B4 W1 Flashcards
B12 and folate sources
Meat, salmon, eggs, soy
Phagocytic cells of the CNS
Microglia
MCH
Mean corpuscular Hb
Which progenitor gives rise to neutrophils?
Myeloid
Which progenitor gives rise to neutrophils?
Myeloid
Anaemia due to bone marrow change
Infection, cancer, autoimmune disease, pregnancy, drugs and renal failure
What transports B12 in enterocytes?
Transcobalamin II protein and takes it to the plasma
Least common blood type
AB-
WBC with lifespan of 14 days
NK cells
What reduces iron absorption?
Tea and coffee, Proton pump inhibitors and antacids
How is bilirubin metabolised?
Into urobilinogen to be excreted by intestinal bacteria
Lectin pathway
Mannose binds to pathogen via lectin enzyme and induces complement activation
Schistocytes
Fragmented RBC with different shapes, found in areas with a central pallor. Indicator of haemolytic anaemia
Schistocytes
Fragmented part of RBC with different shapes.
Number of allelic variants for ABO
3
Which WBC are mononuclear?
Lymphocytes and monocytes
How is iron from animal diet source absorbed?
In the duodenum and jejunum as haem iron. It is taken in via endocytosis and released into enterocyte by haem oxidase
Cells which contribute to tissue and blood cell development.
Stromal cells in the bone marrow
Stromal cells
Specifically in the bone marrow, give rise to bone, cartilage, adipocytes and contribute to sustained proliferation and self-renewal of haematopoietic stem cells
Difference between stromal cell and stem cell?
Stem cell is originated from mesenchyme. Stromal cell is a non-haematopoetic mesenchymal stem cell of the bone marrow.
Why does haematopoeisis not occur in adult long bones?
Fat deposition
What is glossitis an indication for?
B12 and folate deficiency and iron
What is a lymphatic trunk?
Lymph vessel formed from the convergence of efferent lymph vessels. It includes lumbar, intestinal, bronchomediastinal
What are the formed elements of blood?
RBC, WBC and platelets
How much of formed elements of blood do RBC make up?
99%
Substance on surface of RBC which induces antibody formation
Isoagglutinogen
What are the carriers of A and B antigens on RBC?
N-glycosylated glycoproteins, anion exchanger and Glut-2 transporter
What substance allows B12 to be absorbed?
Intrinsic factor produced by parietal cells, absorption occurs in the terminal ileum.
Complement pathway initiated by antibody-antigen complex
Classical pathway
How does an antibody interact with secondary lymphoid tissue?
Antigen interacts with cells in the follicle. This causes cells in the Germinal centre to divide
Polychromasia
Disorder with high number of immature RBC
Main storage site for folic acid
Liver
When does the liver release folate?
To maintain plasma folate levels. Released with bile
What is the recessive allele in the ABO blood group?
i
Condition where only RBC are affected
Pure red cell aplasia
Indication of haemolytic anaemia
Dark urine, splenomegaly, jaundice, heart murmur, schistocyte count is high
Types of pure red cell aplasia
Primary which is congenital and secondary caused by drug or infection
How do erythrocytes form?
Differentiates -> haemoglobin accumulation -> ribosome synthesis -> nuclear ejection
Pro-erythroblast -> erythroblast -> normoblast -> reticulocyte -> erythrocyte
Diamond Black Fan anaemia
Congenital Pure red cell aplasia with reduced erythroblast production
Cortex
Area of thymus containing large numbers of T cells and dendritic cells
Normocytic anaemia
Haemolytic anaemia, bone marrow disorder, hypersplenism, chronic disease anaemia
Cytokine produced by cytoxic T cells which prevents macrophages leaving the site of infection
Macrophage migration inhibiting factor
Stem cell gives rise to megakaryocytes, erythrocytes, granulocytes and macrophages
Common myeloid progenitor
What causes B12 or folate deficiency?
Malnutrition, malabsorption, pernicious anaemia, pancreatitis, antacids
What is the site of T cell death?
Thymic corpsucles composed of epithelial cells in concentric layers of flat cells
How is the porphyrin ring degraded?
By haem oxygenase Into green biliverdin. This is catalysed by biliverdin reductase -> bilirubin.
How does an erythroblast become a normoblast?
Haemoglobin accumulation
What part of the spleen contains lymphocytes?
White pulp
What are the components of the innate immune system?
NK cells, dendritic cells, phagocytic leukocytes, epithelial cell barriers
Which granulocyte stains bright red by eosin?
Eosinophils
Iron rich granules formed when there is failure of iron incorporation, when iron is not deficient
Sideroblasts
Interferon
Produced by virally infected cells to inhibits viral replication and cell division. Activates NK cells
Pancytopenia
Issue with haematopoietic stem cell. Condition affecting RBC, WBC and platelet production
Cytokine produced by macrophage which causes neutrophil and macrophage accumulation
TNF- Tumour necrosis factor. Blockade can cause reactivation of TB and increased secondary infection
Kinins
Polypeptides formed from inactive precursors. Induce vasodilation and increase permeability.
Site where T cells mature
Thymus
What is the composition of the red pulp?
Granulocytes, platelets, plasma and RBC. It is a large resorvoir for monocytes
What does white pulp contain?
Mainly lymphocytes
Leukotrienes
Substance produced by basophils and mast cells to increase permeability and attract phagocytes
Microcytic anaemia
TAILS
T: thalasemia
A: autoimmune disease
I: Iron deficiency,
L: lead poisoning
S: sideroblastic anaemia
A antigen
N-acetylgalactosamine
Which cells transfer antigens to lymphocytes on Peyer’s patches?
Microfold cells
Myeloblast
Gives rise to the granulocytes
What stimulates phagocyte migration and intensifies histamine and kinin effect?
Prostaglandins
Chemotactic pathogenic agent produced by basophils and mast cells
Leukotrienes
Mononuclear phagocytic system
System of phagocytic cells in the reticular connective tissue
Macrocytic anaemia causes unrelated to B12 and folate
Liver disease, reticulocytosis and hypothyroidism
Complement system activated by antibody binding to antigen
Classical pathway
A antigen
N-acetylgalactosaminyltransferse which transfers N-acetylgalactoseamine from UDP-Nacetylgalactosemaine to H antigen fucosylated galactosyl residue
Cell where erythropoeisis begins
Haematopoietic pluripotent stem cell
EPO stages
Riboome synthesis -> Hb accumulation -> nuclear ejection
EPO synthesis
Juxtatubular intestitial cells detect o2 levels via oxygen dependent prolyl hydroxylase which regulates stability of HIF
Receptors in macrophage membrane
TLR- Toll like receptor
Phagocytes of kidney
Intraglomerular mesanglial cells
Formation of blood cells
Haematopoesis
Phagocytic cell of CNS
Microglia
Protein which protects B12 from stomach acid
Transcobalamin I in the saliva.
Porphyrin ring metabolised and excreted in faeces
Porphyrin is metabolised to biliverdin-> bilirubin-> urobilinogen -> stercobilin
EPO transcription factor
HIF- hypoxia inducible factor
Closed tubes which drain fluid from tissues and respond to fluid pressure. Consist of endothelial cells
Lymph capillaries
Adult haematopoeisis
Flat bones such as pelvis, cranium, vertebrae and sternum
Universal recipient
AB+
Stem cells which form the granulocytes
Myeloblast
RBC with nuclear fragments
Howell-Jolly bodies
Macrophages of lymph nodes
Sinus histocytes
Least common blood type
AB-
Not enough Hb is produced
Thalassemia
Agranulocyte
Lymphocyte, monocyte
Follicle
Aggregation of B cells in secondary lymphoid tissue
Reticulocytosis
High reticulocyte count- indication of high RBC count, related to macrocytic anaemia