Haematopoiesis Flashcards

1
Q

RBCs:
1. no. in body?
2. lifespan?
3. how many per day?

A
  1. 20-30 trillion
    120 days
    4000million per day
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2
Q

3 reasons RBC count might need to change

A
  1. sudden need e.g. haemorrage, injury
  2. temp need e.g. at higher latitudes
  3. chronic need e.g. compensating for disease like Hb disorders
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3
Q

how many WBCs per day made

A

10,000 milion per day

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4
Q

how many platelets/ day made

A

400,000 million (dont last long)

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5
Q

too many platelets can cause what

A

gangrene, blocked vessels

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6
Q

OG stem cell

A

multipotent haematopoietic stem cell
partially differentiated cuz only blood cells

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7
Q

2 ways stem cells can differentiate

A

new precursors to blood cells
self renew to maintain stem cell number

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8
Q

why is proliferating and differentiating pool of stem cells so importnat

A

control rate of production

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9
Q

how many mature cells does a stem cell make

A

500,000 (19 cycles of proliferation)

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10
Q

what 2 cytokines affect early stem cell

A
  • stem cell factor
  • interleukin 3
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11
Q

what 3 cytokines act on cells further down

A
  • thrombopoietin
  • erythropoietin
  • GM-CSF
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12
Q

what cytokines control function of cells (ie act on more mature cells to specialise them)

A

G-CSF
M-CSF

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13
Q

for a steady state, how should initial stem cells divide

A
  • one should differentiate/proliferate
  • other should self replicate

(all depends on needs of body)

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14
Q

Stem cell niche

A
  • cytokines
  • adhesive proteins
  • supporting stromal cells
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15
Q

process from myeloid precursor to neutrophil

A

common myeloid precursor
myeloid blast cell
promyelocyte
myelocyte
metamyelocyte
neutrophil

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16
Q

chance of cell death in haematopoiesis and reason

A

40%
number of cells produced can be rapidly increased

17
Q

how come proliferating cells are protected form forming cnacer

A

cant self renew

18
Q

how does EPO work

A

responds to O2 levels,
= acts on RBC precursors, enhances their survival
= may inc total number of divisions made

19
Q

where is O2 level detected

A

in kidney, where EPO will be secreted from

20
Q

what does G-CSF control

A

neutrophil number and function

21
Q

how does G-CSF work

A

inc survival of precursors
inc maturation rate and granule formation = inc function

22
Q

ways G-CSF increases neutrophil function

A

inc their mobility
inc number of granuels
inc ability to stick to bacteria

23
Q

what does G-CSF respond

A

normally enough for baseline number of neutrophils
but if infection then will inc

24
Q

what does TPO affect

A

thrombopoietin = platelet production

25
Q

what cells does TPO act on

A

megakaryocytes
enhances survival of its precursors

26
Q

where is TPO made and how controlled

A
  • in liver
  • mature platelts bind and destroy TPO
27
Q

other than for TPO and EPO, what is major source of growth factors

A

stromal cells