H&M chp 1 Flashcards

1
Q

Site of haemopoiesis for fetus 0-2 monthes

A

yolk sac

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2
Q

Site of haemopoiesis for fetus 2-7 monthes

A

liver, spleen

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3
Q

Site of haemopoiesis for fetus 5-9 monthes

A

bone marrow

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4
Q

Site of haemopoiesis for infants

A

bone marrow of practically all bones

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5
Q

Site of haemopoiesis for adults

A

vertebrae, ribs, sternum, skull, sacrum, pelvis, proximal ends of femur

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6
Q

What is extramedullary haemopoiesis?

A

ability of liver and spleen to resume their fetal haemopoietic role

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7
Q

What are haemangioblasts?

A

these stem cells are the common precursors to endothelial and haemopoietic cells. They are found in the AGM region and are believed to seed the liver and spleen.

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8
Q

Where are haemopietic stem cells found?

A

bone marrow

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9
Q

phenotype of haemopoietic stem cells?

A

CD34+ CD38-, neg for lineage markers, small lymphocyte

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10
Q

CFU-GEMM

A

the earliest detectable mixed myeloid precursor which gibes rise to granulocytes, erythrocytes, monocytes, and megakaryocytes

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11
Q

The bone marrow is composed of ____ and ____.

A

stromal cells, microvascular network

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12
Q

The stromal cells include

A

adipocytes, fibroblasts, osteoblasts, endothelial cells, macrophages

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13
Q

Function of stromal cells

A

secrete extracellular molecules including collagen, glycoproteins (fibronectin, thrombospondin), glycosaminoglycan (hyaluronic acid, chondroitin derivatives) to form the matrix. Secrete growth factors for stem cells.

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14
Q

What stem cell is critical in stromal cell formation?

A

mesenchymal stem cell

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15
Q

What do mesenchymal stem cells do?

A

with osteoblasts, they form niches, provide growth factors, adhesion molecules, and cytokines to support stem cells

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16
Q

What process allows stem cells to traffic around the body? What cytokine is involved?

A

Mobilization, G-CSF

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17
Q

What chemokine gradient is critical for homing?

A

SDF-1

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18
Q

What interactions are critical for maintaining stem cell viability and production?

A

SCF and jagged proteins on stroma and their receptors KIT and NOTCH (respectively)

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19
Q

What is SCF?

A

stem cell factor which is expressed on stromal cells. It binds to receptor KIT, which is a critical interaction for maintaining stem cell viability and production

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20
Q

What are jagged proteins?

A

They are expressed on stromal cells and bind receptor NOTCH on stem cells. This interaction is crucial in stem cell viability and production

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21
Q

What is SDF-1?

A

stromal-derived factor 1, its chemokine gradient is critical to stem cell homing

22
Q

What is self -renewal?

A

Haemopoiesis starts with stem cell division in which one cell replaces the stem cell and the other is commited to differentiation

23
Q

Why do early committed progenitors express low levels of transcription factors?

A

they may commit them to discrete cell lineages

24
Q

What are haemopoietic growth factors?

A

glycoprotein hormones that regulate proliferation and differentiation of haemopoietic progenitor cells and the function of mature blood cells

25
Q

____ are the major source of growth factors.

A

Stromal cells

26
Q

Where is erythropoietin made?

A

kidney

27
Q

Where is thrombopoietin made?

A

liver

28
Q

_____ and _____ have a negative effect on haemopoieses and may have a role in the development of aplastic anemia.

A

TNF and TGF-B

29
Q

Dimerization of a receptor leads to activation of a complex series of intracellular signal transduction pathways of which the 3 major ones are:

A

JAK/STAT, mitogen activated protein (MAP), and the phosphatidylinositol 3 (PI3) kinase pathways

30
Q

Transcription factors typically contain what 2 domains?

A

DNA binding and activation

31
Q

Haemopoetic tissue occupies about ___% of the marrow space in adults

A

50

32
Q

How common is the haemopoetic stem cell?

A

1 in every 20 million nucleated cells in bone marrow

33
Q

Are haemopoietic stem cells effectively transferred during transplant?

A

yes

34
Q

What are the functions of growth factors in the bone marrow?

A

stimulate proliferation of early bone marrow cells, direct differentiation, stimulate maturation, suppress apopotsis, affect function of non-dividing cells

35
Q

What cytokine has an important role in early haemopoiesis?

A

IL-3

36
Q

What is the function of TPO?

A

BFUemeg–> CFU meg

37
Q

What is the function of EPO?

A

BFUe–> CFUe

38
Q

What is the function of M-CSF?

A

CFUgm–> CFUm

39
Q

What is the function of G-CSF?

A

CFUgm–> CFUg

40
Q

What is the function of IL-5?

A

CFUeo–> eosinophil

41
Q

Granulocyte and monocyte formation can be stimulated by infection or inflammation through release of ___.

A

IL-1 and TNF

42
Q

____ phosphorylate downstream proteins targets and are regulated by cyclins.

A

Cdk

43
Q

___ are synthesized and degrarded in the cell cycle and regulate Cdk

A

cyclins

44
Q

Apoptosis results from the action of ____.

A

incracellular cysteine proteases called caspases which are activated following cleavage and lead to endonuclease digestion of DNA and disintegration of the cell skeleton

45
Q

FAS and TNF-R receptor have a _________ domain.

A

intracellular death

46
Q

What are DNA-binding domains?

A

leucine zipper or helix-loop-helix

47
Q

____ regulate migration of white cells

A

chemokines

48
Q

____ are involved in cell adhesion to ECM

A

integrins

49
Q

____ are involved in leukocyte and platelet adhesion to endothelium during inflammation and coagulation

A

selectin

50
Q

Does p53 have a role in the transduction pathway of growth factors?

A

NO- it has an important role in sensing DNA damage