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    Circulatory System8/1/08

    Human Biology 1 Circulatory System

    A. Blood Vessels

    1. Artery

    - takes blood away from heart (may carry oxygenated or

    deoxygenated blood)

    - thick walls, connective tissue, withstand blood pressure

    -

    middle layer of elastic muscle fibres expand toaccommodate rush of blood

    - highest blood P- ~120 70 mm Hg

    2. Arteriole

    - smaller than arteries, funnel blood to capillaries- elastic tissuelayer expands and contracts with rush of

    blood

    - sympathetic nervous control

    - dilate or constrict diameter, which regulates bloodpressure

    - from ~90 mm Hg down to ~40 mm Hg3. Capillaries

    - site of gas (and nutrient /waste) exchange- site of immune inflammatory response

    - lead off of arteriole network around tissues andorgans

    - thin walls allow diffusion of nutrient, gases, andwastes

    - large surface area of network of capillaries allows forgreater exchange of nutrients and gases

    - lowest velocity- speed is inversely proportional to cross-sectional

    area

    - largest x-sec. area- membrane contains lipoproteins which lower its

    surface tension

    - very narrow, forces RBC to move one abreast, andtherefore increase surface area for exchange

    Text Diagram:

    Capillary exchange

    Where is the blood?

    10% in the arteries

    20% in the capillaries

    70% in the veins

    Relative Vessel Sizes:

    Diameter/Wall Thickness

    Aorta2 cm bore /2 mm thickArtery4 mm / 1 mmArteriole50 20

    Capillary8 1

    Venule40 2

    Vein1.5 mm / 5

    Vena Cava3 cm / 1.5

    (Source:

    http://web.missouri.edu/~huxleyv/

    Biophysics2000.html)

    Relative Total Cross

    Sectional Area (cm2)

    ~ 2.5 cm2 - arteries

    ~ 40 cm2 - arteriole~2500 cm2 - capillaries

    ~ 8 cm2- veins(Source: Prov Exam, Aug., 2003)

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    Circulatory System

    Human Biology 2 Circulatory System

    - ~40 mm Hg arteriole end down to ~20 mm Hgvenule end

    BP>Osmotic P

    !fluidmoves into the

    tissues

    BP

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    Circulatory System

    Human Biology 3 Circulatory System

    Source: http://web.missouri.edu/~huxleyv/Biophysics2000.html

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    Circulatory System

    Human Biology 4 Circulatory System

    B. Systems

    System Artery Vein

    Systemic

    - refers to the body ingeneral

    Oxygen-rich

    (oxygenated)

    CO2poor

    CO2rich

    (deoxygenated)

    Pulmonary

    - Refers to the vessels of thelungs

    CO2rich(deoxygenated)

    Oxygen-rich(oxygenated)

    CO2poor

    Ftal

    - Refers to the vessels ofthe developing ftus

    CO2rich

    (deoxygenated)

    Oxygen-rich

    (oxygenated)

    CO2poor

    Source: www.medical-illustrator.co.uk/ fetal.html Copyright

    Peter Gardiner 2001

    X= Arteries (!arterioles)

    Y= Capillaries

    Z= (venules!) Veins

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    Circulatory System

    Human Biology 5 Circulatory System

    C. Major Vessels

    Systemic

    - Aorta- Carotid artery, jugular vein- Subclavian (artery and vein)- Superior (anterior) vena cava (vein)- Inferior (posterior) vena cava (vein)- Hepatic vein- Hepatic portal vein- Mesenteric artery- Renal (artery and vein)- Iliac (artery and vein)

    Pulmonary

    - Pulmonary Trunk (artery)- Pulmonary arteries- Pulmonary veins

    Coronary

    - arteries and veins

    D. Diseases of Vessels

    Arteriosclerosis

    - a generic term for number of diseases in which thearterial wall thickensand loses elasticitye.g.,

    Atherosclersosis - assoc. with atheroma, a plaque

    blockage

    - cause:smoking, diet rich in low-densitylipoproteins (LDL the bad cholesterols) and poor

    in high-density lipoproteins (HDL the goodcholesterols), lack of exercise, age

    - Rx:preventative = diet, exercise, drug therapy tolower cholesterol levels, surgery such as by-passand thromboplasty (vacuuming out the thrombosus

    / plaque)

    Heart Attack

    2/3 of all heart attacks are

    caused by:

    o high levels of badcholesterol and

    o smoking.The other top factors:

    o High blood pressureo Diabeteso Abdominal obesityo Stresso Lack of daily fruits

    and veges

    o Lack of exercise

    Text Diagram:Arteriosclerosis

    Text Diagram:Major Vessels

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    Circulatory System

    Human Biology 6 Circulatory System

    E. The Heart

    + pericardial membrane

    + septum

    1. Atrioventricular Valves (2)- between atria and ventricles.

    - tricuspid & mitral valves- prevent blood leaking back into upper chambers of atria

    2. Semi-lunar Valve (2)

    - between the right ventricle and pulmonary artery, &the left ventricle and the aorta

    - pulmonary & aortic valve- prevent backflow of blood into ventricles from the

    pulmonary arteries and aorta

    3. Coronary Arteries

    - feed oxygen and nutrients to heart muscle.- if they are blocked, the heart muscle will die from lack

    of oxygen and nutrition (myocardial infarction)

    4. Right Atria

    - receives blood from head and abdomen low in oxygen5. Left Atria

    - receives oxygenated blood from the lungs viapulmonary veins

    6. Right Ventricle

    - pumps blood low in oxygen through the pulmonarytrunk to the lungs

    7. Left Ventricle

    - pumps oxygenated blood out the aorta to the rest of thebody

    - the major pump (4.5 L/min) of the heart, is the mostmuscular chamber

    8. Pulmonary Arteries

    - attached to right ventricles- blood low in oxygen flows through to lungs

    Red Wine Myth

    While there may be some

    evidence to suggest older men

    and post-menopausal women

    may have some reduced risk

    of cardiovascular disease from

    light consumption (1 glass a

    day), your still 40% more

    likely to die of otherdiseases, such as cirrhosisof

    the liver, breast and othercancers.

    - Source: Am I Normal,

    programme 5 - Alcohol,

    http://www.bbc.co.uk/radio4/s

    cience/am_i_normal_series_2.

    shtml

    Text Diagram:

    Heart

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    Circulatory System

    Human Biology 7 Circulatory System

    9. Pulmonary Veins

    - blood rich in oxygen flows through, from lungs to leftatrium

    10. Chordae Tendineae

    - holds valves in place, stops them from inverting- valves between the atria and ventricles- the heart strings

    11. Septum

    - wall between two sides of heart keeps oxygenated anddeoxygenated blood separated

    The Heart Simplified

    ulmonaryrteries

    ulmonaryalve

    ortic valve

    r A

    r V V

    Superior

    Vena

    Cava

    Inferior

    VenaCava

    o lungs

    rom lungs (PV)

    Pulmonary Veins

    from lun sAorta

    (to body)

    Tricuspid

    valve itralalve

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    Circulatory System

    Human Biology 8 Circulatory System

    F. Ftal Circulation

    - in order (all terms refer to infant)1. Umbilical Veins- sends blood rich in oxygen and nutrients to the ductus

    venosus in the liver of the infant from the placenta

    2. Ductus Venosus (Venus Duct)

    - takes blood rich in oxygen from umbilical vein andmoves it through the liver via the duct to the inferior

    vena cava

    3. Foramen Ovale (Oval Opening)

    - opening between two atriums- blood rich in oxygen from the mother is shunted from

    right atrium to left atrium bypassing the lungs

    4. Ductus Arteriosus (Arterial Duct)

    - blood rich in oxygen from the pulmonary trunk (artery,from right ventricle) moves blood across a bridge

    called the ductus arteriosus to the aorta

    Text Diagram:

    Foetal Circulation

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    Circulatory System

    Human Biology 9 Circulatory System

    5. Umbilical Arteries

    - takes blood low in oxygen from the infant to the motherfor exchange, back through the umbilical cord

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    Circulatory System

    Human Biology 10 Circulatory System

    G. The Beat goes on

    - Sound-lubb dupp or lub-dub-Lub= blood passing through the atrioventricular

    valves

    -Dub= blood passing through the semi-lunar valves- This sound comes from the valves opening and shutting on the

    blood inside the heart.

    - The first sound (the lub) happens when the blood hits themitral and tricuspid valves between the atria and ventricles.

    - The next sound (the dub) happens when the blood hits theaortic and pulmonic valves that close up after the blood has

    been squeezed out of the heart and as the heart relaxes to fill

    with blood for the next beat.

    Cardiac Cycle

    The events related to the

    flow of blood that occur from

    the beginning of one

    heartbeat to the beginning of

    the next.

    -Wikipedia

    Text Diagram:

    Heart Beat

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    Circulatory System

    Human Biology 11 Circulatory System

    1. Sinoatrial Node (S-A Node)

    - in dorsal wall of upper atrium- called nodal tissues - muscular and nervous tissue

    characteristics

    - SA node is the pacemaker- it initiates the heartbeat automatically

    - sends impulses (as measured by an ECG /EKG) overthe atria muscle so they can contract

    2. Atrioventricular Node (A-V Node)- base of right atrium, near septum- picks up impulse from SA node and delays it

    momentarily (120 to 200 msec) to ensure the atria have

    contracted fully and are about to relax,

    - before the impulse is passed on thru the Bundle ofHisto the purkinje fibres, and finally into the

    ventricles

    - the ventricles contract (systole)3. Medulla Oblongata

    - lower brain region- control centre in brain for the heart- connects with theautonomic nervous systemand

    sympathetic nervous system

    - to speed heart up- parasympathetic nervous system slows heart down- Homoeostatic control of heart-rate

    Source:http://davidge2.umaryland.edu/~emig/ekgtu02.html

    This diagram correlates with

    the heart drawing. The

    initial inflection (purple)

    corresponds to atrial

    depolarization.

    The large blue inflection

    corresponds to ventriculardepolarization.The atrial

    repolarization is buried in this

    complex.

    The green inflection

    corresponds to ventricular

    repolarization.This is a positive

    inflection because the

    repolarization begins at the

    epicardial surface and

    progresses through the

    ventricular walls to the

    endocardium.

    Depolarization progresses fromendocardium to epicardium.

    This combination of change in

    direction and change in polarity

    results in a double negative and

    a positive inflection for

    repolarization.

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    Circulatory System

    Human Biology 12 Circulatory System

    Summary of Cardiac Cycle:

    When the SA nodedepolarizes, the action potential

    (impulse) spreads throughout the atria, rapidly causing

    atrial depolarization and contraction. The action potentialrapidly enters the AV node where it is delayed for 120 to

    200 msec. The AV nodeconducts slowly because it

    depends on slow inward calcium currents to depolarize

    cells. The AV node also must conduct the action potentialthrough thin fibres which slow conduction. This delay is

    deliberate and allows the ventricles time to fill following

    atrial contraction.

    The action potential spreads to the Bundle of Hisand then

    to through the purkinje fibres. These rapidly depolarize

    both ventricles. The left ventricle depolarizes slightly

    before the right.

    The cells repolarize following depolarization. Atrial

    depolarization is not seen in an ECG because the higher

    magnitude ventricular depolarization occurssimultaneously. Ventricular repolarization is seen as the T

    wave

    Source: Introduction To EKGs

    (http://davidge2.umaryland.edu/~emig/ekgtu01.html)

    4. Sympathetic Nerves

    Each inflection has a name and

    signifies a stage in the Cardiac

    (contraction) cycle.

    P wave

    SA node (atrial contraction)

    QRS complex

    VentricularcontractionVentricular depolarization

    T wave

    Ventricularfilling

    Ventricular repolarization

    U wave

    Represents final stage of

    ventricular repolarization

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    Circulatory System

    Human Biology 13 Circulatory System

    - stress, speed up heart rate- pupils dilate, blood P and respiration. incr.- digestive activity decr.

    - associated with fight or flight5. Parasympathetic Nerves

    - lowers beat rate (to normal rate)[mnemonic: Paranormal]

    H. Blood Pressure

    - Pressure exerted by blood against blood vessel walls- measured systolic pressure over diastolic pressure

    Pulse

    - expanding and recoiling of an arterial wall felt in anyartery that runs close to the surface of the skin, e.g.,carotid, femoral

    a. Systole

    - highest arterial pressure, while heart is pumping- ventricles are contractingto pump blood out into the

    circulatory system

    - systolic/diastolic (120/70 mm/Hg ave. for young male)b. Diastole

    - lowest arterial pressure- ventricles are relaxed

    - !atrial contraction,- the atria may contract at the same time but do

    not influence BP

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    Circulatory System

    Human Biology 14 Circulatory System

    c. Normal blood pressure

    - for an adult, a systole of between 110-150 is normal- although it can be lower or higher, depending on the

    individual

    - an ave. of 120/70 to 140/90 is often given as anorm (systole/diastole mm Hg)

    - systolicwill fluctuate with level of activity/stress- diastolicwill be 90 or lessbut should remain

    constant for the individualextreme fluctuationsare danger signs

    - e.g., at work: 122/80 (light exercise) to 180/80(heavy exercise)

    -

    e.g., at rest:114/80 (sitting) to 150/80 (playingtennis)

    Category Systolic (mm Hg) Diastolic (mm Hg)

    Low (Hypotension) < 100 < 60

    Normal (120/80) [120/70] < 130 < 85

    High Normal 130 139 85-89

    Mild Hypertension 140-159 (~145) 90-99

    Moderate 160-179 (~165) 100-109

    Severe 180-209 (~185) 110-119

    Very Severe > 209 > 119

    d. Hypertension

    - high blood pressure- mild: systole > 145

    - severe: systole > 185

    - causes include: hardening of arteries, diet, obesity,hormone malfunction,

    - Some Hormone examples that increase blood pressure- ADH - release of antidiuretic hormone to increase

    water reabsorption(also called vasopressin)fromthe posterior pituitary gland will result in higher

    blood pressure

    - Adrenaline- from the adrenal medullastimulatesflight or fight response of the sympathetic nervous

    system

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    Circulatory System

    Human Biology 15 Circulatory System

    - Renin if blood sodium levels are low, renin isreleased to ultimately stimulate the release of

    aldosterone

    - Aldosterone- from the adrenal cortexregulatessodium level in blood, and therefore also bloodpressure, as more blood is pushed through the

    kidney for reabsorpbtion of salt

    - Autonomic nervous system - involuntary controlof heart glands

    - Sympathetic = increase- Incr. Heart rate = incr. BP- Blood vessels contract = incr. BP

    - Parasympathetic = decrease- Inhibition of the sympathetic nervous

    system may also raise BP

    e. The Silent Killer

    - 15% of adults have high blood P, and 25% of thesedont know it

    f. Signs & Treatment

    - morning headaches, felt at back of head; facial flushing,ringing in ears (tinnitus), nose bleeding, shortness of

    breath, frequent urination, smooth eye vessels become

    inflamed

    - untreated half of all cases will develop heart disease,1/3 will die of stroke- treatment: lifestyle (reduce stress, avoid smoking etc.),

    diet (avoid excess salt, saturated fats), medication

    g. Hypotension

    - unusually low blood pressure (systole < 100) due toweak pumping of the heart

    I. Inflammatory Response

    1. Overview- bacteria invade tissue, toxins released attack cells

    - mast cellsrelease histamine, dilate vessel, increase

    permeability of vessel

    - fluid escapes the capillaries to site of invasion, area is

    now inflamed- neutrophils- enter site, squeezing through pores*,

    then they phagocytize (engulf / eat) the invader

    Text Diagram:Inflammation

    Text Extra readings:

    Nonspecific & Specific

    Defenses

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    Circulatory System

    Human Biology 16 Circulatory System

    - monocytes - arrive at site, swell into

    macrophages, and engulf any bacteria

    * prostaglandins are also involved here

    J. The lymphatic system

    - Lymphoriginates as blood plasma lost from thecirculatory system, which leaks out into thesurrounding tissues (interstitial spaces).

    - The lymphatic systemcollects this interstitialfluidby diffusion into lymph capillaries, filters it

    of infection, and returns it to the circulatory system.

    - preventing oedema swelling, which mayresult in death as tissues are destroyed

    - Once within the lymphatic system the interstitialfluid is called lymph, and has almost the samecomposition as the original interstitial fluid.

    - Lymph fluid consists of a colourless, water solventcontaining amino acids, sugars, fatty acids,coenzymes, hormones, neurotransmitters, salts, as

    well as waste products from the cells while rich

    in WBC (lymphocytes), both RBC and platelets are

    absent (and!colourless).Reference: wikipedia and http://biology-pages.info

    1. Overview- Inflammation:recovers excess tissue fluid that

    surrounds cells, and returns it to the main blood system

    - Digestion:lacteals collect digested fat- Immune:WBC fight infection at nodes (filters)

    Extracellular Fluid

    - all body fluid outside ofcells, either

    o Interstitial fluid, whichbathes and surrounds the

    cells, and makes up the

    majority of extracellular

    fluid, or

    o Blood plasma, theliquid component of

    blood, in which theWBC, RBC(and !

    red), andplatelets are

    suspended.

    Intracellular fluid

    - is cytoplasm/cytosol

    Text Diagram:

    Lymph

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    Circulatory System

    Human Biology 17 Circulatory System

    - The lymphatic is an open system, unlike the bloodwhich flows within a closed loop. Muscles activity

    throughout the body help to keep the lymph moving

    forward (hence regular exercise = good immunehealth)

    a. lymph capillarieslie near capillaries to take up fluids

    b. Lymph- fluid in lymph vessels

    - a yellow-cream coloured fluid, rich in fat and WBCc. lymph (vessels) veins merge to lymph ducts

    - ultimately drain into subclavian vein!superior venacava!heart and back in to the blood system

    d. lymph ductshave one-way valves to keep fluid moving

    forward

    e. lymph nodesalong lymph vessels, composed of

    lymphoid tissue

    2. Lymph Organs

    - Bone marrow- formation of red blood cells and white blood cells

    - Thymus glandis lymphoid tissue located just abovethe heart, it gets smaller with age

    All the lymph collected from

    the entire left side of the body,

    the digestive tract and the

    right side of the lower part ofthe body flows into a single

    major lymph vessel, the

    thoracic duct.- The thoracic duct

    empties about 100 ml of

    lymph every hour into

    the left subclavian vein.

    The lymph in the right

    side of the head, neck,

    and chest is collected by

    the right lymph duct andempties into the right

    subclavian vein.

    - Source: http://biology-

    pages.info

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    Circulatory System

    Human Biology 18 Circulatory System

    - functions in the maturation T-cells (lymphocyte)- Lymph Nodes, e.g, tonsils, adenoids

    - remove debris and purify lymph- Spleen- Node-like, but filled with blood instead of lymph

    - Purifies the blood passing through (immune fcn)

    K. Blood System

    - total volume = 8-9% o f body mass,- i.e., 100kg!8-9 kg = 8-9 L

    - formation:- red marrow- spongy (cancellous) bone- these are the flat bone and joints- stem cells

    1. White Cells (Leukocytes)

    - produced in the red marrow of spongy bone- larger than red blood cells- fewer in number than reds- lobed nucleus- lifespan a few hours (18-36) to 14 days, but types

    living 3-4 months

    - amoeboid movement- shape is amorphous- colourless

    a. Granulocytes- granules in cytoplasm and the maturenucleus is segmented into 2-5 lobes, produced in thered bone marrow

    - phagocytic

    Top: Neutrophil

    Bottom: Lymphocyte

    Text Diagram:

    Blood Formation

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    Circulatory System

    Human Biology 19 Circulatory System

    - Neutrophils- are important in the inflammatory process (as

    phagocytes and mediators of inflammatory reactions).

    - Basophils- contain heparin and large amounts of histamine and are

    active participants in hypersensitivityreactions.

    - Eosinophils- contains Major Basic Protein (MBP), known to be toxic

    to several parasites (helminths, microfilariae;

    schistomiasis), and some mammalian cells.

    b. Agranulocytes- no granules in cytoplasm, circular orindented nucleus, found in lymph tissue e.g. spleen

    - Lymphocytes- B-cells (antibody formation)- T-cells (intiate, cytotoxic)

    - Monocytes (macrophages)- Phagocytes

    2. Red Blood Cells (Erythrocytes)

    - produced in the red marrowof spongy bone- round and smaller than whites- nucleus dissolves as they mature,

    - hence the biconcave shape (as the cell collapsesinward)

    - the nucleus is replaced by hemoglobin- continuously produced in red bone marrow of long

    bones, ends of long bones, skull and vertebrae

    - carries oxygen (oxyhemoglobin HbO2)- carries carbon dioxide (carbaminohemoglobin

    HbCO2)

    - buffers blood by taking up excess H+(reducedhemoglobin - HHb)

    -

    lifespan = ~3 months- free floating- red

    3. Platelets (thrombocytes)- v. small irregular cell fragments (of megakaryocytes,

    in red bone marrow)

    - fcn in blood clotting

    Text Diagram:

    Hemoglobin (Hb)

    Erythropoietin

    The kidneysmake this

    hormone, which stimulates

    the bone (red) marrow tomake blood cells, in response

    to low levels of O2in the

    blood.

    A drop of blood contains:

    ~5 million RBC

    ~10,000 WBC

    ~250,000 platelets

    source: a student

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    Circulatory System

    Human Biology 20 Circulatory System

    4. Components of Blood

    Plasma + Formed Elements (ratio)Blood =

    1. Water2. Proteins3. Salts4. Gases5. Nutrients6. Urea7. Hormones, vitamins etc.

    1. RBC (600)2. WBC (1)3. Platelets (40)

    Text Diagram:

    7thp 208, 8thp 236,

    9thp 249, 11thp 227,

    12thp 227

    - Serum = plasma sans the protein fibrinogen- Human blood is composed of 55% plasma and 45%

    formed elements

    - Plasma = 90% water.- Solutes make up about 10% of the plasma volume

    of which 7% are proteins.

    - Albuminrepresents about 60% (about40mg/ml) of the total plasma protein.

    Albumin:

    - A plasma protein very important in maintainingfluid balance in the blood.

    - Important in maintaining blood pressure,regulating fatty acids, and hormone transport.

    - synthesized in the liver.Functions:- Buffers pH- Maintains Osmotic pressure

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    Circulatory System

    Human Biology 21 Circulatory System

    - Oncotic (colloidal osmotic) pressure in thecirculatory system is a form of osmotic pressureexerted by proteins in blood plasma thatnormally tends to pull water into the circulatorysystem, i.e., oncotic pressure tends to pullfluid into the capillaries. In conditions where

    plasma proteins are reduced, e.g., from beinglost in the urine (proteinuria) or frommalnutrition, the result of low oncotic pressurecan be oedema excess fluid buildup in thetissues.

    - Transports thyroid hormones, e.g., Thyroxine- Transports other hormones, particularly fat

    soluble ones, e.g., cortisol

    - Transports fatty acids("free" fatty acids) to theliver

    - Transportsunconjugated bilirubin- RBC are destroyed in the spleenwhen they get

    old or damaged. This releases hemoglobin,which is broken down to heme, as the globinparts are turned into amino acids. The heme isthen turned into unconjugated bilirubinin themacrophages of the spleen. This unconjugatedbilirubin is not water soluble. It is then boundto albumin and sent to the liver.- In the liver it is conjugated with glucuronic

    acid, making it soluble in water. Much of itgoes into thebileand thus out into the smallintestine.

    - Transports many drugs, and serum albumin levelscan affect the half-life of drugs.

    - Competitively binds calcium ions(Ca2+)- 45% is protein bound, predominantly to

    albumin, and is biologically inert- Reference: Wikipedia

    L. Blood Factors

    Antigen: an agent that is foreign (i.e., non-self), and isrecognized by the immune system, often as foreignsurface-protein.

    Antibody:a protein produced by lymphocytes (B-cells),

    capable of identifying and binding to specific antigens

    Albumin, basically is

    - responsible for much of theplasma colloidal osmotic

    pressure and- serves as a transport

    proteincarrying large

    organic anions such asfattyacids, bilirubinand many

    drugs;

    - also carries certainhormonessuch as cortisol

    and thyroxinewhen their

    specific binding globulins

    are saturated;

    - and ma act as a buffer.

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    Circulatory System

    Human Biology 22 Circulatory System

    1. Human Blood Types: ABO

    - the A-B-O system is a means of classifying blood

    according to the antigens located on the surface of the

    erythrocytes (antigens are substance located on cells that

    stimulate the production of antibodies)

    TYPE: A

    Antigen on RBC: A

    Antibodies in Plasma: anti-BCan get blood from: O, A

    Can give blood to: A, AB

    TYPE: BAntigen on RBC: B

    Antibodies in Plasma: anti-A

    Can get blood from: O, BCan give blood to: B, AB

    TYPE: AB

    Antigen on RBC: A & B on each RBC

    Antibodies in Plasma: NoneCan get blood from: O, A, B, AB

    Can give blood to: AB

    TYPE: O

    Antigen on RBC: none

    Antibodies in Plasma: anti-B, anti-ACan get blood from: OCan give blood to: O, A, B, AB

    - Blood type O is a universal donor- because O has no antigens attached to its surface for

    the recipients antibodies to identify, therefore it can be

    given to practically anyone

    - AB is the universal acceptor- because has A and B antigens but no antibodies, so can

    receive all blood types

    2. Rhesus factor

    - the Rh factor is another type of blood antigen (antigen-D). Eighty-five percent of the North American

    population is Rh-positive (Rh+), meaning that they

    Text Diagram:

    ABO

    Source:

    http://anthro.palomar.edu/synthetic/synth_5.htm

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    Circulatory System

    Human Biology 23 Circulatory System

    have Rh antigens. A person without antigens in their

    blood is Rh-negative (Rh-)

    - if Rh+blood is given to an Rh-person, antibodies tothe Rh antigen will react with the antigen and

    agglutination will occur

    Rh Disease:

    aka Erythroblastosis fetalis / Hemolytic disease

    - when the mother is Rh- and father Rh+;- the child may inherit Rh+allele; because mother and

    child blood supplies are separate only a little mixing of

    material occurs-usually at birth; subsequently themother develops antibodies to the Rh factor; if a

    second Rh+

    child is conceived, serious damage mayoccur as the mothers antibodies attack the childs

    blooda condition called erythroblastosis fetalis

    - !is to give the Rh-mother anti-Rh antibodies,these will destroy any Rh antigen in her blood

    before her body produces any antibodies (Win-Rhoin Canada, and Rho-gram in the US)

    - Doctor will discuss afore hand, as these drugsmay be associated with an increase risk of

    cancer

    3. Blood typing test

    - look for agglutination to indicate type, e.g., if the bloodsample containing the anti-B compound (which mimics

    antibody B in the blood) agglutinates then blood type is

    B

    - a second example: - only anti-Rh has agglutinated

    anti-A anti-B anti-Rh

    = blood type O+

    Text Diagram:

    Hemolytic Disease

    Text Diagram:Blood Typing

    Winnipeg, Manitoba1950s

    -Bruce Chown (b-Winnipeg)

    and John Bowman (b-

    Winnipeg) developed

    'WinRho', the serum that

    prevents erythroblastosisfetalis.

    The mother is given

    antibodies/immunoglobins

    that mop up any Rh antigens,

    before the mothers immune

    system has time to produce

    her own antibodies, thus she

    never develops an immune

    response, and may go on to

    have more children if she sodesires.

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    Circulatory System

    Human Biology 24 Circulatory System

    M. Blood Clot1. Overview

    - clotting factors are always in the blood; platelets,prothrombin(a globular protein) and fibrinogen

    platelets clump at site of puncture

    injured tissues release the enzyme (catalysis)

    prothrombin activator (thromboplastin) that converts prothrombin (a protein in the blood

    plasma, which requires vitamin Kto synthesize) to

    thrombin (in the presence of Ca2+)

    this in turn acts as an enzyme on fibrinogen (anotherblood protein)

    splitting it into long threads of fibrin this serves as a framework to hold patch together

    1. Platelets + Damaged cells "thromboplastin

    2. thromboplastin + Prothrombin"thrombin

    3. thrombin + Fibrinogen"fibrin

    4. Fibrin + cells + dried serum = blood clot

    - vitamin K (mostly produced by E. coli in the colon) is

    necessary for the production of prothrombin (by the liver)

    - absence of results in uncontrolled hemorrhageN. Bloods a Rover

    1. At the lungs

    - oxygen diffuses out the alveoli to red blood cells- oxygen combines with reduced hemoglobin to form

    oxyhemoglobin and H+ions

    A pO2of 100% = 4

    molecules of O2per RBC/Hb

    Text Diagram:Clot

    Student 3:Shows apositive

    response of the control,

    indicating that something is

    wrong with this test it is

    possibly contaminated, and

    therefore the results are

    unreadable, i.e., blood type isunknown.

    Students 1, 2, & 4:Show a

    negative(nothing unexpected

    has happened) response of

    the control, indicating these

    blood tests should be

    accurate.

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    Circulatory System

    Human Biology 25 Circulatory System

    - freed H+combines with HCO3-and forms H2O + CO2,the carbon dioxide released from the bicarbonate iondiffuses into the lungs

    - H+not accumulated is released from HHb(hemoglobin) and combines with the HCO3- whichreleases CO2

    - Hemoglobin is a carrier for O2, CO2, and H+.2. At the tissues

    - CO2produced in the cells of tissues diffuses into blood- blood cells contain carbonic anhydrase to accelerate

    reaction

    - CO2combines with H2O, to form CO2, HCO3-andH+.

    - H+taken up by Hb (hemoglobin sans H+)- O2is released as a result

    3. Carbonic Anhydrase

    - enzyme within red blood cells, that facilitates theconversion of CO2+ H2O to and from H++ HCO3

    -,

    i.e.,

    CO2+ H2O" H2CO3" H++ HCO3-at the tissues

    (internal respiration)

    H++ HCO3-" H2CO3"CO2+ H2O at the lungs

    (external respiration)

    - CO2transport:- ~70% via HCO3-- ~25% via Hemoglobin- ~5% dissolved in the blood

    4. Hydrogen Ions

    - produced when hemoglobin binds with oxygen at thelungs

    - produced when carbon dioxide combines with water atthe tissues

    5. Hemoglobin (Hb-)

    - iron containing quaternary protein (globin)- carries oxygen in blood, oxyhemoglobin (HbO2)

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    Circulatory System

    - buffer, picks up H+ ions, reduced hemoglobin(HHb)

    - carries CO2, carbaminohemoglobin (HbCO2)