Erythrokinetics and Erythropoiesis Overview
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Questions and Answers

Which condition is primarily associated with ineffective erythropoiesis?

  • Thalassemia (correct)
  • Acute leukemia
  • Renal disease
  • Iron deficiency

Which hormone is chiefly responsible for stimulating erythropoiesis?

  • Insulin
  • Erythropoietin (EPO) (correct)
  • Erythroferrone
  • Hemoglobin

What defines precursor cells in the context of erythropoiesis?

  • Cells that cannot be morphologically identified
  • Mature red blood cells
  • Morphologically identifiable cells (correct)
  • Immature hematopoietic cells

Which of the following is NOT a characteristic of erythropoietin (EPO)?

<p>Can be dialyzed (B)</p> Signup and view all the answers

What is one of the primary effects of erythropoietin on reticulocytes?

<p>Promotes early release from the bone marrow (C)</p> Signup and view all the answers

Which of the following conditions is characterized by a decrease in the number of RBC precursors in the bone marrow?

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

What is the normal half-survival time range for red blood cells labeled with chromium-51?

<p>28 to 38 days (C)</p> Signup and view all the answers

Which marker is associated with erythroid differentiation?

<p>CD71 (C)</p> Signup and view all the answers

Which stage follows the BFU-E in the red blood cell maturation process?

<p>CFU-E (C)</p> Signup and view all the answers

What hormone is produced by the ovaries that inhibits erythropoiesis?

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

What is the total time required for the entire maturation process from BFU-E to mature erythrocyte?

<p>18 to 21 days (A)</p> Signup and view all the answers

Which of the following hormones is not known to stimulate erythropoiesis?

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

Which type of cell corresponds with the intermediate stage of maturation known as Reticulocyte?

<p>It has identical staining characteristics to mature RBCs (A)</p> Signup and view all the answers

Which hormone, produced by the anterior pituitary gland, is known to stimulate EPOiesis?

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

Flashcards

Erythrokinetics

The study of red blood cell (RBC) production and destruction.

Ineffective Erythropoiesis

Production of faulty RBC precursor cells that die in the bone marrow before maturation.

Insufficient Erythropoiesis

Reduced production of RBC precursors, leading to fewer RBCs.

Progenitor Cells

Immature blood cells committed to a specific cell line, cannot be identified morphologically.

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Precursor Cells

Morphologically identifiable cells in the process of developing into mature blood cells.

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CD71

A marker for erythroid differentiation and transferrin receptor on erythroid cells.

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Erythropoietin (EPO)

The main hormone that stimulates red blood cell production, released primarily by the kidney.

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RBC Survival

The length of time red blood cells remain in circulation before they are removed and destroyed; typically measured using Chromium-51 labeling.

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Growth Hormone

A hormone produced by the anterior pituitary gland that stimulates EPOiesis (red blood cell production).

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Testosterone

A hormone produced by the Leydig cells in the testes that stimulates EPOiesis (red blood cell production).

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Estrogen

A hormone produced by the ovaries that inhibits EPOiesis (red blood cell production).

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BFU-E

Earliest committed progenitor cell for red blood cell development.

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CFU-E

The next stage after BFU-E in red blood cell development.

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Rubriblastic

A group of stages in RBC precursor development (Rubriblast - Prorubricyte - Rubricyte - Metarubricyte).

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Normoblastic

A group of stages in RBC precursor development (Pronormoblast to Orthochromatinc Normoblast).

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Erythroblastic

A group of stages in RBC precursor development (Proerythroblast to Orthochromatic Erythroblast).

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Reticulocyte

Immature red blood cell, not a precursor.

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Mature Erythrocyte

A fully developed red blood cell.

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Study Notes

Erythrokinetics

  • Erythrokinetics is the entire process of red blood cell (RBC) creation to death, lasting about 120 days.

Ineffective Erythropoiesis

  • This is the production of defective erythroid precursor cells.
  • These precursor cells often undergo apoptosis (programmed cell death) in the bone marrow before maturation to reticulocytes.
  • Examples of conditions include vitamin B12 deficiency, folate deficiency, thalassemia, and sideroblastic anemia.

Insufficient Erythropoiesis

  • This is a decrease in the number of RBC precursors in the bone marrow, resulting in decreased RBC production.
  • Examples of conditions causing this include iron deficiency (resulting in microcytic, hypochromic RBCs), renal disease (resulting in normo, normo RBCs), and acute leukemia.

Progenitor Cells

  • These cells are immature hematopoietic cells committed to a cell line.
  • They cannot be identified morphologically.

Precursor Cells

  • These cells are morphologically identifiable.
  • Examples include rubriblast and prorubricyte.

CD71

  • This is a marker of erythroid differentiation and is a part of erythroid cells.
Hormone Remarks
Erythropoietin (EPO) - Chief stimulatory cytokine for RBCs
- Major hormone that stimulates erythrocyte production
- Thermostable, nondialyzable, glycoprotein hormone
- Primary cell source: kidneys (tubular interstitial cells)
- Primary target cells: bone marrow (BM) →basophilic erythroblast & erythrocyte precursor cells
- EPO released from kidneys into blood in response to hypoxia (too little tissue oxygen)
- 3 major effects:
1. Early release of reticulocytes from bone marrow
2. Reduced cell maturation time in bone marrow
3. Prevention of apoptotic cell death (apoptosis rescue, major way EPO increases RBC mass)

RBC Survival

  • RBC survival can be determined by extracting a blood sample, labeling RBCs with chromium-51 (51Cr), inactivating excess 51Cr, and re-injecting the labeled RBCs into the patient.
  • Measurements of radioactivity in RBCs are made at specific times until over 50% of the activity has disappeared.
  • Results are commonly expressed as the 51Cr half-survival time.
  • Normal range is 28 to 38 days.

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Description

Explore the intricate process of erythrokinetics, including the production, maturation, and longevity of red blood cells. Understand the differences between ineffective and insufficient erythropoiesis, along with the role of progenitor and precursor cells. Ideal for students of hematology and related fields.

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