryraw materials in blood promoteerythropoiesis in red bone marrow.
3
Aged and damagedred blood cells areengulfed by macrophagesof liver, spleen, and bonemarrow; the hemoglobinis broken down.
5
New erythrocytesenter bloodstream;function about 120 days.
4
Raw materials aremade available in bloodfor erythrocyte synthesis.
6
Hemoglobin
Aminoacids
Globin
Iron is bound totransferrin and releasedto blood from liver asneeded for erythropoiesis.
Food nutrients,including amino acids,Fe, B12, and folic acid,are absorbed fromintestine and enterblood.
Heme
Circulation
Iron storedas ferritin,hemosiderin
Bilirubin
Bilirubin is picked up from bloodby liver, secreted into intestine inbile, metabolized to stercobilin bybacteria, and excreted in feces.
Copyright © 2010 Pearson Education, Inc. Figure 17.8
1 2 3 4 5 6 7 146
1 2 3 4 5 6 7 146
(a) Normal erythrocyte has normal hemoglobin amino acid sequence in the beta chain.
(b) Sickled erythrocyte results from a single amino acid change in the beta chain of hemoglobin.
Copyright © 2010 Pearson Education, Inc. Figure 17.9
Formedelements
Platelets
Leukocytes
Erythrocytes
DifferentialWBC count(All total 4800 –10,800/l)
Neutrophils (50 – 70%)
Lymphocytes (25 – 45%)
Eosinophils (2 – 4%)
Basophils (0.5 – 1%)
Monocytes (3 – 8%)
Agranulocytes
Granulocytes
Copyright © 2010 Pearson Education, Inc. Table 17.2 (1 of 2)
Copyright © 2010 Pearson Education, Inc. Table 17.2 (2 of 2)
Copyright © 2010 Pearson Education, Inc. Figure 17.11
Hemocytoblast
Myeloid stem cell Lymphoid stem cell
Myeloblast Myeloblast MonoblastMyeloblast Lymphoblast
Stem cells
Committedcells
Promyelocyte PromyelocytePromyelocyte Promonocyte Prolymphocyte
Eosinophilicmyelocyte
Neutrophilicmyelocyte
Basophilicmyelocyte
Eosinophilicband cells
Neutrophilicband cells
Basophilicband cells
Developmentalpathway
Eosinophils NeutrophilsBasophils
Granular leukocytes
(a) (b) (c) (d) (e)Monocytes Lymphocytes
Agranular leukocytesSome become
Somebecome
Copyright © 2010 Pearson Education, Inc. Figure 17.12
Stem cell Developmental pathway
Hemocyto-blast Megakaryoblast
PromegakaryocyteMegakaryocyte Platelets
Copyright © 2010 Pearson Education, Inc. Figure 17.13
Collagenfibers
Platelets
Fibrin
Step Vascular spasm• Smooth muscle contracts, causing vasoconstriction.
Step Platelet plugformation
• Injury to lining of vessel exposes collagen fibers; platelets adhere.
• Platelets release chemicals that make nearby platelets sticky; platelet plug forms.
Step Coagulation• Fibrin forms a mesh that traps red blood cells and platelets, forming the clot.
1
2
3
Copyright © 2010 Pearson Education, Inc. Figure 17.14 (1 of 2)
Vessel endothelium ruptures,exposing underlying tissues(e.g., collagen)
PF3
released byaggregated
platelets
XII
XI
IX
XIIa
Ca2+
Ca2+
XIa
IXa
Intrinsic pathwayPhase 1Tissue cell traumaexposes blood to
Platelets cling and theirsurfaces provide sites formobilization of factors
Extrinsic pathway
Tissue factor (TF)
VII
VIIa
VIII
VIIIa
Ca2+
XXa
Prothrombinactivator
PF3
TF/VIIa complexIXa/VIIIa complex
V
Va
Copyright © 2010 Pearson Education, Inc. Figure 17.14 (2 of 2)
Ca2+
Phase 2
Phase 3
Prothrombinactivator
Prothrombin (II)Thrombin (IIa)
Fibrinogen (I)(soluble) Fibrin
(insolublepolymer) XIII
XIIIa
Cross-linkedfibrin mesh
Copyright © 2010 Pearson Education, Inc. Figure 17.15
Copyright © 2010 Pearson Education, Inc. Table 17.4
Copyright © 2010 Pearson Education, Inc.
ABO Blood Typing
Blood Type Being Tested
RBC Agglutinogens
Serum Reaction
Anti-A Anti-B AB A and B + + B B – + A A + – O None – –
Copyright © 2010 Pearson Education, Inc. Figure 17.16
SerumAnti-A
RBCs
Anti-BType AB (containsagglutinogens A and B;agglutinates with bothsera)
Blood being tested
Type A (containsagglutinogen A;agglutinates with anti-A)
Type B (containsagglutinogen B;agglutinates with anti-B)
Type O (contains noagglutinogens; does notagglutinate with eitherserum)