Haemopoiesis Flashcards

(43 cards)

1
Q

Where does haemopoiesis predominantly occur in adult life

A

Bone marrow

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2
Q

Where does haemopoiesis occur in certain pathological conditions

A
  • Liver
  • Lymph nodes
  • Spleen
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3
Q

Where does haemopoiesis occur in the foetus

A
  • Bone marrow
    aswell as:
  • liver
  • spleen
  • lymph nodes
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4
Q

Where does haemopoiesis occur in the embryo

A

In the yolk sac

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5
Q

What is it called when haemopoiesis occurs in the bone marrow

A

Intramedullary

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6
Q

What is it called when haemopoiesis occurs o/s the bone marrow - in liver & spleen

A

Extramedullary

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7
Q

What area in the yolk sac has to form for there to be blood cell formation

A

A specialised zone - the area vasculosa

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8
Q

When does the mesoblastic/embryonic phase of blood formation commence

A

As early as week 2 - 3 of gestation

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9
Q

3 phases of haemopoiesis

A
  1. Mesoblastic/embryonic phase
  2. Hepatosplenic phase
  3. Myeloid/ bone marow phase
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10
Q

What happens during the Mesoblastic/Embryonic Phase

A
  • First few weeks of gestation until around 2 months, the yolk sac is the area of haemopoiesis
  • Primitive haemopoiesis occurs
  • Primitive Hb forms (Gower & Portland)
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11
Q

What happens during the Hepatosplenic Phase

A
  • Maximal at 4 months gestation
  • Major organs are being produced
  • Liver, spleen, thymus capable of producing rbcs at this stage
  • Hb F produced in the red cells
  • Rapid development = increased need for blood
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12
Q

What happens during the myeloid (bone marrow) phase

A
  • Occurs 5-9 months of gestation, continues through life
  • Bone marrow takes over & produces Hb A
  • Bone marrow the production site of rbcs for rest of life
  • Main Hb in adults is Hb A (little Hb A2 & Hb F)
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13
Q

What can happen if bone marrow collapses / is in diseased state

A

Haemopoiesis can revert to taking place in liver & spleen

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14
Q

The red bone marrow of what bones is where haemopoiesis occurs in adult life

A
  • Sternum
  • Hip bones
  • Pelvis
  • Ribs
  • Vertebrae
  • Femur
  • Cranium
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15
Q

What is yellow marrow for

A

Fat storage

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16
Q

What does haemopoiesis rely upon

A
  • Growth factors
  • Cytokines
  • Environmental factors
  • Amount of O2 in body
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17
Q

Lifespan of mature granulocytes in bloodstream

A

Hours

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18
Q

Lifespan of mature red cells in bloodstream

A

Weeks - months (120 days)

19
Q

What would increased blood cell production be as a result of

A

Increased number of cells required in response to increased demands - infection & blood loss

20
Q

What stem cell are all precursor cells derived from

A

The Haemopoietic Pluripotent stem cell

21
Q

What % of bone marrow population are stem cells

A

0.01% - 0.05%

22
Q

2 characteristic features of stem cells

A
  • Ability to proliferate & to self renew
  • Haemopoietic stem cell will proliferate & differentiate (develop into separate lineages), produce highly specialised cells which mature into mature blood cells
23
Q

Stages in haemopoeitic cell development

A
  1. Stem cell - capacity for self renewal & proliferation
  2. Differentiation - & lineage selection (specialisation)
  3. Maturation - non dividing cells develop in mature cells
  4. Functional - mature cells
  5. Cell death - apoptosis
24
Q

What does the pluripotent stem cell produce

A

Progenitor cells

25
What do Multipotent Colony Forming Cells proliferate into compared to what Uni Potent Progenitor Cells proliferate into
Multipotent: CFU-GEMM = CFU- granulocytes, erythrocytes, monocytes, megakaryocytes. Unipotent: CFU-E = CFU- erythrocytes.
26
Describe numbers of stem cells & immature progenitor cells in peripheral blood vs in bone marrow
In normal peripheral blood, stem cells & immature cells are found in v low numbers, lower than in the bone marrow
27
Blood from where is a rich source of stem & progenitor cells
Umbilical cord blood
28
What cell markers do stem cells possess
CD34 cell markers
29
Function of haemopoietic growth factors
* Hormones that regulate the proliferation & differentiation of haemopoietic progenitor cells and the function of red cells * Regulate balance between haemopoiesis and apoptosis * React to external stress such as infection/blood loss
30
Examples of Haemopoietic Growth Factors (Colony Stimulating Factors)
* EPO * G-CSF (granulocyte) * M-CSF (macrophage) * GM-CSF * IL (interleukin) 3 * Thrombopoietin * Stem cell factor * VE (vascular endothelial growth factor)
31
Factor - Site of Production - Target - Cells Produced: EPO
Factor = EPO Site of Production = Kidney Target = CFU-E Cells Produced = Red cells
32
Factor - Site of Production - Target - Cells Produced: GM-CSF
Factor = GM-CSF Site of production = fibroblast, macrophages, bone marrow, sromal cells, endothelial cells Target = CFU-GM Cells produced = granulocyte, macrophage, monocyte
33
34
Factor - Site of Production - Target - Cells Produced: G-CSF
Factor = G-CSF Sites of production = fibroblast, macrophages, bone marrow, sromal cells, endothelial cells Target = CFU-GM Cells produced = granulocytes
35
Factor - Site of Production - Target - Cells Produced: Thrombopoietin
Factor = thrombopoietin Sites of production = liver cells Target = CFU-Meg Cells produced = Megakaryocytes, platelets
36
Interphase; what happens at G0 stage
Cells rest & are not involved in proliferation
37
Interphase; what happens at G1 stage
Cells begin to commit to replication
38
Interphase; what happens at S stage
The DNA content doubles
39
Interphase; what happens at G2 stage
Cell organelles are copied & cytoplasmic volume increases
40
What is the key to the development of malignant diseases
Dysregulation of cell proliferation
41
What are therapeutic drug regimes designed to reduce a cell population based upon?
Often based upn their effect on the cell cycle - cell development may be stopped in G2 w/ resulting cell death
42
2 clinical applications of stem cells & growth factors
1. Stem cells harvested from blood transplanted to treat haematological malignancies 2. Haemopoietic growth factors produced by recombinant DNA technology used in tx of patients w/ cytopenias
43
3 growth factors used to treat cytopenias
1. EPO to treat anaemia in kidney failure patients (kidney makes EPO) 2. G-CSF & GM-CSF used to treat patients w/ v/ low WCC (leucopenia) 3. Thrombopoietin to treat thrombocytopenia