Blood
Vessels
Hemopoiesis
Artery
large diameter
mainly elastic tissue and smooth tissue to withstand high pressure
Arteriole
Thick smooth muscle to control degree of constriction with little elastic connective tissue; also has sympathetic innervation, chemical sensitivity and circulating hormones
Capillary
3um diameter, thin walled and extensive network
only 1 cell thick and maximum area, no carrier mediated transport (apart from blood brain barrier) so only diffusion
Venule
20um diameter
made of endothelium and fibrous tissue
Vein
larger diameter
less tissue and muscle so have high compliance and act as volume reservoirs
Slow velocity
hydrostatic pressure drops throughout the capillary so contenets can be forced out when hydrostatic pressure is greater tehan osmotic pressure. Protein controls hydrostatic pressure and osmotic pressure is constant
exchange occurs by diffusion, bulk flow and transcytosis; they branch extensively to bring blood with ing the reach of every essential cell
Components
Cellular
Red blood cell
Plasma
blood is a specialised connective tissue and makes 25% of extracellular fluid
plasma contains albumin, fibrinogen, immunoglobulins, lipisd, hormones, vitamins, and salts
discoid shape
loose nucleus and no mitochondria and ER
cytoskeleton
contain haemoglobin, binds oxygen in haem group
the cell forms spectrin tetramers which are linked to a complex of actin, tropomyosin and protein 4.1
both ends of actin are capped to stop growth
Spectrin is a large dimeric protein consisting of spectrin alpha and beta
the numerous cytoskeleton makes the cell very flexible
Neutophils
Old people
rbcs only live for 4 moths
but as people age they become stiffer and lose membrane flexibility
they are fragile and more likely to rupture; they are engulfed by scavenging macrophages spleen-liver-lymph nodes and bone marrow
Lifecycle
a senescent is taken up by a phagocyte and broken down into globin, heme and iron
heme is converted to bilirubin
bilirubin is toxic and causes brain damage but cannot be removed from the body
so hepatocytes turn bilirubin and glucoronic acid with of UDP-glucoronyl transferase into bilirubin diglucoronide (conjugated bilirubin)
this is water soluble and is expelled into the intestine
the ineterndothelial slit is a tiny hole, and only healthy rbcs can move through it but old abnormal cells cannot and are engulfed by macrophage
Pathology
membrane cytoskeleton defects
Elliptocytosis: AD, EPB41, SPTA1, or SPTB genes
EPB41: encodes 4.1, SPTA1 and SPTB encode a, b –spectrins
Spherocytosis: AD spectrin deficiency
Metabolic defects
Glucose 6phosphate dehydrogenase (G6PD) deficiency
Pyruvate kinase deficiency
Haemoglobin defects
a- and b-globin chain defects
they have no mitochondria so cannot fully convert sugars
Sickle cell
due to mutation in haemoglobin chain beta-2, point mutation at amino acid 6 (glutamic to valine)
this changes negatively charged amino acid to a hydrophobic, changing the shape which means they are taken out by the spleen
beta-Thalassemia`
Unpaired a-chains aggregate and damage the membrane
Extravascular haemolysis
Inadequate haemoglobin and small rbc
develops if no b globin adn excessive a globin
the abnormal shapes are detected by the spleen and removes them, the lack of rbcs can lead to skeletal deformities
Embryo
Primitive wave
yolk sac is primary site of blood cell formation
yolk sac is extra embryonic
first trimester yields nucleated rbcs
Definitive wave
split into hepatosplenothymic phase and medullolymphatic phase
in second trimester, hematopoietic stem cells migrate via liver and spleen to seed these tissues
these tissues continues haemopoiesis
bone marrow is major site of blood cell production by 20 weeks production and increases in third trimester
Children
in hildren all bone marrow is red
red bone marrow contains stem cells involved in haematopoiesis
Adults
red marrow only found in torso and skull, the rest is yellow bone marrow
yellow bone marrow contains adipose tissue and is inert
yellow bone marrow can turn into red when there is continuous increased haemopoietic demand
the spleen and and liver are also capable of producing blood cells and are the main sites of extramedulllary haemopoiesis
Bone
haematopoietic stem cells occupy a well protected niche, since bone marrow is a high calorie source
bone provides shelter from harmful irradiation , protection from UV light is an evolutionarily conserved feature of haematopoietic niche
studies have shown that most fish kidney cells that make stem cells have a layer above them of melanocytes for protection
Haemopoiesis
Stem cells
only 0.05% of total haematopoietic cells are stem cells
they can self-renew, differentiate into range of lineages and perform slow replication
totipotent can differentiate into all cells, pluri can differentiate into the 3 germ layers (but not extra embryonic tissues), and multi can differentiate to all cell types in one particular lineage
they can divide into 2 daughter cells (symmetric cell division) and also divide wherre one remains a stem cells and other differentiates
multipotent stem cells become myeloid progenitor
myeloid erythroblast to erythroid CFO
Erythroid CFO to primitive then mature progenitor
progenitor to proerythroblast
reticulocyte
formed from polychromatophilic erythroblast
they have no nucleus, th ebenefit of no nucleues is more likely to fit through narrow spaces which could otherwise damage it rather than pack more in and the methylene blue stains a network of strands in cytoplasm (RNA)
they are slightly larger than erythrocutes
proerythroblast to basophilic erythroblast
basophilic erythroblast to polychromatophilic erythroblast
orthochromatic erythoblast shrink and the nucleus goes to the cell membraen and is then ejected and taken up by the macrophage
reticulocyte to red blood cell
erythroblastic island
these are clusters of cells if the differentiation sequence with a macrophage centre
the nuclei are taken up by the macrophage
macrophages also deliver iron for the cells for haemoglobin production
Control
TPO
Made by liver
platelets bind to it so little reaches teh bone marrow
means they receive less signal to make platelets so platelet number is self regulating
EPO
made by kidney adn little by liver
released in response to decrease in oxygen, interleukin proteins and CSF-E maturation is stimulated by B12 and folic acid; haemoglobin production by Fe, Cu, Zn, Co, vitamin C
34kD glycoprotein, 165 amino acids long, acts as a hormone
control
its gene contains an oxygen sensor regions
binds hypoxia-inducible factor 2, so it detects this factor which regulates breakdown of hypoxia inducible factor and can result in congenital polycythaemia
EPO binds to dimerised erythropoietin receptor and induces binding of cytosolic STAT5 protein to JAK2 (STAT5 becomes phosphorylated and homodimerises)
phosphorylated STAT5 homodimer translocates into nucleus and after binding to DNA it activates transcription of genes for erythropoiesis
Thrombopoiesis
they are both phagocytes and granulocytes
have a single, multilobed nucleus
make up 50-80% of circulating leukocytes and circulate for about 8 hours, form first line of defence
contain primary (azurophilic) granules which contain elastase defensins and myeloperoxidases, and smaller secondary granules which contain lysozyme, lactoferin, gelatinase adn other proteases
Eosinophils
stained with eosin
mainly kill parasites that cannot be digested
bind to antibody coated parasites, degranulate and dissolve the cell surface membrane
granules contain
eosinophil peroxidase which binds to microorganism and facilitates killing
major basic protein binds and disrupts membrane of parasites and causes basophils to release histamine by Ca2+ dependent mechanism
eosinophil catitonic protein neutralises heparin and causes fragmentation of parasites
eosinophil derived neurotoxin secretes protein with ribonuclease and antiviral activity
Basophils
involved in acute inflammatory response
important in allergy and hypersensitivity (secrete heparin and heparin)
Monocytes
largest leucocyte
new monocytes circulate in blood for a few hours before migrating to tissue and turning into macrophages
the macrophages derived monocytes are more efficient phagocytic cells than neutrophils
lymphocytes
can be T, B or natural killer
thye contain large cytoplasmic granules with suffated or carboxylated acidic proteins like heparin
they are similar to mast cells in connective tissues since they express IgE receptors but differ in expression of c-kit receptors and CD49b
basophilia is an increase in basophils and causes acute hypersensitivity reactions, viral infections and chronic inflammatory conditions
non-phagocytic that defend against larger parasites
kidney shaped nucleus and contain fine strands of chromatin
account for 20-40% of total leukocytes
small lymphocyte
nucleus is densely stained with round or pointer shape and occupies majority of cellso cytoplasm is thin basophilic rim
represent 97% of circulating lymphocytes
Large lymphocyte
have large slightly indented nucleus surrounded by pale cytoplasm, sometimes with primary granules
Kapp et al (2018)
melanocytes protect haemopoietic stem and progenitor cells in zebrafish larvae from DNA damage by UV
melanocytes form an umbrella overs HSPCs and protects them
the protection was also found in other fish and the mechanism is evolutionary conserved
Haemostasis
Phases
Primary
reduction o blood flow
formation of a temporary plug in wall of damaged vessel
due to interaction of platelets and blood vessels
Secondary
Conservation of soluble fibrinogen to insuluble fibrin, strengthens initial haemostatic plug
Fibrinolysis
breakdown of fibrin plug after repair of wound
Clotting
platelets
small membrane bound packets of granular cytoplasm (clotting proteins and cytokines) with no nucleus
Circulating platelets are 1-4um in diameter and 0.5-1 um thick discoids
they contain mitochondria adn SER and are produced by pinching off and shredding of megakarocytes (polyploidy cells)
Megakaryocytes are derived from a multipotent progenitor in bone marrow which becomes lineage restricted to megakarocyte production
inactive platelet is smooth and discoid shape but an active platelet is spiny and sphaeric
membrane
the alpha granule
proteins with haemostatic function like fibrinogen, thrombospondin, and plasminogen
growth factors like PDGF, TGF alpha and beta
microbicidal proteins like thrombocidins and kinocidins
the granulomere is the central portion of platelet (containing granules and lysosomes) and hyalomere is the peripheral microtubules and microfilaments
cytoskeleton during platelet chagne
Components
Filamin binds actin filament to neighbouring filament
gelsolin cuts actin filaments and their ends
Profilin and Arp2/3 polymerises actin
elevated calcium levels
gelsolin levels increase this fragments existing filaments
cofilin activity increase and filamin decrease, this changes cell/platelet shape
this change means platelet becomes rounder and larger
then elevated PPI
Arp2/3 and profilin increase resulting in filamin assembly
this changes platelet shape
They have an invaginate membrane system, and many receptors like GP2b-CP3a, GP1b and alpha2beta1 integrin
glycocalyx surface coat that contains glycoproteins that help adhesion adn aggregation
coagulation factor receptors, like coagulation factor I is fibrinogen and V, VIII, X, XI, XII, XIII enhance coagulation
PDGF (platelt derived growth factor) acts as mitogen for fibroblasts and chemokine for neutrophils
5-HT (serotonin) and Thromboxane helps vasoconstriction
Vasoconstriction
following injiry blood vessels constrict under a neurogenic response
this restricts blood flow to the area
Plug formation
break in endothelial lining which exposes collagen
platelts adhere to collagen, but adhesion requires vWf and factor VIII which act as a bridge between platelet and membrane
return to normal
there is a release of platelets factors after contraction which further exposes basal membrane and collagen
adhesion triggers change from discoid to irregular shape to adhere to other platelets
receptors for ADP, collagen and thrombin increase on membrane; ADP and thromboxane A2 acts as platelet chemoattractants
platelet activation causes release of vasoconstrictors like A2 adn 5-HT
endothelium produces vWF and BM
also releases PGI2 (prostacyclin) to inhibit platelt aggregation and causes vasodilation
binding and extravasation of immune cells and synthesises tissue factor
nitric oxide inhibits platelt activation and promotes vasodilation by raising cGMP levels
fibrinin slowly dissolved by plasmin causing clot to dissolve
Calcium
it is an important secondary messenger for activation
phospholipid turned into arachidonic acif by phospholipase; then into endoperoxides (PGG2 and PGH2) by cyclo-oxygenase
these turn into Thromboxae A2 by thromboxane synthase
thromboxane suppresses cAMP synthase which elevates ca2+ levels
endothelial cells release tissue factor which binds factor VIIa, which converts factor X into Xa, andVon Willebrand factor binds to Gp1B platelet receptor which helps collagen attachment
fibrinogen in plasma binds to activated integrin receptors to bridge platelets, and thrombin acts on fibrinogen to cleave fibrinopeptides adn form fibrin monomer which aggregates to form the clot (Factor XIII crosslinks monomers)
plasminogen converted to plasmin by tissue plasminogen activator
info on powerpoint (slide 26)
it is the formation of platelets in bone marrow
Earliest precursor
earliest precursor to platelets is identified in bone marrow by colony assay is CFU
IL-3, Epo and GM-CSF are important in commitment to CFU-Meg
Thrombopoietin produced by kidney and liver is important in stimulation of megakaryocyte differentiation and proliferation
Main processes
Proliferation
Megakartocytic cells undergo endomitosis (nuclei undergo multiple mitotic divisions, but not cytoplasmic division)
This produces very large cytoplasmic volume from platelets bud
Maturation
Formation of secretory granules
formation of demarcation membrane system which produces a large SA of membrane which is needed for platelet shedding
Circulation
release of protoplatelet packages
large cytoplasmic fragments undergo further fragmentation to form individual platelets
ends with phagocytosis of nuclei and remaining cytoplasm
each megakaryocyte produces 1000-3000 platelets per lifetime which survive up to 12 days in circulation
maturation and platelet release is regulated by thrombopoietin
pressure reservoir
despite there being no blood flow during diastole there is blood flow in capillaries
the driving force for this continuous flow is provided by elastic properties of the walls
in systole a greater volume of blood flows into arteries from heart than leaves(because of resistance) so teh elastic expadns to store this excess blood so there is pressure energy in stretched walls
in diastole the stretched walls recoil which exerts pressure on blood which pushes it downstream
they determine ho wmuch blood is reaching the tissues
major resistance
small radius offers resistance to flow
this resistnace maintains flow to end organs
converts pulsatile systolic-to-diastolic pressure swings in arteries into non-fluctuating pressure in capillaries
if blood pressure was not reduced for capillaries, tehy would be damaged by it
flwo rate is identical through all levels of circulatoy system and equal to cardiac output but branching of capillaries changes cross sectional aria so resistnace changes so actual velocity also changes
velocity varies throughout vascular tree and is inversely proportional to total cross sectional area of all vessels at a given level
it is much slower than arterioles adn venules and is because it needs to maximise time available for gas exchange
valves
only peripheral veins (not central veins)
skeletal muscle can contract to push when they relax the valves shut to prevent blood falling
Flow
Pressure gradient
blood pressure is the force exerted by blood against a vessel wall and depends on its volume and compliance
mean arterial pressure is main driving force
pressure controls distribution of blood to organs and arterioles change diameter which controls flow into tissues
Resistance
resistance is directly proportional to blood viscosity and vessel length and inversely proportional to radius
however we assume viscosity and length should be similar
total peripheral resistacne is the combined resistance of all organs and blood vessels adn arterioles adn small arteries make up 60% of it
click to edit
Flow rate
it is directly proportional to pressure gradient and indirectly proportional to vascular resistance
at left ventricle is 100mHg and at right ventricle it is 15mmHg which creates the gradient
it is pressure divided by resistance
it is affected by many factors and is integrated into Poiseuille's Law
normally laminar but cholesterol creates turbulent flow
Pressure
Starling's Force is when fluid flows across capillaries which creates pressure that pushes contents into the tissue
bulk flow
it is the difference in hydrostatic and colloid osmotic pressures between plasma and interstitial fluid
Many pressures like capillary blood pressure, plasma colloid osmotic pressure, interstitial fluid hydrostatic pressure, interstitial fluid colloid osmotic pressure
it determines whether contents are pulled or pushed, so at one point htere will be a point of no net movement