Hematopoiesis Flashcards
Neutropenia
Not enough neutrophils (happens after chemo, bone marrow transplant)
2 options: use G-CSF or GM-CSF
Better: G-CSF (b/c better outcome)
3 types of granulocytes
BEN
Basophil, eosinophil, neutrophils
Eosinophil
Treat parasites
Reduce severity of allergic rxns
Basophils (least common)
Big, dark stained granules
Heparin (prevent clots) and Histamine(promotes blood flow to tissues), kallikrein (attracts eosinophils)
Role in hypersensitivity reactions
Neutrophils
Most common granulocyte
Antimicrobial
Inflammation (pus)
Role in phagocytosis of bacteria/dead cells
Thrombopoesis
Making platelets
endomitosis–>megakaryocyte–>chopped up into platelets
Regulated by thrombopoietin
Thrombopoietin
Made in liver, stim. development of megakaryocyte
Deficiency in thrombopoietin leads to what?
Thrombocytopenia (low platelet count)
This leads–>idiopathic thrombocytopenic purpura(ITP)
Signs of “Idiopathic Thrombocytopenic Purpura(ITP)
Bruising
not enough platelets
Excess thrombopoietin=
Thrombocytosis
Stem cell facto (SCF) i.e. “c-kit ligand”
Made by fetal tissues
Increases responsiveness of stem cells to cytokines
Potential uses: for hematopoiesis and bone marrow transplants
HGF’s: hematipoietic growth factor (3)
- Colony stimulating factor (CSF)
- Erythropoietin and thrombopoietin (stim platelet production)
- Cytokines (interleukins)
Erythroid lineage (aka RBC)
“CFUs Produce Blood Precursors Of Reticulocytes & Erythrocytes
Pluripotent stem cell–>myeloid progenitor–>erythroid CFU–>mature progenitor–>
Proerythroblast–>basophilic erythroblast–>polychromatophilic erythroblast–>orthochromatic erythroblast–>reticulocyte–>erythrocyte
*=where EPO can stimulate
What leads to upregulating production of RBC’s and what can do this?
- Hypoxia
- Loss of blood
Using Erythropoietin (EPO)
Erythropoietin (EPO)
Made in kidneys (90%)
Stimulates progenitor cells–>turns off inhibitors & increases cyclins and antiapoptotic proteins (Lance Armstrong)