Test 2 Hematopoietic Growth Factors Flashcards

1
Q

Where does formation take place?

A
  • fetal stage: in the yolk
  • last trimester: thymus, kidney, liver
  • rest of population: bone
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2
Q

How does hematopoiesis change as we age?

A

the yellow bone marrow increases and blood production decreases

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3
Q

Hematopoietic growth factors (HGFs)

A
  • Are generally glycoproteins
  • Most are single chain polypeptides
  • Each HGF is encoded by a specific gene
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4
Q

How can HGFs vary?

A
  • molecular weight
  • specificity
  • biological activity
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5
Q

RBC function

A

hemoglobin in RBC transports most of the oxygen and part of the CO2 in the blood

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6
Q

WBC function

A

combath pathogens and other foreign substances that enter the body

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7
Q

neutrophil function

A

phagocytosis; destruction of bacteria

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8
Q

eosinophil function

A

combat effect of histamine in allergic reactions; destroy some parasites

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9
Q

basophil function

A

liberate heparin, histamine, and serotonin in allergic reactions that intensify the overall inflammatory response

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10
Q

lymphocyte function

A

mediate immune response

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11
Q

monocyte function

A

transforms into macrophage -> phagocytosis

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12
Q

platelet (thrombocyte) function

A

form platelet plug in hemostasis; release chemicals that promote vascular spasm and blood clotting

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13
Q

stems cells to HGF’s

A

stem cell -> myeloid stem cell -> (HGF acts here) -> CFU progenitor cells

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14
Q

G-CSF

A
  • Granulocyte colony stimulating factor
  • Increase neutrophils
  • Filgrastim, Lenograstim, Pegfilgrastim
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15
Q

GM-CSF

A
  • Granulocyte
    macrophage colony stimulating factor
  • Increase neutrophils, eosinophils, monocytes
  • Molgramostim (not in US), Sargramostim
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16
Q

EPO

A
  • Erythropoietin

- Increase RBCs

17
Q

SCF

A
  • Stem cell factor

- Increase pluripotent stem cells and progenitor for other cell types

18
Q

TPO

A
  • Thrombopoietin

- Increase platelets

19
Q

IL-11

A
  • Interleukin-11

- Increase platelets

20
Q

rhEPO

A
  • Epoetin alfa
  • Epoetin beta
  • Darbapoetin alfa
21
Q

rhG-CSF

A
  • Filgrastim (generic)
  • Neupogen
  • Granulokine
  • Gran
22
Q

rhGM-CSF

A
  • Sargramostim (generic)

- Leukine

23
Q

rhEPO

A
  • Epoetin alfa (generic)
  • Epogen
  • Procrit
  • Eso
  • Eprex
24
Q

formation and stability

A

All recombinant HGF preparations should be kept from freezing and should not be shaken as it may denature the proteins

25
Q

Filgrastim Formulation and Stability

A
  • single-use prefilled syringes for s.c. or i.v. administration
  • may be diluted with 5% dextrose but never diluted with saline because it leads to precipitation
26
Q

Sargramostim Formulation and Stability

A
  • supplied in vials or lyophilized powder (needs to be used immediately after reconstitution)
  • should be diluted with normal saline
27
Q

Epoetin Formulation and Stability

A

supplied as sterile solution for s.c. or i.v. administration

28
Q

Filgrastim Therapeutic use

A
  • White cell growth factor; increases neutrophil count rapidly
  • Mobilizes hematopoietic progenitor cells into the peripheral circulation
  • When discontinued, neutrophil count returns to baseline within 4 days
29
Q

Sargramostim Therapeutic use

A

increase the count of granulocytes, monocytes, macrophages, and T-lymphocytes

30
Q

Epoetin alfa Therapeutic use

A

In patients with anemia due to chronic renal failure, administration of Epoetin alfa increases reticulocyte counts within 10 days. This increase is followed by increases in RBC count, hemoglobin, and hemocrit

31
Q

General therapeutic use of HGFs

A
  • Chemotherapy induced neutropenia
  • Bone marrow or stem cell transplantation - AIDS
  • Anemia
  • Thrombocytopenia