01 LEC: Erythropoiesis Flashcards
Stage of normoblastic maturation present in the circulation
reticulocyte
erythrocyte
Give rise to each thousands of nucleated erythroid precursor cells
BFU-E
It takes about __ for the BFU-E to become CFU-E
one week
Well-differentiated erythroid progenitor cell
CFU-E
CFU-E can form up to __ nucleated erythroid precursor cells
64
Regulator of CFU-E
erythropoietin
Earliest morphologically recognizable erythrocyte precursor
pronormoblast
Stage of normoblast maturation:
Pyknotic cells
orthochromic normoblast
Stage of normoblast maturation:
10-12 micra
pronormoblast
Stage of normoblast maturation:
no hgb
pronormoblast
Stage of normoblast maturation:
start of globin & heme synthesis
pronormoblast
Stage of normoblast maturation:
N:C = 8:1
pronormoblast
Stage of normoblast maturation:
1-2 nucleoli
pronormoblast
Stage of normoblast maturation:
cytoplasm - dark blue
pronormoblast
Stage of normoblast maturation:
10-15 micra
basophilic normoblast
Stage of normoblast maturation:
active mitosis
basophilic normoblast
Stage of normoblast maturation:
0-1 nucleolus
basophilic normoblast
Stage of normoblast maturation:
N:C = 6:1
basophilic normoblast
Stage of normoblast maturation:
hgb begins to form
basophilic normoblast
Stage of normoblast maturation:
cytoplasm - deeper blue
basophilic normoblast
Stage of normoblast maturation:
10-12 micra
polychromatic normoblast
Stage of normoblast maturation:
no nucleolus
polychromatic normoblast
Stage of normoblast maturation:
N:C = 4:1
polychromatic normoblast
Stage of normoblast maturation:
last stage capable of mitosis
polychromatic normoblast
Stage of normoblast maturation:
cytoplasm - mixture of pink and blue
polychromatic normoblast
The cytoplasm of the polychromatic normoblast is term ___
murky gray blue
Stage of normoblast maturation:
first stage at which pink color with stained hgb
polychromatic normoblast
Stage of normoblast maturation:
seen as nucleated RBCs in PBS
orthochromic normoblast
Stage of normoblast maturation:
N:C = 1:2
orthochromic normoblast
Color of cytoplasm of orthochromic normoblast
salmon pink (eosinophilic)
Stage of normoblast maturation:
the penultimate stage
Reticulocyte
Stage of normoblast maturation:
cytoplasmic color the same as RBC
reticulocyte
Stage of normoblast maturation:
last stage to synthesize hgb
reticulocyte
Stage of normoblast maturation:
last stage that the cell has mitochondria
reticulocyte
Stage of normoblast maturation:
last stage of having RNA
reticulocyte
Stage of normoblast maturation:
last stage of having DNA
orthochromic normoblast
Size of mature RBC
7-8 micra
Thickness of mature RBC
1.5-2.5 mm
These are important for thymine production
Vit B12, folic acid
Essential for the synthesis of hgb
Iron
Iron deficiency causes ___, ___ anemia
microcytic, hypochromic
Important in the making of DNA
Vit B12
Also called extrinsic factor of castle
Vit B12
Vit B12 deficiency causes ___ or ___ anemia when intrinsic factors go missing
Megaloblastic
Pernicious
Pathway for RBC removal:
5-10%
intra
Pathway for RBC removal:
fragmentation
intra
Pathway for RBC removal:
90-95%
extra
Pathway for RBC removal:
macrophage-mediated
extra
Pathway for RBC removal:
peripheral
intra
In extravascular hemolysis, old or damaged RBCs are phagocytized by ___ cells and digested by ___
RES
lysosomes
When extravascular hemolysis happens, iron is returned by ___ to ___
transferrin
bone marrow
During extravascular hemolysis, ___ is broken down into amino acids and is returned to amino acid pool
globin
During extravascular hemolysis, ___ ___ is disassembled into CO
protoporphyrin ring
In extravascular hemolysis, the ___ is converted into ___ and is carried by ___ to liver
biliverdin
bilirubin
albumin
During the extravascular hemolysis, bilirubin is conjugated into ___ ___ and excreted with bile into intestine
bilirubin glucuronide
In extravascular hemolysis, bilirubin glucuronide is converted by bacteria and excreted in the stool as ___
stercobilinogen
In extravascular hemolysis, a small amount of ___ is reabsorbed into the blood circulation and then excreted through kidneys in the urine
Urobilinogen
During intravascular hemolysis, RBCs break down within the ___, releasing hgb directly into bloodstream
lumen of blood vessels
During intravascular hemolysis, hgb dissociates into globin dimers and picked up by ___
haptoglobin
During intravascular hemolysis, hemoglobin-haptoglobin complex is too big so it would be carried to the ___
liver
During intravascular hemolysis, when haptoglobin levels decrease, the dimers are filtered by the renal tubular cells, and converted into ___
hemosiderin
The renal tubular uptake can process as much as ___ g/day of filtered hemoglobin
5
During intravascular hemolysis, if the hgb is neither bound by haptoglobin or excreted in the urine, it is oxidized to ___ and is taken up by another transport protein, ___
methemoglobin
hemopexin
During intravascular hemolysis, the combined depletion of haptoglobin and hemopexin and the presence of methemalbuminemia and hemosiderinuria can be seen in cases of ___ ___ anemia
intravascular hemolytic