01 LEC: Hematopiesis Flashcards
continuous, regulated process of renewal, proliferation, differentiation, and maturation of all blood cell lines
Hematopoiesis
Lifespan of RBC
120 days
3 stages of hematopoiesis
mesoblastic
hepatic
myeloid/medullary
mesoblastic period usually begins as early as __th day after fertilization in the ___ of the embryo
19
yolk sac
mesoblastic period usually lasts until the __ month and peaks at __-__ weeks
3rd
5-7
only ___ are made during the mesoblastic period
erythrocytes (primitive erythroblasts)
the erythroblasts during the mesoblastic period has hemoglobins, namely ___, ___, ___
Gower-1
Gower-2
Portland
Components of Gower-1
2 zeta, 2 epsilon
Components of Gower-2
2 alpha, 2 epsilon
Components of Portland
2 zeta, 2 gamma
the liver is an active hematopoiesis site until __-__ weeks after birth
1-2
during the hepatic period, the ___ becomes the chief site of blood cell
fetal liver
the hepatic period begins at around ___-___ gestational weeks and lasts until ___ months of gestation
5-7
6
this produces the B-cells to contribute to hematopoiesis
spleen
The only stage in hematopoiesis that occurs intravascularly
mesoblastic
this period is the beginning of definitive hematopoiesis
hepatic
this period is where the megakaryopoiesis begins
hepatic
the myeloid period begins at the __th to __th month of fetal development and peaks at the __th month
4-5
6
the predominant hemoglobin during the hepatic period are ___ and ___
hgbF and hgbA
by the end of ___ weeks of gestation, the bone marrow becomes the primary site of hematopoiesis
24
the ratio of myeloid to erythroid changes from ___ to ___ during the myeloid period
3:1 to 4:1
the period where detectable levels of EPO, G-CSF, and GM-CSF are found
myeloid
Hematopoiesis in the bone marrow is called ___ ___
medullary hematopoiesis
Hematopoiesis in areas other than the bone marrow is called ___ ___
extramedullary hematopoiesis
The ratio of red marrow to yellow marrow (what is it called and what is the normal amount?)
Marrow cellularity
50:50
This condition causes a teardrop-shaped RBC in PBS
Primary myelofibrosis
What is it called when the bone marrow increases its activity 5-10x its normal rate
hyperplastic
A condition where erythropoiesis may increase to the extent that the marrow starts to erode the bone itself
Severe chronic anemia
Common values:
Normocellular
Hypercellular/hyperplastic
Hypocellular/hypoplastic
30-70%
>70%
<30%
The ratio of granulocytes & their precursors to nucleated erythroid precursors (what is it called and give the normal value)
M:E ratio
2:1 - 4:1 (average of 3:1)
Give the M:E ratio for the ff:
Infection
6:1
Give the M:E ratio for the ff:
Leukemia
25:1
Give the M:E ratio for the ff:
Myeloid hyperplasia
20:1
Give the M:E ratio for the ff:
Myeloid hypoplasia
3:20
The liver contains phagocytic cells known as ___ ___ that act as a filter for damaged or aged cells in a manner similar to phagocytic cells in the spleen
Kupffer cells
T/F: the Kupffer cells is more effective in filtering damaged cells compared to phagocytic cells in spleen
F
This is formed from blood fluid that escapes into the connective tissues
Lymph
Lymph nodes are composed of ___, ___, and ___
lymphocytes
macrophages
reticular network
An infection or inflammation of the lymph node
Adenitis
Lymph nodes is responsible for ___ immunity
Adaptive
Structure of lymph node:
inner area which contains plasma cells
medulla
Structure of lymph node:
outer area which contains follicles with B lymphocytes
cortex
Structure of lymph node:
contains T lymphocytes and macrophages
paracortex
B cells is responsible for ___ immunity
humoral
T cells is responsible for ___ immunity
cellular
Macrophages are responsible for ___ and ___ immunity
innate
adaptive
Primary lymphoid include which organs?
Bone marrow and thymus
Secondary lymphoid include which organs?
Spleen, lymph nodes, mucosa-associated lymphoid tissues (Peyer’s patches)
Markers for undifferentiated T cells
CD2, CD3, CD5, CD7
Marker for helper T cells
CD4
Marker for cytotoxic T cells
CD8
T/F: macrophages are antigen presenting cells, while dendritic cells are not
F (they both are)
T/F: dendritic cells are more effective than macrophages
T
This organ contains the largest collection of lymphocytes and mononuclear phagocytes in the body
Spleen
This process removes old and damaged cells
Culling
In this process, cells are phagocytized with subsequent degradation
Culling
This process is where splenic macrophages remove inclusions or damaged surface membrane from circulatory RBCs
Pitting
In which specific part of the splenic tissue are splenic macrophages synthesized?
Cords of billroth (red pulp)
Decreased RBC
anemia
Decreased WBC
leukopenia
Decrease in RBC, WBC, and platelet
Pancytopenia
Decrease in platelet
Thrombocytopenia
This organ is well developed at birth and increases in size until puberty at which time it starts to decrease in size
Thymus
This serves as a compartment for the maturation of T lymphocytes
Thymus
Part of the thymus where small lymphocytes and macrophages can be found
cortex
Part of the thymus where a few lymphocytes, macrophages, and epithelial cells can be found
medulla
The “holding zone” of the thymus which contains only 15% of mature T cells
medulla
Mass of the thymus as birth
12-15 g
Mass of the thymus during puberty
30-40 g
Mass of the thymus in adulthood
10-15 g
Characteristics of interleukins
- proteins that exhibit multiple biologic activities
- synergistic interactions with other cytokines
- part of interacting systems with amplification potential
- very effective at very low concentration
They are important in the complement cytokine function and help regulate adaptive and innate immune system
Chemokines (chemoctatic cytokines)
This triggers the production of EPO
Hypoxia
This theory states that all blood cells are derived from a single progenitor stem cell
Monophyletic theory
This theory states that each of the blood cell lineages is derived from its own unique stem cell
Polyphyletic theory
The more accepted theory
Monophyletic theory
Marker/s for common myeloid progenitor
CD38
CD33
marker for lymphoid progenitor
CD38
CD10
Marker/s for pluripotent HSC
CD34
Three fates of HSCs
Self-renewal
Differentiation
Apoptosis
Progenitor cells/Precursor cells:
multipotent
Progenitor cells
Progenitor cells/Precursor cells:
do not self-renew or have only an extremely limited capacity
Progenitor cells
Progenitor cells/Precursor cells:
respond best to multiple cytokines
Progenitor cells
Progenitor cells/Precursor cells:
“committed”
Precursor cells
Progenitor cells/Precursor cells:
do not self-renew
Precursor cells
Progenitor cells/Precursor cells:
respond best to one or 2 cytokines
Precursor cells
Progenitor cells/Precursor cells:
still replicate until near terminal differentiation
Precursor cells
Progenitor cells/Precursor cells:
progeny increasingly acquire specific differentiation markers and functions
Precursor cells
IL for common myeloid progenitor
1, 3, 6, 11
IL for common lymphoid progenitor
7
IL for granulocyte-monocyte progenitor
3
IL for eosinophil-basophil
3, 5
IL for megakaryocyte-erythrocyte
3