Composition of Blood & Plasma

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    . IntroductionA. The internal environment is regulated by the

    fluids which bathe the cells:1. Interstitial fluid (IF) is found outside cells

    and in between the cells

    2. Lymph inside lymph vessels

    3. Blood within blood vesselsB. Hematologyis the science which studies blood

    and blood disorders

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    Blood

    Fluid connective tissue

    Functions include

    Transporting dissolved gases, nutrients, hormones,

    and metabolic wastes Regulating pH and ion composition of interstitial

    fluids

    Restricting fluid loss at injury sites

    Defending the body against toxins and pathogens

    Regulating body temperature by absorbing andredistributing heat

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    Figure 19.1a

    The Composition of Whole

    Blood

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    Composition of Blood

    Total Blood Volume : 5-6 liters (8% ofbody weight or 80ml/kg body weight)

    Specific Gravity : 1050-1060

    Viscosity : 4-5 times that of water Ph : 7.4 (.05); it is alkaline in nature

    In acidosis Ph of blood falls below 7.38

    and in alkalosis Ph is more than 7.42

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    Figure 10.1

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    Composition of Blood

    Blood contains plasma & formed

    elements(cells) Cells represent 45% of blood volume

    Hematocritrepresents the percentage of red

    blood cells in blood (called Packed CellVolume (PCV)

    1. A lower than normal hematocrit is representativeof a condition known as anemia

    2. An abnormally high hematocrit is representativeofpolycythemia

    Hematocrit for males: 40%-54% (47%);Females: 38%-46% (42%)

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    Blood Components:

    Figure 16-1: Composition of blood

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    Blood Components: Cells

    Erythrocytes

    Red Blood Cells (RBC)

    O2 & CO2 transport White Blood Cells (WBC)

    Immune defense

    Phagocytosis

    Platelets: clotting

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    Blood Cells

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    Plasma is a clear ,straw colored fluidportion of blood & represents 55% ofthe total blood volume.

    It contains 91% water and 9% solids( 1% inorganic molecules ,8% organicmolecules)

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    The major inorganicmolecules are Na+

    ,Ca++, Hco3-, K+ , Mg++,Cu++, Po4

    -3

    Of 8% organic molecules

    7% are Plasma

    Proteins

    (6.4-8.3 gm%)

    1% are Non Protein

    Nitrogenous

    substances(urea,Uricacid,Creatinine,Xanth

    in)

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    Figure 10.1

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    Serum = Plasma Clotting factors

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    Plasma Proteins

    Albumin

    Globulin- , , , ,

    Fibrinogen

    Origin:

    Liver- Albumin & Fibrinogen

    Plasma cells, lymphocytes, tissuemacrophages- Globulin

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    Plasma proteins

    concentration 63 83 g fl (6.3-8.3gm%)

    simple or conjugated (glycoproteins, lipoproteins)

    separation:

    a) salting-out methods p albumin, globulins, fibrinogen

    b) electrophoresisp albumin, globulin E1, E2,F, K fractions:

    -

    +

    K

    F

    E2

    E1

    albumin

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    Albumins

    more than 90% are synthesized in the liver 55% of plasma proteins

    3-5 gm% (average 4.8gm%)

    Functions:maintenance of the osmotic pressure of plasma andviscositytransport of:

    steroid hormones

    free fatty acidsbilirubindrugs (sulfonamides, aspirin)Ca2+

    Cu2+

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    Plasma Proteins-GLOBULINS

    Globulin is 38%of plasma Proteins 2-3 gm%(average 2.3gm%)

    13% globulin: 0.79-0.84 gm%

    14% globulin : 0.78-0.81 gm%

    11% globulin: 0.66-0.70 gm%

    A/G ratio :1.7-1

    7% Fibrinogen: 0.3 gm%

    Prothrombin: 40 mg %

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    Elfo fractions of plasma proteins

    Fraction Rel. amount (%) c (g)

    Albumins: albumin

    pre-albumin (transthyretin)

    52 58 34 50

    E1

    -globulins: thyroxin-binding globulin, transcortin,

    E1-acid glycoprotein, E1-antitrypsin, E1-lipoprotein

    (HDL), E1-fetoprotein

    2,4 4,4 2-4

    E2-globulins: haptoglobin, macroglobulin,

    ceruloplasmin

    6,1 10,1 5 9

    F-globulins: transferrin, hemopexin, lipoprotein(LDL), fibrinogen, C-reactive protein, C3 and C4

    components of the complement system

    8,5 14,5 6 11

    K-globulins: IgG, IgM, IgA, IgD, IgE 10 21 8 15

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    Globulins

    ~38% of plasma proteins

    Include immunoglobins which attack foreign proteinsand pathogens

    Include transport globulins which bind ions, hormonesand other compounds

    Fibrinogen

    Converted to fibrin during clotting

    Removal of fibrinogen leaves serum

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    Exert osmotic pressure

    Plasma proteins cant cross capillary membraneso exert colloidal osmotic pressure of about25mmHg on capillary membrane. 80% of COP iscontributed by Albumin

    COP plays an important role in exchange ofwater between blood & tissue fluid

    At arterial end of capillaries, due to highHydrostatic Pressure than COP there occursfiltration of fluid out in tissues

    At venous end of capillaries due to lower HP thanCOP there occur absorption of fluid from tissuesin to vessels

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    Contribution to Blood Viscosity

    Shape of Plasma Proteins Greatly contributeto Viscosity of Blood.

    Fibrinogen & globulins are main contributors

    due to their asymetrical shape

    The Blood Viscosity plays an important role inthe maintenance of Blood Pressure by

    providing resistance to flow of blood .

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    Role in Coagulation of Blood

    TheF

    ibrinogen ,Prothrombin & othercoagulation proteins present in plasma play

    important role in the coagulation of Blood.

    Whenever ,there is injury to blood vessels, thefibrinogen is converted in to fibrin which form

    blood clot

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    Transport Function

    Vitamins A,D & Eare transported by the highand low density lipoproteins.

    Bilirubin is transported with Albumin & alsowith fractions of alpha globulin.

    Drugs are transported with Albumin Ca++ of plasma is 50% bound to proteins for

    transport.

    Cu is bound to ceruloplasmin(alpha globulin)

    for transport Free HB in the vessels is bound to haptoglobin

    & is carried to reticulo-endothelial system

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    Causes of Albumin Deficiency

    Liver diseases (cirrhosis) decrease in the ratio of albumin to

    globulins

    Protein malnutrition

    Excessive excretion by kidneys (renal disease)

    Mutation causing analbuminemia (affects splicing)

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    Variations in plasma protein levels

    Reduced albumin:(i) Infancy

    (ii) Pregnancy

    (iii) Hepatitis

    (iv) Cirrhosis

    (v) Nephrosis

    (vi) burns

    Increased globulin:(i) Cirrhosis of liver

    (ii) Tuberculosis

    (iii) Lymphatic leukemia

    Decreased Fibrinogen:

    (i) Congenital

    (ii) DIC

    Increased Fibrinogen:(i) Pregnancy

    (ii) malaria

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