
The prime function of the
erythrocytes is to deliver oxygen
to peripheral tissues. It is estimated that an adult man will
have about 5 million erythrocytes per cubic millimeter of blood.
In an adult woman, there are about 4.5 million erythrocytes per
cubic millimeter. In terms of cells this is equivalent to about
82 billion erythrocytes per cubic inch of blood. Erythrocytes are
homogeneous
circular
disks about 0.0077 millimeters in diameter
that do not contain a nucleus. When viewed in great numbers,
erythrocytes have the distinctly blood-red coloration. They are
often referred to simply as red blood cells (RBCs).
The color of the erythrocytes is derived from a red
iron-containing pigment called
hemoglobin. This is a conjugated
protein that consists of a globin (a protein) and a hematin (a
nonprotein pigment containing iron). Hemoglobin contains 0.33%
iron. When hemoglobin combines with oxygen, oxyhemoglobin is
formed. When oxygen is given up to the tissues, it is then
reduced back to hemoglobin. When the hemoglobin has its full
complement of oxygen, it is bright red. This scarlet blood is
found in the arteries which carry the blood to organ tissues
throughout the body. As the oxyhemoglobin gives up oxygen, it
takes on a darker
crimson
hue. This is found in the veins which
return the blood to the lungs for reoxygenation. The erythrocytes
also carry some carbon dioxide from the tissues and function to
maintain a normal acid-base balance (pH) of the blood.
Once erythrocytes enter the blood, it is estimated that they
have an average lifetime of about 120 days. In an average person,
this indicates that about l/120th or 0.83% of the red cells are
destroyed each day. The stimulus for production of new red cells
is provided by erythropoietin, a hormone that is produced by the
kidneys. The actual production of erythrocytes is accomplished
almost entirely by the red portions of the bone marrow. Surplus
red cells, needed to meet an emergency, are stored in the body
mainly in the spleen.
Hematocrit is the percentage of
erythrocytes to total blood volume. Normal values are 42-50%
(14-18 grams/100 ml blood) in males and 39-48% (12-16 grams/100
ml blood) in females.