Hematopoiesis Flashcards
What is the lifespan of platelets?
7 - 10 days
What is the lifespan of granulocytes?
6 - 8 hours
What cell does G-CSF promote the formation of?
Granulocytes
What cell does IL-3 promote the formation of?
basophil
What cell does IL-5 promote the formation of?
Eosinophil
What cell does M-CSF promote the formation of?
monocyte
Which two interluekins are especially important in the thymus?
IL2 and IL7
Which interleukin promotes the formation of B-cells?
IL-7
Which interleukin promotes the formation of NK cells?
IL-15
G-CSF can be released by what cell type? Where?
macrophages
sites of inflammation
What specific cell of the kidney can produce EPO? What triggers this event?
peritubular interstitial cell
hypoxia
What drug induces a mobilization of bone marrow stem cells to the peripheral circulation?
G-CSF
GM-CSF stimulates the recovery of what cell type? What is the draw back of GM-CSF?
Myeloid
more toxic than G-CSF
What two places can extramedullary hematopoiesis take place?
spleen and liver
What is another name for a rubriblast? Does this cell stain basophilic or acidophilic?
pro-erythroblast
basophilic
What cell type comes after a rubriblast?
Prorubricyte
What cell type comes after a prorubricyte?
rubricyte
What cell type comes after a rubricyte?
Metarubricyte
What cell type comes after a metarubricyte?
Reticulocyte
What does the reddish pink stain of an erythrocyte indicate?
hemoglobinization is complete
What is the first cell of granulopoiesis?
stem cell
What cell type comes after a stem cell during granulopoiesis?
myeloblast
What cell type comes after a myeloblast?
promyelocyte
What cell type comes after a promyelocyte?
myelocyte
What cell type comes after a myelocyte?
metamyelocyte
What cell type comes after a metamyelocyte?
band cell
What are macrophages in loose connective tissue called?
Histiocytes
What are macrophages in liver cells called?
Kupffer cells
What are macrophages in the CNS called?
microglial cells
Where do B lymphocytes and NK cells develop?
bone marrow
At what stage in their development do T-cells leave the bone marrow?
Prothymocytes
What is the most immature lymphocyte called?
lymphoblast
What comes after a lymphoblast?
prolymphocyte
What comes after a prolymphocyte?
Lymphocyte
What is the most immature platelet precursor?
Megakaryoblast
What cell comes after a megakaryoblast?
Promegakaryocyte
What comes after a promegakaryocyte ?
Megakaryocyte
What is a number cell count for leukocytes?
4.5 - 11 x 10x3
What is a normal RBC count in males?
4.3-5.7 x10x3
What is a normal RBC count in females?
3.8 - 5.1 x10x3
What cytokine can down-regulate stem cell growth/differentiation?
TGF-beta
In an adult, what are the three locations where bone marrow is found?
ribs, sternum and pelvis
Approximately how long do monocytes circulate before entering tissues?
8 hours
At what stage of development do lymphocytes enter the thymus?
Prolymphocytes
What is the first cell differentiate for macrophages?
Monoblast
What comes after a monoblast?
promonocyte
What comes after a promonocyte?
monocyte
What is the first cell to differentiate for a B-cell or T-cell?
lymphoblast
What comes after a lymphoblast?
prolymphocyte
What comes after a prolymphocyte?
lymphocyte
What is a normal band cell percentage count?
3-5%
What two free radicals can copper or iron produce in the fenton reaction?
superoxide or hydroxyl radical
What oxidation state is iron found in plants?
Fe3+
What does TIBC measure?
unoccupied transferrin
What is the most common inherited bleeding disorder?
von willebrand deficiency
Other than giant platelets, what does Bernard-Souiler syndrome often present with?
thrombocytopenia
What is the mode of inheritance for hemophilia?
X-linked recessive
How long does it take for reticulocytes to increase in their count and appear in blood?
5 days
According to Hilgerson, which immunoglobulin attacks RBC membrane proteins?
IgG
According to Hilgerson, does a warm or cold agglutinin test procude a positice coombs test?
warm
According to hilgerson, which AIHA is treated with corticosteroids?
warm
According to Wendy-Woods Swafford, where do arterial thrombi occur?
sites of endothelial injury
According to Yost, what are the three causes of thrombocytopenia?
under-production
destruction
splenic sequestration
According to Yost, pernicious anemia can present with what other hematological issue?
20% thrombocytopenia
What are four ways ITP is treated?
steroids
IV-IG
rituximab
SPLENECTOMY
How many days after infusion can HIT begin to produce symptoms?
5-14 days
Drugs that cause thrombocytopenia affect what cause?
under-production
Underproduction affects a minimum of how many cell lines?
at least two
What is the most common cause of thrombocytopenia in children and adults?
immune thrombocytopenia