Page 701 - Fundamentals of anatomy physiology
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688  Unit 4  Fluids and Transport                                                                          Events Occurring in the Red Bone Marrow

     Figure 19–4  Recycling of Red Blood Cell Components.                                                       Developing RBCs absorb amino
                                                                                                                acids and Fe2+ from the bloodstream
                   Events Occurring in Macrophages                                                              and synthesize new Hb molecules.

                   Macrophages monitor the condition
                   of circulating RBCs, engulfing them
                   before they hemolyze (rupture), or
                   removing Hb molecules, iron, and
                   cell fragments from the RBCs that
                   hemolyze in the bloodstream.

      Macrophages in spleen,                                                                                                      RBC
     liver, and red bone marrow                                                                                                formation

                                       Fe2+                    Fe2+ transported in bloodstream
                                                                           by transferrin
                                             Amino acids
            Heme

                                                          90%                Average life span of
                                                                             RBC is 120 days

            Biliverdin                                    10%  Old and                    In the bloodstream,    New RBCs
            Bilirubin                                          damaged                                          released into
                                                               RBCs                       the rupture of RBCs   bloodstream
                                                                                          is called hemolysis.

                                       Bilirubin bound         Hemoglobin that is not
                                       to albumin in           phagocytized breaks down,
                                       bloodstream             and the alpha and beta
                                                               chains are eliminated in urine.
	19

     Liver                                                                                                                 Kidney
                                                                                                                Hb
            Bilirubin
                                                                                                                Urobilins
                                                          Absorbed into the bloodstream

            Excreted                                            Urobilins,                                                                Eliminated
            in bile                                            stercobilins                                                                 in urine

                           Bilirubin

     Events Occurring in the Liver           Events Occurring in the Large Intestine               Eliminated   Events Occurring in
                                                                                                    in feces    the Kidney
     Bilirubin released from                 Bacteria convert bilirubin to urobilins and
     macrophages binds to                    stercobilins. Feces are yellow-brown or                            The kidneys excrete some
     albumin and is transported to           brown due to the presence of urobilins and                         hemoglobin, as well as
     the liver for excretion in bile.        stercobilins in varying proportions.                               urobilins, which gives
                                                                                                                urine its yellow color.
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