Hematopoiesis and Bone Marrow Structure
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Questions and Answers

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.

<p>EPO promotes erythroid proliferation and differentiation and is stimulated by tissue hypoxia.</p> Signup and view all the answers

What role do myeloid stem cells (CFU-GM) play in the immune system?

<p>They are the precursors for neutrophils, eosinophils, basophils, and monocytes.</p> Signup and view all the answers

Identify the type of growth factors involved in stimulating granulocyte production.

<p>Granulocyte colony stimulating factor (G-CSF) is involved in stimulating granulocyte production.</p> Signup and view all the answers

How do nutrients like iron and vitamins influence hematopoiesis?

<p>Nutrients such as iron, vitamin B12, and folic acid are crucial for the production of blood cells.</p> Signup and view all the answers

Discuss the role of thyroid hormones in hematopoiesis.

<p>Thyroid hormones increase hemoglobin levels and consequently stimulate erythropoiesis.</p> Signup and view all the answers

What is the outcome of the division of a pleuripotent hematopoietic stem cell?

<p>One cell replaces the stem cell (self-renewal), and the other commits to differentiation.</p> Signup and view all the answers

Define the differentiating lineages that arise from lymphoid stem cells.

<p>Lymphoid stem cells differentiate into B and T lymphocytes through intermediate stages.</p> Signup and view all the answers

Which organs are involved in prenatal hematopoiesis and at what stages?

<p>Hematopoiesis occurs in the yolk sac (0-2 months), liver and spleen (2-7 months), and bone marrow (5-9 months).</p> Signup and view all the answers

What are the two main components of bone marrow?

<p>The two main components of bone marrow are red marrow (parenchymal tissue) and stromal supportive tissue.</p> Signup and view all the answers

Define extramedullary hematopoiesis and its potential causes.

<p>Extramedullary hematopoiesis is the production of blood cells outside the bone marrow, typically occurring in severe cases such as chronic anemia.</p> Signup and view all the answers

What are the major cell types associated with erythropoiesis in red bone marrow?

<p>The major cell types associated with erythropoiesis include stem cells, CFUE, and various stages of erythroblasts, culminating in reticulocytes.</p> Signup and view all the answers

Identify the three blood cell lineages formed through hematopoiesis.

<p>The three blood cell lineages are erythrocytes (RBC), leucocytes (WBC), and thrombocytes (platelets).</p> Signup and view all the answers

Discuss the role of hematopoietic stem cells in blood cell production.

<p>Hematopoietic stem cells serve as the precursors for all blood cell types, capable of differentiating into various committed progenitor cells.</p> Signup and view all the answers

What happens to hematopoietic areas in the bones with low demand for blood cell production?

<p>Hematopoietic areas in the bones are replaced by fat cells when there is low demand for blood cell production.</p> Signup and view all the answers

List the sites of postnatal hematopoiesis in adults.

<p>In adults, hematopoiesis occurs in the vertebrae, ribs, sternum, skull, pelvic bones, and proximal ends of long bones.</p> Signup and view all the answers

Explain the significance of red blood cell indices in hemopoiesis assessment.

<p>Red blood cell indices are important for assessing the size, volume, and hemoglobin concentration of RBCs, aiding in diagnosing conditions like anemia.</p> Signup and view all the answers

What triggers the conversion of yellow marrow to red marrow?

<p>Increased demand for blood cell production triggers the conversion of yellow fatty marrow into active red marrow.</p> Signup and view all the answers

What are the roles of macrophages in hemopoiesis?

<p>Macrophages are involved in storing iron, denaturing aged red cells, releasing cytokines for hemopoiesis control, and providing defense mechanisms.</p> Signup and view all the answers

Describe the process of erythropoiesis including the fate of the orthochromatic normoblast.

<p>Erythropoiesis involves multiple stages of mitotic divisions leading to the expulsion of the nucleus from orthochromatic normoblasts, forming reticulocytes.</p> Signup and view all the answers

What does a low reticulocyte count indicate in a patient with anemia?

<p>A low reticulocyte count indicates decreased red cell production or ineffective erythropoiesis in the bone marrow.</p> Signup and view all the answers

What is the normal range for reticulocyte count and why is it important?

<p>The normal reticulocyte count is between 0.5-2.5%, and it is important for assessing erythropoietic activity in the bone marrow.</p> Signup and view all the answers

How is the mean corpuscular volume (MCV) calculated and what does it signify?

<p>MCV is calculated using the formula MCV = Htc (PCV) / Red cell count and it signifies the average volume of red blood cells.</p> Signup and view all the answers

Distinguish between hypochromic and normochromic red blood cells based on MCH values.

<p>Hypochromic red blood cells have an MCH value of less than 27 pg, while normochromic cells have an MCH value between 27-32 pg.</p> Signup and view all the answers

What does the mean corpuscular hemoglobin concentration (MCHC) represent?

<p>MCHC represents the average concentration of hemoglobin per unit volume of red blood cells.</p> Signup and view all the answers

What is the significance of Red Cell Distribution Width (RDW) in blood assessments?

<p>RDW indicates the degree of variation in red cell size, where increased RDW reflects anisopoikilocytosis.</p> Signup and view all the answers

List the main assessments performed to evaluate hematopoiesis.

<p>Main assessments include hematocrit, hemoglobin (Hb), CBC, blood film, reticulocyte count, bone marrow aspirate, and genetic tests.</p> Signup and view all the answers

What morphological features characterize mature erythrocytes?

<p>Mature erythrocytes are round, biconcave discs measuring about 7 to 8 μm in diameter.</p> Signup and view all the answers

Which committed precursor cell type is responsible for the production of platelets?

<p>Megakaryocyte stem cells</p> Signup and view all the answers

Which of the following factors does NOT play a role in the regulation of hematopoiesis?

<p>Thermoregulation</p> Signup and view all the answers

What is a key function of pleuripotent hematopoietic stem cells in the bone marrow?

<p>They self-renew and differentiate into various blood cell lineages.</p> Signup and view all the answers

Which structure is primarily responsible for the microcirculation within the bone marrow?

<p>Sinusoids</p> Signup and view all the answers

Extramedullary hematopoiesis might occur due to which of the following conditions?

<p>Severe anemia or blood disorders</p> Signup and view all the answers

Which type of committed precursor cell is the primary source of erythrocytes?

<p>Erythroblast</p> Signup and view all the answers

Which factor is NOT involved in the regulation of hematopoiesis?

<p>Spleen-derived growth factor</p> Signup and view all the answers

What is the primary function of hematopoietic stem cells?

<p>Differentiate into mature blood cells</p> Signup and view all the answers

Which of the following best describes the structural composition of red bone marrow?

<p>Includes four main parenchymal cell types</p> Signup and view all the answers

What triggers extramedullary hematopoiesis?

<p>Increased demand for blood cell production</p> Signup and view all the answers

At what stage does hematopoiesis begin in the fetus?

<p>5-9 months in bone marrow</p> Signup and view all the answers

Which of the following is a type of cell NOT present in red bone marrow?

<p>Chondrocytes</p> Signup and view all the answers

Which skeletal areas primarily contain active hematopoietic tissue in adults?

<p>All of the above</p> Signup and view all the answers

What happens to hematopoietic areas during periods of low blood cell production?

<p>They transform into adipose tissue</p> Signup and view all the answers

How do sickle cell disease or chronic anemia affect hematopoiesis?

<p>Lead to extramedullary hematopoiesis</p> Signup and view all the answers

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

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

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.

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