L1 Normal blood cells and bone marrow heamopoiesis Flashcards

1
Q

Both common myeloid progenitors and lymphoid progenitors come from ______ ______ _______ after lineage commitment, with the help of ______ ______ _____ such as CD34+, CD38-, Lin-.

A

Pluripotent stem cells;
stem cell markers
(Lin- = lineage marker negative;
if + = does not come from stem cells)

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2
Q

What will common myleoid progenitors do? (3)

A
  1. Thrombopoiesis
  2. Erythropoiesis
  3. Granulopoiesis
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3
Q

Growth factor EPO.

  • full name
  • function
  • source
A
  • Erythropoietin
  • growth factor for erythropoiesis > RBC
  • mainly from kidneys (90%)
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4
Q

Growth factor TPO.

  • full name
  • function
  • source
A
  • Thrombopoietin
  • growth factor for thrombopoiesis > platelet
  • mainly from liver
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5
Q

Growth factors for granulopoiesis?

- function?

A
  1. GM-CSF (Granulocytic monocytic colony stimulating factor)
  2. G-CSF
  3. M-CSF
  4. Interleukins: ILs
  • to produce leukocytes in granulopoiesis
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6
Q

What are megakaryocytes?

A

Early platelet forms

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7
Q

What is plasma?

A

Serum + fibrinogen
(got rid of RBC, WBC)

  • contains coagulation factors, antibodies, growth factors and products of metabolism
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8
Q

What is serum?

A

Serum = Plasma - fibrinogen

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9
Q

List the 4 types of leukocytes and their functions

A
  1. Neutrophil - bacterial infection
  2. Basophil - increased in lymphoproliferative/myeloproliferative diseases
  3. Monocyte - to macrophages in tissue
  4. Eosinophil - parasitic infection, allergy
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10
Q

Common lymphoid progenitors develop into?

A
  1. Lymphopoiesis - B cells and T cells

2. NK cells

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11
Q

List the 3 types of defects and the disease of RBC.

A
  1. Membrane defect: sphreocytosis
  2. Enzyme pathway defect: G6PD deficiency/ pyruvate kinase deficiency
  3. Hb structure defect: Haemoglobinopathy (e.g. gamma-beta chain switch should be done after 6 months of birth
    )
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12
Q

No central pallor; smaller and dense in colour (increase Hb concentration) = ?

A

spherocytosis

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13
Q

Bone marrow = ______ + ________

A

Stromal cells + microvascular networks

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14
Q

What is M:E ratio?

A

Myeloid: Erythroid ratio

= number of cells from myeloid series (granulocute, monocyte): erythroblasts

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15
Q

Normal M:E ratio is?

A

1:2

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16
Q

Substacnes required from erythropoiesis?

A
  1. Iron
  2. Folate + Vitamin B12
  3. EPO
17
Q

Changes in morphology in RBC maturation (nuclear)?

A

Euchromatin (light pink, more open pattern)&raquo_space;> heterochromatin (darker pink)&raquo_space;> reticulocyte

18
Q

Changes in morphology in RBC maturation (cytoplasmic)? Why?

A

From blue to pink due to Hb formation and loss of cytoplasmic RNA

19
Q

How to diagnose anemia in CBC?

A
  1. Hb <13.2
  2. MCV < 81 (cell size, microcytic)
  3. MCH <27 (cell color, hypochromic)