THE
CARDIOVASCULAR
SYSTEM
PLASMA, ERYTHROCYTES & LEUKOCYTES
Cardiovascular System
Heart, Blood Vessels and Blood
BLOOD
A fluid connective tissue with
erythrocytes, leukocytes, platelets
suspended in plasma
General Functions of Blood
Transportation of dissolved
gases, nutrients, hormones,
and metabolic wastes.
Regulation of the pH and ion
composition of interstitial
fluids.
General Functions of Blood
(cont’d)
The restriction of fluid losses at
injury sites.
Defense against toxins and
pathogens.
The stabilization of body
temperature.
Plasma Proteins:
Albumins (55-60%)
maintain osmotic pressure of
plasma
All plasma proteins contribute
toward maintaining osmotic
pressure of plasma but
Albumins contribute the most
as they are the most abundant
plasma proteins.
Transport fatty acids, thyroid &
some steroid hormones &
other substances
Plasma Proteins:
Globulins (35-38%)
Antibodies/Immunoglobulins (IgG, IgE, IgD, IgM,
IgA)
Transport globulins bind small ions, hormones and
compounds that may be lost at the kidneys or that
have very low solubility in water
(Eg. thyroid-binding globulin, transferrin,
apolipoproteins and steroid-binding protein)
Plasma Proteins:
Fibrinogen (4-7%)
Forms fibrin during the
clotting of blood
ERYTHROCYTES
(Red Blood Cells)
ERYTHROCYTES
(Red Blood Cells)
Functions
1. Transport of Oxygen
Contains haemoglobinto which O
2
binds reversibly
O
2binds to the haemcomponent of Hb
(Avg. Lifespan 90-120 days)
2. Transport of carbon dioxide on a small
scale (23%)
CO
2binds to protein portion of Hb
Haemoglobin Molecule
& Haem group
http://www.pharmainfo.net/files/images/stories/article_images/Hemoglobin-
based%20products.jpg
http://www.bio.davidson.edu/people/midorcas/animalphysiology/websites/2007/Roynes
dal/Assets/229px-Hemepng.png
Red Blood Cell Numbers
The red blood cell count of
an adult male is 4.5-6.3 million in 1 µl or
1mm
3
of whole blood
an adult female is 4.2-5.5 million in 1µl or
1mm
3
of whole blood
Red Blood Cell Numbers
A single drop of whole blood contains approximately
260 million RBCs
The blood of an average adult has 25 trillion RBCs
The Hematocrit
The percentage of whole blood volume
contributed by formed elements (erythrocytes,
leukocytes and platelets)
99.9% of the hematocrit value is RBCs
Adult males –46% (range: 40-54)
Adult females –42% (range: 37-47)
Erythrocyte Structure
Biconcave, thin, contain
Hb, devoid of nucleus
and other organelles
Diameter of 7.2 –8.4 µm
Edge thickness 2.31 –
2.85µm
Central region thickness
0.45 –1.16µm
Erythrocyte Structure & Function
Large surface area to
volume ratio than
spherical cell
Allows for efficient
diffusion of oxygen
across the cell
http://corescience.blogspot.com/2011_02_01_archive.html
Erythrocyte Structure & Function
RBCs able to form
stacks (Rouleaux) in
small capillaries
Prevents individual
cells from bumping the
walls and banging
together, and forming
logjams that could
restrict or prevent
blood flow
http://www.normanallan.com/Med/blood%20flow.htm
Erythrocyte Structure & Function
RBCs are flexible and
can squeeze through
capillaries of 4µm
diameter
Erythrocyte Structure & Function
Lacks most
organelles
Allows more Hb to fit
into cells
250 million Hb
molecules in each
RBC
Blood Type
Blood type is determined by the presence of
antigens(agglutinogens) on the plasma
membranes of RBCs
Antibodies (agglutinins) are present in blood
serum against foreign agglutinogens
Agglutinogensand Agglutinins are genetically
determined and present throughout life
Agglutinogens:
Specific surface antigens on RBC plasma membranes
They are integral membrane glycoproteins or glycolipids
Blood Group Systems
Each of these systems have several antigens
ABO
MNS
P
RHESUS
LUTHERAN
KELL
LEWIS
DUFFY
KIDD
This Module will focus on the
ABO and RHESUS
SYSTEMS
ABO Blood Typing System
There are two antigens classified in the ABO
Blood Typing System:
1. A antigen
2. B antigen
ABO Blood Types based on
antigens (agglutinogens)
Type A Blood–A
antigens only
Type B Blood–B
antigens only
Type AB Blood–A
and B antigens
Type O Blood–
neither A nor B
antigens
ABO Blood Types
Antibodies (agglutinins)
The Blood Plasma contains antibodies
Two types of antibodies in the ABO
system
1. anti-A antibodies
2. anti-B antibodies
Antibodies attach to the
antigens on foreign RBCs
causing Agglutination and
lysis of RBCs
Agglutination of RBCs by
Antibodies Hemolysed RBCs
When an antibody meets its specific surface antigen
RBCs agglutinate and may even hemolyze
The clumps and fragments formed can plug or rupture
blood vessels in the kidneys, lungs, heart or brain
Rhesus Blood Typing System
Antigens:
The Rhesus antigen/Rhesus factor/D
antigen is the only antigen in this system.
It was first discovered in the
Rhesus monkey
Rhesus Blood Typing System
There are 2 blood types in this
system:
1. Rhesus Positive (Rh
+
)
Indicates the presence of the Rh surface
antigen or Rh factor
2. Rhesus Negative (Rh
-
)
Indicates the absence of the Rh antigen
Rhesus Blood Typing System
When blood type is recorded, the
term Rhesus (Rh) is omitted and
the data reported as for eg. O
negative (O
-
) or
A positive (A
+
)
Rhesus System
Antibodies
Only the Anti-Rhesus
Antibody exists in the
Rhesus System
Rhesus System
Antibodies
The Rhesus positive blood type has no
anti-Rhesus antibodies
The Rhesus negative blood type
Only develops Anti-Rhesus
Antibodies after sensitisation
Sensitisation occurs when Rh(-) blood is exposed
to Rhesus antigens during blood transfusions and
during pregnancy involving a Rh(-) mother and
Rh(+) foetus
Rhesus Incompatibility
occurs when:
A Rh negative person is transfused
with Rh positive blood
A Rh negative woman becomes
pregnant with a Rh positive fetus
Rhesus Incompatibility
During Pregnancy
Erythroblastosis fetalis
Hemolytic Disease of the Newborn (HDN)
Anti-Rh antibodies destroy fetal red blood
cells causing a severe anaemia and
jaundice
Increased demand for blood cells forces
immature RBCs to enter circulation from
bone marrow
Infant will probably die without a blood
transfusion
RhoGam Prevents HDN
RhoGam Prevents HDN
Maternal production of anti-Rh antibodies can be
prevented by administering RhoGam(anti-Rh
antibodies) in the last three months of pregnancy
and during and after delivery
RhoGamalso given after miscarriage and
abortion
These antibodies will destroy any fetal RBCs that
cross the placenta before they can stimulate an
immune response (prevents sensitization of the
mother)
Transfusion Compatibility
Before a recipient receives a transfusion, compatibility
testing between donor and recipient blood must be done
to prevent transfusion reactions
Compatibility testing may involve:
Determining blood type
Mixing drops of blood separately with solutions of Anti-A, Anti-B
and Anti-Rh antibodies
A Cross-match Test
Mixing a sample of donor blood with recipient blood
Blood Typing Test
Blood Type Test Results
Cross Match Test -
Samples of donor and recipient blood mixed
No agglutination/Compatible
Agglutination/ Not Compatible
Blood Compatibility
http://www.nbts.gov.jm/pages.php?id=6
LEUKOCYTES
(White Blood Cells)
Migrating Cancer Cell (yellow) attacked by immune cells
Immune cell lower right delivers “kiss of death.”
LEUKOCYTES
(White Blood Cells)
Lack haemoglobin
Mobile units of immune system
Remove toxins, wastes and abnormal or
damaged cells
1 µl of blood contains 5000 –10,000 WBCs
(4.2 –6.3 million RBCs)
Most WBCs are located in connective tissue
proper or lymphoid organs
Red Blood Cells
White Blood Cells
Types of White Blood Cells
Granulocytes
Neutrophils
Eosinophils
Basophils
Agranulocytes
Monocytes
Lymphocytes
Neutrophils
Account for 50-70% of circulating
WBCs
12µm diameter
2 –5 lobed nucleus
Granules not stained well by either
acidic or basic dyes
Granules contain lysosomal enzymes
and bactericidal agents
Neutrophils
First on the site of injury
Attack, engulf and digest bacteria marked
with antibodies or complement proteins
Produce H
2O
2and O
2
-
which can kill bacteria
While attacking bacteria they release:
Prostaglandins: capillary permeability
Leukotrienes: attract phagocytes &
coordinate immune response
Neutrophils
Life span of approx. 10 hrs. but may be
30 min or less when actively engulfing
debris or pathogens
Eosinophils
Granules stained with eosin (red dye) or
acidic dyes
2 –4% of circulating WBCs
Similar in size to neutrophils
Bi-lobed nucleus
Neutrophil and Eosinophil
Eosinophils
Engulf antibody-coated bacteria, protozoa or
cellular debris
Mainly releases cytotoxic substances
destroying parasites (flukes, parasitic
roundworms)
Increase during allergic reactions
Attracted to injury sites; release enzymes to
reduce inflammation
Basophils
Numerous granules stained by basic dyes
Granules purple or blue
Bi-lobed nucleus (often obscure)
8 –10 µm diameter
Account for less than 1% of circulating WBCs
Basophils
Migrate to injury sites and intensify inflammation
Discharge granules of
Histamine: dilates blood vessels, increase
capillary permeability resulting in
oedema/swelling
Heparin: prevents clotting
Chemicalsthat attract eosinophils and other
basophils
Monocytes
Spherical
May exceed 15µm diameter
Large oval or kidney-bean shaped nucleus
2-8% of circulating WBCs
Monocytes
Remain in circulation for about 24 hours
Enters peripheral tissues and becomes Macrophages
Macrophages are aggressive phagocytes engulfing
items as large or larger than themselves
Release chemicals that attract and stimulate neutrophils,
monocytes and fibroblasts
Lymphocytes
Spherical
7 -8µm diameter
Large, round nucleus
Thin cytoplasm surrounds nucleus
20 –30% of circulating WBCs
Continuously move between bloodstream
and peripheral tissues
Types of Lymphocytes
T cells: cell-mediated immunity
Specific defense against foreign cells and
tissues
B cells: humoral immunity
Attack foreign antigens
Differentiate into Plasma Cells which
produce antibodies
Types of Lymphocytes
Natural killer (NK) cells: immune surveillance
Detect and destroy abnormal tissue cells
Helps prevent cancer