Haemopoiesis Flashcards

1
Q

What is haemopoiesis?

A

Production of blood cells

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2
Q

Where does the fetus get blood cells from?

A

Liver and spleen in vascular sinuses, bone marrow

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3
Q

Where does a child get blood cells from?

A

Bone marrow (progressive loss from limb bones)

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4
Q

Where does an adult get blood cells from?

A

Bone marrow (mainly in the axial skeleton - vertebrae, ribs, skull, sternum, pelvis)

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5
Q

Name the different types of stem cells.

A

Totipotent stem cells
Pluripotent stem cells
Adult stem cells
Committed stem cells

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6
Q

Describe totipotent stem cells.

A

Embryonic development, can form any tissue

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7
Q

Describe pluripotent stem cells.

A

Increasing specialization to produce a limited range of cell types (e.g. cannot form placenta cells)

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8
Q

Define adult stem cells and where they are found.

A

Progenitor cells (e.g. haemopoietic progenitor/stem cell). Present in marrow, low numbers in blood. May be able to enter other tissues and participate in healing.

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9
Q

What are committed stem cells?

A

Myeloid, lymphoid cell lineages

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10
Q

What are the stages of erythroblast formation?

A

Proliferation
Iron uptake
Hb production
Removal of mitochondria, ER, ribosomes, golgi and loss of nucleus.

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11
Q

Name the regulators of haemopoiesis.

A

Cytokine/growth factors (induce growth and differentiation of stem cells into mature cells)
Marrow stromal cells (cell surface signals)

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12
Q

Describe how haemopoiesis is an integrated process.

A
Results in the renewal of pluripotent stem cells. 
Differentiation of some pluripotent stem cells into specific cell lineages - irreversible. 
Feedback signals (cytokines/growth factors) from peripheral tissues provide important regulatory control
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13
Q

What provides regulatory control for the integrated process of haemopoiesis?

A

Cytokines and growth factors from peripheral tissues

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14
Q

What regulatory signals act on stromal cells?

A

IL-1

TNF

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15
Q

What regulatory signals act on pluripotent stem cells?

A

Stem cell factor (SCF)

Flt ligand

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16
Q

What regulatory signals act on multipotential progenitor cells?

A

IL-3, GM-CSF, G-CSF, IL-6, TPO

17
Q

What regulatory signals act on committed progenitor cells?

A

G-CSF, M-CSF, IL-5, Erythropoietin, thrombopoietin

18
Q

Name the committed cells involved in erythropoiesis - the order of formation of an erythrocyte.

A

Proerythroblast (1-2 days)
Basophilic erythroblast (1-2 days)
Polychromatic erythroblast (3-4 days) - buds off nucleus to become…
Reticulocyte (3-4 days)
Marrow stages 8-9 days
Reticulocyte then buds off into blood to become an erythrocyte.

19
Q

What is the difference between erythroblast and erythrocyte?

A
Erythroblast = has nucleus
Erythrocyte = nucleus has been discarded
20
Q

Define viscosity

A

Cells suspended in plasma

21
Q

Describe the flow characteristics in microvasculature.

A

Axial streaming of red cells

Platelet rich plasma zone at periphery