Page 307 - Anatomy and Physiology of Farm Animals, 8th Edition
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          clinical cases to stimulate erythrocyte   need for iron on a daily basis. Iron from the
                                                  circulation also accumulates in the liver in a
  VetBooks.ir  production in both humans and animals.   retrievable storage form, ferritin.
          However, an antibody response to the
                                                     After the protein and iron are removed
          human molecule occurs in more than
          25% of  animals, and these  antibodies   from hemoglobin, a green pigment, biliver­
          neutralize endogenous erythropoietin    din, remains. This is reduced to bilirubin
          as well as the rhEPO. The inappropriate   (a yellowish pigment), which is transported
          use of rhEPO has been reported in normal   to the liver in combination with blood
          human athletes in an attempt to increase   albumin. The liver conjugates it; then it
          their exercise capacity. The potential   passes to  the  gallbladder  in  the  bile and
          for abusive use in animal athletes also   finally to the intestine, where most of it is
          exists.                                 reduced to  bilinogens. These are either
            Mature erythrocytes of mammals have   excreted in the feces (giving the brown
          no nuclei. Immature forms in the bone   color to feces), or reabsorbed into the blood
          marrow do have nuclei, but these are lost   and  then  excreted  in  the  urine  as  uro­
          during the latter stages of development.   bilinogen. The reduction in the intestine is
          The appearance of large numbers of nucle-  accomplished by resident microorganisms.
          ated erythrocytes in the circulation is an
          indication that immature forms are being   Clinical Conditions and  Procedures
          inappropriately released from the bone   Involving Erythrocytes.  Icterus (  jaundice)
          marrow. In birds and reptiles, nuclei nor-  is a syndrome characterized by a yellowish
          mally persist in the red cells throughout   discoloration of skin, mucous membranes,
          the life of the cells.                  and/or sclera. It results from accumulation
            Typically, erythrocytes circulate for only   of bilirubin in the blood and may be caused
          3 to 4 months after their release from the   by liver damage, by occlusion of the bile
          bone marrow. The removal and recycling of   ducts, or by an increased rate of erythrocyte
          senescent erythrocytes is one function of a   destruction. In case of either liver damage
          group of specialized cells, the monocyte–  or blockage of the bile ducts, the bile
          macrophage system (formally  known as   pigments are not secreted into the intestine
          the reticuloendothelial system). The mac-  but are resorbed into the circulatory
          rophages of this system are found fixed or   system, causing icterus. When blood
          in residence in several sites throughout the   damage is excessive, as in some parasitic
          body but are especially prevalent in the   blood diseases, such as anaplasmosis, the
          spleen and liver. These macrophages are   bile pigments are liberated into the blood
          derived from circulating monocytes, hence   faster than the liver can conjugate and
          the name of the system. The macrophages   secrete them, and icterus results.
          phagocytize intact erythrocytes or cellular   Hemolysis is the breakdown of erythro-
          debris and hemoglobin that are released   cytes  and  the  release of  hemoglobin.
          when erythrocytes disintegrate in the   Bacterial  or  plant toxins,  snake  venoms,
          blood. The macrophages degrade the glo-  blood parasites, and hypotonic solutions can
          bin portion of hemoglobin and release the   cause so much hemolysis that the hemo-
          resulting amino acids into the circulation.   globin in plasma produces a reddish color,
          Iron is removed from the heme portion   and the condition is called  hemoglobine­
          and  released  into  the  blood,  where  it  is   mia. The hemoglobin can then be excreted
          transported in combination with a protein,   in the urine, and this is termed hemoglobi­
          transferrin.  Cells  that  require  iron have   nuria  (red water).  Hemolysis  can  also  be
          cell membrane receptors that bind trans-  produced in a blood sample by physically
          ferrin, and this is the means by which cells   disrupting the erythrocytes (e.g., forceful
          can take up iron from the circulation. This   and rapid expulsion of blood from a syringe).
          includes  hematopoietic cells in  the  bone   Hemagglutination is clumping of eryth-
          marrow, which have the highest metabolic   rocytes. Erythrocytes have membrane pro-
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