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What is the primary role of pleuripotent hematopoietic stem cells in hematopoiesis?
They give rise to all blood cells through self-renewal and differentiation.
Describe the origin of erythrocytes and their committed precursor cells.
Erythrocytes originate from the myeloid stem cells, specifically from the erythroid progenitor cells (CFU-E).
What factors tightly regulate the process of hematopoiesis?
Cytokines, hormones, growth factors, and nutrients are key regulators.
Explain the significance of erythropoietin (EPO) in hematopoiesis.
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What role do myeloid stem cells (CFU-GM) play in the immune system?
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Identify the type of growth factors involved in stimulating granulocyte production.
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How do nutrients like iron and vitamins influence hematopoiesis?
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Discuss the role of thyroid hormones in hematopoiesis.
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What is the outcome of the division of a pleuripotent hematopoietic stem cell?
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Define the differentiating lineages that arise from lymphoid stem cells.
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Which organs are involved in prenatal hematopoiesis and at what stages?
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What are the two main components of bone marrow?
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Define extramedullary hematopoiesis and its potential causes.
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What are the major cell types associated with erythropoiesis in red bone marrow?
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Identify the three blood cell lineages formed through hematopoiesis.
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Discuss the role of hematopoietic stem cells in blood cell production.
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What happens to hematopoietic areas in the bones with low demand for blood cell production?
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List the sites of postnatal hematopoiesis in adults.
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Explain the significance of red blood cell indices in hemopoiesis assessment.
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What triggers the conversion of yellow marrow to red marrow?
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What are the roles of macrophages in hemopoiesis?
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Describe the process of erythropoiesis including the fate of the orthochromatic normoblast.
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What does a low reticulocyte count indicate in a patient with anemia?
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What is the normal range for reticulocyte count and why is it important?
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How is the mean corpuscular volume (MCV) calculated and what does it signify?
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Distinguish between hypochromic and normochromic red blood cells based on MCH values.
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What does the mean corpuscular hemoglobin concentration (MCHC) represent?
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What is the significance of Red Cell Distribution Width (RDW) in blood assessments?
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List the main assessments performed to evaluate hematopoiesis.
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What morphological features characterize mature erythrocytes?
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Which committed precursor cell type is responsible for the production of platelets?
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Which of the following factors does NOT play a role in the regulation of hematopoiesis?
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What is a key function of pleuripotent hematopoietic stem cells in the bone marrow?
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Which structure is primarily responsible for the microcirculation within the bone marrow?
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Extramedullary hematopoiesis might occur due to which of the following conditions?
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Which type of committed precursor cell is the primary source of erythrocytes?
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Which factor is NOT involved in the regulation of hematopoiesis?
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What is the primary function of hematopoietic stem cells?
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Which of the following best describes the structural composition of red bone marrow?
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What triggers extramedullary hematopoiesis?
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At what stage does hematopoiesis begin in the fetus?
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Which of the following is a type of cell NOT present in red bone marrow?
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Which skeletal areas primarily contain active hematopoietic tissue in adults?
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What happens to hematopoietic areas during periods of low blood cell production?
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How do sickle cell disease or chronic anemia affect hematopoiesis?
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Study Notes
Hematopoiesis Sites
- Hematopoiesis: Production and development of all blood cells - erythrocytes, leukocytes, and thrombocytes.
- Prenatal (intrauterine)
- Yolk sac: 0-2 months
- Liver and spleen: 2-7 months
- Bone marrow: 5-9 months
- Postnatal (extrauterine)
- Infant: Bone marrow (all bones)
- Adult and elderly: Vertebrae, ribs, sternum, skull, pelvic bones, and proximal ends of long bones
Bone Marrow Structure
- Consists of red marrow (parenchymal tissue) and supportive tissue.
- Red bone marrow:
- Stem cells
- Erythropoiesis series cells (stem cell, erythroblast, reticulocyte)
- Myeloid series cells (stem cell, blast, promyelocyte, myelocyte, metamyelocyte, band cell, mature granulocyte)
- Megakaryocytes: Platelets precursors
- Stromal Supportive Tissue
- Bone trabeculae forming the architecture of bone marrow
- Network of microcirculation
- Supportive cells: Macrophages, fatty cells, dendritic cells, and fibroblasts
- Red bone marrow:
Stem Cell: Foundation of Hematopoiesis
- All blood cells are derived from pluripotent hematopoietic stem cells.
- Possesses the ability to proliferate, self-renew, and differentiate along several lineages.
- Hematopoiesis starts with stem cell division, where one cell replaces the stem cell (self-renewal) and the other differentiates.
- The capacity for self-renewal allows the lifelong continuation of hematopoiesis.
Stages of Hematopoiesis
- Myeloid and lymphoid stem cells originate from the pluripotent hematopoietic stem cell.
- Committed progenitors arise from myeloid and lymphoid stem cells, each having specific functions:
- Erythroid stem cells (CFU-E): Give rise to mature erythrocytes (RBC).
- Myeloid stem cells (CFU-GM): Precursors of neutrophils, eosinophils, basophils, and monocytes.
- Megakaryocytes stem cells: Thrombocytes (platelets) precursors.
Regulation of Hematopoiesis
- Hematopoiesis is tightly regulated by:
- Cytokines and interleukins
- Hormones
- Erythropoietin (EPO): Hormone produced by the kidney (90%) and liver (10%) that controls erythroid proliferation and differentiation. Secreted in response to tissue hypoxia.
- Thrombopoietin (TPO)
- Thyroid hormones: Increase hemoglobin levels with increased thyroid hormone levels.
- Androgen: Stimulates erythropoiesis, which is why hemoglobin levels are higher in males than females.
- Growth Factors: Colony growth factors (stem cell-GF, GM-GF, Monocytes GF, G-CSF, GM-CSF, PDF, FGF)
- Nutrients: Minerals (iron), Vitamins (B12, folic acid), Amino acids are crucial for blood cell production.
- Bone marrow microenvironment and supportive cells
- Macrophages play a vital role:
- Storage of iron in bone marrow
- Denaturation of aged red cells
- Release of cytokines and control hematopoiesis
- Defense mechanisms
- Macrophages play a vital role:
Erythropoiesis
- Mature red blood cells develop from erythroblasts in the bone marrow.
- Development involves multiple stages with four mitotic divisions, resulting in 16 mature red cells from each precursor cell.
- The nucleus is expelled from the orthochromatic normoblast, forming a reticulocyte.
- Reticulocytes still have remnants of ribosomal RNA in a cytoplasmic reticulum.
- After 1-2 days in the bone marrow and 1-2 days in peripheral blood, reticulocytes lose RNA and become mature, pink-staining erythrocytes.
Assessment of Hematopoiesis
- Hematocrit and Hb (PCV, hemoglobin)
- CBC (complete blood count): Erythrocytes count, leukocytes count, platelets count.
- Blood film: For cell morphology examination
- Reticulocyte count
- Bone marrow aspirate
- Genetic tests
RBC Indices
- MCV (Mean Corpuscular Volume): Average volume of RBC (80-100 fl)
- Microcytic: <80 fl
- Normocytic: 80-100 fl
- Macrocytic: >100 fl
- Calculation: MCV = Htc (PCV) / Red cells count
- MCH (Mean Corpuscular Hemoglobin): Average content of Hb in RBC (27-32 pg)
- Hypochromic: <27 pg
- Normochromic: 27-32 pg
- Calculation: MCH = Hb / total Red cell count
- MCHC (Mean Corpuscular Hemoglobin Concentration): Average concentration of hemoglobin per unit volume of RBC (32-36%)
- Calculation: MCHC = Hb / Htc (PCV)
- RDW (Red Cell Distribution Width): Degree of variation of red cell size
- Increased RDW reflects anisopoikilocytosis (variation in size and shape of red blood cells).
Hematopoiesis
- The process of blood cell formation.
- All blood cells are derived from pluripotent hematopoietic stem cells.
- Stem cells have the ability to proliferate, self-renew, and differentiate into different lineages.
- Hematopoiesis begins with stem cell division where one cell replaces the stem cell and the other differentiates.
- The capacity of self-renewal ensures lifelong continuation of the process.
- Hematopoiesis is classified into Erythropoiesis (RBC), Leucopoiesis (WBC), and Thrombopoiesis (platelets).
Stages of Hematopoiesis
- Myeloid and lymphoid stem cells originate from the pluripotent hematopoietic stem cell.
- Progenitor cells develop from myeloid and lymphoid stem cells.
- Myeloid stem cells produce red cells, granulocytes, monocytes, and platelets.
- Lymphoid stem cells produce B and T lymphocytes.
Committed Precursor Cells
- Erythroid stem cells (CFU-E): produce mature erythrocytes (RBC)
- Myeloid stem cells (CFU-GM): precursor for neutrophils, eosinophils, basophils, and monocytes
- Megakaryocytes stem cells: produce thrombocytes (platelets)
Regulation of Hematopoiesis
- Cytokines and interleukins: important for cell growth, differentiation, and survival
-
Hormones:
- Erythropoietin (EPO): produced by the kidney (90%) and liver (10%), controls erythroid proliferation and differentiation, secretion stimulated by tissue hypoxia.
- Thrombopoietin (TPO)
- Thyroid hormones: increase hemoglobin levels.
- Androgen: stimulates erythropoiesis, contributing to higher hemoglobin levels in males.
-
Growth factors:
- Colony growth factors: Stem cell-GF, GM-GF, Monocytes GF, G-CSF (granulocyte colony stimulating factor), GM-CSF (granulocyte monocyte colony stimulating factor)
- PDF, FGF
- Nutrients: essential for blood cell production: minerals (iron), vitamins (B12, folic acid), and amino acids
Developmental sites of Hematopoiesis
-
Prenatal (Fetus):
- First 2 months: Yolk sac
- 2-7 months: Liver and Spleen
- 5-9 months: Bone marrow
-
Postnatal (Extrauterine):
- Infant: Bone marrow (all bones)
- Adult and Elderly: Vertebrae, ribs, sternum, skull, pelvic bones, and proximal ends of long bones
Histology of Bone Marrow
- Bone marrow: consists of red marrow (parenchymal tissue) and supportive tissue.
-
Red bone marrow: contains 4 main cell types:
- Stem Cells
- Cells of erythropoiesis series (stem cell, CFU-E, erythroblast, reticulocytes)
- Cells of myeloid series (stem cell, CFU-M, blast, promyelocytes, myelocytes, metamyelocytes, band cells, and mature granulocytes)
- Megakaryocytes (precursor of platelets)
-
Stromal Supportive tissue: forms the environment for hematopoiesis
- Bone trabeculae: forms the architecture of bone marrow
- Bone marrow microenvironment
- Supportive cells: macrophages, fatty cells, dendritic cells, and fibroblasts
Macrophage Role in Hematopoiesis
- Storage of iron: within the bone marrow
- Denaturation of aged red cells
- Release of cytokines: to control hematopoiesis.
- Defense mechanism
Erythropoiesis
- The process of red blood cell development.
- Erythroblasts differentiate into mature red blood cells in the bone marrow.
- This involves multiple stages with four mitotic divisions, resulting in one precursor cell producing 16 mature red blood cells.
- The nucleus is expelled from the orthochromatic normoblast, forming a reticulocyte.
- Reticulocytes have remnants of ribosomal RNA in the form of a cytoplasmic reticulum.
- Reticulocytes mature within 1-2 days in the bone marrow and 1-2 days in the peripheral blood, losing RNA and becoming mature pink-staining erythrocytes.
Reticulocyte Count
- Used to assess erythropoietic activity of the bone marrow in cases of anemia.
- Low reticulocyte count indicates decreased red cell production or ineffective erythropoiesis.
- High reticulocyte count indicates effective red cell production in anemia.
- Normal count: 0.5-2.5%
Mature Erythrocyte
- Round biconcave disc, 7-8 μm in diameter.
- Contains various components including hemoglobin, enzymes, and membrane.
Red Blood Cell Indices
- Important for classifying anemia based on cell size, hemoglobin content, and variability.
-
MCV (Mean Corpuscular Volume): average red blood cell volume, 80-100 fl (femtoliters)
- Microcytic: < 80 fl
- Normocytic: 80-100 fl
- Macrocytic: > 100 fl
- Formula: MCV = Htc (PCV)/Red cells count.
-
MCH (Mean Corpuscular Hemoglobin): average hemoglobin content in each red blood cell, 27-32 pg (picograms)
- Hypochromic: < 27 pg
- Normochromic: 27-32 pg
- Formula: MCH = Hb/Total Red cell count.
-
MCHC (Mean Corpuscular Hemoglobin Concentration): average hemoglobin concentration per unit volume of red blood cell, 32-36%
- Formula: MCHC = Hb/Htc (PCV)
- RDW (Red cell Distribution Width): measurement of variation in red blood cell size, increased RDW reflects anisopoikilocytosis (variation in size and shape).
Assessment of Hematopoiesis
- Hematocrit (Hct) and Hb (PCV, hemoglobin): measure red blood cell volume percentage in blood and hemoglobin concentration in red blood cells.
-
CBC (Complete Blood Count): includes:
- Erythrocytes count
- Leukocytes count
- Platelets count
- Blood film: helps examine cell morphology, for example, size and shape of different cell types.
- Reticulocyte count: measures immature red blood cells in the blood.
- Bone marrow aspirate: examination of bone marrow cells.
- Genetic tests: help identify specific genetic factors.
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Description
This quiz covers the sites of hematopoiesis in both prenatal and postnatal stages, along with an overview of bone marrow structure. Understand the types of cells involved in blood production and the supportive tissue within bone marrow. Test your knowledge on how these components work together in the human body.