01 LEC: Hematopiesis Flashcards

1
Q

continuous, regulated process of renewal, proliferation, differentiation, and maturation of all blood cell lines

A

Hematopoiesis

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2
Q

Lifespan of RBC

A

120 days

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3
Q

3 stages of hematopoiesis

A

mesoblastic
hepatic
myeloid/medullary

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4
Q

mesoblastic period usually begins as early as __th day after fertilization in the ___ of the embryo

A

19
yolk sac

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5
Q

mesoblastic period usually lasts until the __ month and peaks at __-__ weeks

A

3rd
5-7

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6
Q

only ___ are made during the mesoblastic period

A

erythrocytes (primitive erythroblasts)

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7
Q

the erythroblasts during the mesoblastic period has hemoglobins, namely ___, ___, ___

A

Gower-1
Gower-2
Portland

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8
Q

Components of Gower-1

A

2 zeta, 2 epsilon

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9
Q

Components of Gower-2

A

2 alpha, 2 epsilon

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10
Q

Components of Portland

A

2 zeta, 2 gamma

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11
Q

the liver is an active hematopoiesis site until __-__ weeks after birth

A

1-2

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11
Q

during the hepatic period, the ___ becomes the chief site of blood cell

A

fetal liver

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12
Q

the hepatic period begins at around ___-___ gestational weeks and lasts until ___ months of gestation

A

5-7
6

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12
Q

this produces the B-cells to contribute to hematopoiesis

A

spleen

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12
Q

The only stage in hematopoiesis that occurs intravascularly

A

mesoblastic

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13
Q

this period is the beginning of definitive hematopoiesis

A

hepatic

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14
Q

this period is where the megakaryopoiesis begins

A

hepatic

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14
Q

the myeloid period begins at the __th to __th month of fetal development and peaks at the __th month

A

4-5
6

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14
Q

the predominant hemoglobin during the hepatic period are ___ and ___

A

hgbF and hgbA

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14
Q

by the end of ___ weeks of gestation, the bone marrow becomes the primary site of hematopoiesis

A

24

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15
Q

the ratio of myeloid to erythroid changes from ___ to ___ during the myeloid period

A

3:1 to 4:1

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15
Q

the period where detectable levels of EPO, G-CSF, and GM-CSF are found

A

myeloid

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15
Q

Hematopoiesis in the bone marrow is called ___ ___

A

medullary hematopoiesis

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16
Q

Hematopoiesis in areas other than the bone marrow is called ___ ___

A

extramedullary hematopoiesis

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17
The ratio of red marrow to yellow marrow (what is it called and what is the normal amount?)
Marrow cellularity 50:50
18
This condition causes a teardrop-shaped RBC in PBS
Primary myelofibrosis
19
What is it called when the bone marrow increases its activity 5-10x its normal rate
hyperplastic
20
A condition where erythropoiesis may increase to the extent that the marrow starts to erode the bone itself
Severe chronic anemia
21
Common values: Normocellular Hypercellular/hyperplastic Hypocellular/hypoplastic
30-70% >70% <30%
22
The ratio of granulocytes & their precursors to nucleated erythroid precursors (what is it called and give the normal value)
M:E ratio 2:1 - 4:1 (average of 3:1)
23
Give the M:E ratio for the ff: Infection
6:1
24
Give the M:E ratio for the ff: Leukemia
25:1
25
Give the M:E ratio for the ff: Myeloid hyperplasia
20:1
26
Give the M:E ratio for the ff: Myeloid hypoplasia
3:20
27
The liver contains phagocytic cells known as ___ ___ that act as a filter for damaged or aged cells in a manner similar to phagocytic cells in the spleen
Kupffer cells
28
T/F: the Kupffer cells is more effective in filtering damaged cells compared to phagocytic cells in spleen
F
29
This is formed from blood fluid that escapes into the connective tissues
Lymph
30
Lymph nodes are composed of ___, ___, and ___
lymphocytes macrophages reticular network
31
An infection or inflammation of the lymph node
Adenitis
32
Lymph nodes is responsible for ___ immunity
Adaptive
33
Structure of lymph node: inner area which contains plasma cells
medulla
34
Structure of lymph node: outer area which contains follicles with B lymphocytes
cortex
35
Structure of lymph node: contains T lymphocytes and macrophages
paracortex
36
B cells is responsible for ___ immunity
humoral
37
T cells is responsible for ___ immunity
cellular
38
Macrophages are responsible for ___ and ___ immunity
innate adaptive
39
Primary lymphoid include which organs?
Bone marrow and thymus
40
Secondary lymphoid include which organs?
Spleen, lymph nodes, mucosa-associated lymphoid tissues (Peyer's patches)
41
Markers for undifferentiated T cells
CD2, CD3, CD5, CD7
42
Marker for helper T cells
CD4
43
Marker for cytotoxic T cells
CD8
44
T/F: macrophages are antigen presenting cells, while dendritic cells are not
F (they both are)
45
T/F: dendritic cells are more effective than macrophages
T
46
This organ contains the largest collection of lymphocytes and mononuclear phagocytes in the body
Spleen
47
This process removes old and damaged cells
Culling
48
In this process, cells are phagocytized with subsequent degradation
Culling
49
This process is where splenic macrophages remove inclusions or damaged surface membrane from circulatory RBCs
Pitting
50
In which specific part of the splenic tissue are splenic macrophages synthesized?
Cords of billroth (red pulp)
51
Decreased RBC
anemia
52
Decreased WBC
leukopenia
53
Decrease in RBC, WBC, and platelet
Pancytopenia
54
Decrease in platelet
Thrombocytopenia
55
This organ is well developed at birth and increases in size until puberty at which time it starts to decrease in size
Thymus
56
This serves as a compartment for the maturation of T lymphocytes
Thymus
57
Part of the thymus where small lymphocytes and macrophages can be found
cortex
58
Part of the thymus where a few lymphocytes, macrophages, and epithelial cells can be found
medulla
59
The "holding zone" of the thymus which contains only 15% of mature T cells
medulla
60
Mass of the thymus as birth
12-15 g
61
Mass of the thymus during puberty
30-40 g
62
Mass of the thymus in adulthood
10-15 g
63
Characteristics of interleukins
1. proteins that exhibit multiple biologic activities 2. synergistic interactions with other cytokines 3. part of interacting systems with amplification potential 4. very effective at very low concentration
64
They are important in the complement cytokine function and help regulate adaptive and innate immune system
Chemokines (chemoctatic cytokines)
65
This triggers the production of EPO
Hypoxia
66
This theory states that all blood cells are derived from a single progenitor stem cell
Monophyletic theory
67
This theory states that each of the blood cell lineages is derived from its own unique stem cell
Polyphyletic theory
68
The more accepted theory
Monophyletic theory
69
Marker/s for common myeloid progenitor
CD38 CD33
70
marker for lymphoid progenitor
CD38 CD10
71
Marker/s for pluripotent HSC
CD34
72
Three fates of HSCs
Self-renewal Differentiation Apoptosis
73
Progenitor cells/Precursor cells: multipotent
Progenitor cells
74
Progenitor cells/Precursor cells: do not self-renew or have only an extremely limited capacity
Progenitor cells
75
Progenitor cells/Precursor cells: respond best to multiple cytokines
Progenitor cells
76
Progenitor cells/Precursor cells: "committed"
Precursor cells
77
Progenitor cells/Precursor cells: do not self-renew
Precursor cells
78
Progenitor cells/Precursor cells: respond best to one or 2 cytokines
Precursor cells
79
Progenitor cells/Precursor cells: still replicate until near terminal differentiation
Precursor cells
80
Progenitor cells/Precursor cells: progeny increasingly acquire specific differentiation markers and functions
Precursor cells
81
IL for common myeloid progenitor
1, 3, 6, 11
82
IL for common lymphoid progenitor
7
83
IL for granulocyte-monocyte progenitor
3
84
IL for eosinophil-basophil
3, 5
85
IL for megakaryocyte-erythrocyte
3