Red Blood Cells (RBCs) – Everything You Need to Know

1. What are RBCs?

  • RBCs are biconcave, nucleus-less cells in the blood.
  • Their main function is to carry oxygen from lungs to tissues.
  • They contain a red pigment called hemoglobin (Hb).

2. Normal Count and Life Span

Feature

Value

Count (Male)

5–6 million/mm³

Count (Female)

4–5 million/mm³

Life Span

~120 days

Shape

Biconcave, round, flexible

Size

~7.2 microns (diameter)

Mnemonic: “RBCs live for 120 days in a 7-micron room.”


3. Site of Formation (Erythropoiesis)

  • Before birth: Yolk sac → Liver → Spleen
  • After birth: Red bone marrow (vertebrae, ribs, sternum)

Hormone: Erythropoietin (EPO)

  • Secreted by kidneys in response to low oxygen.

Mnemonic: "KIDney makes RBCs when O₂ is LOW"


4. Structure of RBC

  • No nucleus, no mitochondria → can’t divide or use oxygen
  • Biconcave shape ↑ surface area for gas exchange
  • Flexible to pass through capillaries

5. Function of RBCs

Function

Explanation

1. Oxygen transport

Via hemoglobin binding with O₂

2. CO₂ transport

Partly by Hb, mostly as bicarbonate (HCO₃⁻)

3. Buffering

Hb acts as buffer to maintain blood pH

4. Maintain viscosity

Helps in blood flow

5. Blood group antigens

Present on RBC membrane

Mnemonic: “OCBBB”
O – Oxygen
C – CO₂
B – Buffer
B – Blood group
B – Blood viscosity


6. Destruction of RBCs

  • Happens after 120 days
  • Old RBCs are destroyed in spleen (called RBC graveyard)
  • Hb breaks into:
    • Heme → Bilirubin (excreted in bile)
    • Iron → Reused
    • Globin → Broken into amino acids

Mnemonic: “Spleen Says Goodbye at 120”


7. Hemoglobin (Hb)

Feature

Value

Normal (Males)

13–18 g/dL

Normal (Females)

12–16 g/dL

Function

Carry O₂ and CO₂

Structure

4 globin chains + 4 heme groups

8. Clinical Conditions Related to RBCs

Condition

Meaning

Anemia

↓ RBC count or ↓ Hb (tiredness, pale skin)

Polycythemia

↑ RBC count (due to hypoxia or bone marrow disorder)

Sickle Cell Anemia

Abnormal crescent-shaped RBCs

Thalassemia

Genetic defect in Hb chain production

Mnemonic: “APe ST”
A – Anemia
P – Polycythemia
S – Sickle cell
T – Thalassemia


Summary for Quick Revision:

RBC at a Glance:

Feature

Key Point

Shape

Biconcave, no nucleus

Function

O₂, CO₂ transport, buffering

Formation

Bone marrow, hormone: EPO

Life Span

120 days, destroyed in spleen

Hemoglobin

13–18 g/dL (M), 12–16 g/dL (F)

FAQs – Frequently Asked Questions

Q1. What is the normal RBC count?

Ans:

  • Male: 5–6 million/mm³
  • Female: 4–5 million/mm³

Q2. What is the main function of RBC?

Ans: To carry oxygen from lungs to tissues using hemoglobin.

Q3. Where are RBCs destroyed?

Ans: In the spleen (RBC graveyard), after ~120 days.

Q4. Why do RBCs have a biconcave shape?

Ans: To increase surface area for oxygen exchange and allow flexibility in capillaries.

Q5. What stimulates RBC production?

Ans: Erythropoietin (from kidneys) in response to low oxygen levels.



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