Ppt Flashcards
ERYTHROCYTE
• FUNCTION:
• 1ST;
• 2ND :
To carry oxygen from lungs to the tissue
Returning carbon dioxide
to the lungs
(RBC precursor)
Aka:
Erythroblast
Normoblast
• Developing nucleated RBC precursor with normal appearance
•Restricted to the_____
• Erythroblast (RBC precursor)
Aka: Normoblast
bone marrow
3 Erythroblast Nomenclature
• NORMOBLASTIC TERMINOLOGY
• RUBRIBLASTIC TERMINOLOGY
• ERYTHROBLAST TERMINOLOGY
Normoblastic
Pronormoblast
Basophilic normoblast
Polychromatic (polychromatophilic) normoblast
Orthochromic normoblast
Polychromatic (polychromatophilic) erythrocyte
Erythrocyte
Rubriblastic
Rubriblast
Prorubricyte
Rubricyte
Metarubricyte
Polychromatic (polychromatophilic) erythrocyte*
Erythrocyte
Erythroblastic
Proerythroblast
Basophilic erythroblast
Polychromatic (polychromatophilic) erythroblast
Orthochromic erythroblast
Polychromatic (polychromatophilic) erythrocyte*
Erythrocyte
2 PROGENITOR:
• BFU-E (Burst-forming unit-erythroid)
• CFU-E (Colony forming unit-erythroid)
• Earliest committed progenitor
• Gives rise to large colonies
BFU-E (Burst-forming unit-erythroid)
• Capable of multisubunit colonies (burst)
BFU E
• Gives rise to smaller colonies
CFU-E (Colony forming unit-erythroid)
1st morphologically Identifiable RBC precusor
PRONORMOBLAST
: to produce MATURE RBC from BFU-E
• 18-21 days
STAGES OF ERYTHROID PRECURSOR MATURATION
- Over all diameter of the cell decreases
- Diameter of the nucleus decreases more rapidly than the diameter of the cell
- Nuclear chromatin pattern becomes coarser, clumped and condensed
- Nuclei Disappear
- Cytoplasm changes from blue to gray-blue to salmon pink
ERYTHROKINETICS
STIMULUS OF RBC PRODUCTION
HYPOXIA
• Primary oxygen-sensing system
Kidney(Peritubular Fibroblast)
• Consist of a carbohydrate unit and termina sialic acid unit
• EPO (ERYTHROPOIETIN)
• Thermostable, nondialyzeble, glycoportein hormone
EPO (ERYTHROPOIETIN)
• Major stimulatory cytokine for RBC
EPO (ERYTHROPOIETIN)
EPO (ERYTHROPOIETIN)
Consist of a______ unit and termina_____ unit
carbohydrate
sialic acid
• ACTION of ERYTHROPOIETIN
• Growth factor (cytokine) that initiates intracellular message to developing
erythroid cells =_________
SIGNAL TRANSDUCTION
= increased cell division and maturation, increased intestinal iron absorption and hemoglobin synthesis and more RBCs entering the circulation
• EPO + EPOR
EPO (ERYTHROPOIETIN)
• 3 MAJOR EFFECTS:
- Allowing early release of reticulocytes from the bone
marrow - Preventing apoptotic cell death
- Reducing the time needed for cells to mature in the bone marrow.
THERAPEUTIC USES OF EPO
• Produced by recombinant technology-______ and _______
EPOITIN alpha & EPOITIN beta
THERAPEUTIC USES OF EPO
• Stimulates RBC proliferation and differentiation by acting to specific receptors in the BM
• Anemias of chronic infection
• Anemias resulting from chemotherapy
• Anemias secondary to malignancy; associated with HIV
• Anemias in premature infants
• Autologous blood transfusion; After BM transplant
IRON
• No mechanism for_____
• Just minimal daily loss with….
active excretion
exfoliated skin and hair and sloughed intestinal epithelia.