Difference between revisions of "Blood" - New World Encyclopedia

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Note: This is only a rough draft, with notes. Please do not edit this article until the final draft is complete — i.e., when this notice is removed. You may add comments on what you would like to see included in the discussion area. [[User:Rick Swarts|Rick Swarts]] 23:46, 3 April 2006 (UTC)
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[[Image:Blood smear.jpg|350px|thumb|right|A human [[blood smear]] showing red blood cells (a) and three types of white blood cells ([[neutrophil]], [[eosinophil]], and [[lymphocyte]]) (b-d).]]
  
{{otheruses}}
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'''Blood''' is a highly specialized, circulating [[biological tissue|tissue]] that consists of several types of [[cell (biology)|cells]] suspended in a fluid medium. Along with the [[heart]] (a pump) and [[blood vessel]]s (a series of conduits), blood forms an essential part of the [[circulatory system]], a system of gas exchange in all terrestrial [[vertebrate]]s.  
[[Image:Blood smear.jpg|350px|thumb|right|Human [[blood smear]]: a - [[erythrocytes]]; b - [[neutrophil]]; c - [[eosinophil]]; d - [[lymphocyte]].]]
 
  
'''Blood''' is a [[circulation (physiology)|circulating]] [[biological tissue|tissue]] composed of fluid [[blood plasma|plasma]] and [[cell (biology)|cells]] ([[red blood cell]]s, [[white blood cell]]s, [[platelet]]s). Medical terms related to blood often begin in ''hemo-'' or ''hemato-'' ([[British English|BE]]: ''haemo-'' and ''haemato-'') from the [[Greek language|Greek]] word "''haima''" for "blood".
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There are two main components of blood: Blood cells (collectively known as the ''hematocrit'') and an aqueous medium for transporting the cellular materials (called the  ''plasma''). The hematocrit consists of three types of cells responsible for the blood's crucial functions:
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*'''[[Red blood cell]]s (erythrocytes)''' transport respiratory gases. Erythrocytes give vertebrate blood its distinctive color due to the presence of [[hemoglobin]], an iron-containing protein that binds oxygen in the lungs and transports it to tissues in the body.
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*'''[[White blood cell]]s (leukocytes)''' serve an immunological function, defending the body against foreign materials.
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*'''[[Platelet]]s (thrombocytes)''' are cell fragments that play an important part in the clotting of the blood.  
  
The main function of blood is to supply nutrients ([[oxygen]], [[glucose]]) and constitutional elements to [[biological tissue|tissues]] and to remove waste products (such as [[carbon dioxide]] and [[lactic acid]]). Blood also enables cells ([[leukocyte]]s, abnormal [[tumor]] cells) and different substances ([[amino acid]]s, [[lipid]]s, [[hormone]]s) to be transported between tissues and organs. Problems with blood composition or circulation can lead to downstream tissue dysfunction.
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In addition to the roles outlined above, blood performs a range of functions, supplying nutrients such as [[glucose]], [[amino acid]]s, and [[fatty acid]]s to various tissues; removing waste products such as [[carbon dioxide]], [[urea]], and [[lactic acid]]; transporting [[hormone]]s and signaling tissue damage; and regulating the body [[pH]] and core [[body temperature]] required for a stable internal environment (''homeostasis'').
  
The blood is circulated around the [[lungs]] and body by the [[pump]]ing action of the [[heart]].
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The term "blood" may also refer to a related circulatory fluid in certain [[invertebrate]]s, such as [[arthropod]]s and most [[mollusk]]s, which is also known as the ''hemolymph.'' In these animals, there is no distinction between blood and [[interstitial fluid]] (the solution that bathes and surrounds the cells of multicellular animals).
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{{toc}}
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Given its importance to life, blood has come to be associated with a number of cultural beliefs and practices. Blood continues to function as a symbol of family relationships: For example, to be "related by blood" is to be related by ancestry rather than by marriage. In both Islamic and Jewish dietary laws (Kashrut), consumption of food containing blood is forbidden. In certain Aboriginal Australian traditions, the ritual use of blood as adornment helps to attune the dancers to the invisible energetic realm of the Dreamtime (Lawlor 1991). Among certain Germanic tribes (such as the Anglo-Saxons and the Norsemen), blood was ritually sprinkled after battle (''Blóts''), as it was considered to retain the power of its originator. The [[vampire|vampiric]] folklore of Eastern Europe, in which the undead derive sustenance from the blood of living beings, attests to the mythological power of blood as well as to fears about contamination through blood.
  
==Anatomy of blood==
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==Components and properties==
Blood is composed of several kinds of corpuscles; these ''formed elements'' of the blood constitute about 45% of whole blood. The other 55% is [[blood plasma]], a yellowish fluid that is the blood's liquid medium. The normal [[pH]] of human arterial blood is approximately 7.40 (normal range is 7.35-7.45). Blood that has a [[pH]] below 7.35 is [[acidic]], while blood [[pH]] above 7.45 is [[alkaline]]. Blood [[pH]] along with [[paCO2]] and [[HCO3]] readings are helpful in determining the acid-base balance of the body. Blood is about 7% of the human body weight [http://www.bloodcenters.org/aboutblood/bloodfacts.htm], so the average adult has a blood volume of about 5 liters, of which 2.7-3 liters is plasma.
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Blood contributes about 7 percdent of the human body weight (Alberts 2005), with an average density of approximately 1060 kg/m³ (Shmukler 2004). The average adult has a blood volume of roughly 5 [[liter]]s. Blood cells constitute about 45 percent of whole blood by volume, with the other 55 percent represented by plasma, a fluid that is the blood cells' liquid medium, appearing golden-yellow in color.
The combined surface area of all the erythrocytes in the human anatomy would be roughly 2,000 times as great as the body's exterior surface.
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[[Image:SEM blood cells.jpg|thumb|right|230px|A [[scanning electron microscope]] (SEM) image of normal circulating human blood. Visible components include red blood cells; several types of white blood cells; and many small, disc-shaped platelets.]]
  
The corpuscles are:
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===Types of blood cells===
*''[[Red blood cell]]s or erythrocytes'' (96%). In mammals, mature red blood cells lack a [[Cell nucleus|nucleus]] and [[organelle]]s. They contain the blood's hemoglobin and distribute oxygen. The red blood cells (together with endothelial vessel cells and some other cells) are also marked by proteins that define different [[blood type]]s.
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Each liter of human blood contains the following cellular components:
*''[[White blood cell]]s or leukocytes'' (3.0%), are part of the [[immune system]]; they destroy infectious agents.
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*'''5 × 10<sup>12</sup> erythrocytes''' (45.0 percent of blood volume): Red blood cells (erythrocytes) are shaped like discs, giving them a large surface for gas exchange; their flexibility also enables them to squeeze through capillaries. In [[mammal]]s, mature red blood cells lack a [[Cell nucleus|nucleus]] and [[organelle]]s. They contain the blood's [[hemoglobin]] and distribute oxygen. The red blood cells (together with [[endothelial]] vessel cells and some other cells) are also marked by [[glycoprotein]]s that define the different [[Human blood group systems|blood types]] (see below). The combined surface area of all the red blood cells in the human body would be roughly 2,000 times as great as the body's exterior surface.
*''[[Platelet]]s or thrombocytes'' (1.0%) are responsible for blood clotting ([[coagulation]])
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*'''9 × 10<sup>9</sup> leukocytes''' (1.0 percent of blood volume): White blood cells are part of the [[immune system]]; they destroy and remove old or aberrant cells and cellular debris as well as attack infectious agents ([[pathogens]]) and foreign substances.
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*'''3 × 10<sup>11</sup> thrombocytes''' (<1.0 percent of blood volume): Platelets are responsible for blood clotting ([[coagulation]]). They are activated when they come into contact with exposed [[collagen]] fibers, and work in tandem with components in the blood plasma, called ''blood clotting factors.''
  
[[Blood plasma]] is essentially an [[water|aqueous]] solution containing 96% water, 4% blood plasma [[protein]]s, and trace amounts of other materials. Some components are:
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===Blood plasma===
* [[albumin]]
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[[Blood plasma]] is essentially an [[water|aqueous]] solution containing 92 percent water, 8 percent blood plasma [[protein]]s, and trace amounts of other materials. It includes a variety of components, from gases and ions (mostly sodium and chloride ions, which give blood its salty taste) to nutrients, hormones, and [[immunoglobulin]]s (antibodies). The most abundant blood plasma protein in humans and other mammals is ''serum albumin,'' which is essential for maintaining the [[osmosis|osmotic pressure]] needed for proper distribution of body fluids.
* [[coagulation|blood clotting factors]]
 
* [[antibody|immunoglobulins]] (antibodies)
 
* [[hormone]]s
 
* various other [[protein]]s
 
* various [[electrolyte]]s (mainly [[sodium]] and [[chlorine]])
 
  
Together, plasma and corpuscles form a [[non-Newtonian fluid]] whose flow properties are uniquely adapted to the architecture of the blood vessels.
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===Properties of blood vary by species===
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The normal [[pH]] of human arterial blood is approximately 7.40, a weak alkaline solution. Blood that has a pH below 7.35 is considered overly [[acidic]], while blood pH above 7.45 is too [[alkaline]]. Blood pH, along with arterial carbon dioxide tension (PaCO<sub>2</sub>) and [[Bicarbonate|HCO<sub>3</sub>]] readings, is helpful in determining the acid-base balance of the body. The [[respiratory system]] and [[urinary system]] normally control the acid-base balance of blood as part of homeostasis.
  
==Physiology of blood==
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In humans and other hemoglobin-using creatures, oxygenated blood is bright red, due to the oxygenated iron-containing hemoglobin found in red blood cells. Deoxygenated blood is a darker shade of red, which can be seen during blood donation and when venous blood samples are taken. However, due to skin pigments, blood vessel coverings, and an optical effect caused by the way in which light penetrates through the skin, veins typically appear blue in color.  
===Production and degradation===
 
Blood cells are produced in the [[bone marrow]]; the process is termed [[hematopoiesis]]. The proteinaceous component is produced overwhelmingly in the [[liver]], while hormones are produced by the [[endocrine gland]]s and the watery fraction maintained by the [[gut]] and the [[kidney]].
 
  
Blood cells are degraded by the [[spleen]] and the [[Kupffer cell]]s in the liver. The liver also clears proteins and [[amino acid]]s (the kidney secretes many small proteins into the [[urine]]). Erythrocytes usually live up to 120 days before they are systematically replaced by new erythrocytes created by the process of hematopoiesis.
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The blood of [[horseshoe crab]]s is blue, which is a result of its high content of [[copper]]-based hemocyanin instead of the iron-based hemoglobin. Members of the lizard-family, called [[skink]]s, which belong to the genus ''[[Prasinohaema]],'' have green blood due to a buildup of the waste product [[biliverdin]].
  
===Transport of oxygen===
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==Other functions==
Blood oxygenation is measured with the [[partial pressure]] of oxygen. 98.5% of the oxygen is chemically combined with the [[Hb]]. Only 1.5% is physically dissolved. The [[hemoglobin]] molecule is the primary transporter of oxygen in mammals and many other species.
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In addition to the roles in respiration, transport, immunology, and blood clotting described above, blood's additional functions may include:
  
With the exception of [[Pulmonary artery|pulmonary]] and [[Umbilical artery|umbilical arteries]] and their corresponding veins, [[artery|arteries]] carry oxygenated blood away from the [[heart]] and deliver it to the body via [[arteriole]]s and [[capillary|capillaries]], where the oxygen is consumed; afterwards, [[venule]]s and [[vein]]s carry deoxygenated blood back to the heart.  
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*''Thermoregulation:'' Blood circulation transports [[heat]] through the body, and adjustments to this flow are an important part of [[thermoregulation]]. Increasing blood flow to the surface (e.g., during warm weather or strenuous exercise) causes warmer skin, resulting in faster heat loss, while decreasing blood flow to the surface conserves heat.
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*''Hydraulic function:'' The restriction of blood flow can also be used in specialized tissues (such as the mammalian [[penis]], [[clitoris]], or [[nipple]]) to cause engorgement resulting in an [[erection]] of that tissue. Another example of blood's hydraulic function is found in the [[jumping spider]], in which blood forced into the legs under pressure causes them to straighten for a powerful jump.
  
Under normal conditions in humans, hemoglobin in blood leaving the lungs is about 96-97% saturated with oxygen; 'deoxygenated' blood returning to the lungs is still approximately 75% saturated.[http://home.hia.no/~stephens/ventphys.htm][http://groups.msn.com/TransplantSupportLungHeartLungHeart/oxygen2.msnw] A fetus, receiving oxygen via the placenta, is exposed to much lower oxygen pressures (about 20% of the level found in an adult's lungs) and so fetuses produce another form of hemoglobin with a much higher affinity for oxygen (hemoglobin F) in order to extract as much oxygen as possible from this sparse supply.[http://members.aol.com/Bio50/LecNotes/lecnot20.html]
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==Properties and functions of blood in invertebrates==
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In [[insect]]s, the blood (more properly called [[hemolymph]]) is not involved in the transport of oxygen. (Openings called [[invertebrate trachea|trachea]]e allow oxygen from the air to diffuse directly to the tissues.) Insect hemolymph moves nutrients to the tissues and removes waste products in an open system.
  
====Insects====
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Other invertebrates use respiratory proteins to increase their oxygen-carrying capacity. While hemoglobin is the most common respiratory protein found in nature, [[hemocyanin]] is found in [[crustacean]]s and [[mollusk]]s, giving a blue pigmentation to their blood. It is thought that [[tunicate]]s (sea squirts) might use [[vanabins]] ([[protein]]s containing [[vanadium]]) for respiratory pigmentation, which can be bright [[green]], blue, or [[orange (color)|orange]] in color.
In [[insect]]s, the blood (more properly called [[hemolymph]]) is not involved in the transport of oxygen. (Openings called [[trachea]]e allow oxygen from the air to diffuse directly to the tissues). Insect blood moves nutrients to the tissues and removes waste products.
 
  
====Small invertebrates====
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In many invertebrates, oxygen-carrying proteins are freely soluble in the blood, whereas in vertebrates they are contained in specialized red blood cells, allowing for a higher concentration of respiratory pigments without increasing [[viscosity]] or damaging blood-filtering organs like the [[kidneys]].
In some small [[invertebrate]]s like [[insects]], oxygen is simply dissolved in the plasma. Larger animals use respiratory proteins to increase the oxygen carrying capacity. Hemoglobin is the most common respiratory protein found in nature. [[Hemocyanin]] ([[blue]]) contains [[copper]] and is found in [[crustacean]]s and [[mollusk]]s. It is thought that [[tunicate]]s (sea squirts) might use [[vanabins]] ([[protein]]s containing [[vanadium]]) for respiratory pigment (bright [[green]], blue, or [[orange (colour)|orange]]).
 
  
In many invertebrates, these oxygen-carrying proteins are freely soluble in the blood; in vertebrates they are contained in specialized [[red blood cell]]s, allowing for a higher concentration of respiratory pigments without increasing [[viscosity]] or damaging blood filtering organs like the [[kidneys]].
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[[Giant tube worms]] have particularly complex hemoglobins that allow them to live in especially harsh aquatic environments. These hemoglobins carry sulfides that are normally fatal in other animals.
  
===Transport of carbon dioxide===
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==Physiology of blood==
When systemic arterial blood flows through capillaries, carbon dioxide diffuses from the tissues into the blood. Some carbon dioxide is dissolved in the blood. Some carbon dioxide reacts with hemoglobin to form [[carbamino hemoglobin]]. The remaining carbon dioxide is converted to [[bicarbonate]] and [[hydrogen ion]]s. Most carbon dioxide is transported through the blood in the form of bicarbonate ions.
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===Production and degradation===
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Blood cells are produced by specialized ''[[stem cell]]s,'' located in the [[bone marrow]], through a process termed ''hematopoiesis.'' The protein components of plasma (including clotting proteins) are produced overwhelmingly in the [[liver]], while hormones are produced by the [[endocrine gland]]s. The watery fraction is regulated by the [[hypothalamus]] and maintained by the [[kidney]] and indirectly by the [[gut]].
  
===Transport of hydrogen ions===
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Blood cells are degraded by the [[spleen]] and the [[Kupffer cell]]s in the liver. The liver also clears some proteins, lipids, and [[amino acid]]s. The kidney actively secretes waste products into the [[urine]]. Healthy erythrocytes have a plasma [[half-life]] of 120 days before they are systematically replaced by new erythrocytes created through [[hematopoiesis]].
Some oxyhemoglobin loses oxygen and becomes deoxyhemoglobin. Deoxyhemoglobin has a much greater affinity for H+ than does oxyhemoglobin so it binds most of the hydrogen ions.
 
  
===Color===
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===Transport===
In humans and other hemoglobin-using creatures, oxygenated blood is a bright red in color. Deoxygenated blood is a darker shade of red, which can be seen during blood donation and when venous blood samples are taken. However, due to an optical effect caused by the way in which light penetrates through the skin, veins typically appear blue in color.[http://www.people.virginia.edu/~rjh9u/blueblud.html] This has led to a common misconception that before venous blood is exposed to air it is blue.
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The blood is circulated around the [[lung]]s and body through the [[pump]]ing action of the [[heart]]. Additional return pressure may be generated by gravity and by the actions of skeletal muscles. In mammals, blood is in equilibrium with [[lymph]], which is continuously formed from blood (by capillary ultrafiltration) and returned to the blood (via the [[thoracic duct]]). The lymphatic circulation may be thought of as the "second circulation."
  
==Health and disease==
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==Blood type==
===Ancient medicine===
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[[Image:ABO blood type.svg|thumb|left|400px|'''Blood type''' (or blood group) is determined, in part, by the ABO blood group antigens present on red blood cells.]]
[[Hippocrates|Hippocratic]] medicine considered blood one of the [[four humors]] (together with [[phlegm]], [[yellow bile]] and [[black bile]]). As many diseases were thought to be due to an excess of blood, [[bloodletting]] and [[leeching]] were a common intervention until the [[19th century]] (it is still used for some rare blood disorders).
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A ''blood type'' (also called a ''blood group'') is a classification of blood based on the presence or absence of [[Inheritance|inherited]] [[antigen]]s on the surface of red blood cells. These antigens may be [[protein]]s, [[carbohydrate]]s, [[glycoprotein]]s, or [[glycolipids]], depending on the blood group system.
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While antigens from the human [[ABO blood group system]] are also found in [[ape]]s, such as [[chimpanzee]]s, [[bonobo]]s and [[gorilla]]s, the structure of the blood-group antigens in other animals and [[bacteria]] is not always identical to those typically found in humans. The classification of most animal blood groups therefore uses different blood typing systems than those used for classification of human blood.
  
In classical Greek medicine, blood was associated with air, springtime, and with a merry and gluttonous (''sanguine'') personality. It was also believed to be produced exclusively by the [[liver]].
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If an individual is exposed to a blood group antigen that is not recognized as part of the self, the [[immune system]] will produce [[Antibody|antibodies]] that can specifically bind to that particular blood-group antigen, and an immunological memory against that antigen is formed. These antibodies can bind to antigens on the surface of transfused [[red blood cell]]s (or other tissue cells), often leading to destruction of the cells by recruitment of other components of the immune system. Thus, it is vital that compatible blood is selected for transfusions, and that compatible tissue is selected for [[organ transplant]]ation. [[Transfusion reactions]] involving minor antigens or weak antibodies may lead to minor problems. However, more serious incompatibilities can lead to a more vigorous [[immune]] response with massive destruction of red blood cells, [[Hypotension|low blood pressure]], and even [[death]].
  
===Diagnosis===
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==Blood-related diseases and disorders==
[[Blood pressure]] and [[blood test]]s are amongst the most commonly performed diagnostic investigations that directly concern the blood.
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Medical terms related to blood often begin with ''hemo-'' or ''hemato-'' from the [[Greek language|Greek]] word for blood (''haima''). The study of blood, the blood-forming organs, and blood-related diseases is referred to as ''hematology,'' a branch of biology (physiology), [[pathology]], [[clinical laboratory]], [[internal medicine]], and [[pediatrics]].  Hematology includes the study of the [[etiology]], [[diagnosis]], treatment, [[prognosis]], and [[prevention]] of blood diseases, which affect the production of blood and its components, such as blood cells, hemoglobin, blood proteins, and the mechanism of coagulation.
  
===Pathology===
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The most common disorder of the blood is [[anemia]], a deficiency of red blood cells and/or hemoglobin. This deficiency results in a reduced ability of blood to transfer [[oxygen]] to the [[tissue (biology)|tissues]], causing tissue [[Hypoxia (medical)|hypoxia]].  There are several types of anemia, produced by a variety of underlying causes. Since all human cells depend on oxygen for survival, varying degrees of anemia can have a wide range of clinical consequences. The three main classes of anemia include excessive blood loss, excessive blood cell destruction ([[hemolysis]]), or deficient red blood cell production (ineffective hematopoiesis). In menstruating women, dietary iron deficiency is a common cause of deficient red blood cell production.
''See also [[blood diseases]]''
 
  
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[[Hemophilia]] is a genetic illness that causes dysfunction in one of the blood's [[coagulation|clotting mechanisms]] This disorder can allow otherwise inconsequential wounds to be life-threatening, but more commonly results in [[hemarthrosis]], or bleeding into joint spaces, which can be crippling.
  
'''this section should be expanded with greater information on blood diseases, since this may be the only article that deals with it in the EP. Some of the diseases listed in Hematology in wikipedia.org can be listed and discribed briefly, or perhaps an overview of book diseases from Hematology and a few described briefly.'''
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[[Leukemia]] refers to a group of [[cancer]]s of the blood-forming tissues; it is characterized by an abnormal proliferation of blood cells (usually leukocytes).
  
Problems with blood circulation and composition play a role in many diseases.
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Blood is also an important vector of infection. [[HIV]], the [[virus]] that causes [[AIDS]], is transmitted through contact with blood, [[semen]], or the bodily secretions of an infected person. [[Hepatitis B]] and [[Hepatitis C|C]] are transmitted primarily through blood contact. [[Malaria]] and [[trypanosomiasis]] are blood-borne parasitic infections.
* [[Injury|Wounds]] can cause major blood loss (see [[bleeding]]). The [[thrombocyte]]s cause the blood to [[coagulation|coagulate]], blocking relatively minor wounds, but larger ones must be repaired at speed to prevent [[exsanguination]]. Damage to the internal organs can cause severe [[internal bleeding]], or [[hemorrhage]].
 
* Circulation blockage can also create many medical conditions from [[ischemia]] in the short term to tissue [[necrosis]] and [[gangrene]] in the long term.
 
* [[Hemophilia]] is a genetic illness that causes dysfunction in one of the blood's [[coagulation|clotting mechanisms]]. This can allow otherwise inconsequential wounds to be life-threatening, but more commonly results in [[hemarthrosis]], or bleeding into joint spaces, which can be crippling.
 
* [[Leukemia]] is a group of [[cancer (medicine)|cancers]] of the blood-forming tissues.
 
* Major blood loss, whether traumatic or not (e.g. during surgery), as well as certain blood diseases like [[anemia]] and [[thalassemia]], can require [[blood transfusion]]. Several countries have [[blood bank]]s to fill the demand for transfusable blood. A person receiving a blood transfusion must have a [[blood type]] compatible with that of the donor.
 
* Blood is an important vector of infection. [[HIV]], the [[virus]] which causes [[AIDS]], is transmitted through contact between blood, [[semen]], or the bodily secretions of an infected person. [[Hepatitis B]] and [[Hepatitis C|C]] are transmitted primarily through blood contact. Owing to [[blood-borne infection]]s, bloodstained objects are treated as a [[Biological hazard|biohazard]].
 
* Infection of the blood is [[bacteremia]] or [[sepsis]]. [[Malaria]] and [[trypanosomiasis]] are blood-borne parasitic infections.
 
  
===Treatment===
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===Blood in ancient medicine===
[[Blood transfusion]] is the most direct therapeutic use of blood. It is obtained from human donors by [[blood donation]]. As there are different [[blood type]]s, and transfusion of the incorrect blood may cause severe complications, [[crossmatching]] is done to ascertain the correct type is transfused.
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[[Hippocrates|Hippocratic]] medicine considered blood to be one of the [[four humors]] (together with [[phlegm]], [[yellow bile]] and [[black bile]]). As many diseases were thought to be due to an excess of blood, [[bloodletting]] and [[leeching]] were a common intervention until the nineteenth century (it is still used for some rare blood disorders). In classical Greek medicine, blood was associated with air, springtime, and with a merry and gluttonous ''(sanguine)'' personality. It was also believed to be produced exclusively by the [[liver]].
  
Other blood products administered [[intravenous]]ly are platelets, blood plasma, cryoprecipitate and specific coagulation factor concentrates.
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==References==
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*Alberts, B. 2005. [http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Search&db=books&doptcmdl=GenBookHL&rid=mboc4.table.4143 Leukocyte leocyte functions and percentage breakdown.] From B. Alberts, ''Molecular Biology of the Cell''. NCBI Bookshelf. Retrieved April 14, 2007.
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*Lawlor, R. 1991. ''Voices Of The First Day: Awakening in the Aboriginal Dreamtime.'' Rochester, VT:  Inner Traditions International. ISBN 0892813555.
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*Martini, F. et al. 2006. ''Human Anatomy,'' 5th ed. San Francisco: Pearson. ISBN 0805372113.
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*Purves, W., D. Sadava, G. Orians, and C. Heller. 2004. ''Life: The Science of Biology,'' 7th edition. Sunderland, MA: Sinauer. ISBN 0716766728.
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*Shmukler, M. 2004. [http://hypertextbook.com/facts/2004/MichaelShmukler.shtml Density of blood.] ''The Physics Factbook''. Retrieved October 4, 2006.
  
Many forms of medication (from [[antibiotic]]s to [[chemotherapy]]) are administered intravenously, as they are not readily or adequately absorbed by the digestive tract.
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==External links==
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All links retrieved October 31, 2023.  
  
As stated above, some diseases are still treated by removing blood from the circulation.
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*[http://www.bloodjournal.org/ ''Blood Online''], a journal published by the American Society of Hematology.  
  
It is the fluid part of the blood that saves lives where severe blood loss occurs, other preparations can be given such as ringers atopical plasma volume expander as a non-blood alternative, and these alternatives where used are rivalling blood use where used.
 
  
==Mythology and religion==
 
Due to its importance to life, blood is associated with a large number of beliefs. One of the most basic is the use of blood as a symbol for family relationships; to be "related by blood" is to be related by ancestry or descendance, rather than marriage. This bears closely to [[bloodline]]s, and sayings such as "blood is thicker than water" and "bad blood", as well as "[[Blood brother]]".
 
 
===Indo-European paganism===
 
Among the [[Germanic tribe]]s (such as the [[Anglo-Saxons]] and the [[Viking]]s), blood was used during the sacrifices, the ''[[Blót]]s''. The blood was considered to have the power of its originator and after the butchering the blood was sprinkled on the walls, on the statues of the gods and on the participants themselves. This act of sprinkling blood was called ''bleodsian'' in [[Old English language|Old English]] and the terminology was borrowed by the [[Roman Catholic Church]] becoming ''to bless'' and ''blessing''. The [[Hittite language|Hittite]] word for blood, ''ishar'' was a cognate to words for "oath" and "bond", see [[Ishara]].
 
 
===Judaism===
 
In [[Judaism]], blood cannot be consumed even in the smallest quantity ([[Leviticus]] 3:17 and elsewhere); this is reflected in the [[Kashrut|dietary laws]]. Blood is purged from [[meat]] by [[salting (food)|salting]] and [[pickling]].
 
 
Other rituals involving blood are the covering of the blood of [[fowl]] and [[game]] after slaughtering ([[Leviticus]] 17:13); the reason given by the [[Torah]] is: "Because the life of every animal is [in] his blood" (ibid 17:14), although from its context in [[Leviticus]] 3:17 it would appear that blood cannot be consumed because it is to be used in the [[sacrifice|sacrificial service]] (known as the ''[[korbanot]]''), in the [[Temple in Jerusalem]].
 
 
Ironically, [[Judaism]] has historically been the religion to be most affected by [[blood libel]]s.
 
 
===Christianity===
 
[[Christianity|Christians]] believe that the [[Eucharist]] [[wine]] [[transubstantiation|is]], or [[memorialism|represents]], the blood of [[Jesus]]. This belief is rooted in [[the Last Supper]] as written in the four gospels of the [[Bible]], in which Jesus stated to his [[disciples]] that the bread which they ate represented his body, and the wine represented his blood. ''"This cup is the new testament in my blood, which is shed for you." (Luke 22:20, [[King James Version of the Bible|KJV]])''. The accepted Christian belief is that Jesus' blood atoned for the sins of the people.
 
 
===Jehovah's Witnesses===
 
{{main|Jehovah's Witnesses and blood}}
 
 
[[Jehovah's Witnesses]] are prohibited from eating blood and accepting tranfusions of whole blood or any of red cells, white cells, platelets or plasma. They are permitted to accept fractions, and the acute normovolemic hemodilution (ANH) and autologous blood salvage (cell saver) procedures.
 
 
===Vampire legends===
 
[[Vampire]]s are fictional beings thought to cheat death by drinking the blood of the living.
 
 
===Chinese and Japanese culture===
 
In Chinese culture, it is often said that if a man's nose produces a small flow of blood, this signifies that he is experiencing sexual desire. This often appears in [[China|Chinese-language]] and [[Hong Kong]] [[film]]s.
 
This is also evident in [[Japan]]ese culture and is parodied in [[anime]] and [[manga]]. Male characters will often be shown with a [[nosebleed]] if they have just seen a female nude or in little clothing, or if they have had an erotic thought or fantasy.
 
 
==See also==
 
{{commons|Category:Blood}}
 
* [[Artificial blood]]
 
* [[List of human blood components]]
 
* Blood as [[food]]: see [[black pudding]]
 
* Blood and [[video game censorship]]
 
* [[Taboo food and drink#Blood|Taboo food and drink]]
 
* [[Blood donation]]
 
* [[Blood types]]
 
 
{{blood}}
 
 
{{cardiovascular_system}}
 
{{cardiovascular_system}}
  
[[Category:Cardiovascular system]]
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Latest revision as of 18:13, 31 October 2023

A human blood smear showing red blood cells (a) and three types of white blood cells (neutrophil, eosinophil, and lymphocyte) (b-d).

Blood is a highly specialized, circulating tissue that consists of several types of cells suspended in a fluid medium. Along with the heart (a pump) and blood vessels (a series of conduits), blood forms an essential part of the circulatory system, a system of gas exchange in all terrestrial vertebrates.

There are two main components of blood: Blood cells (collectively known as the hematocrit) and an aqueous medium for transporting the cellular materials (called the plasma). The hematocrit consists of three types of cells responsible for the blood's crucial functions:

  • Red blood cells (erythrocytes) transport respiratory gases. Erythrocytes give vertebrate blood its distinctive color due to the presence of hemoglobin, an iron-containing protein that binds oxygen in the lungs and transports it to tissues in the body.
  • White blood cells (leukocytes) serve an immunological function, defending the body against foreign materials.
  • Platelets (thrombocytes) are cell fragments that play an important part in the clotting of the blood.

In addition to the roles outlined above, blood performs a range of functions, supplying nutrients such as glucose, amino acids, and fatty acids to various tissues; removing waste products such as carbon dioxide, urea, and lactic acid; transporting hormones and signaling tissue damage; and regulating the body pH and core body temperature required for a stable internal environment (homeostasis).

The term "blood" may also refer to a related circulatory fluid in certain invertebrates, such as arthropods and most mollusks, which is also known as the hemolymph. In these animals, there is no distinction between blood and interstitial fluid (the solution that bathes and surrounds the cells of multicellular animals).

Given its importance to life, blood has come to be associated with a number of cultural beliefs and practices. Blood continues to function as a symbol of family relationships: For example, to be "related by blood" is to be related by ancestry rather than by marriage. In both Islamic and Jewish dietary laws (Kashrut), consumption of food containing blood is forbidden. In certain Aboriginal Australian traditions, the ritual use of blood as adornment helps to attune the dancers to the invisible energetic realm of the Dreamtime (Lawlor 1991). Among certain Germanic tribes (such as the Anglo-Saxons and the Norsemen), blood was ritually sprinkled after battle (Blóts), as it was considered to retain the power of its originator. The vampiric folklore of Eastern Europe, in which the undead derive sustenance from the blood of living beings, attests to the mythological power of blood as well as to fears about contamination through blood.

Components and properties

Blood contributes about 7 percdent of the human body weight (Alberts 2005), with an average density of approximately 1060 kg/m³ (Shmukler 2004). The average adult has a blood volume of roughly 5 liters. Blood cells constitute about 45 percent of whole blood by volume, with the other 55 percent represented by plasma, a fluid that is the blood cells' liquid medium, appearing golden-yellow in color.

A scanning electron microscope (SEM) image of normal circulating human blood. Visible components include red blood cells; several types of white blood cells; and many small, disc-shaped platelets.

Types of blood cells

Each liter of human blood contains the following cellular components:

  • 5 × 1012 erythrocytes (45.0 percent of blood volume): Red blood cells (erythrocytes) are shaped like discs, giving them a large surface for gas exchange; their flexibility also enables them to squeeze through capillaries. In mammals, mature red blood cells lack a nucleus and organelles. They contain the blood's hemoglobin and distribute oxygen. The red blood cells (together with endothelial vessel cells and some other cells) are also marked by glycoproteins that define the different blood types (see below). The combined surface area of all the red blood cells in the human body would be roughly 2,000 times as great as the body's exterior surface.
  • 9 × 109 leukocytes (1.0 percent of blood volume): White blood cells are part of the immune system; they destroy and remove old or aberrant cells and cellular debris as well as attack infectious agents (pathogens) and foreign substances.
  • 3 × 1011 thrombocytes (<1.0 percent of blood volume): Platelets are responsible for blood clotting (coagulation). They are activated when they come into contact with exposed collagen fibers, and work in tandem with components in the blood plasma, called blood clotting factors.

Blood plasma

Blood plasma is essentially an aqueous solution containing 92 percent water, 8 percent blood plasma proteins, and trace amounts of other materials. It includes a variety of components, from gases and ions (mostly sodium and chloride ions, which give blood its salty taste) to nutrients, hormones, and immunoglobulins (antibodies). The most abundant blood plasma protein in humans and other mammals is serum albumin, which is essential for maintaining the osmotic pressure needed for proper distribution of body fluids.

Properties of blood vary by species

The normal pH of human arterial blood is approximately 7.40, a weak alkaline solution. Blood that has a pH below 7.35 is considered overly acidic, while blood pH above 7.45 is too alkaline. Blood pH, along with arterial carbon dioxide tension (PaCO2) and HCO3 readings, is helpful in determining the acid-base balance of the body. The respiratory system and urinary system normally control the acid-base balance of blood as part of homeostasis.

In humans and other hemoglobin-using creatures, oxygenated blood is bright red, due to the oxygenated iron-containing hemoglobin found in red blood cells. Deoxygenated blood is a darker shade of red, which can be seen during blood donation and when venous blood samples are taken. However, due to skin pigments, blood vessel coverings, and an optical effect caused by the way in which light penetrates through the skin, veins typically appear blue in color.

The blood of horseshoe crabs is blue, which is a result of its high content of copper-based hemocyanin instead of the iron-based hemoglobin. Members of the lizard-family, called skinks, which belong to the genus Prasinohaema, have green blood due to a buildup of the waste product biliverdin.

Other functions

In addition to the roles in respiration, transport, immunology, and blood clotting described above, blood's additional functions may include:

  • Thermoregulation: Blood circulation transports heat through the body, and adjustments to this flow are an important part of thermoregulation. Increasing blood flow to the surface (e.g., during warm weather or strenuous exercise) causes warmer skin, resulting in faster heat loss, while decreasing blood flow to the surface conserves heat.
  • Hydraulic function: The restriction of blood flow can also be used in specialized tissues (such as the mammalian penis, clitoris, or nipple) to cause engorgement resulting in an erection of that tissue. Another example of blood's hydraulic function is found in the jumping spider, in which blood forced into the legs under pressure causes them to straighten for a powerful jump.

Properties and functions of blood in invertebrates

In insects, the blood (more properly called hemolymph) is not involved in the transport of oxygen. (Openings called tracheae allow oxygen from the air to diffuse directly to the tissues.) Insect hemolymph moves nutrients to the tissues and removes waste products in an open system.

Other invertebrates use respiratory proteins to increase their oxygen-carrying capacity. While hemoglobin is the most common respiratory protein found in nature, hemocyanin is found in crustaceans and mollusks, giving a blue pigmentation to their blood. It is thought that tunicates (sea squirts) might use vanabins (proteins containing vanadium) for respiratory pigmentation, which can be bright green, blue, or orange in color.

In many invertebrates, oxygen-carrying proteins are freely soluble in the blood, whereas in vertebrates they are contained in specialized red blood cells, allowing for a higher concentration of respiratory pigments without increasing viscosity or damaging blood-filtering organs like the kidneys.

Giant tube worms have particularly complex hemoglobins that allow them to live in especially harsh aquatic environments. These hemoglobins carry sulfides that are normally fatal in other animals.

Physiology of blood

Production and degradation

Blood cells are produced by specialized stem cells, located in the bone marrow, through a process termed hematopoiesis. The protein components of plasma (including clotting proteins) are produced overwhelmingly in the liver, while hormones are produced by the endocrine glands. The watery fraction is regulated by the hypothalamus and maintained by the kidney and indirectly by the gut.

Blood cells are degraded by the spleen and the Kupffer cells in the liver. The liver also clears some proteins, lipids, and amino acids. The kidney actively secretes waste products into the urine. Healthy erythrocytes have a plasma half-life of 120 days before they are systematically replaced by new erythrocytes created through hematopoiesis.

Transport

The blood is circulated around the lungs and body through the pumping action of the heart. Additional return pressure may be generated by gravity and by the actions of skeletal muscles. In mammals, blood is in equilibrium with lymph, which is continuously formed from blood (by capillary ultrafiltration) and returned to the blood (via the thoracic duct). The lymphatic circulation may be thought of as the "second circulation."

Blood type

Blood type (or blood group) is determined, in part, by the ABO blood group antigens present on red blood cells.

A blood type (also called a blood group) is a classification of blood based on the presence or absence of inherited antigens on the surface of red blood cells. These antigens may be proteins, carbohydrates, glycoproteins, or glycolipids, depending on the blood group system.

While antigens from the human ABO blood group system are also found in apes, such as chimpanzees, bonobos and gorillas, the structure of the blood-group antigens in other animals and bacteria is not always identical to those typically found in humans. The classification of most animal blood groups therefore uses different blood typing systems than those used for classification of human blood.

If an individual is exposed to a blood group antigen that is not recognized as part of the self, the immune system will produce antibodies that can specifically bind to that particular blood-group antigen, and an immunological memory against that antigen is formed. These antibodies can bind to antigens on the surface of transfused red blood cells (or other tissue cells), often leading to destruction of the cells by recruitment of other components of the immune system. Thus, it is vital that compatible blood is selected for transfusions, and that compatible tissue is selected for organ transplantation. Transfusion reactions involving minor antigens or weak antibodies may lead to minor problems. However, more serious incompatibilities can lead to a more vigorous immune response with massive destruction of red blood cells, low blood pressure, and even death.

Blood-related diseases and disorders

Medical terms related to blood often begin with hemo- or hemato- from the Greek word for blood (haima). The study of blood, the blood-forming organs, and blood-related diseases is referred to as hematology, a branch of biology (physiology), pathology, clinical laboratory, internal medicine, and pediatrics. Hematology includes the study of the etiology, diagnosis, treatment, prognosis, and prevention of blood diseases, which affect the production of blood and its components, such as blood cells, hemoglobin, blood proteins, and the mechanism of coagulation.

The most common disorder of the blood is anemia, a deficiency of red blood cells and/or hemoglobin. This deficiency results in a reduced ability of blood to transfer oxygen to the tissues, causing tissue hypoxia. There are several types of anemia, produced by a variety of underlying causes. Since all human cells depend on oxygen for survival, varying degrees of anemia can have a wide range of clinical consequences. The three main classes of anemia include excessive blood loss, excessive blood cell destruction (hemolysis), or deficient red blood cell production (ineffective hematopoiesis). In menstruating women, dietary iron deficiency is a common cause of deficient red blood cell production.

Hemophilia is a genetic illness that causes dysfunction in one of the blood's clotting mechanisms This disorder can allow otherwise inconsequential wounds to be life-threatening, but more commonly results in hemarthrosis, or bleeding into joint spaces, which can be crippling.

Leukemia refers to a group of cancers of the blood-forming tissues; it is characterized by an abnormal proliferation of blood cells (usually leukocytes).

Blood is also an important vector of infection. HIV, the virus that causes AIDS, is transmitted through contact with blood, semen, or the bodily secretions of an infected person. Hepatitis B and C are transmitted primarily through blood contact. Malaria and trypanosomiasis are blood-borne parasitic infections.

Blood in ancient medicine

Hippocratic medicine considered blood to be one of the four humors (together with phlegm, yellow bile and black bile). As many diseases were thought to be due to an excess of blood, bloodletting and leeching were a common intervention until the nineteenth century (it is still used for some rare blood disorders). In classical Greek medicine, blood was associated with air, springtime, and with a merry and gluttonous (sanguine) personality. It was also believed to be produced exclusively by the liver.

References
ISBN links support NWE through referral fees

  • Alberts, B. 2005. Leukocyte leocyte functions and percentage breakdown. From B. Alberts, Molecular Biology of the Cell. NCBI Bookshelf. Retrieved April 14, 2007.
  • Lawlor, R. 1991. Voices Of The First Day: Awakening in the Aboriginal Dreamtime. Rochester, VT: Inner Traditions International. ISBN 0892813555.
  • Martini, F. et al. 2006. Human Anatomy, 5th ed. San Francisco: Pearson. ISBN 0805372113.
  • Purves, W., D. Sadava, G. Orians, and C. Heller. 2004. Life: The Science of Biology, 7th edition. Sunderland, MA: Sinauer. ISBN 0716766728.
  • Shmukler, M. 2004. Density of blood. The Physics Factbook. Retrieved October 4, 2006.

External links

All links retrieved October 31, 2023.

  • Blood Online, a journal published by the American Society of Hematology.


Cardiovascular system - edit
Blood  |  Heart → Aorta → Arteries → Arterioles → Capillaries → Venules → Veins → Vena cava → Heart → Pulmonary arteries → Lungs → Pulmonary veins → Heart

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