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274       Tissues and organs



             Blood: composition and functions                    The leukocytes include various types of
                                                              granulocyte, monocyte, and lymphocyte. All
             Human blood constitutes about 8% of the          of these have immune defense functions (see
             body’s weight. It consists of cells and cell frag-  p. 294). The neutrophil granulocytes¸ mono-
             ments inanaqueous medium,the blood               cytes, and the macrophages derived from
             plasma. The proportion of cellular elements,     monocytes are phagocytes. They can ingest
             known as hematocrit, in the total volume is      and degrade invading pathogens. The lympho-
             approximately 45%.                               cytes are divided into two groups, B lympho-
                                                              cytes and T lymphocytes. B lymphocytes
                                                              produce antibodies, while T lymphocytes reg-
             A. Functions of the blood                        ulate the immune response and destroy virus-
                                                              infected cells and tumor cells. Eosinophilic and
             The blood is the most important transport
             medium in the body. It serves to keep the        basophilic granulocytes have special tasks for
                                                              defense against animal parasites.
             “internal milieu” constant (homeostasis) and
                                                                 Thrombocytes are cell fragments that arise
             it plays a decisive role in defending the body   in thebonemarrow from large precursor
             against pathogens.                               cells, the megakaryocytes. Their task is to
                Transport. The gases oxygen and carbon        promote hemostasis (see p. 290).
             dioxide are transported in the blood. The
             blood mediates theexchangeofsubstances
             between organs and takes up metabolic end        C. Blood plasma: composition
             products from tissues in order to transport      The blood plasma is an aqueous solution of
             them to the lungs, liver, and kidney for excre-
             tion. The blood also distributes hormones        electrolytes, nutrients, metabolites, proteins,
                                                              vitamins,trace elements,and signalingsub-
             throughout the organism (see p. 370).
                Homeostasis. The blood ensures that a bal-    stances. The fluid phase of coagulated blood is
             anced distribution of water is maintained be-    known as blood serum.Itdiffers from the
                                                              plasma in that it lacks fibrin and other coag-
             tween the vascular system, the cells (intra-
             cellular space), and the extracellular space.    ulation proteins (see p. 290).
                                                                 Laboratory assessment of the composition
             The acid–base balance is regulated by the
             blood in combination with the lungs, liver,      of the blood plasma is often carried out in
                                                              clinical chemistry. Among the electrolytes,
             and kidneys (see p. 288). The regulation of      there is a relatively high concentration of
             body temperature also depends on the con-           +   2+       –
             trolled transport of heat by the blood.          Na ,Ca ,and Cl ions in the blood in compar-
                                                              ison with the cytoplasm. By contrast, the con-
                Defense. The body uses both non-specific                      +     2+
             and specific mechanisms to defend itself         centrations of K ,Mg ,and phosphate ions
                                                              are higher in the cells. Proteins also have a
             against pathogens. The defense system in-        higher intracellular concentration. The elec-
             cludes the cells of the immune system and
             certain plasma proteins (see p. 294).            trolyte composition of blood plasma is similar
                                                              to that of seawater, due to the evolution of
                Self-protection. To prevent blood loss
             when a vessel is injured, the blood has sys-     early forms of life in the sea. The solution
                                                              known as “physiological saline” (NaCl at a con-
             tems for stanching blood flow and coagulat-                               –1
             ing the blood (hemostasis; see p. 290). The      centration of 0.15 mol  L )is almostisotonic
             dissolution of blood clots (fibrinolysis) is     with blood plasma.
             also managed by the blood itself (see p. 292).      A list of particularly important metabolites
                                                              in the blood plasma is given on the right.


             B. Cellular elements
             Thesolid elements in theblood arethe eryth-
             rocytes (red blood cells), leukocytes (white
             bloodcells), andthrombocytes(platelets).
                The erythrocytes provide for gas transport
             in the blood. They are discussed in greater
             detail on pp. 280–285.


           Koolman, Color Atlas of Biochemistry, 2nd edition © 2005 Thieme
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