Introduction to Haematology Flashcards
What are the main components of blood?
Red blood cells
Plasma
Buffy coat
What blood products are found in the plasma?
Clotting/coagulation factors
Antibodies
Albumin
What blood products are found in the buffy coat?
Platelets
White cells
What are the main functions of blood?
Transport- gases in red cells, nutrients, waste and messages in plasma
Maintenance of vascular integrity- prevention of leaks (platelets and clotting factors), prevention of blockages (anticoagulants and fibrinolytics)
Protection from pathogens (phagocytosis, antigen recognition)
What are the main characteristics of stem cells?
- Totipotent
- Self-renewal
- Home to marrow niche (specifically Cxcr4 (antagonist plerixafor))
- Binary fission and flux through differentiation pathways amplify numbers
- Flux regulated by hormones / growth factors (Some used therapeutically (erythropoietin, g-csf, thrombopoietin agonists))
- Stem cell properties can now be ‘induced’
Where is bone marrow present?
In almost all bones in children
Regresses with age
Mainly just axial skeleton in elderly
What are the stages in erythroid differentiation?
Erythroblasts
Released into circulation as reticulocytes
Mature to erythrocytes after 24hrs
What hormone drives the production of reticulocytes, where is it made and what is it released in response to?
Erythropoietin
Released from kidneys in response to hypoxia
How are platelets made?
Budded off from megakaryocytes
What are the functions of platelets?
Main role is haemostasis
Small role in immune function
What hormone regulates production of platelets? Where is it produced?
Thrombopoietin
Produced in the liver
What is an excess and deficit of platelets known as?
Excess- thrombocytosis
Deficit- thrombocytopenia
What is the function of neutrophils?
To ingest and destroy pathogens, especially bacteria and fungi
What are the steps in differentiation of neutrophils?
- Blast
- Promyelocyte
- Myelocyte
- Metamyelocyte
- Neutrophil
What is a deficiency of neutrophils known as?
Neutropenia