Circulating portion of the extracellular fluid; 25% of total ECF

1. Circulating portion of the extracellular fluid; 25% of total ECF • Acts as buffer between cells and external environment • Carries nutrients, waste, fluid, signaling molecules • Capable of partial repair of holes, fighting infection, detoxification • Two main components: • Plasma • Cells • Red blood cells - erythrocytes • White blood cells - glanulocytes; lymphocytes

6. What do you know? • When referring to a mixture of gasses, we say that each gas has its own partial pressure. What does this mean? • What is the percentage of O2 in the air that we breathe? What is the percentage in the air on top of Mt. Everest? • What effects do the following have on O2 binding to hemoglobin? • Temperature increase • Increase in altitude + additional 2,3 DPG • Increased H+ concentration

7. Gas Laws Govern O2 and CO2 Saturation of Blood • Dalton’s Law - total pressure of a mixture of gases = sum of pressures of individual gases in the mix • pressure of a single gas in the mixture = partial pressure • Boyle’s Law – P = 1/V; this is what increases and decreases partial pressures as the lungs inflate and deflate with each breath • Gases move from an area of high pressure toward an area of low pressure

9. Henry’s Law – the amount of gas that will dissolve in a liquid is determined by the partial pressure of the gas and the gas’s solubility in the liquid. • O2 is not very soluble in water Why?

10. CO2 has good solubility in water, therefore there will be a greater partial pressure of CO2 in plasma than partial pressure of O2. • Results: • Blood must find a better mechanism for carrying O2 to and from the tissues. • CO2 can be carried in the plasma, on RBCs or is converted to bicarbonate.

11. CO2 + H2O <-> H2CO3 <-> H+ + HCO3- • Mature RBCs are a membrane-bound bag of proteins, 90% of which is hemoglobin. Their lifespan is about 120 days. They are destroyed principally in the spleen. • The iron prosthetic group in each hemoglobin can carry 1 oxygen molecule, and there are 4 heme (iron) groups per hemoglobin molecule. • Oxygen binds reversibly to hemoglobin • RBCs also carry about 95% of the CO2 produced in the body, either directly on the hemoglobin molecule, or by converting it to H+ and HCO3- with the enzyme carbonic anhydrase.

12. Control of O2 Carrying Capacity of RBCs • Presence of factors thought to regulate survival, proliferation and differentiation of RBCs and their precursors. These include: erythropoietin (EPO), interleukins, and growth factors. • Oxygen deficiency (hypoxia); increases the release of EPO and the production of more RBCs. • The partial pressure of O2 • Temperature • The presence of 2,3-DPG • A change in pH With deoxygenation the a1ß2 interface tightens lessening the affinity of Hgb for oxygen. This conformation is stabilized by proton binding and 2,3-DPG. Decreasing pH strengthens the a1ß2 interface, stabilizing the low-affinity conformation and releasing O2 . 2,3-DPG binds to hemoglobin, forming a link at the a1ß2 interface. This results in a stable low affinity conformation promoting the release of O2 . 2,3-DPG also lowers the pH.

13. This graph describes the loading of O2 onto hemoglobin. Why is the curve not linear? How saturated is hemoglobin at an O2 partial pressure of 40 mm Hg? Where would you find this partial pressure of O2? How saturated is hemoglobin at an O2 partial pressure of 100 mm Hg? Where would you find this partial pressure of O2?

14. What is the effect of increased termperature on the saturation of hemoglobin at the lungs? At the level of the tissues? • Why do you think this happens?

15. Chronic hypoxia triggers an increase in 2,3-DPG in RBCs • 2,3-DPG lowers the binding affinity of O2 for hemoglobin; this shifts the curve to the right. • After prolonged exposure to high altitude, what effect will increased 2,3-DPG have on O2 delivery?

16. Decreasing pH shifts the saturation curve to the right • Why does this occur? • When you are running sprints, what effect will this have on O2 delivery?

18. Stem cells are influenced by different trophic factors to differentiate into the different classes of blood cells

19. Some of the trophic factors include: • Thrombopoietin (Liver) • Interleukin 3 (T lymphocytes) • Erythropoietin (kidney cells) • Colony stimulating factor (endothelial cells and fibroblasts of bone marrow) • Granulocyte, macrophage colony stimulating factor (endothelial cells and fibroblasts of bone marrow) • Macrophage colony stimulating factor • Granulocyte colony stimulating factor

20. Cell Differentiation (modification of structure and function during the course of development) ERYTHROPOIESIS = Differentiation of RBCs; general events are a decrease in the size of cells, a decrease in the size of the nucleus, and an increase in nuclear staining from pink to purple. • Stages: • Pluripotent stem cell responds to two growth factors – IL3 and erythropoietin • Proerythroblasts formed • Basophilic erythroblast – increased polyribosomes; can synthesize hemoglobin • Polychromatophilic erythroblast – hemoglobin begins to form pink staining spots in the basophilic cytoplasm • Normoblast – loss of basophilic granules; extrusion of polyribosomes • Erythrocyte – nucleus is extruded

22. Eosinophil • The granules contain peroxidase and several other lysosomal enzymes • Plays a role in allergic reactions and stress • Are attracted to areas of antigen-antibody interaction by chemotaxis; phagocytize antigen-antibody complexes at these sites • Also may be involved in phagocytosis of large parasites • Are found at sites of tumor formation; release IL4, a potent antitumor agent. • Neutrophil • Most abundant of the white blood cells; 40-75% of the circulating WBCs • Highly motile; phagocytic • Important in the early phases of immune response and in injury repair

23. Basophils and Mast Cells • Granules contain heparin, histamine and other vasoactive substances • Basophils and mast cells share many characteristics. Mast cells are sometimes called tissue basophils because they are located only in tissues. • Have IgE antibodies in their cell membranes; upon exposure to antigen, degranulate – anaphylactic or hypersensitivity reaction • Mast cells are found beneath epithelia, around blood vessels, and lining serous cavities. Can proliferate in the tissues after interacting with T lymphocytes

24. Lymphocytes • Second most numerous WBC; numbers increase with viral insult • Two main types; T lymphocytes and B lymphocytes • Active in cell mediated and antibody mediated immunity Monocytes/Macrophages • Largest of the leukocytes • Monocytes are precursors to macrophages • Macrophages are phagocytic and respond to hormonal and other cellular signals; cytoplasm my be vacuolated • Macrophages are antigen presenting cells and their numbers are depressed by corticosteroids

25. Platelets • Small, disc-shaped cells without a nucleus • Formed by cytoplasmic fragmentation of megakaryocytes • Have most organelles and granules that contain serotonin, coagulation factors, lysosomal enzymes and peroxidase • Are involved in agglutination and blood clotting (agglutination is the tendency of platelets to stick together at the site of an injury to the endothelium of blood vessels)