Lecture 7 (Revised) (Hematopoiesis & Bone Marrow) Flashcards
Bone Marrow is a?
Primary Lymphoid Organ
(B-Cells produced and mature in bone marrow)
Bone Marrow is site for?
Developing Blood Cells
Types of Bone Marrow?
-Red
-Yellow
Red Marrow?
Developing blood cells
-Stroma
-Hemopoietic cords
-Sinusoidal capillaries
Yellow Marrow?
Fat cells (adipocytes)
-Considered inactive (no hematopoiesis occurs here)
Newborns (babies)?
All Red Marrow
Adults?
Mostly yellow marrow + some red marrow
Bone Marrow Aspiration?
Needle is inserted directly into hip bone, syringe collects bone marrow and smear onto slide
Bone Marrow Biopsy?
Biopsy needle uses a corkscrew motion to cut out an intact piece of bone marrow from bone and sample used for cancer screenings
Aplastic Anemia?
Hypocellular Bone Marrow
(bone marrow mostly adipose tissue)
(lack of normal hematopoietic activity)
(idiopathic (unknown))
(bone marrow transplant)
Acute Myelogenous Leukemia?
Hypercellular Bone Marrow
(bone marrow mostly myeloblasts)
(lack of adipose tissue)
Fetal Hematopoiesis Stages?
3 Stages
1) Embryonic yolk sac (formation of blood islands) (RBCs only)
2) Hepatic (liver) (all RBCs + some WBCs are being produced)
3) Bone Marrow (all RBCs + WBCs are being produced)
Adult Hematopoiesis Stages?
-Only occurs in Red Bone Marrow
-Myeloid stem cells generates RBC + WBC + platelet lineage (located in red bone marrow) (stimulates erythropoiesis + leukopoiesis + thrombopoiesis)
Thrombopoiesis?
Platelet (thrombocyte) formation
(regulated by thrombopoietin)
Thrombopoiesis Steps?
1) Myeloid stem cell (precursor)
2) Megakaryoblast (thrombopoietin, cell replicates and enlarges)
3) Megakaryocyte (fragments break off)
4) Platelet
Megakaryocytes are?
Largest cell in a blood smear and only cell in bone marrow smear
Erythropoiesis?
(RBC formation)
-Regulated by erythropoietin
-Cell volume decreases + nucleoli diminish + nucleus disappears
-Basophilic cytoplasm (lots of ribosomes) turns to acidophilic cytoplasm (lots of Hb)
Steps of Erythropoiesis?
1) Myeloid stem cell
2) Proerythroblast (largest cell) (1-2 nucleoli within nucleus)
3) Basophilic Erythroblast (slightly smaller) (no nucleoli)
4) Polychromatophilic Erythroblast (slightly smaller) (no nucleoli)
5) Orthochromatophilic Erythroblast (Normoblast) (slight smaller) (no nucleoli)
6) Reticulocyte (1-2% of total RBC count) (no nucleus) (cells leave bone marrow and travel into blood and become mature erythrocyte)
7) Erythrocyte (mature RBC)
Leukopoiesis?
Formation of WBCs
(cell volume decreases + nucleoli dimes + nucleus changes shape + granules appear)
(basophilic cytoplasm (lots of ribosomes))
Steps of Leukopoiesis?
1) Myeloid stem cell –> myeloblast
2) Promyelocyte (largest cell) (1 granules produced)
3) Myelocyte (slightly smaller) (1 and 2 granules produced)
4) Metamyelocyte (ONLY IN NEUTROPHILS + EOSINOPHILS) (slushily smaller) (2 > 1 granules)
5) Band Cell (ONLY IN NEUTROPHILS) (slightly smaller)
6) Mature Granulocyte (NEB) (smallest cell) (NEB)
Cell Stages of Monocytes?
Myeloid Stem Cell –> Myeloblast –> Promonocyte (monoblast) –> Monocyte
Leukopoiesis - Monocytes?
-Agranulocytes
-Produced in bone marrow
-Contain only primary granules
-Leave blood and migrate into tissue and become macrophages
Leukopoiesis - Lymphocytes?
-Agranulocytes
-Produced in bone marrow
-Contain only primary granules
-Only cell able to recirculate
Characteristics of Lymphocyte?
-thin (basophilic) cytoplasm
-large nucleus (takes up entire cell)
-T-cell or B-cells (immune function)
B-cells move into?
Tissue (plasma cells)
Thymus?
Primary Lymphoid Organ
-Produces T-cells, migrate into blood and travel to secondary lymphoid organs
Structure of Thymus?
-Capsule (poorly developed; outermost layer)
-Cortex (outer cell layer; immature T-cells)
-Medulla (inner cell layer; mature T-cells)
Hassall’s corpuscles?
-In medulla of thymus
-Final stage of T-cell education
Characteristics of Thymus?
-Epithelioreticular cells (nurse cells) responsible for development + maturation of T-cells
-Few fibers (stroma)
-Lack lymphatic nodules
T-Cell Education?
1) T-cells (in cortex) migrate to medulla for education
2) Mature T-cells (in medulla) leave thymus via post-capillary venues –> T-cells enter blood circulation
DiGeorge Syndrome?
Lack of epithelioreticular cells –> no T-cell education (no cell-mediated immunity