Blood
Formed of plasma (55%) & formed elements (45%).
A. Plasma
Straw-coloured, slightly alkaline (pH 7.4) viscous fluid.
Constituents of Plasma
- Water (90-92%): It is a good solvent.
- Plasma proteins (6-8%): Include
- Fibrinogen: For blood coagulation.
- Globulins: Act as antibodies (for defense of the body).
- Albumins: For osmotic balance. Regulate blood pressure.
- Glucose, amino acids, lipids & cholesterol.
- Inorganic constituents: Na+, Ca2+, Mg2+, Cl-, HCO3- etc.
- Gases like CO2, O2, N2 etc.
Plasma without clotting factors is known as Serum.
B. Formed Elements (RBC, WBC & Platelets)
Red Blood Cells (RBC) or Erythrocytes:
- Biconcave non-nucleated cells. No mitochondria, Golgi complex etc.
- Red colour is due to Haemoglobin (iron containing protein).
- Normal Hb level is 12-16 g/100 ml.
- Count: 5 - 5.5 millions/mm3.
- Formed in: Red Bone marrow.
- Average lifespan: 120 days. Worn-out RBCs are destroyed in spleen (graveyard of RBCs).
- Function: CO2 and O2 transports.
White Blood Cells (WBC) or Leucocytes:
- Colourless nucleated cells.
- Count: 6000-8000 /mm3.
- Formed in: Bone marrow, lymph glands, spleen.
- Average lifespan: Generally short lived (1-15 days).
- Function: Part of immune system.
WBCs are 2 types: Granulocytes & Agranulocytes
1. Granulocytes
They are 3 types:
- Neutrophils: 60-65%. They are phagocytes which destroy foreign organisms.
- Eosinophils: 2-3%. Resist infections. Cause allergic reactions.
- Basophils: 0.5-1%. Secrete histamine, serotonin, heparin etc. Cause inflammatory reactions.
2. Agranulocytes
They are 2 types:
- Lymphocytes: 20-25%. Includes B- lymphocytes & T- lymphocytes. Cause immune responses.
- Monocytes: 6-8%. They are phagocytes.
Platelets (Thrombocytes):
- Colourless non-nucleated cell fragments.
- Count: 1.5 - 3.5 lakhs /mm3.
- Formed in: Megakaryocytes in Bone marrow.
- Average lifespan: 7 days.
- Function: Blood clotting.

Blood Coagulation
It is a mechanism for haemostasis (prevention of blood loss through injuries).
At the site of injury, following events occur:
Clumped platelets & tissues release thromboplastin
↓
It forms thrombokinase (Prothrombinase) enzyme
↓
Thrombokinase hydrolyses prothrombin to thrombin enzyme in presence of Ca2+
↓
Thrombin converts soluble fibrinogen to insoluble fibrin
↓
Fibrin threads trap dead & damaged blood cells to form clot (coagulum).
Blood Groups
1. ABO Grouping
- It is based on presence or absence of 2 surface antigens (chemicals that induce immune response) on RBCs namely A & B.
- Similarly, plasma contains 2 antibodies (proteins produced in response to antigens) namely anti-A & anti-B.
- Antigen A reacts with anti-A. Antigen B reacts with anti-B.
- If bloods with interactive antigens & antibodies are mixed together, it causes clumping (agglutination) of RBCs.
- Persons with O Group are called Universal donors because they can donate blood to persons with any other blood group.
- Persons with AB group are called Universal recipients because they can accept blood from all groups.
Blood group | Antigens | Antibodies | Can donate blood to | Can receive blood from (Donor’s group) |
---|---|---|---|---|
A | A | Anti-B | A & AB | A, O |
B | B | Anti-A | B & AB | B, O |
AB | A, B | Nil | AB only | A, B, AB & O |
O | Nil | Anti-A & Anti-B | A, B, AB & O | O only |
2. Rh Grouping
- Rhesus (Rh) factor is another antigen found on RBC.
- Rh+ve means the presence of Rh factor and Rh-ve means absence of Rh factor.
- Nearly 80% of humans are Rh+ve.
- Anti-Rh antibodies are not naturally found. So Rh-ve person can receive Rh+ve blood only once but it causes the development of anti-Rh antibodies in his blood. So, a second transfusion of Rh+ve blood causes agglutination. Therefore, Rh-group should be matched before transfusion.
Erythroblastosis Foetalis
- It is a Rh incompatibility between the Rh-ve blood of a pregnant mother and Rh+ve blood of the foetus.
- Rh antigens do not get mixed with maternal blood in first pregnancy because placenta separates the two bloods.
- But during first delivery, the maternal blood may be exposed to small amount of foetal blood (Rh+ve). This induces the formation of Rh antibodies in maternal blood.
- In case of her subsequent pregnancies, the Rh antibodies from the mother leak into the foetal blood (Rh+ve) and destroy the foetal RBCs. This is fatal to the foetus or cause severe anaemia and jaundice to the baby. This condition is called Erythroblastosis foetalis.
- It can be avoided by administering anti-Rh antibodies to the mother immediately after the first delivery.
2. Blood Vessels
Blood vessels are 3 types: Arteries, Veins & Capillaries.
Arteries:
- They carry blood from heart to other tissues.
- They contain oxygenated blood (except pulmonary artery).
- Their smaller branches are called arterioles.
- Arteries are 3-layered- inner tunica intima (squamous endothelium), middle tunica media (smooth muscles & elastic fibres) and outer tunica externa (fibrous connective tissue).
Veins:
- They carry blood towards heart.
- They contain deoxygenated blood (except pulmonary vein).
- Their smaller branches are called venules.
- Veins are also 3-layered but tunica media is comparatively thin.
Capillaries:
- In tissues, arterioles divide into thin walled and single layered vessels. They are called capillaries. They unite into venules.