Erythrocytes - Production and Destruction Flashcards
What are the stages of maturation seen in normoblastic system of maturation?
- Pronormoblast 2. Basophilic normoblast 3. Polychromatic normoblast 4. Orthochronic normoblast 5. Reticulocyte / Polychromatophilic erythrocyte 6. Erythrocyte
Pronormoblast
Fine chromatin pattern, 0-2 nucleoli. Small band of cytoplasm that is deeply basophilic.
Basophilic normoblast
Chromatin begins to condense. No nucleoli.
Polychromatic Normoblast
Chromatin is more condense. Can see the first visible signs of hemoglobin.
Orthochronic Normoblast
Nucleus is pyknotic. Cytoplasm appears pink/orange - blue.
Polychromatophilic Erythrocyte / Reticulocyte
No nucleus. Cytoplasm is blue-grey.
Erythrocyte
No nucleus. Cytoplasm is pink with a central pallor. It is a bi-concave disk.
Hypoxia in erythropoiesis
Lack of oxygen in blood stimulates erythropoiesis by signaling the release of erythropoietin from the kidney.
Erythropoietin (EPO) in erythropoisis
Decreases release time from bone marrow by stimulating the differentiation of stem cells into RBCs. It also inhibits apoptosis.
Extravascular hemolysis
95% destruction of erythrocytes occurs outside of vessels (typically in the spleen).
Intravascular hemolysis
Only 5% destruction of erythrocytes normally occurs in the vessels.
Pronomoblast
Basophilic normoblast
Polychromatic Normoblast
Orthochromic Normoblast