hematopoiesis Flashcards

1
Q

Hematopoiesis is

A

the production of blood cells and platelets

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2
Q

Leukocytes

A

WBC

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3
Q

Leukopoiesis is

A

the production of WBC

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4
Q

Erythrocytes is

A

red blood cells

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5
Q

Erythropoiesis is

A

the production of RBCs

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6
Q

Thrombocytes are

A

platelets

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7
Q

Thrombopoiesis is

A

the production of platelets

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8
Q

Agranulocytes are

A

lymphocytes and monocytes
Occasionally contain granules but they will be in low numbers
When granules are present, they are often difficult to see

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9
Q

Granulocytes are

A

neutrophils, eosinophils, basophils
Characterised by a segmented nucleus

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10
Q

Blood cell life span

A

Blood cells are constantly dying and being replaced

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11
Q

When does hematopoiesis begin

A

Hematopoiesis begins during early embryonic life
In the prenatal animal, hematopoiesis occurs in the liver, spleen, thymus and red bone marrow

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12
Q

Where does hematopoiesis happen

A

Red bone marrow is the primary site for blood cell production in the neonate and juvenile animals
Red bone marrow is found in almost every bone of the foetus and young animal
In adult animals, the red bone marrow is the primary production site as well, but there are fewer bones that contain red bone marrow
It is found in the long bones, ribs, sternum and hips
The spleen and liver can help with hematopoiesis during periods of stress
All blood cells arise from the same pluripotent hematopoietic stem cells

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13
Q

Pluripotent stem cells can develop into various types of cells

A

These cells are capable of regeneration
They stay at constant, low numbers within the bone marrow

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14
Q

Hematopoietic stem cells differentiate into two progenitors

A

Common myeloid progenitor
Common lymphoid progenitor
The pathway is determined by interactions with various chemical messengers known as cytokines (~24)

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15
Q

Erythropoiesis is

A

The production of erythrocytes or RBCs
Erythropoietin (EPO) is the primary cytokine responsible for RBC production

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16
Q

Where is erythropoietin produced

A

Primarily production in the kidney
Small amounts produced in liver
Normally presents in small amounts in the plasma to replace ageing or dying RBC
EPO travels within the blood to the bone marrow, here it binds to erythroid precursor cells to stimulate erythropoiesis
Stimulated by hypoxia

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17
Q

How does bone marrow do eryhtropoiesis

A

The bone marrow is constantly replacing ageing and dead cells in the peripheral circulation
These cells are usually removed by the phagocytic cells in the spleen
Splenectomised patients have a more bizarrely shaped red cells in theri circulation
In healthy animals, only mature and possibly a few near-to mature cells are released from the bone marrow
In cattle, the maturation process takes about 4 days, while in dogs it requires about 7 days

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18
Q

Erythropoiesis and hypoxia

A

With prolonged hypoxia, the bone marrow can increase its production of red cells by 4-5 times normal
Provided that all of the necessary materials are available
The time required for the release of the new red cells to peripheral blood following hypoxic stimulus is about 3-4 days

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19
Q

How is erythropoiesis in dogs affected by the kideny

A

In dogs, the kidney is the source of erythropoietin
Dogs with severe renal disease may have anemia as a complication
This is a significant problem in cats with severe renal disease as well
In the cat, the carotid body is involved with erythropoiesis

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20
Q

How long do RBC live

A

The red cells life span varies greatly from species to species
Longest living RBC is in cattle- about 5 months
The shortest is in the pig at about 2 months

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21
Q

Characteristics of Rubriblast in Erythropoiesis

A

Large cel (slightly bigger than neutrophil)
Round cell and nucleus
Thin rim of dark blue (basophilic) cytoplasm
Nucleoli preston (paler in colour, 1 or more will be present)
Perinuclear clear zone is often observed
A rubriblast can produce 8-16 mature cells

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22
Q

Charatereistics of Prorubricyte in Erythropoiesis

A

Slightly smaller than the rubriblast
No nuclei
Nucleus is more condensed
Often prominent perinuclear clear zone
Basophilic cytoplasm

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23
Q

Characteristics in Rubicyte in erythropoiesis

A

Significantly smaller than the prorubricyte
Nuclear chromatin shows an alternating light/dark pattern
Nucleus is dark purple
In the early stages, the cytoplasm is blue
The cytoplasm will gradually lighten and turn pink as hemoglobin (Hgb) matures

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24
Q

characteristics of Metarubricyte in erythropoiesis

A

Nucleus appears as a dark blue circle
Cytoplasm is deep red and skewed off to one side producing a comet tail appearance
Slightly larger than a mature erythrocyte
No longer capable of cell division
Hemoglobin formation is complete

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25
Characteristics of Reticulocyte (polychromasia) in erythropoiesis
Nuclear Contains ribosomal material which gives the cell a blue-purple appearance when stained Macrocytic Seen as polychromasia on Wright's stain Seen as aggregated material with a reticulocyte stain (dark blue)
26
characteristics of Erythrocyte in erythropoiesis
Anuclear No ribosomal remnants remaining Cytoplasm is pink due to mature Hgb
27
Thrombopoiesis is
The production of thrombocytes (platelets) Triggered by thrombopoietin as well as several other cytokines
28
Thrombopoiesis happens in what
Trombopotiten is primarily produced in the liver Small amounts are also produced in the kidneys and bone marrow
29
Characteristics of magakaryoblast in theombopoiesis
Larger than other blast cells in the bone marrow Contains a single nucleus Very basophilic, scant cytoplasm
30
Characteristics of Promegakaryocyte in thrombopoiesis
Contains 2-4 nuclei- nuclei continue to replicate Nuclear lobes remain connected Cytoplasm does not divide and consists of a rim around the nuclear mass
31
Characteristics of megakaryocyte in thrombopoiesis
Extremely large (50-200 micrometres in diameter) at maturity Numerous nuclear lobes are present Cytoplasm is abundant, pale blue and contains reddish granules The cytoplasm extends into thin, finger like projections that become platelets as they get sheared off of the cell
32
Characteristics of platelets in thrombopoiesis
This is the stage at which platelets leave the bone marrow They are not true cells→ they are fragments of the megakaryocytes cytoplasm There is a great deal of variation in size and shape of platelets
33
Platelet maturation is
Species such as reptiles, amphibians, and birds whose platelets possess nuclei, follow a different maturation phase than mammals There Is are true thrombocytes (unlike platelets)- they are true cells
34
Leukocytes are classified by
Classified by the presence or absence of granules Agranulocytes- lymphocytes and monocytes Granulocytes- neutrophils, eosinophils, basophils
35
Granulopoiesis refers to what
Refers to the production of granulocytes Neutrophils, eosinophils and basophils These cells have a segmented nucleus
36
Granulopoiesis is triggered by what
the hormone leukopoietin as well as several other cytokines
37
The developing granulocytes are divided into two groups
Proliferation pool Maturation pool
38
Proliferation pool is waht for granulocytes
These cells are capable of mitosis Includes myeloblasts, promyelocytes and myelocytes
39
Maturation pool is waht for granulocytes
These cells can no longer divide Includes metamyelocytes and band cells
40
Maturation series of ganulocytes in regards to the nutrophilic series
The following maturation series is in regards to the neutrophilic series Eosinophils and basophils follow the same developmental stages, though the colour of the granules varies
41
Neutrophilic production is
Produced exclusively in active bone marrow of healthy, adult animals In young animals, some production will occur in the spleen With chronic inflammatory disease, production of neutrophils will occur in the spleen, liver and lymph nodes of adults
42
Characteristics of Myeloblast in granulopoiesis
Large cell Round to oval nucleus Nucleus contains one or more nucleoli A few reddish granules may present in the cytoplasm Pale gray-blue cytoplasm Difficult to distinguish from other primitive blast cells Larger and lighter in colour than rubriblasts
43
Characteristics of promyelocyte in granulopoiesis
Slightly smaller and lighter than myeloblasts Contain azurophilic granules (pink or purple) Occasionally nuclei may be present- will be less prominent than in the myeloblast More cytoplasm than myeloblast
44
Characteristics of myelocyte in granulopoiesis
Slightly smaller and lighter in colour than promyelocytes Nucleus is round and eccentrically placed Nu nucleoli Granules are visible as neutrophilic, eosinophilic or basophilic
45
Characteristics of metamyelocyte in granulopoiesis
Similar to the myelocyte but nucleus is indented Lighter coloured cytoplasm Can no longer undergo cell division
46
Characteristics of band nutrophil in granulopoiesis
Same colour as the mature segmented neutrophil Nucleus is indeed to the point of being “U-shaped” with parallel sides and clubbed ends
47
Characteristics of segmented nutrophil in granulopoiesis
purple/lavender coloured nucleus Nucleus is segmented Granules may or may not be distinct Hypersegmented neutrophils- as cells age, the number of lobes of the nucleus increase- if >5 segments are present, the cells is classified as hypersegmented
48
How to tell if its a band or segmented neutrophil
The narrowest region of the nucleus needs to be less than or equal to 2/3 of the width widest part of the nucleus to be classified as a segmented neutrophil (as opposed to a band cell)
49
Maturation and orderly production
Because cells develop in a specific sequence, you won't see a stage skipped on the smear If you are seeing myelocytes as well as mature neutrophils on a smear, you will see all of the stages in between There should always be a greater number of the most mature stages of cells unless the animal is very ill- left shifts In healthy animals, you should only see segmented neutrophils an a few, if any band cells ALWAYS categorize the cell by the more mature stage when you are unsure. The only time we count disintegrating cells is when they total more than 10 % of the WBCs counted
50
Transit time in neutrophilic kinetics is
the amount of time needed for the myeloblast to mature into a segmented neutrophil In a healthy animal, normal transit time is 7 days When stimulated due to inflammation, it can be as little as 2 days
51
Circulation time in neutrophilic kinetics is
the amount of time between the release of the cell into blood and its arrival in tissue In healthy animals, about 6-10 hours The neutrophil pool is renewed 2-3 times per day Samples down a few hours apart can be very different
52
Monopoiesis is
The same pluripotent stem cell as the granulocytic cells
53
Monocytic series is
Inst responsive to an infection in the way the neutrophilic series is Only rarely overcome by a neoplastic disorders Won't be seen unless you do bone marrow worm
54
Characteristics of monoblast in monopoiesis
Located in the bone marrow Similar to appearance to myeloblasts but have an irregularly shaped nucleus
55
Characteristics of promonocyte in monopoiesis
Located in the bone marrow Similar in appearance to myelocytes and metamyelocytes
56
Characteristics of monocyte in monopoiesis
Mature monocytes move into peripheral blood May develop into macrophages if exposed to specific cytokines
57
Lymphopoeisis is
Triggered by cytokines and antibodies Starts with the common lymphoid precursor stem cell Found in the bone marrow Differentiate into T-lymphocyte, NK precursor or B-lymphocytes precursor
58
Characteristics of lymphoblast
High nuclear to cytoplasmic ratio (N:C ratio)–the cell is comprised mostly of the nucleus, very little cytoplasm present Oval to indented, eccentrically placed nucleus Dark blue cytoplasm
59
Characteristics of prolymphocyte
Decreased N:C ratio– cytoplasm makes up a greater volume of the cell Large nucleoli Lighter staining cytoplasm
60
Characteristics of lymphocyte
Round to slightly indented nuclei Dense, relatively smooth chromatin Small amount of basophilic cytoplasm
61
Juvenile B-lymphocytes mature:
In the bone marrow or ileal Peyer’s patches in dogs, pigs and ruminants Bursa of Fabricius in birds
62
Where do lymphocytes mature
T-lymphocytes mature in the thymus Natural Killer cells mature in the bone marrow Can also develop in the thymus and other lymphoid tissue Immature stages may be seen in the peripheral blood due to neoplastic disease–relatively common in cats Usually we would only note that immature stages are present (this along with c/s & Hx are diagnostic)
63
Why do we only see imature lymphocytes
Usually due to a virally-induced neoplastic disorder These cells are usually seen at the feathered edge They will be abnormal in size &/or colour May see nucleoli May contain mitotic figures (cells that are seen to be dividing)
64