Hwa Chong Institution Hwa Chong Institution Sec3 (IP) Biology Sec3 Biology Prepared by Mr Tan Kaiyuan CAA 120709 Name: _____________________________________ Class: 3____ Date: ______________________ INTERNET RESOURCES For the Beginners and Intermediate Learner 1. http://www.fi.edu/learn/heart/index.html A comprehensive website on the circulatory system and its components. Highly recommended. 2. http://www.innerbody.com/image/card05.html Interactive website that describes in a lot of details the structures and function of the components of the circulatory system. 3. http://anthro.palomar.edu/blood/blood_components.htm Another website with great details on the cellular components of blood as well as information on agglutination. 4. http://www.youtube.com/watch?v=EQVEdFSlUGU&feature=channel Video to describe the development of atherosclerosis and myocardial infarction. For the Adventurous Learner 5. http://education.vetmed.vt.edu/curriculum/vm8054/labs/Lab12b/Lab12b.htm A tour on blood vessel histology. 6. http://www.innerbody.com/image/lympov.html A tour of the lymphatic system. 7. http://www.medicinenet.com/heart_attack/article.htm Very detailed website on myocardial infarction: causes, prevention and cure. CHAPTER MAP & OVERVIEW Transport in Humans 9.1 The Circulatory System 9.1.1 Substance Exchange in Unicellular Organisms 9.1.2 The Need for Transport 9.1.3 Double Circulation 9.1.4 The Heart 9.1.5 The Vessels 9.2 Blood, the Fluid Tissue 9.3 The Cardiac Cycle 9.2.1 Components of Blood a) Blood Plasma b) Red Blood Cells c) White Blood Cells d) Platelets 9.2.2 Functions of Blood a) Haemoglobin and O2 Transport b) Phagocytosis of Foreign Bodies c) Antibodies and ABO Blood Groupings d) Blood Clotting 9.2.3 The Lymphatic System 1 9.3.1 Blood Pressure in the Heart 9.3.2 Blood Pressure in the Vessels 9.3.3 Effects of Exercise on Heart Rate 9.4 Heart Diseases Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology Learning Objectives At the end of this chapter, you should be able to: (1) *Describe the circulatory system as a system of tubes with a pump and valves to ensure one-way flow of blood. (2) *Describe the double circulation in terms of a low pressure circulation to the lungs and a high pressure circulation to the body tissues and relate these differences to the different functions of the two circuits. (3) Describe the structure and function of the heart in terms of muscular contraction and the working of valves. (4) *State that heart action is initiated at the pacemaker (sino-atrial node). (5) Outline the cardiac cycle in terms of what happens during systole and diastole with involvement of the heart valves (Histology of the heart muscles, names of nerves and transmitter substances are not required.) (6) Describe the effect of exercise on heart rate and its significance. (7) Identify the main blood vessels to and from the heart, lungs, liver and kidney. (8) Describe the structure of arteries, veins and capillaries in relation to their functions and be able to recognize these vessels from photomicrographs. (9) *State the origin of blood pressure. (10) *Describe how blood pressure is measured. (11) *Describe how a pulse is generated. (12) List the components of blood as red blood cells, white blood cells, platelets and plasma. (13) Identify red and white blood cells as seen under the microscope on prepared slides, and in diagrams and photomicrographs. (14) State the functions of various blood components: red blood cells – haemoglobin and oxygen transport white blood cells – phagocytosis, antibody formation and tissue rejection platelets – fibrinogen to fibrin, causing clotting plasma – transport of blood cells, ions, soluble food substances, hormones, carbon dioxide, urea, vitamins, plasma proteins (15) Explain the role of haemoglobin in the transport of oxygen. (16) Describe the transfer of materials between capillaries and tissue fluid (17) Describe coronary heart disease in terms of the occlusion of coronary arteries and analyse the possible causes (diet, stress, smoking), and state the possible preventive measures (18) List the different ABO blood groups and all possible combinations for the donor and recipient in blood transfusions. 2 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology INTRODUCTION All living things grow, metabolise and eventually reproduce. These life processes require energy and lead to changes in biomass over time. Surely, this energy and biomass must come from somewhere or is removed somehow. We have seen in the earlier chapter how biomass and energy is obtained by the ingestion of food. Such is the role of the digestive system. In order to unleash the chemical potential energy locked within food molecules, respiration must take place. Oxygen is required for respiration and this is acquired through the respiratory system. Respiration and many other metabolic processes produce waste. Accumulation of waste can be toxic to the body and an organism must find means of removing it. This is the role of the excretory system. Figure 9.1 Overview of the cardiovascular system in humans (Homo sapiens). Acquired from http://en.wikipedia.org/wiki/File:Circulatory_System_en.svg, illustrated by Mariana Ruiz Villarreal. Since every single body cell grows and metabolises, they will require food and oxygen, and will need to remove metabolic waste. While these requirements are well handled by the organ systems highlighted above, a cell has limited accessibility to them because it is buried deep and far away from them in remote areas of the body. Thus, the body must develop a means of delivering nutrients and collecting waste to these remote areas. This is the role of the cardiovascular system. It is in our interest in this chapter to understand the importance of transport. Before we look at complex multicellular organisms, we shall first examine how transport of substances occur in simple unicellular organisms. 3 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology 9.1 THE CIRCULATORY SYSTEM 9.1.1 Substance Exchange in Unicellular Organisms • Life processes are sustained by a continuous supply of energy and raw materials. • Any delay in providing these key ingredients may grind life to a halt. • Therefore, time is a crucial factor. • Simple unicellular organisms obtain food and oxygen, and remove carbon dioxide and wastes by simple diffusion. This is an efficient (sufficient supply to meet demands in a short time) method for material transport in these organisms. • Why does simple diffusion work for unicellular organisms? • There are two primary considerations: 1) Large surface area to volume (SA/V) ratio • Most of the metabolic processes take place within the cell’s volume (ie. in the cytoplasm and within the organelles). • Food and oxygen must therefore cross the cell membrane to get into the cell. The expense of the cell membrane thus forms the surface area through which these molecules must cross in order to get into the cell’s volume. • Once in the cytoplasm, there molecules will have to diffuse across the volume of the cell to the site where the metabolic reaction will take place. If a cell has a very large volume, then the molecule will take much longer to reach its site of reaction. • In unicellular organism, the cytoplasm bounded within the cell membrane has a relatively small volume. • Thus, molecules undergoing simple diffusion across the cell membrane from any direction may very quickly reach the site of metabolic reaction within the cell. • Hence simple diffusion is an efficient means for substance transport in unicellular organisms. Figure 9.2 Comparing the surface area to volume ratio of cubes of different dimensions. The rightmost cube is composed of smaller cubes, each with their surface area exposed by the gaps between them. Though the effectively volume remains the same as the middle cube, its surface area is greatly increased. Diagram from http://bio1151.nicerweb.com/doc/class/bio1151/ Locked/media/ch06/06_07SurfaceVolumeRatio_L. jpg acquired on 5th July 2009. 4 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology 2) Diffusion gradient maintained • How fast substances diffuse across the cell membrane also depends on the steepness of the diffusion gradient. • In Figure 9.3, the diagrams on the left for both (a) and (b) represent solutions with steep diffusion gradients. The concentration of dye molecules is high in one region and low in the other. • Molecules tend to diffuse quickly when the diffusion gradient is steep. • There will be no net diffusion of molecules when the solution reaches equilibrium (on the right of Figure 9.3). • Since many unicellular organisms are capable of moving from one microenvironment to another, they may migrate to environments where the concentrations of food molecules and oxygen are high, and where the concentrations of carbon dioxide and metabolic wastes are low. • This ensures that a steep diffusion gradient is maintained. • For unicellular organisms that cannot move about. They are usually equipped with flagella and cilia that sweep about to circulate the liquid in their external environment. Figure 9.3 On the extreme left, molecules of one type is well partitioned in one region (a) or separated from molecules of another (b). A steep diffusion gradient is thus established. As time passes (proceeds from left to right), the diffusion gradient becomes less steep and is eventually dissipated. When the diffusion gradient is completely dissipated, the system is said to be in a state of equilibrium (diagrams on the right). From http://kentsimmons.uwinnipeg.ca/cm1504/Image128.gif, acquired on 5th July 2009. 5 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology 9.1.2 The Need for Transport • While simple diffusion may suffice for unicellular organisms, multicellular organisms require a more efficient method for the transport of materials. • Multicellular organisms face two key problems: i. First, they have a small surface area to volume ratio. Solution: Increase surface area by having an internal system of channels, sinuses or chambers. ii. Second, the body cells of multicellular organisms are mostly localised in fixed positions relative to the body tissues and are unable to move about. Thus a diffusion gradient is difficult to maintain if they are bathed in static body fluid. Solution: Actively circulate the body fluid to supply fluid that is rich in oxygen and food molecules and low in waste or carbon dioxide concentration. To do this, some form of a pump must be devised to move the fluid. • These solutions have thus become the key components in the circulatory system of multicellular organism: 1. 2. 3. Heart – the muscular pump that moves the fluid. Blood Vessels – the system of channels that services the remote parts of the body. Blood – The fluid that has the capacity to carry the metabolites. • Before we examine each of these components, let us compare and contrast the types of circulatory systems found in vertebrate animals. 9.1.3 Double Circulation • Unlike simpler organisms such as the jellyfish or sponges, vertebrate animals (animals with a backbone) have a closed circulatory system. • Closed circulatory systems have their blood enclosed within vessels of different sizes and thickness at all times. That is, the blood does not pass out of these vessels into the body cavities. • In open circulatory systems however, blood (known as haemolymph) moves through the circulatory system, and into the body tissues, bathing the organs directly with blood, before returning back to the heart through small openings. • Closed circulatory systems may be further categorised as a single circulatory system or double circulatory system. 6 Circulatory Systems Open Single Closed Double Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology • The figures below illustrate the differences between the single circulatory system and the double circulatory system. Figure 9.4 (Left) The single circulatory system found in fish. (Below) The double circulatory system found in amphibians, reptiles, birds and mammals. Dark grey portions represent oxygenated blood, light grey portions represent deoxygenated blood. Illustrated by Tan Kaiyuan. • The double circulatory system is so-called because a complete round through the entire circulatory system requires that the blood enters two circuits. • One circuit takes blood from the heart to the lungs and then back to the heart. This is known as the pulmonary circulation. • The other circuit takes the blood from the heart to the rest of the body and then back to the heart again. This is known as the systemic circuit. • Blood moves from the heart to the pulmonary circuit, back to the heart, then to the systemic circuit, and then back to the heart, and returns to the pulmonary circuit. • In this way, the movement of blood alternates between the two circuits, and enters the heart twice for every complete round through the whole circulatory system. What are the advantages of a double circulation over a single circulation? 1. Blood leaving from the heart to the lungs (from the right ventricle into the lungs via the pulmonary arteries) is at a lower pressure than blood leaving the heart from the left ventricle. This gives sufficient time for the blood to be fully oxygenated by oxygen taken in from the lungs before returning to the heart to be distributed to the rest of the body. 2. Blood leaving the heart to the rest of the body (from the left ventricle to the rest of the body via the aorta) is at high pressure, thus ensuring that oxygen is delivered to the rest of the body quickly and allowing cells to maintain a high metabolic rate. 7 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology 9.1.4 The Heart • The human heart is about the size of a clenched fist and is roughly conical in shape. • It is located between the left and the right lungs, and dorsal to the sternum or chestbone. The External Structure of the Heart • The heart is surrounded by two layers of thin membrane which surrounds a fluid-filled space. Collectively, this structure is known as the pericardium. As the heart beats, the fluid serves to reduce friction that may lead to wear and tear as the heart moves against the surrounding tissues. • The heart is essentially a muscular bag. Contraction and relaxation of the heart muscles (or cardiac muscles) results in the pumping of blood around the body. • Like all other muscles, the cardiac muscles that form the heart walls must also be supplied with blood rich in food and oxygen, to keep themselves alive and active. • This is obtained via the coronary artery, which is a branch of the aorta. • Blockage of the coronary artery can lead to fatal consequences as the heart muscles are unable to obtain its supply of food and oxygen. As a result, the cardiac muscles cannot contract. This may then lead to heart failure and death. • Figure 9.5 illustrates the external structure of the human heart. Notice the coronary arteries and the network of blood vessels on the surface of the left and right ventricles. Figure 9.5 Diagram (right) illustrating the relative position of the heart to the lungs in the thorax. Diagram (above) depicting the heart and the associated coronary arteries and veins. From “Anatomy, Descriptive and Surgical” by Henry Gray (1862). 8 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology Chambers of the Heart • The heart is longitudinally separated by a muscular wall known as the median septum (Figure 9.6 - bottom) into two lateral halves; one on the left and the other on the right. • Each half is further subdivided into two chambers of unequal volume by a transverse constriction. The anterior (upper) chamber in each halves has a smaller volume than the posterior (lower) one. • Thus the heart has 4 chambers in all. • The two anterior chambers of the heart are known as the atria (singular: atrium) or auricles (singular: auricle). • The posterior (lower) two chambers of the heart are known as the ventricles (singular: ventricle). Not only are their volumes larger, the ventricles also possess walls that are more muscular and thicker than the atria. • The left atrium and left ventricle contains deoxygenated blood while the right atrium and right ventricle contains oxygenated blood. Thus the median septum prevents the mixing of the two types of blood. Figure 9.6 Above: Diagram showing the right atrium and right ventricle with part of their walls removed. From “Anatomy, Descriptive and Surgical” by Henry Gray (1862). Left: Longitudinal section of the human heart (ventral view). Illustrated by Tan Kaiyuan. 9 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology Heart valves • Each atrium is connected to the respective ventricle via a large oval aperture (opening). Blood passes from the atrium to the ventricle through this aperture. • The apertures are guarded by a valve each. The valve on the right side of the heart is known as the tricuspid valve, and that on the left side is known as the bicuspid valve. • The tricuspid valve is so-called because it possesses three flaps, while the bicuspid possesses only two flaps (illustrated in Figure 9.7 Right). • The apex (tip) of the flaps point into the ventricles. This allows blood to flow only in a single direction, from the atria into the ventricles. • The flaps are connected by an apparatus comprising a series of tendons known as chordae tendineae. These are in turn connected to papillary muscles projecting into the ventricular cavity form the ventricular walls (illustrated in Figure 9.6). • Contraction of the papillary muscles pulls on the chordae tendineae tendons, thereby opening the flaps. • Blood may then pass from the atria into the ventricles when the flaps open. • As blood fills up the ventricles, building up the ventricular blood pressure, the flaps will collapse back into their closed positions. Figure 9.7 Left: Diagram showing the top (anterior) view of the heart. Notice the semi-lunar valves in the pulmonary artery and the aorta. Right: Diagram depicting the top (anterior) view of the heart with the atria removed. The tricuspid and bicuspid valves leading into the ventricles may be seen.. From “Anatomy, Descriptive and Surgical” by Henry Gray (1862). 10 Prepared by Mr Tan Kaiyuan CAA 120709 • Hwa Chong Institution Sec3 Biology The table below summarises the form and function of the heart: Feature/Structure Function Fluid-filled Pericardium Reduces friction when heart beats thus preventing wear and tear. Median septum Prevent mixing of oxygenated and deoxygenated blood Left ventricle more muscular than right ventricle Provide higher blood pressure in left ventricle to move blood to the extremities of the body. Right ventricle to move blood into the lungs at lower pressure than left ventricle to provide time for diffusion of oxygen and carbon dioxide. Heart valves point into ventricles Semi-lunar valves in pulmonary artery and aorta Ensures that blood flows in a single direction; prevents backflow of blood. 9.1.5 The Blood Vessels Types of blood vessels • We may identify five major categories of blood vessels in the human circulatory system. • These are namely: (1) Arteries (2) Arterioles (3) Capillaries (4) Venules (5) Veins • The main artery leading away from the heart to the rest of the body is known as the aorta. • The aorta branches repeatedly Figure 9.8 Diagram representing blood capillaries and their into vessels of smaller diameter relation to arteries, arterioles, venules and veins. Image from known as the arterioles before http://www.emc.maricopa.edu/faculty/farabee/BIOBK/BioBookcir each arteriole branches further th cSYS.html, accessed on 28 June 2009, and published by web into capillaries. owner with permission from Purves et al., Life: The Science of • Capillaries have walls that are Biology, 4th ed. (Sinauer Associates and WH Freeman). only a single cell-thick. This facilitates diffusion of nutrients, dissolved gases and waste. After passing the tissues, capillaries reunite to form venules, which reunite to form veins. • The two main veins that return to the heart from the upper part and the lower part of the body are known as the superior (anterior) vena cava and the inferior (posterior) vena cava respectively. • In summary, blood always flow from the heart arteries arterioles capillaries venules veins back to the heart. 11 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology • Hence, the direction of flow of blood in the arteries will always be away from the heart, while that of veins will always be towards the heart. Structure of blood vessels (1) Arteries • The hollow in the centre of the vessel is known as the lumen. The lumens of arteries are usually narrower than that of veins of similar diameters. • Arterial walls consist of 3 layers (from interior to exterior): tunica intima, tunica media, tunica externa (formerly tunica adventitia). (You are not required to know the names of the 3 layers, but you must know what they comprise). i. Tunica intima – comprises a single layer of endothelial cells surrounded by a thin basement membrane. ii. Tunica media – composed of smooth muscle cells. – Contraction of these cells causes the lumen of the artery to become narrower or to constrict; relaxation of these cells causes the artery to become wider or to dilate. Artery Vein Tunica intima - endothelial cells - basement membrane valve Internal elastic membrane Tunica media - smooth muscle cells external elastic membrane Tunica externa - fibrous tissues - connective tissues Serosa - epithelial cells Figure 9.9 Comparing the structure of an artery and a vein. Image taken from th http://cas.bellarmine.edu/tietjen/images/artery-vein.gif, accessed on 28 June 2009. Original image by th Fox and Stuart, Human Physiology, 4 ed. (Brown Publishers). 12 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology – Constricted vessels reduce the volume of blood flowing through the vessel per unit time (rate of blood flow), while dilated vessels increase the volume of blood flow per unit time. – By controlling the rate of blood flowing into an organ, the body is able to divert blood to where it is needed most, and is thus able to respond to emergencies. This control is mainly dictated by the sympathetic nervous system to prepare the organism for “flight or fight” responses. iii. Tunica externa – Connective and tissues. A fibrous • Each layer is also separated from one another by elastic membranes. The elastic membrane between the tunica intima and the tunica media is known as the internal elastic lamina, and that between the tunica media and tunica externa is known as the external elastic lamina (absent in some arteries). • As the heart beats, blood rushes through the arteries at high pressure. The elastic membrane allows the arteries to stretch and recoil under this great pressure. The recoiling force also pushes the blood along these vessels in spurts, resulting in what is felt as pulses in the arteries. B Figure 9.10 A – Image of the cross-section of an artery showing the lumen, internal elastic lamina (IEL) and tunica intima, the tunica media, tunica externa (tunica adventitia) and the external connective tissues (CT), seen under a light microscope. B – Light microscope image comparing both the thickness of the walls of an artery and a vein. Both images obtained from http://education.vetmed.vt.edu/curriculum/vm8054/lab s/Lab12b/Lab12b.htm, accessed on 6th July 2009. 13 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology (2) Veins • Much wider lumen than artery of similar diameter. • Also consists of 3 layers (from interior to exterior): tunica intima, tunica media, tunica externa. i. Tunica intima – comprises a single layer of endothelial cells surrounded by a thin basement membrane. – continuous with semi-lunar valves at intervals to prevent the backflow of blood. – Blood moves at much slower rates in the veins and tends to flow backwards (especially when ascending up a vein towards the heart). The semi-lunar valves consist of flaps with their apices pointing towards the heart. Thus they open only in one direction (ie. towards the heart), and closes in the other. ii. Tunica media – composed of smooth muscle cells, but this layer is much thinner compared to an artery of the same diameter. iii. Tunica externa – consists of connective and fibrous tissues • There is also a layer of elastic lamina between the tunica intima and the tunica media. The elastic lamina present in arteries between the tunica media and tunica externa is absent in veins. • Blood in the veins are also pushed along the veins by the contraction of skeletal muscles that are adjacent to these veins. This is analogous to the squeezing of toothpaste, except that this occurs in a single direction due to the presence of the semi-lunar valves. B Figure 9.11 Scanning electron microscope image of a capillary. Notice the red blood cell (RBC) peeking out of the capillary. This provides a comparison between the diameter of the capillary and the RBC. Image from http://education.vetmed.vt.edu/curriculum/vm8054/lab s/Lab12b/Lab12b.htm, accessed on 6th July 2009. 14 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology (3) Capillaries • Unlike veins and arteries where their primary function is to serve as conduits for the transport materials, capillaries play a critical role as the surface for the exchange of materials. • Thus, capillary walls are only a single-cell thick. This wall layer comprises endothelial cells resting on a thin basement membrane. • The total cross-sectional area of a group of capillaries arising from a single arteriole is far greater than the cross-sectional area of that arteriole. This increases the surface area to volume ratio of the capillaries in close association with the surrounding tissues. • Blood passing through capillaries move at a slower rate and lower blood pressure, allowing time for diffusion of substances to take place. Relating the Form of Blood Vessels to their Functions • The table below compares and contrasts the form and function of the different blood vessels: Feature Arteries Veins Capillaries Direction of Blood Flow • Carry blood away from the heart • Carry blood towards the heart • Carry blood from arterioles to venules Blood • Carry oxygenated blood (with the exception of the pulmonary artery and the umbilical artery) • Carry deoxygenated blood (with the exception of the pulmonary vein and the umbilical vein) • Oxygenated blood on the end nearer to arterioles and deoxygenated blood on end nearer to venule Blood Pressure • High arterial blood pressure • Low venous blood pressure • Blood pressure varies; higher on the end nearer to the arteriole and lower on the end nearer to the venule Wall Structure • Thick, elastic muscular walls • Relatively thinner, slightly muscular walls • One-cell thick walls Valves • Absence of valves • Presence of valves • Absence of valves Lumen Diameter • Smaller lumen as compared to a vein of the same diameter • Larger lumen as • compared to an artery of the same diameter 15 Very small lumen, enough only red blood cells to squeeze through one at a time Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology 9.2 BLOOD, THE FLUID TISSUE • We have seen how the heart and the blood vessels are structurally adapted for their functions. Let us now examine the third and final component of the circulatory system, that is, blood itself. • Blood is also known as a fluid “tissue” (NOTE: not to be confused with the term “tissue fluid”, which we will encounter subsequently in this chapter). • Fluid because a large percentage of it consists of water. • Tissue because it also comprises a large percentage of living cells. 9.2.1 Components of blood • Blood consists of a non-cellular component formed primarily by blood plasma, and a cellular component consisting of red blood cells (or erythrocytes), white blood cells (or leucocytes) and platelets (or thrombocytes). • The diagram below illustrates the percentages by volume of each component of blood. The Blood Plasma • Blood plasma is a yellowish liquid in which blood cells are suspended. • Dissolved in the blood plasma are many soluble substances described in the diagram above. Listed below are examples of each category of dissolved substances: • Soluble proteins: fribrinogen, prothrombin, antibodies etc. • Hormones: insulin, glucagon etc. • Electrolytes: bicarbonate ions (HCO3-), phosphate ions (PO43-), sulphate ions (SO42-), calcium ions (Ca2+), sodium ions (Na+) etc. • Nutrients: Glucose, amino acids, vitamins, lipids etc. • Excretory wastes: urea, uric acid, creatinine etc. 16 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology The Cellular Components of Blood • The table below describes the three key cellular components of blood: Component Red Blood Corpuscles (Erythrocytes) Description • • • Produced in bone marrows Life-span of 3 to 4 months Key features: 1. 2. 3. 4. White Blood Lymphocytes Corpuscles (Leucocytes) • • • • Produced in bone marrows Short lifespan of a few days Matures in lymph nodes Key features: 1. 2. 3. Phagocytes • • • • • Rounded with large round nucleus Little granular cytoplasm Produces antibodies Many different types of phagocytes (neutrophils, macrophages, mast cells) Usually short life spans of a few days Key features: 1. 2. 3. 4. 5. Platelets (Thrombocytes) Circular, flattened, biconcave discs increases its SURFACE AREA TO VOLUME RATIO for oxygen to diffuse into the cell Lacks a nucleus contains MORE haemoglobin Elastic and is able to change into a bell shape to enter narrow capillaries Contains a red pigment known as haemoglobin, critical for the transport of oxygen Irregularly shaped Lobed nucleus Granular cytoplasm Capable of migrating around in the body Ingests foreign bodies in bloodstream by phagocytosis Not true cells; membrane-bound cytoplasmic fragments of certain bone marrow cells. Critical for clotting of blood 17 Images Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology 9.2.2 Functions of Blood • We may identify three key functions of blood: transport functions, protective functions and dissipating body heat. A. Transport Functions 1. Nutrients 2. Hormones 3. Excretory Wastes 4. Carbon dioxide 5. Oxygen - Nutrients absorbed from the small intestines is delivered to all parts of the body as they diffuse across capillary walls. - Hormones are delivered from the glands which produce them to many target organs in several parts of the body and rely on blood to deliver them to their targets. - Metabolic wastes from body tissues are removed by the blood and delivered to kidneys for excretion. - Carbon dioxide is first converted into hydrogencarbonate ions and is carried in the bloodstream to the lungs. In the lungs, the hydrogencarbonate ions are reconverted back into carbon dioxide and removed as we exhale. - Transported to all parts of the body from the lungs by red blood cells. Haemoglobin and Oxygen Transport - Red blood cells are able to transport oxygen because they contain a soluble protein known as haemoglobin. It is this protein which gives blood its red colour. - Haemoglobin is a soluble protein which comprises 4 polypeptide chains. - Each polypeptide chain is associated with a cofactor known as a porphyrin ring which contains a single iron atom. Figure 9.12 Haemoglobin – The - The iron atom is responsible for image above represents the quaternary haemoglobin’s ability to bind structure of the haemoglobin protein. oxygen. This process is Four iron ions coordinated each with a reversible depending on the porphyrin ring are associated with each of concentration of oxygen (or the four polypeptide chains. and is partial pressure of oxygen) in the responsible for haemoglobin’s ability to surrounding tissues. bind to oxygen molecules. Image taken from Binding of Oxygen http://www.di.uq.edu.au/sparq/images/h aemoglobin.png. Accessed on 13th July - When no oxygen is bounded, 2009. haemoglobin is a purplish red colour. - In this state, haemoglobin has high affinity for oxygen. That is, it has a high 18 Prepared by Mr Tan Kaiyuan CAA 120709 - - Hwa Chong Institution Sec3 Biology “tendency” or “propensity” to bind with oxygen reversibly. Deoxygenated blood returns from the body tissues into the lungs have low concentration of oxygen (or low partial pressure of oxygen). Since the lung tissues contain a high concentration of oxygen (or high partial pressure of oxygen), haemoglobin (with its high affinity for oxygen) will bind readily with oxygen molecules as they diffuse into the bloodstream from the air sacs in the lungs. Once bound with oxygen, haemoglobin turns bright red and is now known as oxyhaemoglobin. As oxygenated blood gets transported from the lungs to the body tissues, where oxygen may once again be released to the body tissues that are low in oxygen concentration. Figure 9.13 Oxygen binding. When the surrounding tissues are high in oxygen partial pressure, haemoglobin molecules adopt a relaxed binding structure which readily accepts oxygen due to its high affinity for oxygen. As oxyhaemoglobin enters tissues poor in oxygen content, it adopts a tight binding structure, which lowers its affinity for oxygen and purges oxygen into the surrounding tissues. Adapted from http://www.mfi.ku.dk/PPaulev/chapter8/images/8-3.jpg. Accessed 13th July 09. 19 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology B. Protective Functions 1. Phagocytosis by Phagocytes - Phagocytes are mobile and migrate freely in the bloodstream. They may also squeeze between the epithelial cells that form the capillary walls, and move through body tissues to sites of injury or sites invaded by pathogens. - Upon encountering a foreign particle or pathogenic organism, phagocytes are capable of changing their shapes so as to engulf the foreign object. This process is known as phagocytosis. - The foreign object will then be sequestered in a vacuole within the cytoplasm of the phagocyte. Digestive enzymes are then released into this vacuole, destroying the pathogen. - Some of the phagocytes may be killed in the process of combating the invading foreign organisms. Together with the engulfed foreign organisms, the dead phagocytes will form pus. phagocyte bacterium Vacuoles with digestive enzymes fuse with phagocytotic vacuole. 2. Antibodies produced by Lymphocytes - Lymphocytes secrete soluble proteins known as antibodies. - Antibodies protect the body against the invasion of pathogens by binding to surface proteins or surface polysaccharides on these pathogens. These surface proteins or polysaccharides are known as antigens. - Antibodies are also very specific in their binding to antigens. ie. Given an antibody “X”, it will only bind to specific antigen “x”. It will not bind to antigen “y” or otherwise. - Once an antibody binds to the corresponding antigen found on the surface of particular cells, these cells will then be targeted for destruction or become inactivated by the immune system. Interaction between Antibodies and Antigens in ABO Blood Groups - There are two types of surface antigens found on the red blood cells of human beings, known as antigen a and antigen b. - A person may possess red blood cells with: a. No antigens b. Only antigen a c. Only antigen b d. Both antigen a and antigen b 20 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology - Present in the bloodstream are also natural antibodies not produced by the lymphocytes. - There are two such types of antibodies: antibody A and antibody B. - Antibody A is specific for antigen a while antibody B is specific for antigen b. - When the antibody binds to the specific antigen found on the surface of the red blood cells, this causes the red blood cells to agglutinate (“clump up” by “sticking” to each other), thus preventing them from carrying out their function of transport. - Thus a person possessing red blood cells with antigen a for instance, will only have antibody B in the bloodstream. Presence of antibody A causes his/her red blood cells to agglutinate. - The table below summarises the antigen and antibodies found in a person: Blood Type A B AB O Antigen on Red Blood Cells a b a and b none Antibody in Bloodstream B A None A and B - During blood transfusion, only the red blood cells are transfused. The blood plasma is not introduced into the recipient and thus antibodies are excluded. - If the patient is of blood type A, he may receive blood from a donor with blood group A or O. - The red blood cells from a donor with blood group A only has surface antigen a, and thus will not bind with antibody B present in the bloodstream of the recipient. - Similarly, the red blood cells from a donor with blood group O has no surface antigen and will not bind with antibody B in the bloodstream of the recipient. - People with blood group O may thus donate blood to any other blood group but may themselves only receive blood from another donor of blood group O. Thus, blood group O is the “universal donor”. - Can you explain why people with blood group AB are known as “universal acceptors”? 21 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology Figure 9.14 Blood antibodies and surface antigens of red blood cells. Organ Transplants and Tissue Rejection - As described above, blood protects an individual by: (1) Phagocytosis of foreign bodies; (2) Production of antibodies; (3) Blood clotting. - This poses a problem during organ transplant. - An individual who have perhaps met a severe accident or contracted certain diseases may receive a replacement organ from a donor. - However, the protective functions of blood may recognised the donated organ as a foreign body. - This activates the phagocytes and also results in the production of antibodies against the cells of the donated organ, thus destroying the organ. - Such is the case of tissue rejection, and may be avoided only if the tissue that was transplanted into the patient belongs to the patient himself/herself. Solutions: 1. Transplanted tissue should be derived from close relative of the recipient so as to reduce risk of tissue rejection. 2. Immunosuppressive drugs may be used to inhibit the immune system of the recipient. However this may put the recipient at risk of other forms of infection and the drug must also be administered regularly to suppress the immune system. 22 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology 3. Blood Clotting by Platelets - Blood clotting serves two protective functions. 1) 2) it prevents the excessive loss of blood. it reduces the chance of invasion into the bloodstream by pathogenic organisms. - Platelets gather at the site of tissue damage and together with the damage tissue secrete an enzyme known as thrombokinase. - This enzyme performs two roles: 1) 2) converts an inactive enzyme present in the bloodstream, known as prothrombin into an active form known as thrombin. neutralises an anti-clotting substance known as heparin in blood plasma. Heparin ensures that blood flowing within the blood vessels remains fluid. Thrombokinase thus inhibits the action of heparin, allowing blood to coagulate where it is necessary. - Thrombin in turn catalyses the conversion of a soluble protein, known as fibrinogen, into an insoluble form known as fibrin. Fibrin proteins are thread-like and form a mesh-like net that traps the blood cells. - As the wound gets sealed by the mesh-like network of fibrin threads and clotting blood, a yellowish fluid is left near the site of the wound. - This fluid is known as serum, which is essentially the blood plasma less the clotting factors. C. Dissipation of Body Heat Blood also serves to distribute heat produced from organs such as the muscles and liver to the rest of the body. This prevents the body from overheating. 9.2.3 The Lymphatic System • What happens when blood passes into a capillary bed from the arterioles? Movement of Fluid from Capillaries into Body Tissues • The blood pressure in the arterioles is much higher than that in the capillaries. • As blood passes from the arterioles into the capillary bed, the difference in blood pressure forces blood plasma out of the capillaries, and into the surrounding tissues through minute gaps or pores in the capillary walls. • These gaps or pores are too small for the soluble proteins to pass through. • Thus, the component of the blood plasma that enters the surrounding tissue does not contain the blood proteins. • This fluid bathes the surrounding cells and is known as the tissue fluid or the interstitial fluid. 23 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology Returning Tissue Fluid back into the Bloodstream • The interstitial fluid cannot be left to accumulate in the tissues and must thus be reabsorbed into the bloodstream. • This is taken care of by the lymphatic system. • The lymphatic system consists of a system of vessels (lymph vessels) with blind ends. Along these vessels are also lymph nodes where lymphocytes mature. • Lymph is also drained from the small intestines from lacteals (recall from Animal Nutrition Digestion), but it contains a higher proportion of fats and lipids. • The interstitial fluid diffuses from the surrounding tissues into these lymph vessels and enters the lymphatic system. • Once in the lymphatic system, the fluid is then known as lymph, which is a clear fluid. • The lymphatic system services the entire body, draining tissue fluid from those regions. It is directly connected to the circulatory system via a small opening along the right subclavian vein. Lymph is deposited back into the bloodstream from this opening. Figure 9.15 The lymphatic system. Image from http://www.naturalhealthschool.com/img/immune.gif. Accessed 13th July 09. 24 Prepared by Mr Tan Kaiyuan CAA 120709 9.3 Hwa Chong Institution Sec3 Biology THE CARDIAC CYCLE • Now that we are familiar with the structure and functions of the three main components of the circulatory system, that is, the heart, the blood vessels and blood, we shall now examine the processes involved in generating a single heartbeat. • The cardiac cycle involves the sequence of contraction and relaxation of the atria and ventricles that will generate a single heartbeat. • A contraction of either the atrial or ventricular muscles is known as a systole. • The relaxation of either the atrial or the ventricular muscles is known as a diastole. • The cardiac cycle may be described in 3 phases: 1) Atrial systole / ventricles in diastole Prior to atrial systole, blood fills into the atria passively. During atrial systole, blood pressure within the atria increases as the right and left atria contract. The bicuspid and the tricuspid valves (collectively known as the atrio-ventricular valves or AV valves) open and blood is forced into the ventricles. Figure 9.16 The cardiac cycle. Image from http://academic.kellogg.cc.mi.us/herbrandsonc/bio201_McKinley/f2211_cardiac_cycle_c.jpg, published by McGraw Hill. Accessed on 13th July 09. 25 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology 2) Ventricular systole / atrial diastole The atria relax, and the ventricles begin contracting. Blood pressure within the ventricles increases. When the ventricular blood pressure exceeds that in the atria, the AV valves close. In late ventricular systole, the semi-lunar valves in the pulmonary artery and the aorta open, and blood is forced into the respective vessels. 3) Ventricular diastole / atrial still in diastole Ventricles begin relaxing. The blood pressure in the ventricles begins to decrease and blood begins filling the atria. When ventricular blood pressure falls lower than the atrial blood pressure, the AV valves open. 9.3.1 Pressure changes in the heart • The diagram below illustrates changes in blood pressure in the left atrium, left ventricle and aorta. • Note that the opening and closure of valves corresponds to the points where the pressure plots for the heart chambers crosses each other. Figure 9.17 The cardiac cycle. Image from http://upload.wikimedia.org/wikipedia/commons/5 /5b/Cardiac_Cycle_Left_Ventricle.PNG. Accessed on 13th July 09. 26 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology 9.3.2 Pressure changes in the vessels Figure 9.18 Blood pressure in the blood vessels. • Blood pressure is the force of the blood acting on the walls of the blood vessels. It may be determined using a sphygmomanometer. • Blood pressure fluctuates in the aorta and the arteries, with the highest value obtained during ventricular systole and lowest during ventricular diastole. • The difference in blood pressure during these two instances in the arteries is known as the pulse pressure which diminishes as blood passes into the arterioles and eventually through the capillary bed and then the veins. • From the arteries to the veins, blood pressure decreases, with the sharpest decline when it enters from the arterioles into the capillary bed. • The lowest pressure with a value almost close to zero is found in the vena cavae before it enters the right atrium. • The difference in pressure from arteries to veins determines the direction of flow of blood. NOTE: The blood pressure in the veins is LOWER than the associated capillaries!!! A common misconception that people may have is that the blood pressure in the veins is higher than the associated capillaries. If this was the case, then blood may not flow from capillaries to the veins!!! 27 Figure 9.19 Sphygmomanometer. Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology 9.3.3 Exercise and Heart Rates • Heart rate is usually measured as the number of times the heart beats in a minute and may be given in the unit of beats per minute (bpm). • This may be indirectly obtained by counting the number of pulses felt under the skin within a minute, or more accurately determined by an electrocardiogram (see Figure 9.15) • The resting heart rate (RHR) of the average adult is measured to be about 50 bpm to 100 bpm. A fit individual tend to have lower RHR. • The resting heart rate may fluctuate depending on the activity an individual is engaged in. Hence, the most accurate RHR is obtained upon waking up because even moderate activities may increase the heart rate. • Drugs administration, or consumption of caffeine and smoking may also alter the resting heart rate. • As an individual increases fitness through aerobic exercises, his/her heart rate will decrease. This is because the heart muscles get stronger with training, and are able to deliver oxygenated blood to the rest of the body at a faster rate. • Likewise, a reduction of fatty deposits in the blood vessels also reduces the heart rate as blood may flow through the vessels with little resistance. 9.4 CORONARY HEART DISEASES • Most heart diseases are associated with the coronary artery and are hence known as coronary heart diseases. • Coronary heart diseases result from a constriction of the coronary artery (which orignates from the base of the aorta and supplies the heart muscles with food and oxygen) (Figure 9.5). • Constriction of the coronary artery reduces the rate at which oxygen and food is delivered to the heart muscles (known as ischaemia), resulting in heart muscle failure. Figure 9.20 Atherosclerotic arteries. Image acquired from http://www.egms.de/figures/gms/20075/000040.f1.png, accessed on 15th July 2009. • Coronary heart diseases may result in two outcomes: 1. Angina pectoris – a severe, tightening pain in the chest due to lack of blood flow to the heart muscles. 2. Myocardial infarction (Heart attack) – occurs when blood supply to the heart is completely interrupted thus leading to the death of heart muscles. This is a fatal condition. 28 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology • There may be many causes to constriction of the coronary artery. Some examples include: 1. Atherosclerosis – where lesions in the coronary artery may lead to the development of a thrombosis which blocks the coronary artery and reduces blood flow. 2. Coronary vasospasm – where the smooth muscles of the coronary artery undergoes spasm, and contract, leading to vasoconstriction, thus impeding blood flow. • Most coronary heart diseases are associated with atherosclerosis. We shall look at the development of atherosclerosis in details. Figure 9.21 Stages of endothelial dysfunction in atherosclerosis. Image acquired from http://upload.wikimedia.org/wikipedia/commons/9/9a/Endo_dysfunction_Athero.PNG on 15th July 2009. 29 Prepared by Mr Tan Kaiyuan CAA 120709 Hwa Chong Institution Sec3 Biology Development of Atherosclerosis • High blood pressure may lead to the development of a lesion in the arterial walls. • Platelets, blood cells and cholesterol molecules may get trapped in the lesion. • Arterial walls release chemical signals that attract leucocytes to the lesion. • Leucocytes transform into macrophages that “clean up” the cholesterol. • When macrophages absorb too much cholesterol, they expand and become foam cells. Overtime, these foam cells multiply and develop into a plaque. • The plaque narrows the lumen of the coronary artery. Factors Leading to Atherosclerosis • High cholesterol diet • Diet consisting of saturated animal fats • Chronic stress • Smoking: - Nicotine increases blood pressure - Carbon monoxide increases chance of fats depositing in arterial walls Preventive Measures • Balanced diet • Using polyunsaturated plant fats as a substitute for animal fats • Stress maangement and work-life balance • Regular exercises to strengthen heart end 30
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