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Questions and Answers

What is the primary energy source that red blood cells rely on?

  • Lactate
  • Protein
  • Glucose (correct)
  • Fatty acids
  • Which cytokine is primarily responsible for stimulating red blood cell production?

  • Interleukin-6
  • Erythropoietin (correct)
  • Thrombopoietin
  • Granulocyte-colony stimulating factor
  • What is the role of erythrocyte band 3 protein?

  • Carbon dioxide binding
  • Regulation of glucose metabolism
  • Anchoring the cytoskeleton (correct)
  • Oxygen transport
  • What condition is characterized by a deficiency of circulating hemoglobin?

    <p>Anemia</p> Signup and view all the answers

    Which of the following disorders affects platelet function due to genetic mutations?

    <p>von Willebrand disease</p> Signup and view all the answers

    What enzyme systems protect heme iron from oxidation in red blood cells?

    <p>Methemoglobin reductase systems</p> Signup and view all the answers

    Which granules in platelets are known to contain major components such as clotting factors?

    <p>Alpha-granules</p> Signup and view all the answers

    What does anemia specifically indicate regarding hemoglobin levels?

    <p>Deficiency in hemoglobin levels</p> Signup and view all the answers

    Study Notes

    Red Blood Cells

    • Red blood cells are crucial for oxygen transport, carrying oxygen to and carbon dioxide away from tissues.
    • Anemia, a deficiency in circulating hemoglobin, impairs oxygen delivery and compromises health.
    • Red blood cells lack internal organelles (nucleus, lysosomes, mitochondria) to maximize space for hemoglobin.
    • Their biconcave shape enhances oxygen and carbon dioxide exchange.
    • Red blood cells rely entirely on glycolysis for ATP production, lacking the machinery for other metabolic processes.
    • Erythrocytes generate ATP exclusively through glycolysis.
    • Glucose enters red blood cells facilitated by GLUT1.
    • The glycolytic pathway has a unique branch converting 1,3-bisphosphoglycerate to 2,3-bisphosphoglycerate.
    • 2,3-BPG binds hemoglobin promoting oxygen release.
    • Carbonic anhydrase catalyzes rapid conversion of CO₂ to carbonic acid.
    • This increases CO₂ solubility, aiding its transport.
    • Red blood cells have a 120-day lifespan, and their constant replacement is necessary for health.
    • Approximately 2 million new red blood cells are produced per second.
    • Erythropoietin (EPO) primarily produced by the kidney regulates red blood cell production.

    Hematopoietic Stem Cells

    • Stem cells have self-renewal capacity and potency to produce diverse specialized cell types.
    • Stem cells can be totipotent, pluripotent, multipotent, or unipotent based on differentiation potential.
    • Embryonic and adult stem cells exist, with adult stem cells having limited differentiation abilities.
    • Hematopoietic stem cells give rise to red blood cells and platelets.
    • Cytokines are important for hematopoietic stem cell differentiation, such as stem cell factor and interleukins.

    Red Blood Cell Disorders

    • Methemoglobinemia occurs due to oxidized heme iron in hemoglobin.
    • Reduced methemoglobin occurs via NADH-dependent cytochrome b, reductase.
    • Methemoglobinemia is inherited or acquired.
    • Hereditary spherocytosis result from spectrin deficiency.
    • Abnormalities in spectrin, ankyrin, or other membrane proteins cause hereditary spherocytosis and elliptocytosis.
    • Glucose-6-phosphate dehydrogenase deficiency can cause hemolytic anemia.
    • Hemolytic anemia can have extrinsic or intrinsic causes (beyond the erythrocyte).
    • Deficiency in glucose-6-phosphate dehydrogenase makes red blood cells susceptible to oxidative stress.
    • Hemolytic anemia may be caused by extrinsic factors (like hypersplenism).
    • Intrinsic factors influencing hemolytic anemia relate to red blood cells' internal conditions.

    Platelets

    • Platelets are derived from megakaryocytes.
    • Platelets are crucial for hemostasis, preventing blood loss from damaged vessels.
    • Platelets lack a nucleus but contain mitochondria, lysozymes, and internal channels.
    • Platelets store clotting factors in granules.
    • Immune thrombocytopenic purpura is an autoimmune disorder affecting platelet counts.
    • Platelet disorders can compromise hemostasis.

    ABO Blood Group System

    • The ABO blood group system has three alleles (A, B, and O).
    • The ABO antigens are glycosphingolipids and/or glycoproteins.
    • A substance has an additional N-acetyl-galactosamine.
    • B substance has an additional galactose.
    • O substance lacks these additional sugars.
    • The ABO genes encode a glycosyltransferase specificity for A, B, or O.
    • Individuals produce antibodies for blood types different from their own.

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