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31 Cards in this Set

  • Front
  • Back

Sources of blood in bone marrow circulation

Nutrient artery


Periosteal branch of muscular artery

What is the site of hematopoiesis in the bone marrow?

Hematopoietic inductive microenvironment

Cells lining the abluminal surface

Reticulum cell


Macrophages


Fibroblast


Adipocyte

Functions of abluminal surface cells


-Reticulum cell synthesis & secrete the reticulin fiber


- fibroblast secrete collagen fibers


- secrete glycoaminoglycan


-Reticulin fibres and collagen fibers expresses receptors that are able to interact with early differentiating antigen on hematopoietic cells.This retains the early stage within the HIM


- cement tissue help concentrate hematopoietic growth factors

What are the cells that gives form to hematopoietic inductive microenvironment?

Glycoaminoglycan/ cement tissue


Reticulate fibers


Collagen

Example of early differentiating antigen

CD7

Example of hematopoietic growth factor

- Erythropoietin


- Thrombopoietin


-Granulocyte macrophage colony stimulating factor


- Granulocyte colony stimulating factor


- stem cell factor

List the site of hematopoiesis

- 0-2 months yolk sac


2-8 month - spleen


2month- near term : liver


Increase activity of bone marrow at 10- 12 weeks of fetal life shows increase amount of bone marrow


First two years of life- bone marrow of all bones


Adult- vertebrae, ribs, sternum, skull, sacrum and pelvis, proximal end of femur

What are stem cells?

They have the ability of self renewal and differentiation

What are precursor cells?

They are cells in the bone marrow that can be morphological identified

What are progenitor cells?

They are not morphological identified and are committed to becoming a given cell

Most primitive hematopoietic cell

Pluripotential stem cell

Most primitive hematopoietic cell

Pluripotential stem cell

Cells found at the core of the hematopoietic inductive microenvironment

Lymphopoiesis island

Cells found closest to abluminal surface of hematopoietic inductive microenvironment

Erythropoiesis and thrombopoietic island

Morphology of proerythroblast

-Large cell


-Large nucleus


-Coin circular nucleus(most important morphological identity)


-Thin rim of cytoplasm which is dark blue in color with no evidence of hemoglobin unless tested by feugen tests which reveals scanty hemoglobin


-membrane test positive for ABO blood group antigen

Red cell stem cell pool include

Pluripotential stem cell


GEMM stem cell

Red cell progenitor

Burst form unit erythroid


Colony forming unit erythroid

Characteristic of polychromatic erythroblast

-When stained with romanowski dye, hemoglobin stains red and due to presence of ribosomes it stains blue giving a pink end color. Giving the name polychrome.


- larger cytoplasm


-Reduced nucleus

Characteristics of orthochromatic erythroblast

-Perfect circular nucleus


-cytoplasm is nearly 100% hemoglobinized


-nucleus has become solidified and cannot undergo mitosis.


- it can only mature by removal of nucleus (enucleation)

Explain the concept of macrocyte

Impaired DNA synthesis, less mitotic stage, this will result in bigger cell

Explain the concept of megalobast

Impaired DNA synthesis, abnormalities in maturation of nucleus( shrinkage) , the cell is dividing but nucleus is not dividing.


The nucleus can still carry out transcription to form hemoglobin by translation such condition is nuclear cytoplasmic asynchrony seen in megaloblast

Explain the concept of microcytosis

During hemoglobin acquisition, transcription of corresponding RNA for hemoglobin subunit is required but if any genome for any subunit is deficient. They will be unavailability of hemoglobin and this will result in maturation of nucleus but cytoplasm is not maturing. The compensatory mechanism is increased mitosis resulting in smaller size.

Characteristic of reticulocytes

-Contain remnant of cytoplasmic ribosomes and incompletely extruded nuclear material


- when stained with romanowski dye, it shows large quantity if hemoglobin and slight blueish coloration therefor e it is referred to as polychromatic erythrocytes- it is capable of moving out of hematopoietic inductive microenvironment because it has lost its early detection antigen



- it is capable of moving out of hematopoietic inductive microenvironment because it has lost its early detection antigen


Explain the maturation process of reticulocyte

-Reticulocyte pass through the endothelial cells of hematopoietic inductive microenvironment into circulation through medullary and emissary vein because it has lost its early detection antigen .


- reticulocyte circular to spleen where final maturation occur by removal of ribosomes and fragment nucleus. This process is called the cupping function of spleen

Time for polychromatic cell to mature to orthchromatic cell

5 days

Time for reticulocyte to mature to erythrocytes

2 days

Summary of erythropoiesis

Pluripotential stem cell- myeloid committed stem cell- burst form unit erythrocytes- colony form unit erythrocytes- proerythroblast- basophilic erythroblast type 1- basophilic erythroblast type 2- polychromatic erythroblast- orthochromatic erythroblast- reticulocyte- erythrocytes

Summarize the process of platelet formation

Pluripotential stem cell- myeloid committed stem cell- burst forming unit megakaryocyte- colony forming unit megakaryocyte- megakaryoblast- megakaryocyte

Megakaryocyte matures by

endomitotic synchronous replication

Megakaryocyte matures by

endomitotic synchronous replication