Hemolysis - wikipedia Hemolysis This article is about medical aspects of hemolysis. For hemolysis in the culture of microorganisms, see Hemolysis ( microbiology ). `` Laking '' redirects here. For other uses, see Laking ( disambiguation ). This article needs additional citations for verification. Please help improve this article by adding citations to reliable sources. Unsourced material may be challenged and removed. ( June 2014 ) Hemolysis Classification and external resources Specialty Pathology ( edit on Wikidata ) Hemolysis or haemolysis ( / hiːˈmɒlɪsɪs / ), also known by several other names, is the rupturing ( lysis ) of red blood cells ( erythrocytes ) and the release of their contents ( cytoplasm ) into surrounding fluid ( e.g. blood plasma ). Hemolysis may occur in vivo or in vitro ( inside or outside the body ). Hemolysins damage the host cytoplasmic membrane, causing cell lysis and death. The activity of these toxins is most easily observed with assays involving the lysis of red blood cells ( erythrocytes ). Some hemolysins attack the phospholipid of the host cytoplasmic membrane. Because the phospholipid lecithin ( phosphatidylcholine ) is often used as a substrate, these enzymes are called lecithinases or phospholipases. Some hemolysins affects the sterols of the host cytoplasmic membrane. Contents 1 Inside the body 1.1 Streptococcus 1.2 Enterococcus 1.3 Staphylococcus 1.4 Parasitic hemolysis 1.5 HELLP, pre-eclampsia, or eclampsia 1.6 Hemolytic disease of the newborn 1.7 Hemolytic anemia 1.8 Hemolytic crisis 1.9 Toxic agent ingestion or poisoning 2 Outside the body 2.1 From specimen collection 2.2 From mechanical blood processing during surgery 2.3 From bacteria culture 3 Nomenclature 4 See also 5 References 6 External links Inside the body Hemolysis inside the body can be caused by a large number of medical conditions, including many Gram - positive bacteria ( e.g., Streptococcus, Enterococcus, and Staphylococcus ), some parasites ( e.g., Plasmodium ), some autoimmune disorders ( e.g., drug - induced hemolytic anemia ), some genetic disorders ( e.g., Sickle - cell disease or G6PD deficiency ), or blood with too low a solute concentration ( hypotonic to cells ). Hemolysis can lead to hemoglobinemia due to hemoglobin released into the blood plasma. Streptococcus Main article : Streptococcus Many species of the genus Streptococcus cause hemolysis. Streptococcal bacteria species are classified according to their hemolytic properties. Note that these hemolytic properties are not necessarily present in vivo. Alpha - hemolytic species, including S. pneumoniae, Streptococcus mitis, S. mutans, and S. salivarius, oxidize the iron in the hemoglobin ( turning it dark green in culture ). Beta - hemolytic species, including S. pyogenes and S. agalactiae, completely rupture the red blood cells ( visible as a halo in culture ). Gamma - hemolytic, or non-hemolytic, species do not cause hemolysis and rarely cause illness. Enterococcus Main article : Enterococcus The genus Enterococcus includes lactic acid bacteria formerly classified as gamma - hemolytic Group D in the genus streptococcus ( see above ), including E. faecilis ( S. faecalis ), E. faecium ( S. faecium ), E. durans ( S. durans ), and E. avium ( S. avium ). Staphylococcus Main article : Staphylococcus Staphylococcus is another Gram - positive cocci. S. aureus, the most common cause of `` staph '' infections, is frequently hemolytic on blood agar. Parasitic hemolysis Because the feeding process of the Plasmodium parasites damages red blood cells, malaria is sometimes called `` parasitic hemolysis '' in medical literature. HELLP, pre-eclampsia, or eclampsia See HELLP syndrome, Pre-eclampsia, and Eclampsia Hemolytic disease of the newborn Main article : Hemolytic disease of the newborn Hemolytic disease of the newborn is an autoimmune disease resulting from the mother 's antibodies crossing the placenta to the fetus. Hemolytic anemia Main article : Hemolytic anemia Because in vivo hemolysis destroys the red blood cells, in uncontrolled chronic or severe cases it can lead to hemolytic anemia. Hemolytic crisis A hemolytic crisis, or hyperhemolytic crisis, is characterized by an accelerated rate of red blood cell destruction leading to anemia, jaundice, and reticulocytosis. Hemolytic crises are a major concern with sickle - cell disease and G6PD deficiency. Toxic agent ingestion or poisoning Paxillus Involutus ingestion can cause Hemolysis. Outside the body Hemolysis of blood samples. Red blood cells without ( left and middle ) and with ( right ) hemolysis. If as little as 0.5 % of the red blood cells are hemolyzed, the released hemoglobin will cause the serum or plasma to appear pale red or cherry red in color. Note that the hemolyzed sample appears clearer, because there are significantly fewer cells to scatter light. In vitro hemolysis can be caused by improper technique during collection of blood specimens, by the effects of mechanical processing of blood, or by bacterial action in cultured blood specimens. From specimen collection Most causes of in vitro hemolysis are related to specimen collection. Difficult collections, unsecure line connections, contamination, and incorrect needle size, as well as improper tube mixing and incorrectly filled tubes are all frequent causes of hemolysis. Excessive suction can cause the red blood cells to be smashed on their way through the hypodermic needle owing to turbulence and physical forces. Such hemolysis is more likely to occur when a patient 's veins are difficult to find or when they collapse when blood is removed by a syringe or a modern vacuum tube. Experience and proper technique are key for any phlebotomist or nurse to prevent hemolysis. In vitro hemolysis during specimen collection can cause inaccurate laboratory test results by contaminating the surrounding plasma with the contents of hemolyzed red blood cells. For example, the concentration of potassium inside red blood cells is much higher than in the plasma and so an elevated potassium level is usually found in biochemistry tests of hemolyzed blood. After the blood collection process, in vitro hemolysis can still occur in a sample due to external factors, such as prolonged storage, incorrect storage conditions and excessive physical forces by dropping or vigorously mixing the tube. From mechanical blood processing during surgery In some surgical procedures ( especially some heart operations ) where substantial blood loss is expected, machinery is used for intraoperative blood salvage. A centrifuge process takes blood from the patient, washes the red blood cells with normal saline, and returns them to the patient 's blood circulation. Hemolysis may occur if the centrifuge rotates too quickly ( generally greater than 500 rpm ) -- essentially this is hemolysis occurring outside of the body. Unfortunately, increased hemolysis occurs with massive amounts of sudden blood loss, because the process of returning a patient 's cells must be done at a correspondingly higher speed to prevent hypotension, pH imbalance, and a number of other hemodynamic and blood level factors. From bacteria culture Main article : Hemolysis ( microbiology ) Hemolysis from streptococcus. Examples of the blood culture patterns created by ( from left ) alpha -, beta - and gamma - hemolytic streptococci. Visualizing the physical appearance of hemolysis in cultured blood samples may be used as a tool to determine the species of various Gram - positive bacteria infections ( e.g., Streptococcus ). Nomenclature Hemolysis is sometimes called hematolysis, erythrolysis, or erythrocytolysis. The words hemolysis ( / hiːˈmɒlɪsɪs / ) and hematolysis ( / ˌhiːməˈtɒlɪsɪs / ) both use combining forms conveying the idea of `` lysis of blood '' ( hemo - or hemato - + - lysis ). The words erythrolysis ( / ˌɛrəˈθrɒlɪsɪs / ) and erythrocytolysis ( / əˌrɪθroʊsaɪˈtɒlɪsɪs / ) both use combining forms conveying the idea of `` lysis of erythrocytes '' ( erythro - ± cyto - + - lysis ). Erythrocytes have a short lifespan ( weeks or months ), and the body is always reclaiming the ones that are getting older ( that is, the senescent ones ) and replacing them with new ones via erythropoiesis. The breakdown and replacement together ( and the rate of change ) are called erythrocyte turnover. Given that the lysis of erythrocytes is therefore a normal and ongoing physiologic process, one might be prompted to say that erythrolysis or hemolysis is a normal process that happens continually in everyone. However, when these words are used, they usually mean the pathologic type of RBC lysis ; that is, mentions of hemolysis without further specification indicate pathologic hemolysis. See also Hemolysin Glucose - 6 - phosphate dehydrogenase deficiency References ^ Jump up to : Wells, John C. ( 2008 ). Longman Pronunciation Dictionary ( 3rd ed. ). Longman. ISBN 978 - 1 - 4058 - 8118 - 0. Jump up ^ Brock Biology of Microorganisms 13th Edition. 2010. p. 804. ISBN 978 - 0 - 321 - 64963 - 8. Jump up ^ MicrobeLibrary.org, American Society for Microbiology Archived December 1, 2008, at the Wayback Machine. Jump up ^ Innvista Jump up ^ Capital Health Jump up ^ `` Hematolysis ''. Merriam - Webster Dictionary. Retrieved 8 July 2018. Jump up ^ `` erythrolysis ''. American Heritage Stedman 's Medical Dictionary. Houghton Mifflin. Retrieved 8 July 2018. Jump up ^ `` erythrocytolysis ''. American Heritage Stedman 's Medical Dictionary. Houghton Mifflin. Retrieved 8 July 2018. External links Effects of Hemolysis on Clinical Specimens Hemolysis at the US National Library of Medicine Medical Subject Headings ( MeSH ) Retrieved from `` https://en.wikipedia.org/w/index.php?title=Hemolysis&oldid=849346157 '' Categories : Hematology Hidden categories : Webarchive template wayback links Articles needing additional references from June 2014 All articles needing additional references Infobox medical condition Talk Contents About Wikipedia Azərbaycanca تۆرکجه বাংলা Беларуская Български Bosanski Català Čeština Deutsch Español Esperanto Euskara فارسی Français Galego 한국어 Հայերեն Hrvatski Ido Bahasa Indonesia Italiano עברית Қазақша Nederlands 日本 語 Norsk Oʻzbekcha / ўзбекча Plattdüütsch Polski Português Русский Српски / srpski Srpskohrvatski / српскохрватски Suomi Svenska Türkçe Українська 粵語 中文 31 more Edit links This page was last edited on 8 July 2018, at 10 : 57 ( UTC ). 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Question: substance that causes destruction of red blood cells
Answer: Hemolysins