Qq Flashcards

(47 cards)

1
Q

What is the primary function of red blood cells (erythrocytes)?

A

Carriage of oxygen by haemoglobin

Red blood cells are specialized for efficient oxygen transport.

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2
Q

What modifications allow red blood cells to facilitate oxygen passage?

A

Modified membrane and uncluttered cytoplasm

This allows for free and easy passage of oxygen in and out of the cell.

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3
Q

What is the consequence of red blood cells’ modifications?

A

Inability to regenerate or produce proteins efficiently

Unlike nucleated cells, red blood cells have limited regenerative capabilities.

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4
Q

What are the stages of haemopoietic cell differentiation?

A
  • Haematopoietic Stem Cells
  • Progenitor Cells
  • Precursor (Maturing) Cells
  • Mature (circulating) Blood Cells

Each stage has distinct characteristics and functions.

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5
Q

What percentage of total nucleated haematopoietic cells are progenitor cells?

A

3%

Progenitor cells are the first differentiation of stem cells.

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6
Q

What are the two types of common progenitor cells?

A
  • Common Myeloid Progenitor cell
  • Common Lymphoid Progenitor cell

CMP can become any type of blood cell except lymphocytes; CLP become lymphocytes.

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7
Q

What types of cells can the Common Lymphoid Progenitor (CLP) cells differentiate into?

A
  • T-Cells / T-Lymphocytes
  • B-Cells / B-Lymphocytes
  • Natural Killer (NK)-Cells / NK-Lymphocytes

These are critical components of the immune system.

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8
Q

What types of cells can the Common Myeloid Progenitor (CMP) cells differentiate into?

A
  • Neutrophils
  • Eosinophils
  • Basophils
  • Monocytes/Macrophages
  • Erythrocytes
  • Thrombocytes

CMP cells give rise to various blood cell lineages.

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9
Q

What is erythropoiesis?

A

The complex and finely regulated process of red blood cell formation

Erythropoiesis occurs in various sites including red bone marrow.

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10
Q

What is the estimated daily production of erythrocytes in a healthy person?

A

Approximately 10^12 new erythrocytes

This high production rate is crucial for maintaining oxygen transport.

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11
Q

What role do bone marrow macrophages play in erythropoiesis?

A

Provide cytokines and signals crucial for erythropoiesis

They promote maturation and proliferation of proerythroblasts.

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12
Q

What are erythroblastic islands?

A

Niches for erythropoiesis where several stages occur

They are important for the maturation of red blood cells.

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13
Q

What is the significance of adhesion molecules in erythropoiesis?

A

Promote close physical proximity of macrophages and red cell precursors

This interaction is crucial for effective erythropoiesis.

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14
Q

What are the stages of normoblast maturation?

A
  • Pronormoblast
  • Basophilic normoblast
  • Polychromatic normoblast
  • Orthochromatic normoblast
  • Reticulocyte
  • Mature RBC

Each stage reflects a progressive maturation process.

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15
Q

What are the requirements for erythropoiesis?

A
  • Erythropoietin
  • Iron or cobalt
  • Vitamins (B12, folate, C, E, B6, thiamine, riboflavin)
  • Hormones (Thyroxine, Androgens)

Deficiencies in these factors may lead to anemia.

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16
Q

What is erythropoietin (Epo)?

A

Primary regulator of erythropoiesis

It is a heavily glycosylated polypeptide produced mainly by the kidneys.

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17
Q

What stimulates the production of erythropoietin?

A

O2 tension in the tissues of the kidney

Low oxygen levels lead to increased Epo production.

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18
Q

What is the function of transcription factors GATA-1 and GATA-2 in erythropoiesis?

A

Initiate erythroid differentiation and enhance expression of erythroid-specific genes

They are activated by erythropoietin receptor stimulation.

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19
Q

What are the different globin genes involved in hemoglobin synthesis?

A
  • Alpha (α) and Zeta (ζ) on chromosome 16
  • Beta (β), Delta (δ), Epsilon (ε), and Gamma (γ) on chromosome 11

These genes code for different globin chains that combine to form hemoglobin.

20
Q

What is the molecular weight of Hb A?

A

68,000 daltons

Hb A is the dominant hemoglobin type in adult blood.

21
Q

What is the composition of adult hemoglobin A (HbA)?

A

Alpha2Beta2 (α2β2) globin chains

HbA comprises 96-98% of total adult hemoglobin.

22
Q

What does the hemoglobin-oxygen dissociation curve represent?

A

The relationship between O2 concentration and the percentage saturation of Hb with oxygen

This curve helps understand how oxygen is transported in the blood.

23
Q

What does P50 represent in the hemoglobin-oxygen dissociation curve?

A

Partial pressure of O2 at which Hb is 50% saturated with oxygen

Normal P50 is 26.6 mmHg.

24
Q

What happens to the hemoglobin-oxygen dissociation curve with increased affinity for oxygen?

A

The curve shifts to the left

This indicates that hemoglobin holds onto oxygen more tightly.

25
What is the significance of acidic and basic conditions on hemoglobin function?
Influences gaseous exchange and acid-base balance ## Footnote Hemoglobin's structure allows it to respond to changes in pH.
26
What is the partial pressure of oxygen (P50) at which hemoglobin is 50% saturated with oxygen?
26.6 mmHg ## Footnote P50 indicates the affinity of hemoglobin for oxygen; lower P50 means higher affinity.
27
What shifts the Hb-O2 dissociation curve to the left?
Increased affinity of Hb for oxygen ## Footnote This results in a decrease in P50.
28
What shifts the Hb-O2 dissociation curve to the right?
Decreased affinity of Hb for oxygen ## Footnote This results in an increase in P50.
29
What factors influence the normal position of the Hb-O2 dissociation curve?
* Concentration of 2,3-DPG * pH (H+ concentration) * CO2 levels * Structure of Hb in RBCs
30
What are the two main pathways for energy generation in red blood cells?
* Embden–Meyerhof pathway * Hexose monophosphate shunt
31
What is the primary outcome of the Embden–Meyerhof pathway?
Metabolism of glucose to lactate ## Footnote This pathway generates 2 ATP and NADH.
32
What does the hexose monophosphate shunt generate?
NADPH ## Footnote NADPH is linked with glutathione, maintaining the integrity of sulfhydryl groups.
33
What is the composition of the red cell membrane (RCM)?
* Lipids (40-50%): mainly phospholipids and cholesterol * Proteins (approximately 50%) * Carbohydrates (10%)
34
What role does cholesterol play in the red cell membrane?
Controls membrane fluidity
35
What is the function of Band 3 protein in the red cell membrane?
Major anion exchanger ## Footnote Band 3 facilitates the transport of anions like Cl- and HCO3-.
36
What is the primary function of peripheral membrane proteins in red blood cells?
Maintain cellular shape and provide structural support ## Footnote They include spectrin, ankyrin, and protein 4.1.
37
Which protein provides the primary linkage between the membrane skeleton and the lipid bilayer?
Ankyrin
38
What is the role of protein 4.1 in red blood cells?
Links the spectrin-actin membrane skeleton to the lipid bilayer
39
What is the permeability of the red cell membrane to water?
Freely permeable ## Footnote Water passes through via protein channels.
40
What type of ion pumps maintain concentration gradients in the red blood cell membrane?
* Na+/K+ ATPase * Ca2+ ATPase * Mg2+ ATPase
41
What is methemoglobinemia?
A condition where hemoglobin is oxidized to methemoglobin and cannot carry oxygen effectively
42
What are the clinical signs of methemoglobinemia when methemoglobin levels exceed 10%?
Cyanosis
43
What causes acquired methemoglobinemia?
Oxidation of heme iron due to exposure to oxidizing chemicals or drugs
44
What is the treatment for acquired forms of methemoglobinemia?
* Remove the cause * Antioxidants like ascorbic acid or methylene blue
45
What is carboxyhemoglobin?
Hemoglobin bound to carbon monoxide (CO) ## Footnote CO binds more readily to hemoglobin than oxygen.
46
At what level of carboxyhemoglobin do overt toxic signs of carbon monoxide poisoning usually appear?
15% - 20%
47
What are the assessment methods for erythropoiesis?
* Erythropoietin (Epo) * Soluble transferrin receptor (TfR) * Reticulocyte count * Full blood count * RBC indices * Blood smear examination * Bone marrow examination