Chapter 18.3 Formed elements in the blood

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Myeloid lines form

-erythrocytes, all -leukocytes (except lympocyrtes/granulocytes/monocytes) -megakaryocytes

Luekoctes make up less than _____& of formed elements, with a concentration of 4500-11,000 per cubic millimeter.

0.01

Some reticulocytes finish maturation while circulating in blood vessels and in normal circumstances will make up ______-_______% of the circulating blood

0.5-2.0

Every day, _____% of the oldest circulating erythrocytes are removed from circulation

1

Platelets or thrombocytes make up less than ______% of formed elements

1

The erythrocyte has a lifespan of

120 days

A erythrocyte is composed of a plasma membrane and houses around ___________ million hemoglobin molecules.

280

Erythrocytes are produced at the rate of about

3 million per second

Each molecule of hemoglobin has _________ heme groups, so it has ___________ Fe2, and is capable of binding ______ molecules of oxygen.

4, 4, 4

Formed elements make up ___________% of the whole blood

45

The transformation from myeloid stem cell to reticulocyte takes _______ days

5

The size of erythrocytes is small and has a diameter of appx

7.5 μm

Erythrocytes make up more than _______% of formed elements

99

The lymphoid stem cell differentiates into

B-lymphoblasts and T-lymphoblasts

B-lympblasts mature ioto

B-lymphocytes

______________ within the kidneys detect low blood oxygen levels as the blood is transported through blood vessels within the kidneys. As a result, cells in the kidneys release EPO.

Chemoreceptors

Testosterone stimulates the kidney to produce more

EPO

The kidneys are primary producers of

EPO or erythropoeitin

In a heme group, oxygen binds to the ______for transport in the blood.

Fe2+

Hemocytoblasts produce two different lines for blood cell development

Myeloid line Lymphoid line

Some lymphoid stem cells differentiate directly into ______ cells

NK or natural killer

The proplatelets extend through the blood vessel wall (between the endothelial cells) in the ________ _________ ______________. The force from blood flow slices these proplatelets into the fragments we know as platelets.

Red bone marrow

T-lymphoblasts mature into

T-lymphocytes

What are primary factors in the short longevity of erythrocytes?

The absence of a nucleus and cellular organelles- it cannot synthesize proteins to repair itself or replace damaged regions of itself

What is blood doping?

When atheletes try to boost their bodies ability to deliver oxygen to the muscles by increasing the number of erythrocytes in their blood.

The term red blood cell is a misnomer because

a mature erythrocyte lacks a nucleus and cellular organelles

Hemoglobin is

a red-pigemented protein that transports oxygen and carbon dioxide.

Bilirubin is released into the blood and is transported by ___________ to the liver

albumin

Globin proteins are broken down into _______ ______________, that might be used for protein synthesis to make new erythrocytes or other body proteins.

amino acids

Hemopoiesis occurs in most bones in young children, but in adults it occurs mainly in the

axial skeleton

Bilirunin is a component of a digestive secretion called _________, which is produced by the liver and released into the small intestine.

bile

Biliverdin is eventually convereted into a yellowish pigment called

bilirubin

The heme group released from hemoglobin is converted within macrophages first into a green pigment called

biliverdin

Having more erythrocytes increases the bloods viscosity, which can increase the chance of

cardiovascular complications

The fact that erythrocytes lack a nucleus and organelles enable them to

carry respiratory gases more efficiently.

The maturation and division of hemopoietic stem cells are influenced by

colony-stimulating factors (CSFs) or colony forming units (CFUs). These are all growth factors except for erythropoietin, which is a hormone.

The hormone erythropoietin (EPO)

controls the rate of erythrocyte formation.

When some oxygen is lost and carbon dioxide is gained during systemic cellular gas exchange, blood is called __________ and appears dark red.

deoxygenated

The proerythroblast becomes a

erythroblast

The body compensates for the decreased oxygen concentration in the atmosphere by increasing the rate of __________ ___________

erythrocyte production

The process of erythrocyte production is called

erythropoiesis

In the liver or spleen, the Fe2+ is recycled and bound to storage proteins called ____________ and ________________.

ferritin, hemosiderin

Collectively, erythrocytes, leukocytes, and platelets are called the

formed elements

Each hemoglobin molecule consits of four protein molecules called

globins

Leukopoiesis involved 3 different types of maturation processes

granulocyte maturation monocyte maturation lymphocyte maturation

The myeloblast ultimately differentiates into one of the three types of

granulocytes

Two of the globins are called alpha (a) chains, and the other two are called beta (b) chains and all the chains contain a ________ group

heme

The process of hemopoeiesis starts with hemopoietic stem cells called

hemocytoblasts

The erythroblast is a slightly smaller cell than it was and is producing ______________ in its cytosol.

hemoglobin

Formed elements have a short life span, and new ones are produced by the process of

hemopoiesis AKA hematopoiesis

A way to increase the number of erythrocytes naturally is by living and training at ___________ _______________.

high altitude

The initial for EPO release is a decrease

in blood oxygen levels

EPO stimulates myeloid cells in the red bone marrow to

increase the rate of erythrocyte production

Dietary requirements for normal erythropoiesis include

iron, B vitamins, and amino acids

The production of leukocytes is called

leukopoiesis

The ____________ may be the site of up to 50% of platelet production, as well as within the red bone marrow.

lungs

Lymphocytes are derived from a

lymphoid stem cell

One to two days after entering circulation, the ribosomes in the reticulocyte degenerate and then it becomes a

mature erythrocyte

The myeloid stem cell that forms platelets is called a

megakaryoblast

The magakaryoblast forms a

megakaryocyte

The myeloid stem cell to produce monocytes differentiates into a progenitor cell under the influence of M-CSF to form a

monoblast

The monoblast forms a promonocyte that differentiates and matures into a

monocyte

As an erythrocyte ages it becomes

more fragile and less flexible

The myeloid stem cell is under the influence of

muilti=CSF to form a progenitor cell

The myeloid stem cell to produce granulocytes are stimulated by

multi-CSG and GM-CSF to form a progenitor cell.

The granulocyte line develops when the progenitor cell forms a

myeloblast

All 3 types of granulocytes are derived from a

myeloid stem cell

Monocytes are derived from a

myeloid stem cell

The process of erythropoiesis begins with a

myeloid stem cell

Increased blood oxygen levels inhibit release of EPO from kidney cells through

negative feedback

The 3 types of granulocytes are

neutrophils basophils eosinophils

The next stage after becoming a eryhroblast is called a _____________ and a still smaller cell with more hemoglobin in the cytosol because its _____________ has been ejected.

normoblast nucleus

The term formed elements is more appropriate than the description cells because mature erythrocytes don't contain ________ or __________ and platelets are merely fragments broken off from a larger cell.

nuclei, organelles

Lymphoid line forms

only lymphocytes

The reticulocyte loses all ____________ except some ribosomes so that it can continue to produce hemoglobin

organelles

Carbon dioxide and the globin molecule (not the Fe2+) have a similar weak attachment relationship as __________ and the globin molecule for transport

oxygen

Erythrocytes transport ____________ and ___________ ___________ between the tissues and the lungs

oxygen, carbon dioxide

When blood is maximally loaded with oxygen, it is termed __________ and appears bright red.

oxygenated

A heme group is composed of a _____________ ring (organic compound) with an ________ ______ at its center

porphyrin, iron ion (Fe2+)

The progenitor cell forms a

proerythroblast, a large nucleated cell

Megakaryocytes produce platelets by forming long extensions from themselves called

proplatelets

EPP is transported through the blood and reaches the

red bone marrow

Iron is transported by transferring to the ________ __________ ____________ as needed.

red bone marrow

A normoblast develops into a cell called a

reticulocyte

A single file of erythrocytes is termed a _________ as they pass through capillaries.

rouleau

Megakaryoctes are distinguished by their _________ and by their ____________, __________________ _________________

size (100um) and their dense, multilobed nucleus

A latticework of _________ ______________ supports the plasmas membrane of the erythrocyte on its internal surface and provides flexibility to it as it moves through the cappilaries.

spectrin protein

Old erythrocytes are phagocytized in the __________ and __________ by cells called macrophages

spleen, liver

The biconcave shape and flexibility of erythrocytes allow them to

stack and line up in a single file

Large amounts of iron like .9 mg are lost daily in

sweat, urine, and feces

A decrease in blood oxygen levels may be caused by:

the continuous removal of aged erythrocytes, blood loss, or exposure to high altitude

Three molecular components must be accounted for in the destruction of hemoglobin:

the globin protein the iron ion the heme group

Hemocytoblasts are considered muiltpotent cells because

they can differentiate and develop into many kinds of cells

Each megakaryocyte produces

thousands of platelets

The production of platelets is called

thrombopoiesis

The megakaryoblast matures under the influence of

thrombopoietin

The iron ion Fe2+ component in hemoglobin is removed and transported by a globulin protein called ___________ to the liver or spleen

transferrin

Bilirubin is converted to _________________ within the small intestine.

urobilinogen

Because males have higher levels of testosterone, they also

usually have a higher erythrocyte count and a higher hematocrit

Ferritin is a large, ___________-____________ protein that serves as primary storage for iron

water-soluble


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