Haematopoiesis Flashcards

1
Q

Where does haematopoiesis occur in the embryo?

A

Yoke Sac- 0-10w
Liver- 6- birth (main)
Spleen- Week 12+
Marrow- Week 16+

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

Where does haematopoiesis occur in the neonate?

A

Bone marrow- Found in most bone cavities

Liver and spleen if needed

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

Between birth and maturity where does haematopoiesis occur?

A

Number of actives sites in bone marrow decreases but retain ability for haematopoiesis

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

In the adult where does haematopoiesis occur?

A
Axial skeleton bone marrow
  Skull
  Ribs
  Sternum
  Pelvis
  Femoral head
Liver and spleen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the two types of bone marrow?

A

Red

Yellow

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

Describe red bone marrow

A

Haemopoietically active

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

Describe yellow bone marrow

A

Fatty inactive.

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

How does yellow bone marrow levels vary with age?

A

Increases with age

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

What are the three main components of the bone marrow?

A

Cellular
Connective tissue matrix
Vasculature

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

What are the cellular components of bone marrow?

A

Haemopoietic cells

Non-haemopoietic cells- Adipocytes, osteocytes

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

What is special about the vasculature of the bone marrow?

A

Large venous sinuses with discontinuous basement membranes.

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

Why are there fenestrations in the bone marrow vasculature?

A

Allow new blood cells to exit the marrow

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

Where can a bone marrow biopsy be taken in an adult?

A

Iliac crest

Sternum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Where can a bone marrow biopsy be taken in a child?

A

Tibia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where does haematopoiesis occur?

A

Red bone marrow

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

What can be measured to measure haematopoisis?

A

Haemopoietic progenitor/stem cell

Mature cells

17
Q

How do you measure Haemopoietic progenitor/stem cell?

A

Bone marrow sample and immunophenotyping

18
Q

Why must Haemopoietic progenitor/stem cell be immunophenotyped?

A

Because they’re morphologically identical

19
Q

How do you measure mature cells?

A

Blood count

Blood film

20
Q

Describe microenviroment regulation of haematopoiesis

A

Haempoietic stem cells occupy a ‘niche’ (anatomical site) that provides signals for expansion, differentiation or dormancy

21
Q

How common are Haematopoetic stem cells?

22
Q

Describe Haematopoetic stem cells

A

Morphologically similar

Able to self renew which is lost in later cells

23
Q

What do haematopietic stem cells progress into?

A

Multipotent progenitor

24
Q

How common are Multipotent progenitor?

25
Describe Multipotent progenitor
Undifferentiated but cannot revert to stem cells. | Morphologically similar.
26
What do Multipotent progenitor progress to?
Oligolinegal progenitors
27
How common are Oligolinegal progenitors?
Uncommon
28
Describe Oligolinegal progenitors
1st stage of differentiation. Morphologically similar. Sets off down myeloid or lymphoid route
29
What is the first stage of differentiation between myeloid and lymphoid?
Oligolinegal progenitors
30
What do Oligolinegal progenitors differentiate into?
Pronormoblast/Proerythroblast
31
What do Pronormoblast/Proerythroblast progress into?
Normoblast/erythroblast
32
What is a 'blast'?
Nucleated blood cell progenitor
33
What do normolasts progress into?
Mature cells (reticulocytes etc)
34
What different types of normoblast are there and what do they progress into?
Megakaryocytes- Platelets Reticulocytes- RBC Myelocytes- Neutrophils
35
What do reticulocytes progress to?
RBC
36
What do megakaryocyes progress to?
Platelets
37
What do myelocytes progress to?
Neutrophils
38
What is the Myeloid:Erythroid ratio?
Ratio of neutrophis and precursors to erythroblasts/reticulocytes (normally 1.5-3.3:1)
39
What is the normal Myeloid:Erythroid ratio?
1.5-3.3:1