Hematopoiesis and Erythropoiesis Overview

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Questions and Answers

What is the primary site of haemopoiesis during the fetal stage between 2 to 7 months?

  • Yolk sac
  • Bone marrow (correct)
  • Lung tissue
  • Liver and spleen (correct)

Which of the following structures is NOT involved in haemopoiesis during fetal life?

  • Liver
  • Yolk sac
  • Placenta (correct)
  • Bone marrow

Which of the following is true about adult sites of haemopoiesis?

  • Only occurs in the long bones
  • Is limited to the femur
  • Only occurs in the vertebrae
  • Occurs in the vertebrae, ribs, and pelvis (correct)

What is the approximate ratio of haemopoietic stem cells to nucleated cells in bone marrow?

<p>1 in every 20 million (B)</p> Signup and view all the answers

What is a characteristic of the haemopoietic stem cell?

<p>Is CD34+ CD3- and resembles a small or medium-sized lymphocyte (B)</p> Signup and view all the answers

In infants, what is the predominant site for haemopoiesis?

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

What happens to the fatty marrow in case of certain diseases?

<p>It can revert back to haemopoiesis (B)</p> Signup and view all the answers

What is the primary site of haemopoiesis during the first few weeks of gestation?

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

Which type of cells do haemopoietic stem cells differentiate into?

<p>Various blood cell lineages (B)</p> Signup and view all the answers

Which cells are primarily formed during erythropoiesis?

<p>Red blood cells (D)</p> Signup and view all the answers

At what stage of life does the fetal bone marrow become the predominant site of blood cell formation?

<p>6 to 7 months of fetal life (D)</p> Signup and view all the answers

Haemapoietic stem and progenitor cells are initially observed in which region?

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

During normal childhood, what happens to the bone marrow over time?

<p>It undergoes progressive fatty replacement. (A)</p> Signup and view all the answers

Where is haemopoietic marrow primarily located in adult life?

<p>In the central skeleton and proximal ends of femurs and humeri (C)</p> Signup and view all the answers

What is myelopoiesis associated with the formation of?

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

What type of cells are haemangioblasts believed to be precursors to?

<p>Haemopoietic and endothelial cells (D)</p> Signup and view all the answers

What is the primary role of haemopoietic growth factors?

<p>To regulate proliferation and differentiation of haemopoietic progenitor cells (B)</p> Signup and view all the answers

What occurs during the self-renewal process of stem cells?

<p>One daughter cell becomes a differentiated cell while the other remains a stem cell (C)</p> Signup and view all the answers

Which transcription factor is mentioned as important for erythropoietic differentiation?

<p>GATA-1 (B)</p> Signup and view all the answers

How do early committed progenitors commit to specific cell lineages?

<p>By receiving external signals and expressing low levels of transcription factors (A)</p> Signup and view all the answers

What effect do haemopoietic growth factors have on mature blood cells?

<p>They prevent apoptosis and may stimulate differentiation (A)</p> Signup and view all the answers

What initiates haemopoiesis?

<p>Stem cell division resulting in self-renewal (C)</p> Signup and view all the answers

How many mature blood cells can one stem cell produce after 20 cell divisions?

<p>1,000,000 (A)</p> Signup and view all the answers

Which of the following statements accurately describes the behaviour of haemopoietic growth factors?

<p>They can bind to the extracellular matrix to form niches (A)</p> Signup and view all the answers

Which component is NOT part of the bone marrow's stromal cells?

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

What role do glycoproteins in the extracellular matrix play in relation to stem cells?

<p>They provide specific recognition and adhesion for stem cell binding. (B)</p> Signup and view all the answers

What determines the cell lineage selected for differentiation in progenitor cells?

<p>Random chance and external signals received (A)</p> Signup and view all the answers

Which growth factor is expressed on the stroma and is essential for stem cell survival?

<p>Stem cell factor (SCF) (B)</p> Signup and view all the answers

What type of cells are considered critical in the formation of stromal cells?

<p>Mesenchymal stem cells (A)</p> Signup and view all the answers

Which statement about adult stem cells is accurate?

<p>Adult stem cells are pluripotent and can generate various types of tissue. (D)</p> Signup and view all the answers

What must cells do to exit the bone marrow?

<p>Cross the microvascular network. (B)</p> Signup and view all the answers

What is the main purpose of the extracellular matrix in the bone marrow?

<p>To provide a suitable environment for stem cell growth. (B)</p> Signup and view all the answers

What role do granulocyte colony-stimulating factor (G-CSF) and granulocyte-macrophage colony-stimulating factor (GM-CSF) play in hemopoietic stem cell transplants?

<p>They are involved in the mobilization of stem cells. (A)</p> Signup and view all the answers

Which chemokine is critical for the process of stem cell homing?

<p>Stromal-derived factor (SDF-1) (D)</p> Signup and view all the answers

Which type of stem cell is capable of generating all tissues of the body?

<p>Totipotent stem cell (A)</p> Signup and view all the answers

What types of tissues can donor cells contribute to according to studies?

<p>Liver, muscle, and neurons (A)</p> Signup and view all the answers

What is the primary limitation of donor bone marrow cells in relation to non-hemopoietic tissues?

<p>Their contribution to non-hemopoietic tissues is limited. (B)</p> Signup and view all the answers

Which statement about pluripotent stem cells in postnatal life is accurate?

<p>Their persistence is generally low. (D)</p> Signup and view all the answers

What characterizes specialized adult stem cells as indicated in the content?

<p>They are generally multipotent. (A)</p> Signup and view all the answers

What is a common misconception about the contribution of donor cells to tissues?

<p>Donor cells have a negligible impact on non-hemopoietic tissues. (B)</p> Signup and view all the answers

What is the primary role of stem cells in hemopoiesis?

<p>They self-renew and give rise to different cell types. (D)</p> Signup and view all the answers

What happens to cells as they mature in the bone marrow?

<p>They lose the capacity for self-renewal. (A)</p> Signup and view all the answers

Which type of cells are produced from a single stem cell during hemopoiesis?

<p>Over a million mature cells. (D)</p> Signup and view all the answers

What type of precursor do lymphocytes differentiate from?

<p>Common lymphoid precursor. (B)</p> Signup and view all the answers

How does the bone marrow maintain cellularity in a healthy state?

<p>By balancing stem cell self-renewal and differentiation. (A)</p> Signup and view all the answers

What is true about progenitor cells in the context of hemopoiesis?

<p>They have limited differentiation potential compared to stem cells. (A)</p> Signup and view all the answers

In hemopoiesis, what is a characteristic of mature cells?

<p>They arise from differentiated progenitor cells. (C)</p> Signup and view all the answers

Which statement about bone marrow is correct?

<p>It is the primary site of origin for different blood cells. (B)</p> Signup and view all the answers

Flashcards

Haemopoiesis

The process of blood cell formation.

Fetal Haemopoiesis

Blood cell formation in the fetus, shifting from yolk sac to liver/spleen and eventually to bone marrow.

Extramedullary Haemopoiesis

Blood cell formation outside the bone marrow, often in the liver and spleen, triggered by disease conditions.

Yolk sac

The primary site of haemopoiesis in early fetal development.

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AGM region

Aorta-gonads-mesonephros region, source of definitive haemopoietic stem cells.

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Bone Marrow (blood-making)

Major site of blood cell production in adults and infants; vertebrae, ribs, sternum, skull etc.

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Haemopoietic Stem Cell

Rare, pluripotent cell in bone marrow, the ancestor of all blood cells.

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Bone marrow

The primary site of haemopoiesis in later fetal, child and adult life.

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Haemangioblasts

Common precursors of both endothelial and haempoietic cells.

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Pluripotent Stem Cell

Stem cell able producing cells of multiple types

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Committed Haemtopoietic Progenitor Cells

Specialized cells in development from the stem cell, limited to certain lineage potential.

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Erythropoiesis

The formation of red blood cells.

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CD34+ CD38-

Identifying markers for haemopoietic stem cells, found on immunological testing.

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Myelopoiesis

The formation of granulocytes and monocytes.

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Thrombopoiesis

The formation of platelets.

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Haemopoietic stem cells

Cells capable of differentiating into all types of blood cells.

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Bone Marrow Stroma

The supportive tissue in bone marrow that surrounds blood cells.

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Haematopoiesis

The process of blood cell formation

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Stem cells

Cells with the ability to renew themselves and differentiate into other cell types.

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Progenitor cells

Cells that are committed to differentiating into specific blood cell types.

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Self-renewal

The ability of stem cells to replicate themselves.

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Differentiation

The process by which cells become specialized into mature blood cell types.

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Bone marrow

Primary site of blood cell formation and development.

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Mature cells

The final, specialized blood cells.

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Bone marrow stroma

Supportive tissue in the bone marrow.

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Colony-forming unit

A precursor cell that forms a colony of blood cells

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Stem cell amplification

A single stem cell can produce millions of mature blood cells through many divisions

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Bone marrow microenvironment

The bone marrow provides a supportive environment for stem cell survival, growth, and development, comprised of stromal cells and a network of blood vessels.

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Stromal cells

Cells in bone marrow that support stem cell growth, including adipocytes, fibroblasts, endothelial cells, and macrophages.

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Extracellular matrix

A network of proteins and other molecules secreted by stromal cells that maintains the structure of bone marrow and provides support and signals to stem cells.

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Growth factors

Proteins secreted by stromal cells that promote stem cell survival, differentiation and function.

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Stem cell plasticity

The ability of stem cells to differentiate into various types of cells in different parts of the body.

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Stem cell trafficking

The movement of stem cells around the body

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Stem Cell Mobilization

The process of increasing the number of stem cells in the blood, often using cytokines like G-CSF or GM-CSF

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Stem Cell Homing

The process of stem cells migrating to specific tissues, guided by chemokine gradients.

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SDF-1

A chemokine crucial for stem cell homing, guiding stem cells to the right places

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Totipotent Stem Cell

A cell capable of forming all types of cells in the body, including body tissues.

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Adult Stem Cells

Specialized stem cells found in various adult organs

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Donor Bone Marrow Cells

Cells from a donor that have the potential to contribute to non-blood tissues like neurons, liver, and muscle

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Pluripotent Stem Cells

Stem cells with the potential to form all types of tissues, but not the placenta or extra-embryonic tissues.

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Cytokines (G-CSF and GM-CSF)

Proteins that stimulate the growth and differentiation of stem cells.

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Mesenchymal Stem Cell

A stem cell that can differentiate into various tissues, including bone, cartilage, and fat.

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Haemopoiesis

The process of blood cell formation in the body

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Stem Cell Division

A stem cell can produce another stem cell (self-renewal) as well as one committed to differentiation.

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Committed Progenitors

Early cells in the blood cell development that are partially specialized and proceed down specific blood cell lineages.

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Transcription Factors

Proteins that control which genes are expressed during blood cell differentiation. Examples include GATA-1 and PD-1.

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Haemopoietic Growth Factors

Proteins that regulate blood cell production and function by influencing proliferation, differentiation, and survival of precursor cells and mature cells.

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Differentiation

The process by which cells become specialized into mature blood cells (e.g. red blood cells, white blood cells).

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Self-renewal

The ability of stem cells to divide and produce more stem cells.

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Stem cell plasticity

A stem cell's ability to be directed to develop into other cell types.

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Progenitor Cells

Partially specialized cells that can develop into specific blood cell types.

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Study Notes

Chapter 1: Hematopoiesis

  • Hematopoiesis is the formation of blood cells
  • Early yolk sac is the primary site of hematopoiesis
  • AGM (aorta-gonads-mesonephros) region houses stem cells for definitive hematopoiesis
  • From 6 weeks to 6-7 months fetal development, liver and spleen are main hematopoietic organs
  • Bone Marrow becomes dominant hematopoietic organ after 6-7 months
  • Infants have completely functional bone marrow cells for blood cell production
  • Adults have primarily fat tissues replacing hematopoietic marrow in long bones like femurs and humeri
  • 50% of adult marrow is fat
  • Fetal liver and spleen can resume hematopoietic function in certain conditions
  • Stem cells are pluripotential and can differentiate into multiple blood cell lineages

Chapter 2: Erythropoiesis and Anemia

  • Erythropoiesis is the production of red blood cells
  • Approximately 10^12 red blood cells are produced daily
  • Erythropoiesis involves various stages: stem cell, progenitor cells, pronormoblast, normoblasts
  • Red blood cells are biconcave discs and lack a nucleus
  • Erythropoietin is the hormone regulating erythropoiesis
  • Erythropoietin production increases with low oxygen levels or in certain disease states
  • RBCs contain haemoglobin for oxygen transport
  • Reduced oxygen in tissues triggers the release of erythropoietin from the kidney

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