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BIO202 - CH17 – Erythrocytes (RBCs) - Marieb/Hoehn - RioSalado - AZ

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Question
Answer
Hemoglobin   (Hb) oxygen carrier protein in blood.  
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Protein globin built of __.   4 linked polypeptide chains (2 alpha, 2 beta) & a heme group - oxygen molecules bind to iron molecule in center of each heme group.  
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One red blood cell can carry __ moelecules of oxygen.   1 billion  
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Network of proteins that maintain biconcave shape of RBC.   Spectrin - attached to cytoplasmic face of plasma membrane.  
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Name 3 characteristics of RBCs that contribute to tis gas transport function.   (1) small size & biconcave shape (surface area), (2) 97% hemoglobin, (3) No mitrochondria & generate ATP by anaerobic - no O2 consumption.  
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Name the major factor contributing to blood viscosity.   Erythrocytes  
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When blood viscosity rises, blodo flows __.   More slowly due to increase in number of RBCs  
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Most oxygen carried in blood is __.   Bound to hemoglobin  
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Oxygemoglobin   Oxygenated hemoglobin  
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Erythropoietin   Hormone that signals stem cells to produce red blood cells.  
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Red blood cells live about __ days.   120  
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Cell count   Tallies of number of cells in a microliter of blood.  
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Antigen   Any large molecule that triggers a defensive attack due to being marked as "nonself".  
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1 hemoglobin molecule can transport __ molecules of oxygen.   4  
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A single RBC contains around __ million hemoglobin molecules.   250 million  
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20% of carbon dioxide in blood combines with hemoglobin how? Called what?   To globin's amino acids rather than heme group - carbaminohemoglobin  
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Hematopoiesis or hemopoiesis   Blood cell formation that occurs in red bone marrow.  
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As blood cells mature, they migrate through __ to enter blood stream.   Blood sinusoids - wide blood capillaries in red bone marrow.  
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Erythropoiesis   Erythrocyte production  
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Erythropoiesis begins when a hemocytoblas myeloid stem cell is transformed into a __.   Proerythroblast  
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Stages of erythropoiesis   Myeloid stem cell -> proerythroblast -> erythroblast ->normoblast -> reticulocyte -> erythrocyte  
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Early (basophilic) erythroblasts do what?   Produce huge number of ribosomes so cells can divide many times.  
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As early erythroblast transforms into late erythroblast __.   Hemoglobin synthesis & iron accumulation occur.  
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When a normoblast has accumulated almost all its hemoglobin, it __.   Ejects its organelles & pinches off its nucleus.  
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When normoblast ejects organelles & nucleus, it becomes a __.   reticulocyte - becuase it ocntains some reticulum of clumped ribosome.  
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Reticulocyte counts provide what?   A rough index of the rate of RBC formation - should be about 1-2% of all erythrocytes in blood.  
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Too few erythrocytes leads to?   Hypoxia - oxygen deprivation  
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New erythrocytes are produced at more than __ per second.   2 million  
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Erythrocyte production depends on?   Hormonal condition, iron, amino acids, & certain B vitamins  
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The direct stimulus for erythrocyte formation is provided by __, a glycoprotein hormone.   erythropoietin (EPO)  
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The __ plays the major role in EPO production.   kidneys  
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When certain kidney cells become hypoxic, they accelerate release of __.   EPO - erythropoietin - due to hypoxicia  
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The rate of erythropoiesis is controlled by __.   their ability to transport oxygen to meet tissue demand.  
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Bloodborn erythropoietin (EPO) stimulates red marrow cells __.   that are already committed to becoming erythrocytes to mature more rapidly  
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Hypoxia doesn't activate bone marrow directly, instead it __.   stimulates the kidneys which then provide hormonal stimulus that activates bone marrow  
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Renal dialysis patients have kidneys that __.   have failied & produce too little EPO  
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Why do renal dialysis patients have low RBC counts?   Their kidneys produce too little EPO to support normaly erythropoiesis.  
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Which natural hormone can enhance EPO production by kidneys?   Testosterone  
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Iron is stored in protein-iron complexes such as __.   ferritin & hemosiderin  
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Iron in blood is loosley bound to a transport protein called __.   transferrin  
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Which B-complex vitamins are necessary for normal DNA synthesis?   B12 & folic acid - deficits jeopardize rapidly dividing cell populations.  
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RBCs have useful life span of __.   100-120 days  
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What is the "red blood cell graveyard"?   Spleen  
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Most erythrocyte disorders can be classified as __ or __.   anemias or polycythemias  
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3 common causes of anemia are __.   Low # of RBCs, low Hb content, or abnormal Hb.  
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3 conditions that reduce RBC count are?   Blood loss, excessive RBC destruction, & bone marrow failure.  
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Hemorrhagic anemia is treated how?   Stop source of blood loss & blood replacement  
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What are hemolytic anemias & how are they caused?   When erythrocytes rupture (lyse) - Hb abnormalities, mismatched transfusion, & bacterial/parasitic infections.  
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What is aplastic anemia & how caused?   Destruction or inhibition of red marrow - by drugs, chemicals, radiation, or viruses.  
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How to treat apalastic anemia?   Blood transfusion, marrow transplant, tranfusion of umbilical blood (stem cells).  
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What are microcytes?   Small & pale erythrocytes due to iron-deficiency anemia.  
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Pernicious anemia is due to __.   deficiency of B12 - deficient intrinsic factor - autoimmune disease  
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What are macrocytes?   Large, pale erythrocytes due to pernicious anemia  
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2 genetic basis for abnormal hemoglobin.   Thalassemia & sickle-cell anemia  
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What are thalassemias?   one of the globin chains is absent or faulty - mediterranean ancestry - abnormal Hb.  
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What causes sickle-cell anemia?   Abnormal Hb - genetic - causes beta chains of globin molecule to link together under low oxygen conditons.  
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Standard treatment for sickle-cell?   Blood transfusions  
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What does hydroxyurea do?   Drug used to treat leukemia that switches back on the gene fro fetal hemoglobin to help sickle cell anemia.  
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What is polycynthemia?   Abnormal excess of erythrocytes that increase blood viscosity.  
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What is plycynthemia vera?   Plycythemia due to bone marrow cancer - hematocrit can be as high as 80%.  
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Types of anemias   Iron deficiency, megaloplastic "pernicious", aplastic (red bone marrow distroyed), hemolytic (premature destruction of RBCs), sickle cell, & malaria.  
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SEcondary polycthemias occur when?   Less oxygen is available or EPO production increases - high altitudes  
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Blod doping is artificially induced __.   polycthemia  
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