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Components of Blood
- Hematocrit
- Plasma 55%, has clotting factors
- Buffy coat < 1%, white blood cells
- Red blood cells 45%
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Plasma
- Get from spinning blood
- Has clotting factors
- Plasma is serum that contains clotting agents
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Serum
- Naturally separates from blotted blood
- No clotting factors
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Serum is the fluid part of blood, containing:
- minerals
- salts
- proteins, etc.
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Percentage of blood occupied by cells
- female normal range
- 38 - 46% (average of 42%)
- male normal range
- 40 - 54% (average of 46%)
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Anemia
not enough RBCs or not enough hemoglobin
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Polycythemia
- too many RBCs (over 65%)
- dehydration, tissue hypoxia, blood doping in athletes
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Erythrocytes
Red blood cells
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Leukocytes
White blood cells
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Blood Proteins
- Clotting factors: fibrinogen
- Globulins: immunoglobulin (Antibodies)
- Albumin: adds osmotic pressure
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Formed Elements of Blood
- Red blood cells ( erythrocytes )
- White blood cells ( leukocytes )
- Platelets (thrombocytes)
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granular leukocytes
- neutrophils
- eosinophils
- basophils
- agranular leukocytes
- lymphocytes = T cells, B cells, and natural killer cells
- monocytes
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Platelets
- Special cell fragments
- Thrombocytes
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Leukocytes
- White blood cells
- Produced in the bone marrow
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Neutrophils
- 65%
- Polymorphonuclear leukocytes [PMNs]
- Phagocytes
- Live about 12 hours
- Leave the cardiovascular system
- Eat foreign particles
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Eosinophils
- 2%
- Orangish with granules
- Heparin
- Keeps basophiils in line with anti-histamine
- Contain toxic compounds to defend against multicellular parasites
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Basophils
- 1%
- Small, dark blue with darker blue granules
- Heparin: prevents clotting
- Histamines: dilatation
- 1st to site of injury thru the capillaries
- Prevents clotting and increases blood flow to clean out wound and bring leukocytes
- Similar to mast cells
- Acting in allergic reactions
- Agranular leukocytes
- Monocytes
- Lymphocytes
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Monocytes
- 5-10%
- Phagocytes that mature into macrophages in tissue
- Can leave the CV, called macrophage when wondering around the body
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Lymphocytes
- Specific immunity
- T-Cells: cell mediated immunity
- B-Cells: humoral immunity (Antibodies)
- Move to the lymph nodes after maturation
- Natural killer (NK) cells destroy virus-infected and abnormal cells
- B lymphocytes and T lymphocytes are involved in acquired immunity
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Dendritic cells
- Are found in the skin and other points of pathogen origin
- They are involved in acquired immunity
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Lymphatic system
- One way
- No pump
- Contains lymph veins and lymph nodes
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Lymph nodes
- Are not evenly spaced
- Found in heavy concentration in areas where appendages attach to the trunk
- Groin
- Armpits
- Neck
- There is a maze in the lymph node that the lymph moves thru. Foreign matter in this maze attracts T cells and B cells.
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Lymph
Is the clear fluid surrounding tissue cells and filling intercellular spaces
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The lymphatic system maintains and distributes
Lymphocytes
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The primary lymphoid tissues are
The thymus and bone marrow
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The secondary lymphoid tissues are
The spleen and lymph nodes
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The spleen contains cells that
Monitor and fight infectious microbes
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The lymph nodes contain
Phagocytes and lymphocytes
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Structure of a lymph node
- Afferent lymphatic vessels
- Germinal center
- Outer cortex (B cells, macrophages, and dendritic cells)
- Cortex (upper part of B cells and dendritic cells)
- Medulla (base of B cells, T cells and dendritic cells)
- Efferent lymphatic vessel
- Artery
- Vein
- Paracortex (upper part of T cells and dendritic cells)
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Afferent lymphatic vessels
Bring lymph into lymph nodes
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Efferent lymph vessels
Take lymph out of lymph nodes
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Functions of the lymphatic system
- Fluid and solute return to blood
- Lipid transport from digestive system to circulatory system
- Produce, maintain, and distribute lymphocytes for defense
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Innate immunity
Nonspecific resistance
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Cytokines
- Acquired immunity (specific resistance)
- Chemical signals sent by many immune cells to tissues involved with initiating acquired immunity
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Innate immunity (nonspecific resistance) is genetically-encoded to recognize:
- Common pathogenic features
- Foreign substances
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Acquired immunity (specific resistance) involves production of:
- Lymphocytes
- Antibodies specific to the pathogen causing infection
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Nonspecific Resistance
- Species Immunity
- Racial Immunities
- Mechanical and chemical barriers
- Phagocytosis
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Mechanical and chemical barriers to disease
- Skin and skin penetration
- Mucous membranes
- Acidity of stomach and vagina
- Bile
- Lysozyme
- Interferon
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Langerhans cells
If a pathogen is detected by Langerhans cells, they phagocytize it and induce an acquired immune response
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Mucous membrane cells
Produce mucus to trap microbes
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Lactobacillus in the human vagina
Decrease the pH, which resists infection
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The low pH in the stomach
Destroys most pathogens
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Defensins
Antimicrobial peptides found in various bodily secretions
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Lysozyme
- Found in tears, sweat, and saliva
- Lyses gram-positive bacterial cells
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Interferons are cytokines that trigger:
- Macrophage activation
- Production of substances to interfere with RNA viral reproduction
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The normal microbiota of the body
Out compete pathogens for nutrients and attachment sites
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Phagocytosis
- Cell eating
- A nonspecific defense mechanism to clear microbes from infected tissues
- Capture and digestion of foreign particles
- Second line of defense
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Phagocytes
Macrophages and neutrophils
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Chemokines
Cytokines that attract macrophages and neutrophils to infected tissues
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Opsonins
Attach to microbes to increase the ability of phagocytes to adhere (opsonization)
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Chemotaxis
A chemical is released by inflamed cells that attracts macrophages and neutophils
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Opsonization
- Similar to chemotaxis
- A chemical is released by inflamed cells that attracts macrophages and neutophils
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Phagocytized microbes are held in a
- Phagosome
- The phagosome is acidified, killing or inactivating the pathogen
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Phagosomes also fuse with
- Lysosomes (phagolysosome)
- Enzymes and other products kill and digest the pathogen
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Inflammation
- Rubor: red
- Calor: heat
- Tumor: swelling
- Dolor: pain
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Fever
Heat body up so virus or bacteria doesn't want to live in us
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Natural killer cells
Destroy invading organisms
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Complement
- 30 known proteins
- Is inactive until G- or enveloped viruses are detected
- Becomes active when a phagocyte starts to eat bacteria or virus
- Eventually causes lysis
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Low to moderate fever supports the immune system by:
- Inhibiting rapid microbial growth
- Encouraging rapid tissue repair
- Heightening phagocytosis
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Pyrogens are cytokines produced by:
- Some leukocytes
- Fragments from pathogens
- They affect the hypothalamus, causing elevated body temperature
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If a temperature rises above 105�F in an adult,
- Host metabolic inhibition can occur
- This can cause convulsions and death
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Natural killer cells
- Defensive lymphocytes
- When activated, they produce cytokines that trigger response by macrophages and other cells
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Natural killer cells are formed in the bone marrow, and migrate to:
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Natural killer cells move into blood and lymph where they kill:
- cancer cells
- virus-infected cells
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MHC
- Major histocompatibility complex
- Like a GUID
- Complex protein on the surface of the cell
- They are a marker that tells who a cell belongs to.
- Killer cells check to make sure things running thru the lymph nodes belong to self by looking at the MHC
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What do killer cells release if cells are not recognized as self?
Perforin and granzymes
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Complement Marks
Pathogens for Destruction
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Complement is a series
Of proteins that circulate in the bloodstream
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Complement Classical pathway
They activate in the presence of microbes
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In the Complement Classical pathway
Antibody-microbe complexes activate complement proteins that activate C3 convertase
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In the Complement Alternative pathways
The complement protein C3 binds to the pathogen cell surface to activate C3 convertase
C3 activation
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Complement pathways
Both Classical and Alternative cascade activation 30 proteins that results in lysis of bacteria (G-) or enveloped viruses
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Phagocytosis works with complements to
Lyse/rupture the invader
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Complement actions
- Inflammatory response
- Increased phagocytosis
- Membrane attack complexes
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