Hematology Week 2 Study Notes
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Questions and Answers

What is the function of the demarcation system within a megakaryoblast?

  • Facilitates the division of the megakaryocyte cytoplasm into platelets. (correct)
  • Allows for the transport of nutrients and oxygen to the megakaryoblast.
  • Provides structure and support to the megakaryoblast.
  • Helps regulate the production of platelets from the megakaryocyte.
  • Which transcription factor is responsible for promoting megakaryocyte differentiation?

  • Both A and B
  • MYB
  • GATA-1 (correct)
  • Neither A nor B
  • What is the significance of platelet blebs?

  • They contribute to the formation of the demarcation system.
  • They are involved in the production of new megakaryocytes.
  • They facilitate the adhesion of platelets to damaged blood vessels. (correct)
  • They are responsible for the storage of platelet granules.
  • Which of the following characteristics distinguishes a promegakaryocyte from a megakaryoblast?

    <p>The appearance of nuclear lobularity (C)</p> Signup and view all the answers

    What is the typical size range of a megakaryocyte?

    <p>30-50 μm (D)</p> Signup and view all the answers

    What is the normal platelet count in adults?

    <p>150-400 x 109/L (A)</p> Signup and view all the answers

    Which of the following proteins can be detected in fully developed megakaryocytes via immunostaining?

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

    What is the primary source of Thrombopoietin (TPO)?

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

    Which of the following is NOT a characteristic of megakaryocytes in a normal bone marrow aspirate smear?

    <p>Presence of a single nucleus. (B)</p> Signup and view all the answers

    In a normal bone marrow aspirate smear, how many megakaryocytes are typically observed per 10x low power field?

    <p>2-4 (D)</p> Signup and view all the answers

    What is the approximate lifespan of platelets?

    <p>8-9 days (D)</p> Signup and view all the answers

    How does TPO regulate platelet production?

    <p>By binding to megakaryocytes and stimulating their differentiation and maturation (C)</p> Signup and view all the answers

    What is the relationship between plasma TPO levels and platelet count?

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

    What is the approximate number of platelets that a single megakaryocyte can shed?

    <p>2,000-4,000 (C)</p> Signup and view all the answers

    Which of the following cells are involved in the production of megakaryocytes?

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

    How does TPO influence megakaryocyte production in synergy with other cytokines?

    <p>By stimulating the differentiation of stem cells into megakaryocyte progenitors (A)</p> Signup and view all the answers

    Which of the following proteins are components of the GP Ib/IX/V complex?

    <p>GP1BA, GP1BB, GP5, GP9 (D)</p> Signup and view all the answers

    What is the function of the seven-transmembrane repeat receptors (STRS) in platelets?

    <p>To mediate outside-in signaling and activate platelets. (C)</p> Signup and view all the answers

    Which of the following is NOT a ligand for the seven-transmembrane repeat receptors (STRS)?

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

    What is the role of alpha granules in platelet activation?

    <p>To store fibrinogen and other clotting factors. (B)</p> Signup and view all the answers

    What is the consequence of increasing cytoplasmic calcium concentration in platelets?

    <p>Actin becomes filamentous and contractile. (D)</p> Signup and view all the answers

    Which of the following is a characteristic of intermediate filaments in platelets?

    <p>They are rope-like polymers with a diameter of 8 to 12 nm. (D)</p> Signup and view all the answers

    What is the approximate number of dense granules present in each platelet?

    <p>2 to 7 (A)</p> Signup and view all the answers

    What is the function of the proteins released from alpha granules during platelet activation?

    <p>To activate the coagulation cascade and promote clot formation. (D)</p> Signup and view all the answers

    What is the role of P-selectin in platelet activation?

    <p>P-selectin facilitates the binding of platelets to leukocytes. (A)</p> Signup and view all the answers

    What is the significance of the change in shape from discoid to round with pseudopods in activated platelets?

    <p>This change exposes more surface area for binding to other platelets and foreign surfaces. (A)</p> Signup and view all the answers

    What is the effect of shear forces on platelet activation?

    <p>Low shear forces inhibit platelet activation, while high shear forces stimulate it. (C)</p> Signup and view all the answers

    What is the role of phosphatidylserine in platelet activation?

    <p>Phosphatidylserine flips to the outer membrane layer of platelets, exposing it to coagulation factors. (B)</p> Signup and view all the answers

    What is the physiological significance of the membrane integrity loss and syncytium formation in activated platelets?

    <p>It allows for the formation of a stable platelet plug and contributes to the coagulation cascade. (A)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of platelet activation?

    <p>Formation of a demarcation system in the platelet cytoplasm. (C)</p> Signup and view all the answers

    What is the role of shear forces in platelet adhesion and aggregation?

    <p>High shear forces activate platelets, but low shear forces inhibit their aggregation. (A)</p> Signup and view all the answers

    What is the relationship between platelet activation and primary hemostasis?

    <p>Platelet activation is a part of primary hemostasis, the initial response to vessel injury. (A)</p> Signup and view all the answers

    What is the primary function of dense granules in platelets?

    <p>Release of calcium and serotonin (A)</p> Signup and view all the answers

    Which of the following receptors is NOT involved in platelet adhesion?

    <p>P2Y1 (B)</p> Signup and view all the answers

    How does thrombin activate platelets?

    <p>Cleavage of PAR1 and PAR4 receptors (C)</p> Signup and view all the answers

    Which of the following statements about α-granules and dense granules is TRUE?

    <p>Both types of granules contain the same integral proteins. (A)</p> Signup and view all the answers

    What is the role of the P2Y12 receptor in platelet activation?

    <p>Formation of stable platelet aggregates (C)</p> Signup and view all the answers

    Which of the following is a characteristic of P2Y1 signaling in platelets?

    <p>Decreased intracellular calcium levels (D)</p> Signup and view all the answers

    Which receptor family is NOT represented among the platelet membrane receptors discussed in the text?

    <p>Tyrosine kinase receptors (B)</p> Signup and view all the answers

    How many copies of the high-affinity ADP receptors P2Y1 and P2Y12 are found per platelet, on average?

    <p>600 (C)</p> Signup and view all the answers

    Which of the following molecules is NOT directly involved in platelet aggregation?

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

    How does P-selectin contribute to platelet activation?

    <p>It facilitates platelet binding to endothelial cells, leukocytes, and other platelets. (D)</p> Signup and view all the answers

    What is the primary function of thrombin in the context of platelet activation?

    <p>It cleaves platelet PAR1 and PAR4, triggering inside-out activation of integrin αIIbβ3. (C)</p> Signup and view all the answers

    Which of the following molecules is responsible for the dangerous condition called heparin-induced thrombocytopenia?

    <p>FcgIIA (CD32) (D)</p> Signup and view all the answers

    How does the activation of integrin αIIbβ3 contribute to platelet aggregation?

    <p>It facilitates platelet binding to fibrinogen and VWF, promoting platelet-to-platelet adhesion. (D)</p> Signup and view all the answers

    What is the significance of the “collagen and thrombin activated” or COAT platelet?

    <p>It represents a crucial stage in the platelet activation process, vital for cell-based coagulation. (A)</p> Signup and view all the answers

    What is the primary mechanism by which TXA2 and ADP influence platelet aggregation?

    <p>They are released from activated platelets and activate neighboring platelets. (D)</p> Signup and view all the answers

    Which of the following statements accurately describes the role of the SCCS (surface connected canalicular system) in platelet activation?

    <p>It mediates the release of P-selectin from the α-granule membranes to the surface of activated platelets. (D)</p> Signup and view all the answers

    Flashcards

    Plasma Membrane

    A lipid bilayer that surrounds and protects the cell, controlling entry and exit of substances.

    Platelets

    Non-nucleated blood cells involved in clotting, with a cellular concentration of 150 to 400 x 10^9/L.

    Megakaryocytes

    Large bone marrow cells that give rise to platelets, measuring 30 to 50 μm in diameter.

    Megakaryocyte Progenitors

    Cells that develop from common myeloid progenitors under GATA-1 influence to become megakaryocytes.

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    GATA-1

    A transcription factor influencing megakaryocyte development, playing a crucial role in differentiation.

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    MYB

    A transcription factor that suppresses megakaryocyte differentiation, opposing GATA-1's action.

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    Promegakaryocyte

    An intermediate stage in megakaryocyte development, identifiable by nuclear lobularity.

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    Normal Platelet Counts

    Typically ranges from 150 to 400 x 10^9/L, with variations related to gender and age.

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    Thrombopoietin (TPO)

    A hormone that stimulates the production of platelets from megakaryocytes.

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    Platelet lifespan

    The average duration platelets circulate in the blood, about 8 to 9 days.

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    Thrombocytopoiesis

    The process of platelet production through the shedding from megakaryocytes.

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    Von Willebrand factor

    A blood glycoprotein involved in hemostasis, aiding platelet adhesion.

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    Proplatelet processes

    The formation of proplatelets, which give rise to platelets from megakaryocytes.

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    Cytoplasmic coagulation factors

    Proteins involved in blood coagulation found in megakaryocytes.

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    Inverse relationship of TPO and platelet count

    High platelet count leads to lower TPO levels and vice versa.

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    Thrombin

    A protease that activates platelets by cleaving PAR1 and PAR4 receptors.

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    PAR1 and PAR4

    Protease-activated receptors cleaved by thrombin, facilitating platelet activation.

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    G-Proteins

    Molecular switches activated by thrombin that trigger platelet signaling pathways.

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    Dense Granules

    Platelet structures releasing contents upon activation, aiding in clotting.

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    ADP Receptors (P2Y1, P2Y12)

    High-affinity receptors that play roles in platelet activation and aggregation.

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    P2Y1 Function

    Increases intracellular calcium, starting the activation process of platelets.

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    P2Y12 Function

    Decreases cyclic AMP, enhancing platelet activation and aggregation.

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    Integrin Family

    A group of receptors in platelets aiding in cell adhesion and activation.

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    PECAM (CD31)

    A molecule that mediates adhesion between platelets and endothelial cells.

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    FcgIIA (CD32)

    A low-affinity receptor for immunoglobulin that aids in platelet function.

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    P-selectin (CD62)

    An adhesion molecule facilitating platelet binding to other cells.

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    Tissue Factor

    A protein that initiates coagulation by activating thrombin upon injury.

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    Collagen and Thrombin Activated

    The state of platelets that enhances their clotting ability in coagulation.

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    TXA2 and ADP

    Platelet activators that promote aggregation by activating neighboring platelets.

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    Integrin αIIbβ3 (GP IIb/IIIa)

    A receptor that binds fibrinogen and VWF, crucial for platelet aggregation.

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    Platelet Cytoplasm

    Constitutes 20% to 30% of the platelet, contains actin and filaments.

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    Actin in Platelets

    Globular in resting platelets; becomes filamentous as calcium rises.

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    Intermediate Filaments

    Rope-like polymers in platelet cytoplasm; include desmin and vimentin.

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    α-Granules

    50 to 80 per platelet; contain proteins and support clotting.

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    Seven-Transmembrane Receptors (STRs)

    Proteins that interact with ligands to activate platelets.

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    Platelet Activation

    Occurs when granules release substances that promote adhesion and coagulation.

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    P-selectin

    A protein that moves to the surface of platelets to facilitate binding with leukocytes during activation.

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    Platelet shape change

    Platelets change from discoid to round shape with pseudopods to increase surface area for adhesion.

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    Shear force

    The force exerted by blood flow on vessel walls, critical for platelet adhesion and aggregation.

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    Shear rate threshold

    Platelet adhesion and aggregation require shear rates over 1000 s-1 for effective primary hemostasis.

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    Phosphatidylserine flipping

    The movement of phosphatidylserine to the outer membrane layer of platelets, indicating activation.

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    Primary hemostasis

    The first response of platelets to blood vessel injury, crucial for stopping bleeding.

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    Syncytium formation

    Loss of membrane integrity during aggregation leads to a merged cell structure in activated platelets.

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    Vascular matrix

    The structural framework in blood vessels to which platelets adhere during the clotting process.

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    Study Notes

    Hematology - Week 2 Study Notes

    • Platelets are non-nucleated blood cells, circulating at a concentration of 150 to 400 x 109/L.
    • Platelet counts are slightly higher in women than in men, and lower in both sexes who are older than 65.
    • Platelets arise from megakaryocytes in the bone marrow.
    • Megakaryocytes are the largest cells in the bone marrow, with 30 to 50 µm diameter, a multilobulated nucleus, and abundant granular cytoplasm.
    • A normal Wright-stained bone marrow aspirate smear shows 2-4 megakaryocytes per 10x magnification low power field.
    • Megakaryocyte development involves endomitosis, a type of cell division where DNA replicates but the cell doesn't divide.
    • Megakaryocytes mature through several stages, including megakaryoblast, promegakaryocyte, and megakaryocyte, characterized by increasing nuclear lobularity and cytoplasmic maturation.
    • Megakaryocyte progenitors arise from common myeloid progenitors under the influence of GATA-1.
    • Thrombopoietin (TPO) is a hormone critical for megakaryocytopoiesis and thrombopoiesis.
    • Platelets circulate for 8-9 days.
    • A single megakaryocyte can shed 2,000-4,000 platelets.
    • Platelet activation involves adhesion, aggregation, and secretion.
    • Platelet adhesion: Platelets bind to components of the vascular matrix (e.g., collagen, von Willebrand factor).
    • Platelet aggregation: Platelets adhere to each other forming aggregates.
    • Platelet activation leads to the release of granular contents containing various factors like thromboxane A2 (TXA2), adenosine diphosphate (ADP), and other vasoactive substances that mediate the clotting cascade.
    • Platelet activation triggers a shape change from discoid to more spherical with pseudopods, increasing interaction with other surfaces.
    • Platelets have various receptors including integrins (GPIIb/IIIa, GPIb/IX/V, GPVI) for adhesion and activation.
    • Platelet activation can be triggered by various factors (e.g., thrombin, ADP, collagen).
    • Platelets release factors involved in inflammation, oxidative stress, angiogenesis and thrombosis.
    • Platelets have diverse surface proteins (including GPIb/IX/V and GPVI) specialized to bind various components of the vessel wall and blood to mediate adhesion and aggregation.
    • Platelet granules contain various substances involved in platelet activation and blood coagulation.
    • Platelet structure reflects specific functions, with a specialized cytoskeleton and a surface membrane with various receptors maintaining its shape.

    Platelet Structure and Function

    • Platelet cytoplasm contains membrane-bound granules like alpha granules (α-granules), dense granules, and lysosomes.
    • Alpha granules contain clotting factors, growth factors, and other proteins.
    • Dense granules contain ADP, ATP, serotonin, and calcium.
    • Lysosomes contain enzymes.
    • Platelet cytoskeleton consists of microtubules and microfilaments crucial for maintaining shape.
    • The platelet membrane has a phospholipid bilayer structure with integral and peripheral proteins.
    • Receptors on the platelet membrane are vital for interaction with the vasculature.
    • Platelet activation involves changes in shape and release of granule contents.
    • Platelets play a role in primary hemostasis.

    Platelet Activation Pathways

    • There are numerous pathways activated through the binding of various agonists with their specific receptors.
    • Activation initiated from the outside-in pathway is the binding of collagen, von Willebrand factor or specific receptors.
    • The inside-out pathway is through membrane receptors like thrombin and ADP, mediating platelet activation.
    • Activated platelets facilitate aggregation.
    • Cyclooxygenases convert arachidonic acid to thromboxane A2 or prostacyclin, crucial for hemostasis.
    • Platelets through a series of reactions that amplify initial stimuli with positive feedback loops, resulting in coordinated actions that are essential for wound healing.

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    Description

    Explore the intricate details of platelets and their development in this Week 2 study guide for Hematology. Understand the relationship between platelet counts and demographics, the characteristics of megakaryocytes, and the developmental stages they undergo. Perfect for students and professionals looking to deepen their knowledge in blood cell physiology.

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