Erythropoiesis and Bone Marrow Quiz

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Questions and Answers

What is the primary function of mature erythrocytes?

  • To transport nutrients from the intestines to cells
  • To deliver oxygen from the lungs to tissues and cells (correct)
  • To produce hormones for metabolism
  • To provide immunity against infections

What is a key morphological feature of mature erythrocytes?

  • Presence of multiple nuclei
  • Large size and round shape
  • Biconcave shape with an anucleated structure (correct)
  • High content of organelles

How long does it take for proerythroblasts to convert into mature erythrocytes?

  • 10 days
  • 2 days
  • 5 days
  • 7 days (correct)

Which of the following factors is essential for erythropoiesis?

<p>Intrinsic factor of Castle (A)</p> Signup and view all the answers

What happens to organelles during the maturation of erythrocytes?

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

What is the main characteristic of the pronormoblast in terms of hemoglobin synthesis?

<p>No hemoglobin is produced (A)</p> Signup and view all the answers

During which stage does hemoglobin synthesis begin?

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

What is the typical N/C ratio of the polychromatic normoblast?

<p>4:1 (C)</p> Signup and view all the answers

Which type of normoblast is characterized by having a small pyknotic nucleus and cannot synthesize DNA?

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

What does an increase in reticulocyte count indicate?

<p>Enhanced production of red blood cells (B)</p> Signup and view all the answers

What morphological feature can be seen in reticulocytes?

<p>Residual RNA in the cytoplasm (C)</p> Signup and view all the answers

What is the primary function of erythrocytes?

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

What is the significance of monitoring reticulocyte counts in newborns?

<p>To gauge bone marrow activity (A)</p> Signup and view all the answers

What is the primary function of erythropoietin in erythropoiesis?

<p>To stimulate maturation of red blood cell precursors (D)</p> Signup and view all the answers

Which stage of erythropoiesis follows the basophilic normoblast?

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

What significant change occurs to erythroid precursor cells during maturation?

<p>Disappearance of the nucleus (A)</p> Signup and view all the answers

What is the WBC to RBC ratio mentioned in erythropoiesis?

<p>1:500 (C)</p> Signup and view all the answers

What type of cells are derived from pluripotential haematopoietic stem cells?

<p>All types of blood cells (A)</p> Signup and view all the answers

Which of the following is the committed stem cell for erythrocytes?

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

Why is the reticulocyte significant in the process of erythropoiesis?

<p>They indicate active erythropoiesis when released prematurely (A)</p> Signup and view all the answers

What change in the size of cells is observed from CFU-E to mature erythrocytes?

<p>Decrease from 25 to 7.2 micrometers (A)</p> Signup and view all the answers

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Study Notes

Erythropoiesis

  • Process of red blood cell development from early precursor cells to mature red blood cells.
  • Erythropoietin is the primary regulator and stimulates red blood cell precursors to mature.
  • Adult livers and spleens produce RBCs when bone marrow is damaged or fibrosed.

Bone Marrow

  • Size equivalent to the liver in weight.
  • Produces blood cells, including 75% leukocytes and 25% erythrocytes.
  • The ratio of white blood cells to red blood cells is 1:500.
  • Red blood cells have a shorter life span than white blood cells.

Process of Erythropoiesis

  • Blood cells originate in the bone marrow from stem cells called pluripotential hematopoietic stem cells (PHSC).
  • PHSCs are uncommitted and give rise to all blood cells.
  • A small number of PHSCs remain undifferentiated to maintain the supply of stem cells.
  • Committed PHSCs develop from uncommitted stem cells and differentiate into specific types of blood cells.

Colony Forming Units (CFU)

  • CFU-E is a committed stem cell that forms erythrocytes.
  • CFU-GM forms granulocytes and monocytes (neutrophils, eosinophils, basophils).
  • CFU-M forms megakaryocytes which develop into platelets.

Changes During Erythropoiesis

  • CFU-E mature through four stages.
  • Cells decrease in size from 25 μm to 7.2 μm.
  • The nucleus and nucleoli disappear.
  • Hemoglobin production increases.
  • Cytoplasm staining properties change.

Stages of Maturation

  • Pronormoblast: The earliest and largest erythrocyte precursor cell with a large round nucleus and deeply blue-staining cytoplasm.
  • Basophilic Normoblast: Characterized by the beginning of hemoglobin synthesis and a deeply basophilic cytoplasm.
  • Polychromatic Normoblast: Shows an increased production of hemoglobin, resulting in a blue-gray to pink-gray cytoplasm.
  • Orthochromatic Normoblast: The last nucleated stage, with a small, dense nucleus and abundant red-orange cytoplasm.
  • Reticulocyte: An immature red blood cell with residual RNA.
  • Mature Erythrocyte: A biconcave 6-8 μm disc with a 120-day lifespan. It contains 90% hemoglobin and 10% water.

Mature Erythrocytes

  • Biconcave shape with a diameter of 7-8 μm.
  • Anucleated (lacks a nucleus).
  • Cytoplasm stains pink in color.
  • Reticular network disappears as the cell matures.
  • 7 days for proerythroblasts to become mature erythrocytes.
  • 5 days for proerythroblasts to become reticulocytes.
  • 2 days for reticulocytes to become mature erythrocytes.

Erythropoiesis Summary

  • Cell size, nucleus size, and basophilia decrease during maturation.
  • Organelles disappear, and the nucleus is extruded.
  • Ribosomes disappear in the transition from reticulocytes to erythrocytes.

Factors Necessary for Erythropoiesis

  • Classified into three categories:
    • General Factors: Erythropoietin, thyroxine, hemopoietic growth factors, and vitamins.
    • Maturation Factors: Vitamin B12, intrinsic factor, and folic acid.
    • Factors Necessary for Hemoglobin Formation: Iron.

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