Erythrocytes Flashcards

1
Q

hepcidin

A

regulates intestinal absorption and cellular release of Fe. Binds to ferroportin to limit absorption and release
Synthesized primarily by hepatocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When hepciding binds to membrane ferroportin on the basolateral membranes of small intestinal villus enterocytes…

A

ferroportin is internalized and the cell loses its ability to export Fe from the cell to the circulation. Accumulated intracellular Fe inhibits the expression of divalent metal transporter 1 and ferric reductase (duodenal cytochrome b) on the brush border, so Fe absorption into the cell is also decreased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Synthesis of hepcidin is influenced by…

A

hypoxia, Fe availability, IL-6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

hepcidin and inflammation

A

During inflammation, cytokines are released, including IL-6, which promotes synthesis of hepcidin –> binds to ferroportin which is then internalized. Thus the amount of ferroportin available for the export of Fe from cells (including macrophages) is reduced. This process tends to sequester Fe in macrophages –> less available for erythropoiesis and infectious agents.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

hepcidin and hypoxia

A

When hepatocytes detect hypoxia, decreased formation of hepcidin –> ↓ hepcidin concentration –> ↑ availability of Fe for erythropoiesis; that is, the ↑ movement of Fe from enterocytes to plasma and ↑ release of Fe from macrophages to plasma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe Anaplasma marginale and associated pathogenic processes

A

marginal body is a small, dark staining coccus ~0.5 µm diameter on the internal margin of erythrocytes; typically one organism per cell but may be multiple.
Immune hemolysis, possibly others

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe Anaplasma centrale and associated pathogenic processes

A

small dark-staining coccus ~0.5µm diameter within erythrocytes; typically one organisms per cell but may be multiple
immune hemolysis, possibly others

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Describe Babesia spp and associated pathogenic processes

A

intracellular oval to teardrop or pyriform trophozoites (piroplasms); B. gibsoni and other small babeisa are <2µm, others are 2-4µm long; typically pale blue with a darker outer membrane and a reddish purple eccentric nucleus
Several theories, including immune mechanisms, protease activity, decreased cell pliability, oxidative damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe Cytauxzoon felis and associated pathogenic processes

A

intracellular oval structures (0.1-2.0µm) with out thin rim and eccentric nuclei; may resemble signet ring or safety pin; one to several piroplasms per cell
Pathogenesis of anemia may be multifaceted (inflammation, marrow damage, possibly hemolysis in some cases)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe distemper in dogs and associated pathogenic processes

A

round or variably shaped, pale blue or pink homogenous inclusions, variable sizes; also in leukocytes
Indicates active distemper infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe Mycoplasma species of cattle and associated pathogenic processes

A

rings, rods, or cocci on surface of erythrocytes; 0.3-1.0µm

Immune hemolysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe Mycoplasma haemocanis and associated pathogenic processes

A

typically thin chains of cocci on membrane that may form pleomorphic pattterns (violin bow, oval, cross)
Immune hemolysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe Mycoplasma haemofelis and associated pathogenic processes

A
Typically cocci (individual or in short chains) and small rings or doughnuts (<1µm) on erythrocyte surface, stain blue-grey to pale purple
Immune hemolysis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe Candidatus Mycoplasma haemominutum and associated pathogenic processes

A
typically cocci (0.1-0.2 µm), individual or in short chains
Immune hemolysis, but low virulence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe Theileria species and associated pathogenic processes

A

highly pleomorphic piroplasms including cocci, rings, rods, pears, Maltese crosses
Several theories, including immune mechanisms, protease activity, decreased cell pliability, oxidative damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Two types of hereditary ovalocytosis in dogs

A

one with band 4.1 deficiency, one with mutant membrane spectrin

17
Q

Dog breeds with hereditary stomatocytosis

A

hereditary stomatocytosis of Alaskan malamutes with concurrent chondrodysplasia, Drentse patrijshonds with concurrent hypertrophic gastritis, miniature and standard Schnauzers (asymptomatic), a Pomeranian.

18
Q

Causes of falsely increased MCHC other than hyponatremia/hypochloremia

A

Pathologic hemoglobinemia, Oxyglobin, In vitro hemolysis, lipemia, marked icterus, nuclei/intact WBCs (extreme leukocytosis), Heinz bodies (due to incomplete RBC lysis), precipitates of immunoglobulins (eg. IgA)

19
Q
Fe profile results:
Serum Fe - ↓
Serum TIBC - WRI to↑
Stainable Fe in marrow - ↓
Serum ferritin - ↓
A

Fe deficiency

20
Q
Fe profile results:
Serum Fe - ↓
Serum TIBC - ↓
Stainable Fe in marrow - ↑
Serum ferritin - ↑
A

Inflammation

21
Q
Fe profile results:
Serum Fe - ↑
Serum TIBC - WRI to ↑
Stainable Fe in marrow - ↑
Serum ferritin - ↑
A

Overload of Fe due to excess intake (diet or iatrogenic)

22
Q
Fe profile results:
Serum Fe - ↑
Serum TIBC - ?
Stainable Fe in marrow - ?
Serum ferritin - ?
A

Increased glucocorticoids (except cattle)

23
Q
Fe profile results:
Serum Fe - WRI
Serum TIBC - WRI
Stainable Fe in marrow - WRI to ↑
Serum ferritin - ↑
A

Pathologic hemolysis (in vivo)

24
Q
Fe profile results:
Serum Fe - ↓
Serum TIBC - ↑
Stainable Fe in marrow - ↓
Serum ferritin - ↓
A

Young animals (compared to adults)
Serum Fe ↓ in foals and kittens,
TIBC ↑ in foals

25
Q
Fe profile results:
Serum Fe - ?
Serum TIBC - ↓
Stainable Fe in marrow - ?
Serum ferritin - ↓ to ↑
A

Hepatic insufficiency

26
Q
Fe profile results:
Serum Fe - ?
Serum TIBC - ?
Stainable Fe in marrow - ?
Serum ferritin - ↑
A

Hepatocyte necrosis

27
Q
Fe profile results:
Serum Fe - ?
Serum TIBC - ↓
Stainable Fe in marrow - ?
Serum ferritin - ?
A

PLN