Haemopoiesis Flashcards

1
Q

what does intramedullary haemopoiesis mean

A

haemopoiesis occurring in the bone marrow

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2
Q

where else may haemopoiesis occur in certain pathological conditions

A

liver, lymph nodes and spleen

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3
Q

where does haemopoeisis occur in embryo

A

yolk sac - area vasculosa (in blood islands)

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4
Q

where are foetal precursor blood cells found

A

dorsal aorta

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5
Q

when does mesoblastic phase occur and what is it

A

week 2-3 gestation, is the period of embryonic blood formation

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6
Q

what are the three haemopoiesis stages

A

mesoblastic/embryonic
hepatosplenic phase
myeloid/bone marrow phase

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7
Q

what is produced during the primitive haemopoiesis stage

A

mostly erythrocytes, and primitive haemoglobin (gower and portland) begin to form

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8
Q

what occurs during hepatosplenic phase

A

involves the liver- main form of haemopoiesis at 4 months, and tyoe of production declines towards birth. production also occurs in the spleen to a lesser extent

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9
Q

what type of Hb is produced during hepatosplenic phase

A

HbF

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9
Q

when does the myeloid phase begin

A

5-9 months in foetus and continues through life.

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10
Q

what happens when myeloid phase begins in foetus

A

production of HbA (main adult type of Hb)

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11
Q

what bones contain marrow for haemopoeisis

A

sternum, hips, pelvis, ribs, vertebrae, femur, cranium (skull)

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12
Q

what is the normal ratio of fat to haemopoietic cells in adults

A

1:1

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13
Q

how many cells are produced in the bone marrow in healthy young adults

A

5-10 x 10^11

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14
Q

what factors affect haemopoeisis

A

growth factors, cytokines, environmental factors, o2 levels in body

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15
Q

what is the lifespan of mature granulocytes in blood

16
Q

what is the precursor stem cell

A

haemopoietic pluripotent stem cell

17
Q

what are the two characteristics of stem cells

A
  1. ability to proliferate and create more cells
  2. self renewal
18
Q

what are the stages in haemopoeitic cell development

A
  1. stem cell
  2. differentiation and lineage selection
  3. maturation: non dividing cells will develop in mature cells
  4. functional mature cells
  5. cell death- apoptosis
19
Q

describe multipotent colony forming units (CFU-GEMM)

A

these cells proliferate and differentiate into mature cells of various myeloid lineages

20
Q

what are uni potent progenitor cells

A

CFU-E that produce cells that mature into erythrocytes

21
Q

what is a rich source of stem and progenitor cells apart from marrow

A

umbilical cord blood

22
Q

where can stem cells be found

A

among cells that have the CD34 cell markers. some drugs can increase CD34 production as it tells where stem cells are available to be harvested

23
Q

what regulates haemopoeisis

A

haemopoietic growth factors (glycoprotein hormones) regulate prolif and differentiation, and regulate balance between haemopoiesis and apoptosis. they react to external stresses i.e blood loss/infections

they bind to surface receptors on target cells and trigger replication, differentiation and functional activation

24
what does CSF mean
colony stimulating factors (haemopoietic growth factors)
25
name EPO, G CSF, M CSF, GM CSF, IL3, Thrombopoeitin , stem cell factor, VE functions
EPO - erythropoeitin- RBC production G CSF- granulocyte M CSF - Macrophage GM -CSF - Granulocytes and macrophages IL3 - interleukin 3 - iron uptake Thrombopoeitin - platelets Stem cell factor - stem cell activation VE - vascular endothelial growth factor
26
where is EPO, GMCSF, GCSF and Thrombopoeitin produced and where to they take effect
EPO- kidney- CFU-E- RBCs GM-CSF - Fibroblasts/macrophages, bone marrow/stromal cells/endothelial cells- CFU-GM - Granulocytes/macrophages/monocytes G-CSF - same as GM-CSF - CFU-GM - granulocytes (neutrophils) Thrombopoietin - liver cells - CFU-Meg - megakaryocytes/ platelets
27
what are the stages in interphase
G0 where the cells rest and are not proliferating. G1 where the cell commits to replication S where DNA is double G2 where organelles and cytoplasm volume increases
28
describe how rates of cell proliferation can be adjusted
- cells in G0 can be stimulated to start DNA synthesis - the period in G1 can be shortened or prolonged, the same as S or G2. - the duration as mitosis as a whole can vary * cell development can be arrested in G2- causing cell death in certain Haemopoeisis disorders. Therapeutic drug regimes are designed to reduce cell populations are based on their effect on the cell cycle
29
how can stem cells and growth factors be applied clinically
stem cells - transplanted to treat patients with haematological malignancies - Haemopoietic growth factors can be produced by recombinant DNA techniques and used to treat patients with cytopenias 1. EPO - anaemia in kidney failure patients 2. G-CSF + GM-CSF can be treat leucopoenia 3. Thrombopoeitin - being researched to use it in thrombocytopenia
30