Haemopoiesis Flashcards

1
Q

What is haematology?

A

The study of blood, blood-forming tissues, and the disorders associated with them.

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2
Q

What is the role of haematology in the provision of UK healthcare?

A
  • 4% of the healthcare budget expenditure
  • More tests and test types than ever
  • Primary care - GP
  • Secondary care - haematology department at a hospital
  • Tertiary care - specialist haematology department at a hospital
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3
Q

Which pathology disciplines overlap with haematology?

A
  • Blood transfusion
  • Immunology
  • Clinical biochemistry
  • Microbiology
  • Histopathology
  • Cytology
  • Genetics
  • Stem cell laboratories
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4
Q

What is haemopoiesis?

A

The process of blood cell and platelet formation.

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5
Q

What are the basic cellular components of blood and their functions?

A
  • Red blood cells - carry oxygen to tissues
  • White blood cells - prevent and respond to infection
  • Platelets - blood clotting
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6
Q

Red blood cell profile

A
  • Most numerous blood cell
  • Normal range 4-5.5 trillion /litre
  • 6.7-7.7 micrometres diameter biconcave disc
  • Contains haemoglobin
  • Carries O2 from lungs to tissues
  • Carries CO2 from tissues to lungs
  • Lives for 110-120 days in the blood
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7
Q

White blood cell profile

A
  • Least numerous blood cells
  • 3.5-10 billion per litre
  • 5 different types
    • Lymphocytes
    • Neutrophils
    • Eosinophils
    • Basophils
    • Monocytes
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8
Q

Granulocyte profile

A

A type of white blood cell

  • Neutrophils
  • Eosinophils
  • Basophils
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9
Q

Neutrophil profile

A
  • Normal range 1.5-7.5 billion per litre
  • Fights bacterial infection
  • Tri-lobed
  • Fine faint granules
  • Pus cells
  • Phagocyte
  • 7 hour circulation half-life
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10
Q

Eosinophil profile

A
  • Normal range 30-600 million per litre
  • Bi-lobed
  • Coarse orange granules
  • Release histamine in allergic reactions
  • Regulate hypersensitivity reactions
  • Effector cells for antibody-dependent damage to parasites
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11
Q

Basophil profile

A
  • Normal range 10-150 million per litre
  • Bi-lobed
  • Dark coarse azurophilic granules
  • Granules contain enzymes
  • Moderates inflammatory response
  • Releases heparin and protease
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12
Q

Lymphocyte profile

A
  • Normal range 1.2-3.5 billion per litre
  • Fights viral infection
  • Produces antibodies
  • Circulates between blood and lymphatic system
  • Life span from a few hours to 4-5 years in circulation
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13
Q

Monocyte profile

A
  • Normal range 200-800 million per litre
  • Fights bacterial infection
  • Phagocytoses bacteria and antibody-coated cells
  • Tissue macrophage precursors
  • 70 hour lifespan
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14
Q

Platelets profile

A
  • Normal range 150-400 billion per litre
  • Second most numerous cells in blood
  • Small discoid structures
  • 3-5 micrometers diameter
  • Circulation lifespan of 7-10 days
  • Important in blood clotting (haemostasis)
  • Form a plug at injury site (primary haemostasis)
  • Initiate secondary haemostasis
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15
Q

What are the sites of haemopoiesis?

A
  • Yolk sack in a 2 week old embryo
  • Liver and spleen of a 12-16 week old embryo
  • The bone marrow of all bones in newborns
  • Ends of long and flat bones such as the sternum, pelvis and vertebrae in adults
    • Red marrow - active
    • Yellow marrow - inactive
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16
Q

Three steps involved in haemopoiesis

A
  • Proliferation - multiplication
  • Differentiation - changing form and function
  • Apoptosis - programmed cell death
17
Q

How is haemopoiesis regulated?

A

By glycoprotein growth factors that inhibit apoptosis

18
Q

What are the two main classes of growth factors involved in haemopoiesis?

A
  • Colony stimulating factors
  • Interleukins
19
Q
A