Haematopoiesis Flashcards

1
Q

What are the only cells that can replicate? [1 mark]

A

Stem cells

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

Where are the sites of haematopoiesis? [4 marks]

A

IN EMBROYS: Yolk sac
IN FOETUSES: Foetal liver
IN INFANTS: Bone marrow
IN ADULTS: Central skeleton

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

What is the reason for red marrow’s colour? [2 marks]

A
  • Site of active haematopoiesis

- Red due to haemoglobin

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

What is the reason for yellow marrow’s colour? [1 mark]

A

Filled with fat cells

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

What is a trephine biopsy? [2 marks]

A
  • Drilling a needle into the iliac crest and taking a core of the bone marrow
  • Sample is placed in wax then sectioned
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is a bone marrow aspirate? [3 marks]

A
  • Sample from iliac crest is obtained under local anaesthetic
  • Sample is smeared onto a slide
  • You can see the structure of cells much clearer
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What does it mean when your reticulocyte count is high? [1 mark]

A

You may have haemoglobin anaemia

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

Where do platlets come from? [1 mark]

A

Megakaryocytes

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

Where do lymphocytes come from? [1 mark]

A

Lymphoid cells

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

Where do T lymphocytes originate from? [1 mark]

A

Thymus (in chest)

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

Where do B lymphocytes originate from? [1 mark]

A

Bone marrow

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

What happens to lymphocytes during development (genetic change)? [1 mark]

A

Gene rearrangement (T cell receptor and immunoglobin gene)

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

What are colony assays? [3 marks]

A
  • Bone marrow samples placed in a semi-solid medium (e.g. agar)
  • This is alongside growth factors
  • Progenitors (colony forming units) grow to form colonies
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the different types of preogenitors? [7 marks]

A
  • CFU-G: granulocyte (more accurately, neutrophils)
  • CFU-GM: granulocyte/monocyte
  • CFU-E: erythroid
  • CFU-Mk: megakaryote
  • CFU-bas: basophil
  • CFU-eo: eosinophil
  • BFU-E: burst forming unit-erythroid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are factors that stimulate colony growth? [3 marks]

A
  • G-CSF (granulocyte colony stimulating factor)
  • M-CSF (monocyte colony stimuating factor)
  • GM-CSF (granulocyte/macrophage colony stimulating factor)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Bone marrow transplantation process [3 marks]

A
  • Eradicate haematopoiesis
  • Onfuse donor bone marrow cells (HLA matched)
  • Haematopoiesis restored in 3-4 weeks
17
Q

When is bone marrow transplantation appropriate? [3 marks]

A
  • For leukaemia, lymphoma, myeloma
  • Chemotherapy for solid tumours
  • Thalassaemia or SCID)
18
Q

Risks of bone marrow transplant [3 marks]

A
  • Infection due to neutropenia (low neutrophil count)
  • Bleeding due to thrombocytopenia (low platlets)
  • Graft versus Host disease (where graft attacks the body organs)
19
Q

Alternative to bone marrow transplant [1 mark]

A

Give G-CSF to mobilise stem cells and then harvest them

20
Q

What is chronic myeloid leukaemia caused by? [2 marks]

A
  • A chromosome translocation between chromosome 9 and 22

- Causes excess production of neutrophils & neutrophil precursors

21
Q

What is erythropoietin and what is its functions? [2 marks]

A
  • Produced in the kidneys in response to hypoxia

- Increases RBC production by increasing survival of erythroid progenitors (CFU-E)

22
Q

What are the clinical applications of erythropoietin? [2 marks]

A
  • Treating anaemia of kidney failure

- Alternative to blood transfusion in Jehovah’s Witnesses

23
Q

When is G-CSF produced? [1 mark]

A

In response to inflammation

24
Q

What does G-CSF do? [2 marks]

A
  • Chemoattractant that promotes neurophil maturation and activation
  • Stimulates neutrophil production in the bone marrow
25
Q

How are blood stem cells collected? [4 marks]

A
  • Leukapheresis
  • 2 needles are inserted into the arm
  • Blood is run through a machine that picks out specific cells
  • Rest of blood is returned to the donor