Fate of RBCs / Destruction of Hemoglobin
Written answer - Guyton style
Red blood cells normally circulate for an average of 120 days. As they grow older, their metabolic activity gradually decreases because mature RBCs have no nucleus, mitochondria, or endoplasmic reticulum. They become increasingly fragile and are unable to withstand repeated passage through narrow capillaries.
Old RBCs rupture or are phagocytosed by the macrophages of the reticuloendothelial system, particularly in the spleen, and also in the liver (Kupffer cells) and bone marrow.
After phagocytosis, hemoglobin is released from the RBC and is broken down as follows:
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Globin portion
Globin is split into its constituent amino acids, which re-enter the body amino-acid pool and are reused for protein synthesis.
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Iron
Iron is removed from heme and released into the blood. It binds to transferrin and is transported:
- to the bone marrow for synthesis of new hemoglobin, or
- to the liver and other tissues for storage as ferritin.
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Porphyrin ring of heme
The porphyrin portion is converted first into biliverdin and then into bilirubin. Bilirubin is carried in blood to the liver, where it is excreted in the bile into the intestine. In the intestine, it is converted into urobilinogen. Most is ultimately excreted in feces as stercobilin, while a small amount is excreted in urine as urobilin.
Thus, the amino acids and iron of hemoglobin are conserved and reused, whereas the porphyrin portion is converted to bilirubin and eliminated through bile.
Short viva answer
“Sir/Ma’am, the normal life span of an RBC is about 120 days. Old RBCs become fragile and are destroyed mainly by macrophages in the spleen, liver, and bone marrow. Hemoglobin is split into heme and globin. Globin is converted to amino acids. Iron is transported by transferrin to bone marrow for reuse or stored as ferritin. The porphyrin part of heme is converted to biliverdin and then bilirubin, which is excreted through bile and finally leaves mainly as stercobilin in feces and a small amount as urobilin in urine.”