Blood and Hematopoiesis Overview
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Questions and Answers

What role do reticular cells play in the hematopoietic microenvironment?

  • They directly supply nutrients to blood cells.
  • They act as a barrier preventing blood cells from entering circulation.
  • They produce hormones that stimulate blood cell production.
  • They form a meshwork that supports developing hematopoietic cells. (correct)

How do mature blood cells enter peripheral circulation from the marrow?

  • Via active transport mechanisms in the cortical bone.
  • By binding to the nutrient artery before release.
  • By passing through apertures in the sinusoidal endothelium. (correct)
  • Through phagocytosis by reticular cells.

What is the function of the central longitudinal vein in marrow circulation?

  • It forms sinusoids that mix arterial and venous blood.
  • It connects directly to the periosteal arteries for nutrient exchange.
  • It collects blood from the venous sinuses and exits the marrow. (correct)
  • It delivers oxygen to the hematopoietic cells.

Which of the following arteries is responsible for exclusively supplying blood to the marrow?

<p>Nutrient artery (C)</p> Signup and view all the answers

The pores that blood cells pass through to enter circulation are located where?

<p>In the cytoplasm of endothelial cells. (B)</p> Signup and view all the answers

Which statement is true regarding the adventitial cells in the bone marrow?

<p>They can contract to facilitate the passage of blood cells. (D)</p> Signup and view all the answers

What connects the venous sinuses located in the endosteal bed to the central longitudinal vein?

<p>Collecting sinuses (C)</p> Signup and view all the answers

What supplies the nutrient and gas requirements of the bone marrow?

<p>Nutrient and periosteal arteries. (B)</p> Signup and view all the answers

What is the primary role of endothelial cells in the hematopoietic microenvironment?

<p>To regulate the flow of particles entering and leaving hematopoietic spaces (D)</p> Signup and view all the answers

Which type of cell in the stromal microenvironment is primarily associated with phagocytosis?

<p>Macrophages (C)</p> Signup and view all the answers

What anatomical feature distinguishes the blood supply of the marrow from other tissues?

<p>The presence of complex sinusoidal structures. (C)</p> Signup and view all the answers

Which cells are primarily responsible for initiating the movement of blood cells through the marrow's vascular components?

<p>Adventitial cells by contracting and relaxing. (D)</p> Signup and view all the answers

What component of the extracellular matrix primarily mediates progenitor binding to the stroma?

<p>Proteoglycans (A)</p> Signup and view all the answers

During which stage does the liver serve as the major site of blood cell production in hematopoiesis?

<p>Hepatic stage (D)</p> Signup and view all the answers

Which of the following stromal cells is NOT involved in bone formation or resorption?

<p>Macrophages (B)</p> Signup and view all the answers

Which cell type plays a role in maintaining the volume of the marrow necessary for active hematopoiesis?

<p>Adipocytes (A)</p> Signup and view all the answers

Which component in the hematopoietic microenvironment is essential for the formation of reticular fibers?

<p>Reticular cells (fibroblasts) (B)</p> Signup and view all the answers

In the context of the hematopoietic microenvironment, what is the primary function of osteoblasts?

<p>Bone formation (D)</p> Signup and view all the answers

What is the primary role of the macrophages in the red pulp of the spleen during the slow-transit pathway?

<p>To facilitate RBC hemolysis and metabolite removal (C)</p> Signup and view all the answers

Which of the following conditions is most likely to result in secondary hypersplenism?

<p>Congestive splenomegaly caused by cirrhosis of the liver (A)</p> Signup and view all the answers

Following splenectomy, which of these changes can be observed in the blood cell counts?

<p>Transient increase in platelet and leukocyte counts (C)</p> Signup and view all the answers

In the context of spleen function, what does autosplenectomy signify in sickle cell anemia patients?

<p>Repeated splenic infarcts leading to tissue damage (C)</p> Signup and view all the answers

What is a significant consequence of the increased environmental stress on RBCs as they pass through the spleen?

<p>Increased likelihood of hemolysis and subsequent removal from circulation (C)</p> Signup and view all the answers

What component specifically supports the hematopoietic cells within the bone marrow?

<p>Reticular cells (B)</p> Signup and view all the answers

What physiological process occurs as the bone marrow transitions from red to yellow marrow during early childhood?

<p>Retrogression (A)</p> Signup and view all the answers

During which age range do adipocytes start to increase in abundance within the bone marrow?

<p>5 to 7 years (D)</p> Signup and view all the answers

What type of marrow is primarily located in flat bones as active marrow is replaced?

<p>Red marrow (B)</p> Signup and view all the answers

Where do normoblasts predominantly cluster within the marrow microenvironment?

<p>Adjacent to vascular sinuses (C)</p> Signup and view all the answers

Which cells are primarily responsible for releasing platelets into the sinusoids?

<p>Megakaryocytes (B)</p> Signup and view all the answers

Which of the following is true about the inactive yellow marrow?

<p>It can revert back to active marrow under certain conditions. (C)</p> Signup and view all the answers

What is the role of trabeculae in the bone marrow?

<p>To provide support for developing marrow (B)</p> Signup and view all the answers

Which type of cells are located deep within the cords of red marrow and contribute to maturation of granulocytes?

<p>Immature myeloid cells (A)</p> Signup and view all the answers

What type of cells are primarily involved in forming a meshlike network within the perivascular space?

<p>Reticular cells (B)</p> Signup and view all the answers

What is the primary site of hematopoiesis by the end of the sixth month of gestation?

<p>Bone marrow (D)</p> Signup and view all the answers

What does the myeloid-to-erythroid ratio approach by 21 weeks of gestation?

<p>3:1 (B)</p> Signup and view all the answers

Which type of marrow is primarily composed of adipocytes in adults?

<p>Yellow marrow (B)</p> Signup and view all the answers

What are the two main types of hematopoietic tissue based on their functionality?

<p>Primary and secondary tissues (B)</p> Signup and view all the answers

What is the role of granulocyte colony-stimulating factor (G-CSF) during development?

<p>Promotes granulocyte production (B)</p> Signup and view all the answers

What organs and tissues primarily contribute to the proliferation and maturation of blood cells in adults?

<p>Bone marrow, lymph nodes, spleen, liver, and thymus (B)</p> Signup and view all the answers

Which lymphoid tissue is responsible for T and B cell derived maturation?

<p>Bone marrow (B)</p> Signup and view all the answers

Which of the following statements about fetal hemoglobin is correct?

<p>It can be detected by the end of the sixth month of gestation. (D)</p> Signup and view all the answers

What type of cells can be seen at various stages of maturation in the bone marrow?

<p>Erythroid, myeloid, and lymphoid cells (A)</p> Signup and view all the answers

Where does hematopoiesis primarily occur in adults following embryonic development?

<p>Bone marrow primarily with contributions from spleen and lymph nodes (B)</p> Signup and view all the answers

Flashcards

Hematopoietic Inductive Microenvironment (HIM)

A specialized microenvironment within bone marrow that supports the development and maintenance of blood-forming cells.

Endothelial Cells

Flat cells lining the inner surface of bone marrow sinuses, regulating the flow of cells and substances in and out of the hematopoietic spaces.

Adipocytes

Large cells containing a single fat droplet, involved in erythropoiesis (red blood cell production) and bone integrity.

Macrophages

Cells found throughout the bone marrow, responsible for engulfing debris and releasing signaling molecules that regulate blood cell production.

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Osteoblasts

Cells that form bone tissue.

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Osteoclasts

Cells that break down bone tissue.

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Reticular Cells

Cells that produce reticular fibers, forming a supporting network for the blood vessels and developing blood cells in bone marrow.

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Stromal Cells

The network of different cells and non-cellular components in bone marrow, essential for hematopoiesis.

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Mesenchymal cells

A type of embryonic tissue that migrates into the core of the bone and differentiates into skeletal and hematopoietic blood cells.

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Hematopoiesis

The process of blood cell formation.

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Bone marrow

The primary site of hematopoiesis in adults.

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Myeloid-to-erythroid ratio

The ratio of myeloid cells (granulocytes, monocytes) to erythroid cells (red blood cells) in bone marrow.

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Blood cell release from bone marrow

A process by which mature blood cells leave the bone marrow and enter the bloodstream.

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Bone marrow sinuses

Specialized blood vessels in the bone marrow that allow mature blood cells to pass into circulation.

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Adventitial cells

Cells lining the bone marrow sinuses, forming a discontinuous layer that allows blood cells to pass.

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Basement membrane

A thin layer of tissue found beneath the adventitial cells in bone marrow sinuses.

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Reticular filaments

Extensions of the reticular cells that form a supporting meshwork for developing blood cells in the bone marrow.

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Receptor-mediated binding

The process by which blood cells attach to the endothelial cells during their release into circulation.

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Pores in endothelial cells

Openings in the endothelial cells of bone marrow sinuses that allow blood cells to pass into circulation.

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Nutrient artery

An artery that supplies blood to the bone marrow.

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Central longitudinal vein

A vein that collects blood from the bone marrow.

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Rapid-transit pathway in the spleen

The pathway where blood cells enter the splenic artery and directly pass to the red pulp sinuses, then exiting the spleen via the venous system.

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Slow-transit pathway in the spleen

The pathway where red blood cells navigate through the red pulp, passing through cords lined with macrophages, before reaching the sinuses. This journey is slower and creates a stressful environment for RBCs.

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Hypersplenism

A condition characterized by an enlarged spleen leading to reduced blood cell counts (pancytopenia), despite a healthy bone marrow.

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Hemolysis

The process of red blood cells breaking down, often occurring in the spleen due to the stressful environment of the slow-transit pathway.

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Splenomegaly

Enlargement of the spleen, often occurring in conditions like chronic leukemias, genetic blood disorders, and infections.

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Reticular Network in Bone Marrow

A mesh-like network formed by reticular cells in bone marrow, providing support for developing blood cells, macrophages, and mast cells.

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Bone Marrow Retrogression

The process of replacing active red bone marrow with yellow bone marrow during growth, primarily occurring in long bones.

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Locations of Active Red Marrow in Adults

The specific areas where bone marrow primarily remains active in adults. These areas are crucial for blood cell production.

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Yellow Bone Marrow

The type of marrow primarily found in long bones of adults, composed of adipocytes, undifferentiated mesenchymal cells and macrophages; can revert to active marrow in cases of increased blood cell demand.

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Bone Marrow Cords

The extravascular cords within red marrow containing all developing blood cell lineages and stem cells, separated from the blood flow by endothelial and adventitial cells.

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Bone Trabeculae

Projections of calcified bone extending from cortical bone into the marrow space, providing support for the developing marrow.

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Normoblast Development

An area within the bone marrow cords where red blood cell precursors (normoblasts) develop in clusters, often near iron-laden macrophages.

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Megakaryocyte Location and Function

Large cells in bone marrow responsible for the production and release of platelets, typically located close to the blood sinuses.

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Immature Myeloid Cell Development

The location within the bone marrow cords where immature myeloid cells (granulocytic) develop, away from the blood sinuses.

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Hematopoietic Niche

Specialized areas within bone marrow that provide support for hematopoiesis, housing different types of developing blood cells, stem cells, and macrophages.

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Study Notes

Blood

  • Blood is a unique connective tissue with a liquid matrix (plasma)
  • Blood is denser and more viscous than water, with a slightly sticky feel
  • Blood temperature is 38°C (100.4°F), 1°C higher than oral/rectal
  • Blood pH ranges from 7.35 to 7.45, slightly alkaline
  • Blood comprises 20% of extracellular fluid, about 8% of total body mass
  • Average adult male blood volume: 5-6 liters (1.5 gallons)
  • Average adult female blood volume: 4-5 liters (1.2 gallons)
  • Blood functions include: transporting oxygen, carbon dioxide, nutrients, hormones, heat, and waste; regulating pH, body temperature, and water content; and protecting against blood loss (clotting) and disease (phagocytic white blood cells/antibodies).

Hematopoiesis

  • Hematopoiesis is a continuous process of blood cell production.
  • It involves cell renewal, proliferation, differentiation, and maturation.
  • It results in the development and specialization of all functional blood cells, which are released from the bone marrow into the circulation.
  • Two types are:
    • Primitive hematopoiesis: Blood cell production during the mesoblastic stage of development.
    • Definitive hematopoiesis: Begins during the fetal liver stage and continues throughout adult life. In adults, this process occurs mainly in the bone marrow.

Hematopoiesis Phases

  • Mesoblastic (Yolk Sac) Phase:

    • Starts around day 19 of embryonic development.
    • Progenitor cells migrate from the aorta-gonad-mesonephros region to the yolk sac.
    • These cells form hematopoietic stem cells, but not primitive erythroblasts.
  • Hepatic Phase:

    • Begins at 4-5 gestational weeks.
    • Characterized by developing erythroblasts (granulocytes and monocytes), signaling the beginning of definitive hematopoiesis.
    • Developing liver is the major site of hematopoiesis.
    • Continues until weeks after birth
    • Spleen, kidney, thymus, and lymph nodes also contribute.
    • Begins megakaryocyte production.
  • Medullary (Myeloid) Phase:

    • Occurs during the fifth month of fetal development.
    • Hematopoiesis begins in the bone marrow.
    • Mesenchymal cells differentiate into skeletal and hematopoietic blood cells.
    • Myeloid-to-erythroid ratio approaches the adult level (3:1) around week 21 of gestation.

Bone Marrow

  • Bone marrow is a major hematopoietic organ.
  • Consists of two types:
    • Red marrow: Hematopoietically active, found in sternum, skull, scapulae, vertebrae, ribs, pelvic bones, and proximal long bone ends.
    • Yellow marrow: Hematopoietically inactive, primarily composed of adipocytes (fat cells).

Spleen

  • The spleen is the largest lymphoid organ.
  • The spleen's functions include filtering blood, removing damaged or senescent red blood cells, and storing platelets.
  • There are three regions:
    • White pulp: Lymphoid tissue containing lymphocytes, macrophages, and dendritic cells.
    • Marginal zone: Reticular meshwork surrounding white pulp containing macrophages and specialized B cells.
    • Red pulp: Vascular sinusoids and cords of Billroth filled with macrophages filtering blood.
  • The spleen uses culling (phagocytosis) and pitting (removal of inclusions) to remove old or damaged red blood cells.

Lymph Nodes

  • Lymph nodes are bean-shaped structures located along lymphatic vessels.
  • They filter lymph, processing antigens and activating lymphocytes.
  • Lymph nodes have three main functions:
    • Forming new lymphocytes in germinal centers.
    • Processing immunoglobulins.
    • Filtering particulate matter and bacteria.

Thymus

  • The thymus is a primary lymphoid organ involved in T cell maturation.
  • It is located in the mediastinum and consists of two lobes.
  • It is populated by lymphoid cells but the epithelial cells remain connected to each other by desmosomes
  • Thymus tissue in adults is composed of cortex (progenitor lymphoid cells) and medulla (matured T lymphocytes).

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Explore the fascinating aspects of blood, including its unique properties, temperature, pH, and volume in the human body. Additionally, learn about hematopoiesis, the continuous process of blood cell production, and the significance of blood functions such as transport and protection.

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