1. The Physiology Of The Red
Blood Cells
BY – JYOTI MAURYA ( M. PHARM PHARMACEUTICS )
2. Introduction
1. Blood is a mesodermal derived
special connective tissue .
2. Components of Blood.
3. RBC are vital component of
circulatory system they are
specialized ,a nucleated,
biconcave cells, designed for
efficient gaseous exchange.
3. Structure of RBC
1. Shape - biconcave disc which increases surface
area to volume ratio for rapid gas exchange and
flexibility to pass through the narrow capillaries.
2. Size - 7-8 um diameter & 2 um thickness
3. Number - Male 5.4 million/ul Female 4.8 million
/ul
4. No nucleus and cell organelles , on maturation
membrane bound organelles degenerate like
Nucleus , Mitochondria , Ribosome .
5. RBC contains a meshwork of structural protein
"Stomatin" in which Hb molecules remain packed .
4. Site of Erythropoiesis
Stage / Age Time Period
Main Site of
Erythropoiesis
Notes
Megaloblastic Stage
Up to 3 months of
gestation
Yolk sac (mesoderm)
First stage of
development
Hepatic Stage 3 months – birth Liver, Spleen
Major site during this
period
Myeloid Stage
5th month onwards
(intrauterine)
Bone marrow
Becomes main site after
3rd trimester
Children
Postnatal (till
adolescence)
All bones with Red Bone
Marrow
Active in both long and
flat bones
Adults (15–20 yrs
onwards)
After adolescence
Flat bones: skull,
sternum, ribs, pelvis
Ends of long bones:
femur, humerus
Limited to specific
bones
6. Erythropoiesis
1. After birth bone marrow becomes the sole site of
erythropoiesis,
2. In young children, active hematopoietic bone
marrow is found in both axial skeleton and bones
of extremities,
3. The active hematopoietic bone marrow is red in
color due to marked cellularity - Red bone
marrow.
4. However, there occurs a progressive fatty
placement throughout the long bones converting
red bone marrow to the yellow bone marrow.
5. After 20-30 years, erythropoiesis is mostly limited
to sternum, ribs, vertebrae, skull, pelvic and
pectoral girdles.
7. Stages of
Erythropoiesis
STEM CELLS
• Pluripotent stem cells are the mother
stem cells that form stem cells for
different cell lines.
• It possess two fundamental properties :
o Self-replication - they are capable of
giving rise to more stem cells
o Differentiation - they have the ability
to differentiate into specialized cells
called progenitor cells.
9. Stages of Erythropoiesis
Stage Cell Size & Shape Morphological Features
1. Pluripotent Cell 20–25 µm, round, large Nucleus large, cytoplasm basophilic
2. Proerythroblast 15–20 µm, irregular, rounded or oval
Multiple nucleoli, cytoplasm less, strongly basophilic
(polyribosomes), high RNA, Hb absent
3. Early Normoblast 14–16 µm, irregular round or slightly oval
Large nucleus, thick chromatin strands, cytoplasm basophilic,
Hb absent
4. Intermediate Normoblast 10–14 µm
Nucleus smaller, chromatin condensed, cytoplasm
polychromatophilic (RNA + Hb)
5. Late Normoblast 8–10 µm, round Nucleus very small (pyknotic)
6. Reticulocyte 7–8 µm, biconcave, irregular
Immediate precursor of RBC, nucleus absent, Hb increased,
immature RBC released into blood, matures in 1–2 days
7. Erythrocyte 7.2–7.5 µm, biconcave disc No nucleus, no organelles, fully mature, carries Hb and O₂
10. Regulation of erythropoiesis
• General factors
o Hypoxia -> erythropoietin
o Growth inducers
o Vitamins
• Maturation factors
o Vitamin B 12
o Folic acid
• Factors necessary for hemoglobin production
o Vitamin C -> Helps in iron absorption (Fe+++ ->
Fe++)
o Proteins > Amino Acids for globin synthesis
o Iron & copper > Heme synthesis
o calcium, bile salts, cobalt & nickel.