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RBCs enter the blood at a
rate of about 2 million cells per second. The stimulus for erythropoiesis is
the hormone erythropoietin, secreted mostly by the kidney. RBCs
require Vitamin B12, folic acid, and iron. The lifespan of RBC averages 120
days. Aged and damaged red cells are disposed of in the spleen and liver by
macrophages. The globin is digested and the amino acids released into the
blood for protein manufacture; the heme is toxic and cannot be reused, so it
is made into bilirubin and removed from the blood by the liver to be excreted
in the bile. The red bile pigment bilirubin oxidizes into the green pigment
biliverdin and together they give bile and feces their characteristic color.
Iron is picked up by a globulin protein (apotransferrin) to be transported as
transferrin and then stored, mostly in the liver, as hemosiderin
or ferritin. Ferritin is short term iron storage in constant
equilibrium with plasma iron carried by transferrin. Hemosiderin is long term
iron storage, forming dense granules visible in liver and other cells which
are difficult for the body to mobilize.
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