Lecture 6 Flashcards

1
Q

What is hematopoiesis?

A

The formation of blood cellular components

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2
Q

What is primitive hematopoiesis?

A
  • HSC-like cells emerge from yolk sac and migrate to the liver
  • cannot self-renew
  • makes nucleated erythrocytes and primitive MPs (to get rid of apoptotic cells)
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3
Q

What is definitive hematopoiesis?

A
  • @30 days post-fertilization
  • multipotent (can make ALL the blood cell types) hematopoietic stem cell adheres to aortic endothelium
  • fetal liver gets HSCs and becomes principle site
  • erythrocytes are anucleated and produce adult hemoglobin
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4
Q

What is the role of the adult liver in the immune system?

A

producing complement proteins and acute phase reactants that participate in innate responses

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5
Q

Which organs/bones are hematopoietic in a fetus, child and adult?

A

fetus: yolk sac, then liver/spleen, then bone marrow
child: all of the bones
after puberty: sternum, vertebrae, pelvis and ribs

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6
Q

What is the purpose of yellow bone marrow?

A

stores fats and provides sustenance

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7
Q

What is a bone marrow niche?

A

cellular/molecular micro-environments that provide signals to regulate the activities of HSCs

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8
Q

What is asymmetric cell division?

A

specific cell fate determinants are not distributed equally before the onset of division (eg mRNA, proteins)
- cleavage plane in mitosis is oriented so one daughter cell gets more and starts differentiation

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9
Q

What is environmental asymmetry?

A

one daughter cell receives from a distinct microenvironment that intiates differentiation, and goes through many rounds of cell division before process is complete

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10
Q

What is CXCL12?

A

chemokine that retains HSC in the endosteum niche

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11
Q

Why might someone need bone marrow/HSC transplant?

A
  • inherited immunodeficiency
  • bone marrow failures that cause deficiency
  • cancer treatments that damage bone marrow
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12
Q

What are the three main sources of HSCs?

A
  1. umbilical cord blood
  2. cytokine mobilized peripheral blood
  3. bone marrow
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13
Q

what are the advantages/disadvantages of harvesting HSCs via bone marrow?

A

good: Can isolate large numbers of HSCs for one procedure, can be done on emergency basis
bad: invasive, recovery for donor

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14
Q

How does cytokine mobilized peripheral blood harvesting work?

A
  • small number of HSCs leave the bone marrow and come back
  • G-CSF increased, causes proteolytic enzyme secretion and breaks down cell adhesion molecules between HSC and stromal cells
  • increase in HSC emigration
  • collected by aphresis (HSCs are skimmed off and blood is returned)
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15
Q

what are the advantages/disadvantages of harvesting HSCs via peripheral blood?

A

good: less invasive
bad: G-CSF injection, may require 2-3 procedures to collect enough, cannot be done on emergency basis

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16
Q

what are the advantages/disadvantages of harvesting HSCs via cord blood?

A

good: not invasive, lots of donors, no injections
bad: limited number of HSCs per sample