HomeHealth articlesleukopeniaWhat Are the Role of Spleen in Red Blood Cell Production?

Link Between Spleen and Blood Cells - An Overview

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The spleen plays a vital role in producing and removing RBCs. Read the article below to know more.

Medically reviewed by

Dr. Abdul Aziz Khan

Published At November 16, 2023
Reviewed AtDecember 19, 2023

Introduction

The human body depends on the complex interactions between various organs and systems to function correctly. The spleen and blood cells are two vital parts of the body's inner workings. While the spleen is a fist-sized organ in the abdomen, blood cells flow throughout the circulatory system, delivering oxygen and nutrients. The spleen and blood cells serve very different purposes but work closely together. The spleen controls blood cell production and quality. Understanding the connection between the spleen and blood cells can help people appreciate how the human body is designed intricately.

What Is Spleen and Its Functions?

The spleen plays several important roles in maintaining the health and function of the blood cells. It is located in the upper left abdomen, filters blood, and keeps it clean and infection-free.

The spleen has two main functions relating to blood cells:

  1. Filtration and Storage of Blood Cells: The spleen filters the blood, removing and storing old and damaged red blood cells and platelets. It recycles the iron and proteins from the removed cells. The spleen also stores blood cells, especially platelets and red blood cells, that can be released into circulation when needed.

  2. Fighting Infection: The spleen contains lymphocytes that help fight infection and keep the blood clean. It works to detect and remove foreign substances in the blood, including bacteria, viruses, and other microorganisms. The spleen's ability to filter blood and detect infections is crucial to the body's immune system defense.

A normally functioning spleen is vital for maintaining the health of the blood cells and protecting against infection. However, the spleen is not essential for life, and the liver and lymph nodes can partly take over its functions if the spleen has to be removed due to reasons like injury or disease. Regular checkups and vaccinations are especially important for those without a spleen to monitor for infections and other potential issues relating to blood health. By understanding the spleen's role in filtering and storing blood cells and fighting infection, people can gain valuable insight into how this important organ interacts with and impacts the circulatory system and overall health. Taking good care of the spleen means taking good care of the blood.

What Are the Role of Spleen in Red Blood Cell Production?

The spleen plays an important part in the production as well as maturation of red blood cells (RBCs), also known as erythrocytes. As RBCs circulate through the bloodstream, the spleen filters out and removes old or damaged RBCs from circulation. The spleen also stores a reserve of RBCs that can be released into the bloodstream should oxygen levels drop.

  • RBC Production: The spleen contains clusters of blood-forming stem cells, known as hematopoietic tissue. These stem cells differentiate into immature RBCs called erythroblasts. The erythroblasts then mature into reticulocytes and are released into the bloodstream, where they develop into mature RBCs within one to two days. The spleen produces erythropoietin (a hormone) that stimulates bone marrow to produce RBCs. The spleen also stores up to one-third of the body's RBCs until needed. When the oxygen level in tissues drops, the spleen releases these reserve RBCs to increase the oxygen-carrying capacity of the blood.

  • Removal of Damaged RBCs: As RBCs age, their cell membranes become damaged and less flexible. The spleen detects these aged or damaged RBCs and removes them from circulation. Specialized macrophages in the spleen break down and digest the hemoglobin and other components of the aged RBCs. The iron from the hemoglobin is stored in the spleen or transported to the bone marrow for reuse in new RBC production.

How Does the Spleen Remove Old and Damaged Blood Cells?

Red blood cells are removed from the blood with the help of the spleen, which filters the blood. As red blood cells age, their membranes become damaged and less flexible. The spleen detects these aging cells and removes them from circulation.

How Does the Spleen Detect Aged Blood Cells?

The spleen contains specialized macrophages that detect aged or damaged red blood cells. As red blood cells age, their cell membranes become stiff, losing their normal biconcave disk shape. The spleen's macrophages recognize these misshapen and inflexible red blood cells. They then engulf and break down these aged cells, recycling their hemoglobin and other components.

What Are the Additional Functions of the Spleen?

1. The spleen serves multiple essential functions in the body:

  • It filters the blood to remove aged red blood cells, abnormal blood cells, and infectious agents.

  • The spleen's white pulp contains lymphocytes that detect foreign materials and cellular debris in the bloodstream.

  • It acts as a reservoir for blood cells, particularly platelets and red blood cells, releasing additional cells into circulation when needed.

2. Individuals without a spleen face increased risks:

  • Higher susceptibility to blood-borne infections and a decreased ability to filter abnormal blood cells.

  • They require prophylactic antibiotics and specific vaccinations to prevent infections.

3. The spleen's role in maintaining health includes:

  • Removing old and stiff red blood cells from circulation, ensuring the presence of flexible, oxygen-carrying red blood cells.

  • Supporting lymphocyte production and the immune system.

4. The spleen contains red pulp and white pulp, with the white pulp being crucial for lymphocyte production.

  • It houses B cells, T cells, and natural killer cells.

  • The spleen produces and stores platelets and red blood cells.

  • It serves as an iron-recycling center for aged red blood cells.

5. The spleen plays a pivotal role in responding to infections:

  • When detecting pathogens in the bloodstream, it triggers the production of specialized lymphocytes like plasma cells that generate antibodies targeting pathogens.

  • Cytotoxic T cells activated by the spleen destroy virus-infected and tumor cells.

6. The spleen's infection-fighting abilities encompass:

  • Filtering and eliminating pathogens such as bacteria, viruses, and other microbes from the bloodstream.

  • Removing aged, dysfunctional red blood cells and recycling their iron and proteins.

Damage or removal of the spleen heightens infection risks, particularly from encapsulated bacteria like Streptococcus pneumoniae and Haemophilus influenzae. Individuals without a spleen require vaccinations and prophylactic antibiotics to reduce infection risks and maintain their overall health.

Disorders that disrupt the spleen's ability to filter the blood and produce new blood cells can have serious health consequences. Two conditions that directly impact the spleen-blood cell connection are:

  • Hyposplenism: Hyposplenism refers to a poorly functioning or absent spleen. Streptococcus pneumoniae, Haemophilus influenzae type B, and Neisseria meningitidis often cause infections without a fully functioning spleen. The spleen's role in removing abnormal and aging red blood cells is compromised, leading to anemia or abnormal blood cell shapes (poikilocytosis). Treatment focuses on preventing infections through vaccinations, antibiotics, and patient education.

  • Hematologic Malignancies: Cancers of the blood, bone marrow, and lymphatic system (hematologic malignancies) can disrupt the spleen's ability to produce healthy blood cells. Leukemias like chronic lymphocytic leukemia (CLL) and lymphomas like non-Hodgkin lymphoma (NHL) crowd out normal blood-forming cells in the bone marrow and spleen. This results in fewer red blood cells (anemia), white blood cells (leukopenia), and platelets (thrombocytopenia). Chemotherapy, immunotherapy, radiation therapy, and stem cell transplants are common treatments, but they also damage the spleen and bone marrow, requiring close monitoring.

Conclusion

The spleen and blood cells are intricately connected and interdependent. The spleen works behind the scenes to protect people from disease and ensure their blood cells function optimally. The blood cells carry oxygen and nutrients throughout the body, including to the spleen. This vital organ-cell partnership is crucial for health and longevity. Take steps daily to support one’s spleen and blood cells through good nutrition, managing stress, limiting toxins, staying active, and avoiding harmful substances.

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Dr. Abdul Aziz Khan
Dr. Abdul Aziz Khan

Medical oncology

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