Hema Flashcards
is the process of blood cell production, including renewal, proliferation,
differentiation, and maturation
Hematopoiesis
it is a continuous and ________ process that results in the formation, development, and
specialization of all functional blood cells that are released from the bone marrow.
regulated
this stem cell is capable of both ______ and ________ into the
different cell lineages
self-renewal
directed differentiation
Hematopoiesis in humans is characterized by ______ distribution of embryonic stem cells in specific sites that are
rapidly changing during the course of development.
selective
In healthy adults, hematopoiesis is primarily confined to the _______
Bone marrow
During fetal development, blood cell development begins in the (1)_______, that later progresses to the ____ region (mesoblastic phase); (2) transfers to the_____ (hepatic phase); and (3) terminally,
resides in the_______ (medullary phase).
- yolk sac
Region: Aorta Gonad-Mesonephros (AGM) - fetal liver
- bone marrow
Mesoblastic Phase:
- Starts at the _____ day after fertilization
19th
Erythroblasts (immature red blood cells) come from _______________ ; remaining cells
surrounding the cavity develop into angioblasts and later on form the blood vessels
mesodermal cells lining the yolk sac
_______erythroblasts never lose their
nucleus.
primitive
These erythroblasts are found in ‘blood islands’ surrounding a macrophage called ______ cell.
Nurse
- Primitive erythroblasts start to produce the following hemoglobins:_______ , _______, and _________
Portland hemoglobin, Gower 1 hemoglobin,
and Gower 2 hemoglobin
Begins at around 4-5 weeks after fertilization; Peaks at third month of development
Hepatic phase
- The liver becomes the primary site of hematopoiesis
- Characterized by recognizable clusters of myeloid cells.
- Lymphoid cells begin to appear
Hepatic phase
Sites of secondary hematopoiesis: Thymus begins to produce_____; Spleen and kidneys produce____
With detectable levels of HbF (fetal hemoglobin), HbA / HbA
(major adult hemoglobin), and HbA
(minor adult
hemoglobin)
T cells
B cells
Activity remains until 1-2 weeks after birth
hepatic phase
Starts at the 5th month of development; cells of various stages of maturation in all lineages are seen
- Mesenchymal cells transfer to the skeletal tissues and develop into HSCs
Medullary Phase/myeloid
Medullary phase :
Myeloid to erythroid (M:E) ratio reaches _____ (adult M:E ratio) at the ______
3:1
21st week
Bone marrow becomes the major site of__________.
hematopoiesis
Medurally phase:
Shortly after birth, the BM remains as the only_____
capable of blood cell production.
tissue
Medullary phase:
When the BM is in distress or is not functioning properly, secondary
hematopoietic organs such as the____ and _____ revert to their hematopoietic function (extramedullary
hematopoiesis)
liver
spleen
Medullary phase:
Erythropoietin,______, and ______ (Growth Factors) reach detectable levels
Hemoglobins produced are HbA / HbA1, HbF, and HbA2
(minor adult hemoglobin)
G-CSF and GM-CSF
Sites of Hematopoiesis in the developing individual:
Yolk sac
prenatal
Sites of Hematopoiesis in the developing individual:
Bone marrow
pre natal
Sites of Hematopoiesis in the developing individual:
liver
prenatal
Sites of Hematopoiesis in the developing individual:
spleen
pre natal
Sites of Hematopoiesis in the developing individual:
tibial
post natal
Sites of Hematopoiesis in the developing individual:
sternum
post natal
Sites of Hematopoiesis in the developing individual:
vertebral and pelvis
post natal
Sites of Hematopoiesis in the developing individual:
ribs
post natal
Sites of Hematopoiesis in the developing individual:
lymph nodes
Post natal
Sites of Hematopoiesis in the developing individual:
femur
post natal
Organs involved in hematopoiesis:
1. _______– primary site of hematopoiesis in an adult
Bone Marrow