Path Flashcards

(18 cards)

1
Q

What is the role of transferrin in iron transport?

A

Transferrin binds to iron absorbed through diet or released from circulation

Transferrin is known as the iron transfer protein.

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2
Q

What happens to iron-transferrin complexes during erythropoiesis?

A

They act as transferrin receptors on bone marrow erythroid cells and are internalized through receptor-mediated endocytosis

This process makes iron available for heme synthesis.

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3
Q

What occurs to the transferrin-receptor complex after iron is internalized?

A

It is recycled to the cell surface, releasing transferrin back into circulation

The transferrin receptor re-anchors into the cell membrane.

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4
Q

What happens to excess iron after hemoglobin synthesis?

A

It binds to apoferritin, forming ferritin

Ferritin serves as an iron storage protein.

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5
Q

What process do senescent RBCs undergo in the reticuloendothelial system?

A

They are phagocytosed and their hemoglobin is broken down

Globin and other proteins are returned to the amino acid pool.

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6
Q

How is iron transported back to transferrin after the breakdown of hemoglobin?

A

Iron is shuttled to the surface of the reticuloendothelial cell and taken up by transferrin via ferroportin

Ferroportin is an iron export channel.

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7
Q

What are the primary mechanisms by which iron is lost from the body?

A

Blood loss and loss of epithelial cells

Blood loss can occur via gastrointestinal bleeding, menstruation, or other forms of bleeding.

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8
Q

What is the normal daily iron loss from the body?

A

1-2 mg

There is no regulated excretory pathway for iron.

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9
Q

What happens to transferrin receptor mRNA concentration in iron deficiency anemia?

A

There is an increase in transferrin receptor mRNA concentration and synthesis

This is a compensatory response to iron deficiency.

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10
Q

Fill in the blank: The excess iron after hemoglobin synthesis binds to _______ to form ferritin.

A

apoferritin

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11
Q

True or False: The body has a regulated pathway for iron excretion.

A

False

Iron loss occurs only through blood loss and epithelial cell turnover.

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12
Q

What is the characteristic biopsy picture of schwannoma?

A

Hypocellular (Antoni B) and hypercellular areas (Antoni A)

The Antoni A area has nuclei of tumor cells aligned in palisading rows.

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13
Q

What are Verocay bodies?

A

Nuclear-free zones that lie between nuclear palisading in schwannoma

They are found in the Antoni A areas of schwannoma.

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14
Q

What is the correct term for the tumor type represented by the biopsy findings in the question?

A

Schwannoma

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15
Q

Which areas are present in a schwannoma biopsy?

A
  • Antoni A
  • Antoni B
  • Verocay bodies
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16
Q

True or False: Schwannoma is characterized by only hypercellular areas.

17
Q

Fill in the blank: The nuclei of tumor cells in Antoni A areas are aligned in _______.

A

palisading rows

18
Q

Which tumor type is characterized by the presence of both hypocellular and hypercellular areas?