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Blood: Composition, Functions, and Hematopoiesis - A Comprehensive Overview, Study notes of Anatomy

A comprehensive overview of blood, its components, and functions. It delves into the formation of blood cells (hematopoiesis), the process of hemostasis (stopping bleeding), and blood groups and transfusions. The document also discusses developmental aspects of blood, including fetal hemoglobin and age-related changes. It is a valuable resource for students of biology, anatomy, and physiology.

Typology: Study notes

2024/2025

Available from 01/11/2025

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C.A.B.M. | 2024
1
Blood
Overview of Blood
Functions:
o Transports nutrients, wastes, hormones,
and body heat.
Blood is the only fluid connective tissue in the
body.
Components of Blood
1. Formed Elements:
o Living cells (erythrocytes, leukocytes,
and platelets).
2. Plasma:
o Non-living fluid matrix.
When Blood is Separated:
1. Erythrocytes:
o Sink to the bottom (45% of blood;
percentage known as the hematocrit).
2. Buffy Coat (blood separated):
o Thin, whitish layer between erythrocytes
and plasma.
o Contains leukocytes and platelets (less
than 1% of blood).
3. Plasma:
o Rises to the top (55% of blood).
Physical Characteristics of Blood
Appearance:
o Sticky, opaque fluid; heavier and thicker
than water.
o Oxygen-rich blood: scarlet red;
oxygen-poor blood: dull red or purple.
Taste and pH:
o Metallic, salty taste; slightly alkaline
(pH 7.357.45).
Temperature and Volume:
o Temperature: 38°C (100.4°F).
o Volume: ~56 liters in adults (8% of
body weight).
Plasma
Composition:
o 90% water, straw-colored.
o Dissolved substances: nutrients, salts
(electrolytes), respiratory gases,
hormones, plasma proteins, waste
products.
Plasma Proteins:
o Most abundant solutes in plasma
o Produced by the liver.
o Types:
Albumin: Maintains osmotic
pressure, acts as a blood buffer.
Clotting Proteins: Assist in
blood vessel injury repair.
Antibodies: Protect against
pathogens.
Functions:
o Distributes body heat.
o Maintains pH through respiratory and
urinary systems.
Blood composition varies as cells exchange
substances with the blood
o Liver makes more proteins when levels
drop
o Respiratory and urinary systems
restore blood pH to normal when blood
becomes too acidic or alkaline
Formed Elements
1. Erythrocytes (Red Blood Cells - RBCs):
o Function: Carry oxygen.
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Blood Overview of Blood

  • Functions : o Transports nutrients, wastes, hormones, and body heat.
  • Blood is the only fluid connective tissue in the body. Components of Blood
  1. Formed Elements : o Living cells (erythrocytes, leukocytes, and platelets).
  2. Plasma : o Non-living fluid matrix. When Blood is Separated:
  3. Erythrocytes : o Sink to the bottom (45% of blood; percentage known as the hematocrit ).
  4. Buffy Coat (blood separated) : o Thin, whitish layer between erythrocytes and plasma. o Contains leukocytes and platelets (less than 1% of blood).
  5. Plasma : o Rises to the top (55% of blood). Physical Characteristics of Blood
  • Appearance : o Sticky, opaque fluid; heavier and thicker than water. o Oxygen-rich blood: scarlet red ; oxygen-poor blood: dull red or purple.
  • Taste and pH : o Metallic, salty taste; slightly alkaline (pH 7.35–7.45).
  • Temperature and Volume : o Temperature: 38°C (100.4°F). o Volume: ~5–6 liters in adults (8% of body weight). Plasma
  • Composition : o 90% water, straw-colored. o Dissolved substances: nutrients, salts (electrolytes), respiratory gases, hormones, plasma proteins, waste products.
  • Plasma Proteins : o Most abundant solutes in plasma o Produced by the liver. o Types: ▪ Albumin : Maintains osmotic pressure, acts as a blood buffer. ▪ Clotting Proteins : Assist in blood vessel injury repair. ▪ Antibodies : Protect against pathogens.
  • Functions : o Distributes body heat. o Maintains pH through respiratory and urinary systems.
  • Blood composition varies as cells exchange substances with the blood o Liver makes more proteins when levels drop o Respiratory and urinary systems restore blood pH to normal when blood becomes too acidic or alkaline Formed Elements
  1. Erythrocytes (Red Blood Cells - RBCs) : o Function: Carry oxygen.

o Characteristics: ▪ Anucleate, biconcave discs, lack mitochondria. ▪ Contain hemoglobin (Hb): binds up to 4 oxygen molecules. ▪ Normal count: ~5 million/mm³ of blood. ▪ Lifespan: ~100–120 days. ▪ Hemoglobin is an iron-bearing protein (Fe-porphyrin) ▪ Normal count: 12 - 18 g/100 mL of blood. ▪ o Imbalances: ▪ Anemia : Reduced oxygen- carrying ability due to low RBC count or abnormal hemoglobin. ▪ Sickle Cell Anemia : Abnormally shaped hemoglobin. ▪ Polycythemia : Excess RBCs, caused by high altitude or bone marrow cancer; increases blood viscosity. o Increase in RBCs slows blood flow and increases blood viscosity

  1. Leukocytes (White Blood Cells - WBCs) : o Function: Defense against disease. o Characteristics: ▪ Complete cells with nuclei and organelles. ▪ Can move out of blood vessels ( diapedesis ) and respond to chemicals ( positive chemotaxis ). ▪ Move by amoeboid motion ▪ Normal count: 4,800– 10,800/mm³ of blood. o Types: ▪ Granulocytes - Granules in their cytoplasm can be stained with Wright’s stain ▪ Possess lobed nucleiNeutrophils : Most numerous; phagocytes ; fight infection; multi- lobed nucleus. ➢ Cytoplasm stains pink and contains fine granulesEosinophils : Combat parasitic worms; role in allergies. ➢ Nucleus stains blue-red ➢ Brick-red cytoplasmic granules ▪ Basophils : rarest ; release histamine; contain heparin (anticoagulant). ▪ Agranulocytes - lack visible cytoplasmic granules. ▪ Nuclei are spherical, oval, or kidney - shapedLymphocytes : Reside in lymphatic tissues; important for immunity. ➢ Large, dark purple nucleus ➢ Slightly larger than RBCs ▪ Monocytes : Become macrophages; fight chronic infections. ➢ Largest of the WBCs ➢ Distinctive U- or kidney- shaped nucleus o Imbalances: ▪ Leukocytosis : High WBC count (above 11,000/mm^3 of blood), indicates infection. ▪ Leukopenia : Low WBC count, caused by drugs (e.g., corticosteroids, anticancer agents). ▪ Leukemia : bone marrow becomes cancerous ; produces immature WBCs. o List of the WBCs, from most to least abundant, mnemonic (Never Let Monkeys Eat Bananas) ▪ Neutrophils ▪ Lymphocytes ▪ Monocytes ▪ Eosinophils ▪ Basophils
  2. Platelets : o Fragments of megakaryocytes. o Essential for clotting.

Blood Groups and Transfusions

  • Large losses of blood have serious consequences o Loss of 15 to 30 percent causes weakness o Loss of over 30 percent causes shock , which can be fatal
  • Blood transfusions are given for substantial blood loss, to treat severe anemia, or for thrombocytopenia
  • Blood contains genetically determined proteins known as antigens
  • Antigens are substances that the body recognizes as foreign and that the immune system may attack o Most antigens are foreign proteins o We tolerate our own “ self” antigens
  • Antibodies are the “recognizers” that bind foreign antigens
  • Blood is “typed” by using antibodies that will cause blood with certain proteins to clump (agglutination) and lyse
  • Agglutinins and agglutinogens
  • There are over 30 common red blood cell antigens
  • The most vigorous transfusion reactions are caused by ABO and Rh blood group antigens
  • Hemolytic, and other transfusion reactions may occur.
    1. ABO Blood Groups : o Determined by the presence of A and B antigens on RBCs. o Types: ▪ A , B , AB (universal recipient), O (universal donor; lack of both antigen A and B).
    2. Rh Blood Group : o Named for the eight Rh antigens ( agglutinogen D ) identified in Rhesus monkeys o Presence of Rh antigen: Rh+. o Rh– individuals can develop antibodies against Rh+ blood after exposure; hemolysis does not occur , because as it takes time to produce antibodies ▪ Second, and subsequent, transfusions involve antibodies attacking donor’s Rh+ RBCs , and hemolysis occurs (rupture of RBCs) o Pregnancy Risk : Rh– mother with Rh+ baby may lead to hemolytic disease in subsequent pregnancies. o RhoGAM shot can prevent buildup of anti-Rh+ antibodies in mother’s blood Blood Typing - Blood samples are mixed with anti-A and anti-B serum - Agglutination or the lack of agglutination leads to identification of blood type - Typing for ABO and Rh factors is done in the same manner - Cross matching —testing for agglutination of donor RBCs by the recipient’s serum, and vice versa Developmental Aspects of Blood - Sites of blood cell formation o The fetal liver and spleen are early sites of blood cell formation o Bone marrow takes over hematopoiesis by the seventh month - Fetal Hemoglobin : o Different from adult hemoglobin; has a higher oxygen affinity. - Infant Disorders : o Physiologic Jaundice : Liver cannot process hemoglobin breakdown fast enough. o Congenital Blood Defects : Hemolytic anemias, hemophilia, and Rh incompatibility.

o Incompatibility between maternal and fetal blood can result in fetal cyanosis , resulting from destruction of fetal blood cells

  • Aging : o Leukemias are most common in the very young and very old o Older adults have increased risk of anemia, clotting disorders, and pernicious anemia (Vitamin B deficiency). Reference: Marieb, E. N., & Keller, S. (2018). Essentials of human anatomy & physiology (12th ed., pp. 3 63 – 379 ). Pearson Education, Inc.