Podcast
Questions and Answers
Which term refers to the formation and development of red blood cells?
Which term refers to the formation and development of red blood cells?
- Thrombopoiesis
- Erythropoiesis (correct)
- Leukopoiesis
- Hematopoiesis
What is the function of erythrocytes?
What is the function of erythrocytes?
- Oxygen transport (correct)
- Antibody production
- Primary hemostasis
- Defense against microorganisms
Which of the following best describes the role of leukocytes in the body?
Which of the following best describes the role of leukocytes in the body?
- Facilitating oxygen transport
- Defending against disease (correct)
- Transporting nutrients
- Promoting primary hemostasis
What is the main function of thrombocytes?
What is the main function of thrombocytes?
Which of the following is a primary site of hematopoiesis in adults?
Which of the following is a primary site of hematopoiesis in adults?
In a developing embryo, where does erythropoiesis primarily occur?
In a developing embryo, where does erythropoiesis primarily occur?
During fetal development, which organs are involved in hematopoiesis?
During fetal development, which organs are involved in hematopoiesis?
What characterizes active bone marrow?
What characterizes active bone marrow?
What is the composition of inactive bone marrow?
What is the composition of inactive bone marrow?
What is the primary function of the thymus?
What is the primary function of the thymus?
What characterizes extramedullary hematopoiesis (EMH)?
What characterizes extramedullary hematopoiesis (EMH)?
What role does the mononuclear phagocyte system play in hematopoiesis?
What role does the mononuclear phagocyte system play in hematopoiesis?
What role do reticular cells play in the bone marrow's structural elements?
What role do reticular cells play in the bone marrow's structural elements?
Which statement accurately describes the role of cytokines in hematopoiesis?
Which statement accurately describes the role of cytokines in hematopoiesis?
Which process is characterized by the commitment of progenitor cells to specific cell lines?
Which process is characterized by the commitment of progenitor cells to specific cell lines?
Which process is associated with morphologic changes in cells?
Which process is associated with morphologic changes in cells?
What is the term used to describe hematopoietic activity that occurs outside the bone marrow?
What is the term used to describe hematopoietic activity that occurs outside the bone marrow?
What stimulates the production of erythropoietin?
What stimulates the production of erythropoietin?
What is the main function of thrombopoietin (TPO)?
What is the main function of thrombopoietin (TPO)?
Which of the following is the first identifiable erythroid cell in the maturation sequence?
Which of the following is the first identifiable erythroid cell in the maturation sequence?
What happens to the nucleus during erythrocyte maturation?
What happens to the nucleus during erythrocyte maturation?
Which of the following features characterizes a prorubricyte?
Which of the following features characterizes a prorubricyte?
What is a key characteristic of the cytoplasm in a mature erythrocyte?
What is a key characteristic of the cytoplasm in a mature erythrocyte?
Which hormone increases EPO production?
Which hormone increases EPO production?
Cytokines influence hematopoiesis. What are cytokines?
Cytokines influence hematopoiesis. What are cytokines?
What is the term for platelets produced from thromboblasts?
What is the term for platelets produced from thromboblasts?
What is endomitosis?
What is endomitosis?
What is the outcome when high levels of EPO are present?
What is the outcome when high levels of EPO are present?
During granulocyte maturation, what is the first recognizable cell in the granulocytic lineage?
During granulocyte maturation, what is the first recognizable cell in the granulocytic lineage?
Which characteristic distinguishes a promyelocyte from a myeloblast?
Which characteristic distinguishes a promyelocyte from a myeloblast?
What feature defines a band cell (stab cell) during granulocyte maturation?
What feature defines a band cell (stab cell) during granulocyte maturation?
Which condition may lead to the release of immature cells into circulation?
Which condition may lead to the release of immature cells into circulation?
How does estrogen influence erythropoiesis?
How does estrogen influence erythropoiesis?
What is the significance of the bone marrow's structural microenvironment in hematopoiesis?
What is the significance of the bone marrow's structural microenvironment in hematopoiesis?
In non-mammalian species like fish and amphibians, which organs are involved in hematopoiesis?
In non-mammalian species like fish and amphibians, which organs are involved in hematopoiesis?
Given that horses do not release reticulocytes in response to anemia, what compensatory mechanism might be expected in equine erythropoiesis compared to other species?
Given that horses do not release reticulocytes in response to anemia, what compensatory mechanism might be expected in equine erythropoiesis compared to other species?
What is the functional implication of mature megakaryocytes being polyploid, possessing a multilobulated nucleus with 8-128N?
What is the functional implication of mature megakaryocytes being polyploid, possessing a multilobulated nucleus with 8-128N?
Unlike mammals, avian species possess nucleated thrombocytes. How does this difference likely affect the avian clotting process compared to mammals?
Unlike mammals, avian species possess nucleated thrombocytes. How does this difference likely affect the avian clotting process compared to mammals?
A researcher discovers a novel cytokine that selectively inhibits the differentiation of common myeloid progenitors (CMP) into granulocyte-monocyte progenitors (GMP) while sparing megakaryocyte-erythroid progenitors (MEP). What is the hematological consequence?
A researcher discovers a novel cytokine that selectively inhibits the differentiation of common myeloid progenitors (CMP) into granulocyte-monocyte progenitors (GMP) while sparing megakaryocyte-erythroid progenitors (MEP). What is the hematological consequence?
Which of the following organs is NOT directly involved in hematopoiesis?
Which of the following organs is NOT directly involved in hematopoiesis?
Where does erythropoiesis primarily occur in the mammalian embryo?
Where does erythropoiesis primarily occur in the mammalian embryo?
Which of the following is the primary site of hematopoiesis in adult mammals?
Which of the following is the primary site of hematopoiesis in adult mammals?
What cellular process directly leads to the formation of platelets?
What cellular process directly leads to the formation of platelets?
What characterizes the role of the spleen in hematopoiesis?
What characterizes the role of the spleen in hematopoiesis?
What is the function of reticular cells in the bone marrow?
What is the function of reticular cells in the bone marrow?
What is the clinical implication of damage to the endothelial cells within the bone marrow?
What is the clinical implication of damage to the endothelial cells within the bone marrow?
What is the primary role of the mononuclear phagocyte system in the context of hematopoiesis?
What is the primary role of the mononuclear phagocyte system in the context of hematopoiesis?
Why is the study of hematopoiesis important in veterinary medicine?
Why is the study of hematopoiesis important in veterinary medicine?
What characterizes 'differentiation' in the context of hematopoiesis?
What characterizes 'differentiation' in the context of hematopoiesis?
What is the significance of the bone marrow microenvironment in hematopoiesis?
What is the significance of the bone marrow microenvironment in hematopoiesis?
Which characteristic is associated with active bone marrow?
Which characteristic is associated with active bone marrow?
During erythrocyte maturation, what change occurs in the cytoplasm?
During erythrocyte maturation, what change occurs in the cytoplasm?
Which of the following best describes the role of colony-stimulating factors (CSFs) in hematopoiesis?
Which of the following best describes the role of colony-stimulating factors (CSFs) in hematopoiesis?
What is the underlying principle of how thrombopoietin (TPO) levels are regulated in the body?
What is the underlying principle of how thrombopoietin (TPO) levels are regulated in the body?
What stimulates the production and release of erythropoietin (EPO)?
What stimulates the production and release of erythropoietin (EPO)?
How does the liver contribute to hematopoiesis?
How does the liver contribute to hematopoiesis?
How do the effects of estrogen influence erythropoiesis?
How do the effects of estrogen influence erythropoiesis?
In the context of granulocyte maturation, which feature distinguishes a myelocyte from a metamyelocyte?
In the context of granulocyte maturation, which feature distinguishes a myelocyte from a metamyelocyte?
During granulocyte maturation, what event characterizes the transition from myelocyte to metamyelocyte?
During granulocyte maturation, what event characterizes the transition from myelocyte to metamyelocyte?
What is the cellular origin of platelets?
What is the cellular origin of platelets?
What effect do testosterone and anabolic steroids have on erythropoiesis?
What effect do testosterone and anabolic steroids have on erythropoiesis?
What is the role of the thymus in hematopoiesis?
What is the role of the thymus in hematopoiesis?
Which cell type is characterized by dark blue-staining cytoplasm, a pale-staining nucleus, and a visible nucleolus?
Which cell type is characterized by dark blue-staining cytoplasm, a pale-staining nucleus, and a visible nucleolus?
What is the correct maturation sequence of granulocytes?
What is the correct maturation sequence of granulocytes?
Which erythroid precursor is characterized by a completely condensed nucleus and the presence of a polychromatophilic cytoplasm?
Which erythroid precursor is characterized by a completely condensed nucleus and the presence of a polychromatophilic cytoplasm?
In avian species, nucleated thrombocytes are produced from thromboblasts. Assuming similar hemostatic mechanisms, what is a plausible functional consequence of this structural difference compared to mammalian platelets?
In avian species, nucleated thrombocytes are produced from thromboblasts. Assuming similar hemostatic mechanisms, what is a plausible functional consequence of this structural difference compared to mammalian platelets?
A researcher is studying a novel cytokine. Which characteristic would classify it as an interleukin?
A researcher is studying a novel cytokine. Which characteristic would classify it as an interleukin?
If a patient has a condition leading to increased levels of erythropoietin (EPO), what effect would this have on platelet production?
If a patient has a condition leading to increased levels of erythropoietin (EPO), what effect would this have on platelet production?
A researcher discovers that a particular disease causes a significant decrease in the number of reticular cells in the bone marrow. How would this likely impact hematopoiesis?
A researcher discovers that a particular disease causes a significant decrease in the number of reticular cells in the bone marrow. How would this likely impact hematopoiesis?
A patient with chronic kidney disease is likely to experience anemia because of what primary mechanism?
A patient with chronic kidney disease is likely to experience anemia because of what primary mechanism?
A researcher introduces a pharmaceutical agent that selectively enhances the production of granulocyte-monocyte progenitors (GMP) from common myeloid progenitors (CMP) while simultaneously inhibiting erythropoiesis. What hematological changes are most likely to be observed in the short-term?
A researcher introduces a pharmaceutical agent that selectively enhances the production of granulocyte-monocyte progenitors (GMP) from common myeloid progenitors (CMP) while simultaneously inhibiting erythropoiesis. What hematological changes are most likely to be observed in the short-term?
Consider a scenario where a genetic mutation results in megakaryocytes that are incapable of endomitosis. What would be the most likely consequence of this mutation?
Consider a scenario where a genetic mutation results in megakaryocytes that are incapable of endomitosis. What would be the most likely consequence of this mutation?
In the context of this course, what is the primary focus of clinical pathology?
In the context of this course, what is the primary focus of clinical pathology?
Which of the following represents the three primary divisions within clinical pathology covered in this course?
Which of the following represents the three primary divisions within clinical pathology covered in this course?
Which statement accurately describes the instructor's approach to exam questions regarding reference intervals?
Which statement accurately describes the instructor's approach to exam questions regarding reference intervals?
What is the primary role of thrombocytes in hemostasis?
What is the primary role of thrombocytes in hemostasis?
How does the instructor plan to assess student participation in the discussion sessions?
How does the instructor plan to assess student participation in the discussion sessions?
What is the significance of the bone marrow microenvironment's structural elements in hematopoiesis?
What is the significance of the bone marrow microenvironment's structural elements in hematopoiesis?
During erythropoiesis, what morphological changes occur to the nucleus as the cell matures from a rubriblast to a metarubricyte?
During erythropoiesis, what morphological changes occur to the nucleus as the cell matures from a rubriblast to a metarubricyte?
What is the role of the endothelial cells lining the sinuses within the bone marrow?
What is the role of the endothelial cells lining the sinuses within the bone marrow?
Which of the following best describes the function of erythropoietin (EPO)?
Which of the following best describes the function of erythropoietin (EPO)?
Based on the lecture, which of the following scenarios would most likely lead to extramedullary hematopoiesis (EMH)?
Based on the lecture, which of the following scenarios would most likely lead to extramedullary hematopoiesis (EMH)?
According to the instructor, what is a key distinction between differentiation and maturation in the context of hematopoiesis?
According to the instructor, what is a key distinction between differentiation and maturation in the context of hematopoiesis?
What is the primary significance of the spleen in the context of hematopoiesis and blood cell function?
What is the primary significance of the spleen in the context of hematopoiesis and blood cell function?
If a patient presents with a mid-shaft fracture of the humerus, what is the likelihood of observing a release of immature hematopoietic cells into circulation, and why?
If a patient presents with a mid-shaft fracture of the humerus, what is the likelihood of observing a release of immature hematopoietic cells into circulation, and why?
What is the role of macrophages, sometimes referred to as 'nurse cells', in erythropoiesis?
What is the role of macrophages, sometimes referred to as 'nurse cells', in erythropoiesis?
How is the term 'myeloid' used in the context of bone marrow composition and myeloid:erythroid (M:E) ratio?
How is the term 'myeloid' used in the context of bone marrow composition and myeloid:erythroid (M:E) ratio?
In the context of veterinary medicine, why is understanding the process of hematopoiesis vital for clinical practice?
In the context of veterinary medicine, why is understanding the process of hematopoiesis vital for clinical practice?
What is the primary mechanism by which low tissue oxygen levels stimulate erythropoiesis?
What is the primary mechanism by which low tissue oxygen levels stimulate erythropoiesis?
Which characteristic distinguishes granulocytes from mononuclear cells?
Which characteristic distinguishes granulocytes from mononuclear cells?
Which of the following cell types is most likely to exhibit the deepest blue cytoplasm when observed in a bone marrow aspirate stained with Romanowski stain?
Which of the following cell types is most likely to exhibit the deepest blue cytoplasm when observed in a bone marrow aspirate stained with Romanowski stain?
A researcher is examining a bone marrow sample and identifies a cell undergoing endomitosis. Which type of cell is the researcher most likely observing?
A researcher is examining a bone marrow sample and identifies a cell undergoing endomitosis. Which type of cell is the researcher most likely observing?
In a clinical scenario involving chronic renal failure, why does the erythropoietin response often result in severe anemia?
In a clinical scenario involving chronic renal failure, why does the erythropoietin response often result in severe anemia?
Which description accurately portrays the role of hematopoietic growth factors such as interleukins (IL) and colony-stimulating factors (CSFs)?
Which description accurately portrays the role of hematopoietic growth factors such as interleukins (IL) and colony-stimulating factors (CSFs)?
In avian hematopoiesis, assuming similar erythropoietic mechanisms to mammals, how might the absence of a discrete reticulocyte stage (due to continuous maturation) affect diagnostic interpretation of anemia in birds?
In avian hematopoiesis, assuming similar erythropoietic mechanisms to mammals, how might the absence of a discrete reticulocyte stage (due to continuous maturation) affect diagnostic interpretation of anemia in birds?
Unlike mammals which enucleate during erythropoiesis, non-mammalian vertebrates retain a nucleus. How does this one difference impact blood parameters?
Unlike mammals which enucleate during erythropoiesis, non-mammalian vertebrates retain a nucleus. How does this one difference impact blood parameters?
Which of the following scenarios would you expect to see increased levels of erythropoietin (EPO)?
Which of the following scenarios would you expect to see increased levels of erythropoietin (EPO)?
You observe a patient with increased numbers of metarubricytes in the blood. What does the presence of metarubricytes say about the anemia?
You observe a patient with increased numbers of metarubricytes in the blood. What does the presence of metarubricytes say about the anemia?
Which of the following is NOT a cellular component of bone marrow?
Which of the following is NOT a cellular component of bone marrow?
Within the bone marrow, you see dark structures forming that inhibit the surrounding hematopoietic cells. What are these dark structures most likely to be?
Within the bone marrow, you see dark structures forming that inhibit the surrounding hematopoietic cells. What are these dark structures most likely to be?
What is a 'nurse cell'?
What is a 'nurse cell'?
How would acute blood loss impact EPO levels?
How would acute blood loss impact EPO levels?
Fish and amphibians do not have bone marrow. Where do they perform hematopoiesis instead?
Fish and amphibians do not have bone marrow. Where do they perform hematopoiesis instead?
A patient has a tumor secreting EPO despite normal oxygen levels. What would you expect to see on the patient's CBC?
A patient has a tumor secreting EPO despite normal oxygen levels. What would you expect to see on the patient's CBC?
An endothelial cell of a patient's bone marrow is dysfunctional such that it cannot prevent progenitor cells from being released into the blood. What would you expect to see on a CBC?
An endothelial cell of a patient's bone marrow is dysfunctional such that it cannot prevent progenitor cells from being released into the blood. What would you expect to see on a CBC?
What is the primary focus of clinical pathology, as distinguished from anatomic pathology?
What is the primary focus of clinical pathology, as distinguished from anatomic pathology?
Which of the following best represents the core disciplines within clinical pathology that will be covered in this course?
Which of the following best represents the core disciplines within clinical pathology that will be covered in this course?
According to the instructor, what is the primary reason for including discussion sessions in the ClinPath course?
According to the instructor, what is the primary reason for including discussion sessions in the ClinPath course?
Which statement reflects the instructor's policy regarding the memorization of reference intervals for examinations?
Which statement reflects the instructor's policy regarding the memorization of reference intervals for examinations?
What is the primary function of platelets (thrombocytes) in the context of hemostasis?
What is the primary function of platelets (thrombocytes) in the context of hemostasis?
What is the rationale behind the instructor's decision to deliver the lecture on hematopoiesis relatively early in the ClinPath course?
What is the rationale behind the instructor's decision to deliver the lecture on hematopoiesis relatively early in the ClinPath course?
Which of the following is NOT considered a primary hematopoietic organ in adult mammals under normal conditions?
Which of the following is NOT considered a primary hematopoietic organ in adult mammals under normal conditions?
During embryonic development, what is the correct chronological sequence of primary hematopoietic sites?
During embryonic development, what is the correct chronological sequence of primary hematopoietic sites?
What characterizes 'active' bone marrow, also known as red marrow, in contrast to 'inactive' or yellow marrow?
What characterizes 'active' bone marrow, also known as red marrow, in contrast to 'inactive' or yellow marrow?
What is the role of reticular cells within the bone marrow microenvironment?
What is the role of reticular cells within the bone marrow microenvironment?
How do endothelial cells lining the sinuses in bone marrow regulate the release of blood cells into circulation?
How do endothelial cells lining the sinuses in bone marrow regulate the release of blood cells into circulation?
What is the functional consequence of damage to the endothelial cells lining bone marrow sinuses?
What is the functional consequence of damage to the endothelial cells lining bone marrow sinuses?
Which of the following best describes cytokines in the context of hematopoiesis?
Which of the following best describes cytokines in the context of hematopoiesis?
What distinguishes 'differentiation' from 'maturation' in the process of hematopoiesis?
What distinguishes 'differentiation' from 'maturation' in the process of hematopoiesis?
What is the significance of the term 'myeloid' in 'myeloid:erythroid (M:E) ratio' within bone marrow evaluation?
What is the significance of the term 'myeloid' in 'myeloid:erythroid (M:E) ratio' within bone marrow evaluation?
During erythropoiesis, what is the sequence of nuclear changes as a rubriblast matures into a metarubricyte?
During erythropoiesis, what is the sequence of nuclear changes as a rubriblast matures into a metarubricyte?
Which cellular feature is characteristic of a rubriblast, the earliest recognizable erythroid precursor?
Which cellular feature is characteristic of a rubriblast, the earliest recognizable erythroid precursor?
What is the primary role of erythropoietin (EPO) in regulating erythropoiesis?
What is the primary role of erythropoietin (EPO) in regulating erythropoiesis?
What is the main stimulus for erythropoietin (EPO) production and release in mammals?
What is the main stimulus for erythropoietin (EPO) production and release in mammals?
In the context of red blood cell maturation, what is the significance of a 'polychromatophilic erythrocyte' (or reticulocyte)?
In the context of red blood cell maturation, what is the significance of a 'polychromatophilic erythrocyte' (or reticulocyte)?
How does the spleen contribute to hematopoiesis and blood cell maintenance?
How does the spleen contribute to hematopoiesis and blood cell maintenance?
What is 'extramedullary hematopoiesis' (EMH), and under what conditions is it most likely to occur?
What is 'extramedullary hematopoiesis' (EMH), and under what conditions is it most likely to occur?
What is the function of 'nurse cells' (macrophages) in erythropoiesis?
What is the function of 'nurse cells' (macrophages) in erythropoiesis?
Which of the following is a characteristic feature of granulocytes but not mononuclear cells (lymphocytes and monocytes)?
Which of the following is a characteristic feature of granulocytes but not mononuclear cells (lymphocytes and monocytes)?
In fish and amphibians, which organs primarily undertake hematopoiesis instead of bone marrow?
In fish and amphibians, which organs primarily undertake hematopoiesis instead of bone marrow?
What is the likely hematological consequence of myelofibrosis, a condition characterized by the proliferation of fibroblasts and collagen in the bone marrow?
What is the likely hematological consequence of myelofibrosis, a condition characterized by the proliferation of fibroblasts and collagen in the bone marrow?
A patient presents with chronic renal failure. Which of the following mechanisms is the most direct cause of anemia commonly associated with this condition?
A patient presents with chronic renal failure. Which of the following mechanisms is the most direct cause of anemia commonly associated with this condition?
If a researcher were to discover a substance that specifically inhibits the function of reticular cells in the bone marrow, what would be the most direct anticipated hematological consequence?
If a researcher were to discover a substance that specifically inhibits the function of reticular cells in the bone marrow, what would be the most direct anticipated hematological consequence?
Consider a scenario where a genetic mutation impairs the ability of macrophages to function as 'nurse cells' in erythropoiesis. Which aspect of red blood cell development would be most directly affected?
Consider a scenario where a genetic mutation impairs the ability of macrophages to function as 'nurse cells' in erythropoiesis. Which aspect of red blood cell development would be most directly affected?
A bone marrow aspirate from an adult animal is taken from the mid-shaft of the humerus. What is the most likely composition of the sample obtained, and why?
A bone marrow aspirate from an adult animal is taken from the mid-shaft of the humerus. What is the most likely composition of the sample obtained, and why?
If a patient experiences a transient hypoxic event, such as during a seizure, and subsequently shows a mild increase in circulating immature erythroid cells, what is the most plausible mechanism for this observation?
If a patient experiences a transient hypoxic event, such as during a seizure, and subsequently shows a mild increase in circulating immature erythroid cells, what is the most plausible mechanism for this observation?
Given that horses do not typically release reticulocytes into circulation in response to anemia to the same extent as other species, what compensatory mechanism might be expected in equine erythropoiesis?
Given that horses do not typically release reticulocytes into circulation in response to anemia to the same extent as other species, what compensatory mechanism might be expected in equine erythropoiesis?
Unlike mammals, avian species possess nucleated thrombocytes. Assuming similar hemostatic mechanisms, how might this structural difference affect the avian clotting process compared to mammals?
Unlike mammals, avian species possess nucleated thrombocytes. Assuming similar hemostatic mechanisms, how might this structural difference affect the avian clotting process compared to mammals?
A researcher discovers a novel cytokine that selectively inhibits the differentiation of common myeloid progenitors (CMP) into granulocyte-monocyte progenitors (GMP) while sparing megakaryocyte-erythroid progenitors (MEP). What hematological change would be most anticipated?
A researcher discovers a novel cytokine that selectively inhibits the differentiation of common myeloid progenitors (CMP) into granulocyte-monocyte progenitors (GMP) while sparing megakaryocyte-erythroid progenitors (MEP). What hematological change would be most anticipated?
What is the expected outcome if erythropoietin (EPO) levels are chronically elevated due to a pathological condition, assuming bone marrow responsiveness remains normal?
What is the expected outcome if erythropoietin (EPO) levels are chronically elevated due to a pathological condition, assuming bone marrow responsiveness remains normal?
During granulocyte maturation, which cell type is the first recognizable, committed precursor in the granulocytic lineage?
During granulocyte maturation, which cell type is the first recognizable, committed precursor in the granulocytic lineage?
Which feature distinguishes a promyelocyte from a myeloblast during granulocyte maturation?
Which feature distinguishes a promyelocyte from a myeloblast during granulocyte maturation?
What morphological characteristic defines a band cell (stab cell) during granulocyte maturation?
What morphological characteristic defines a band cell (stab cell) during granulocyte maturation?
Under what clinical condition might you expect to observe an increased number of band cells and other immature granulocytes in peripheral blood?
Under what clinical condition might you expect to observe an increased number of band cells and other immature granulocytes in peripheral blood?
What is the primary focus of clinical pathology, as opposed to anatomic pathology?
What is the primary focus of clinical pathology, as opposed to anatomic pathology?
Which of the following best represents the three main divisions of clinical pathology discussed in the lecture?
Which of the following best represents the three main divisions of clinical pathology discussed in the lecture?
According to the instructor, what is the role of discussion sessions?
According to the instructor, what is the role of discussion sessions?
What is the significance of the instructor's assertion that students do not need to memorize reference intervals?
What is the significance of the instructor's assertion that students do not need to memorize reference intervals?
In the context of hematopoiesis, what is the collective term for platelets or thrombocytes?
In the context of hematopoiesis, what is the collective term for platelets or thrombocytes?
What is the primary role of platelets (thrombocytes) in the process of hemostasis?
What is the primary role of platelets (thrombocytes) in the process of hemostasis?
The lecturer mentions a potential source of confusion regarding terminology used to describe granulocytes and mononuclear cells. Which statement accurately describes the difference between the two?
The lecturer mentions a potential source of confusion regarding terminology used to describe granulocytes and mononuclear cells. Which statement accurately describes the difference between the two?
In a scenario where an adult animal requires increased red cell production due to hemolytic disease affecting the animal, where can active bone marrow expand back into?
In a scenario where an adult animal requires increased red cell production due to hemolytic disease affecting the animal, where can active bone marrow expand back into?
Why is it important to select the appropriate bone marrow sampling site?
Why is it important to select the appropriate bone marrow sampling site?
Which of the following best describes the function of the endothelial cells lining the sinuses within the bone marrow?
Which of the following best describes the function of the endothelial cells lining the sinuses within the bone marrow?
In the context of extramedullary hematopoiesis (EMH), which organ is most commonly involved?
In the context of extramedullary hematopoiesis (EMH), which organ is most commonly involved?
What is the role of macrophages, also known as 'nurse cells', in erythropoiesis?
What is the role of macrophages, also known as 'nurse cells', in erythropoiesis?
In the context of bone marrow composition, what does the term 'myeloid' refer to when discussing the myeloid:erythroid (M:E) ratio?
In the context of bone marrow composition, what does the term 'myeloid' refer to when discussing the myeloid:erythroid (M:E) ratio?
How does damage to the endothelial cells lining bone marrow sinuses impact blood cell release?
How does damage to the endothelial cells lining bone marrow sinuses impact blood cell release?
What is the primary effect of erythropoietin (EPO) on erythropoiesis?
What is the primary effect of erythropoietin (EPO) on erythropoiesis?
In avian species, if a diagnostic test is performed for anemia compared to mammals, how might you interpret results?
In avian species, if a diagnostic test is performed for anemia compared to mammals, how might you interpret results?
A patient with chronic renal failure is likely to experience anemia due to decreased...
A patient with chronic renal failure is likely to experience anemia due to decreased...
You observe large clusters of developing erythroid cells on a bone marrow slide. Upon closer inspection, you also note that all of these large cells exhibit the same abnormal morphology, which is distinct from a rubriblast. Which cell has become neoplastic?
You observe large clusters of developing erythroid cells on a bone marrow slide. Upon closer inspection, you also note that all of these large cells exhibit the same abnormal morphology, which is distinct from a rubriblast. Which cell has become neoplastic?
Consider a novel therapeutic strategy aimed at treating canine IMHA which targets nurse cell function. Which of the following best describes how the treatment would function?
Consider a novel therapeutic strategy aimed at treating canine IMHA which targets nurse cell function. Which of the following best describes how the treatment would function?
In mammals, what is the primary function of platelets?
In mammals, what is the primary function of platelets?
What is the key difference between platelets and thrombocytes?
What is the key difference between platelets and thrombocytes?
Which hormone primarily stimulates megakaryocyte and platelet production?
Which hormone primarily stimulates megakaryocyte and platelet production?
Where is thrombopoietin (TPO) primarily produced?
Where is thrombopoietin (TPO) primarily produced?
Which of the following factors increases erythropoietin production?
Which of the following factors increases erythropoietin production?
What effect do testosterone and anabolic steroids generally have on erythropoietin production?
What effect do testosterone and anabolic steroids generally have on erythropoietin production?
What effect does estrogen have on erythropoiesis?
What effect does estrogen have on erythropoiesis?
In a mammal with a small vascular defect, which process is primarily responsible for sealing the defect?
In a mammal with a small vascular defect, which process is primarily responsible for sealing the defect?
How does the body primarily regulate thrombopoietin (TPO) levels?
How does the body primarily regulate thrombopoietin (TPO) levels?
What happens to free thrombopoietin levels when there are fewer platelets available in circulation?
What happens to free thrombopoietin levels when there are fewer platelets available in circulation?
What is the significance of the morel receptor in platelet production?
What is the significance of the morel receptor in platelet production?
Why might chronic thrombocytopenia be difficult to resolve even after addressing the underlying cause?
Why might chronic thrombocytopenia be difficult to resolve even after addressing the underlying cause?
What is the purpose of giving blood transfusions or platelet-rich plasma to a patient with severe thrombocytopenia?
What is the purpose of giving blood transfusions or platelet-rich plasma to a patient with severe thrombocytopenia?
How does erythropoietin (EPO) affect red blood cell production?
How does erythropoietin (EPO) affect red blood cell production?
What is a common finding in dogs, cats and rodents in response to erythropoietin stimulation?
What is a common finding in dogs, cats and rodents in response to erythropoietin stimulation?
In which animal species is the release of reticulocytes less pronounced, making it less useful for assessing regenerative anemia?
In which animal species is the release of reticulocytes less pronounced, making it less useful for assessing regenerative anemia?
What is the effect of mildly increased erythropoietin levels on platelet numbers?
What is the effect of mildly increased erythropoietin levels on platelet numbers?
What condition may lead to anemia due to excessive levels of estrogen?
What condition may lead to anemia due to excessive levels of estrogen?
In non-mammalian species (birds, reptiles, amphibians, fish), what cells are analogous to mammalian platelets?
In non-mammalian species (birds, reptiles, amphibians, fish), what cells are analogous to mammalian platelets?
A veterinarian observes pseudopodia extending from platelets on a blood smear. What is the most accurate interpretation of this finding?
A veterinarian observes pseudopodia extending from platelets on a blood smear. What is the most accurate interpretation of this finding?
What is the primary morphological characteristic of megakaryocytes?
What is the primary morphological characteristic of megakaryocytes?
Which event directly leads to the formation of platelets from megakaryocytes?
Which event directly leads to the formation of platelets from megakaryocytes?
Where are megakaryocytes typically found?
Where are megakaryocytes typically found?
Given a patient with renal disease exhibiting severe non-regenerative anemia, what is the most likely underlying cause?
Given a patient with renal disease exhibiting severe non-regenerative anemia, what is the most likely underlying cause?
A veterinarian is evaluating a blood smear from a bird. Which feature would help differentiate thrombocytes from lymphocytes?
A veterinarian is evaluating a blood smear from a bird. Which feature would help differentiate thrombocytes from lymphocytes?
In a patient exhibiting elevated erythropoietin levels, what is the expected erythropoietic response in the bone marrow?
In a patient exhibiting elevated erythropoietin levels, what is the expected erythropoietic response in the bone marrow?
A dog presents with iron deficiency anemia and a concurrent increase in platelet count (thrombocytosis). What is the likely relationship between these two findings?
A dog presents with iron deficiency anemia and a concurrent increase in platelet count (thrombocytosis). What is the likely relationship between these two findings?
Cavalier King Charles Spaniels are known to sometimes have a genetic defect resulting in lower-than-normal platelet counts, yet they do not typically exhibit bleeding disorders. Which of the following best explains this phenomenon?
Cavalier King Charles Spaniels are known to sometimes have a genetic defect resulting in lower-than-normal platelet counts, yet they do not typically exhibit bleeding disorders. Which of the following best explains this phenomenon?
A researcher is investigating a novel drug that enhances the desialization of aged platelets. What is the intended outcome of this drug's action?
A researcher is investigating a novel drug that enhances the desialization of aged platelets. What is the intended outcome of this drug's action?
You observe a megakaryocyte in a bone marrow aspirate with abundant pinkish granulation in the cytoplasm. What does this observation indicate?
You observe a megakaryocyte in a bone marrow aspirate with abundant pinkish granulation in the cytoplasm. What does this observation indicate?
Differentiate primary hemostasis from secondary hemostasis.
Differentiate primary hemostasis from secondary hemostasis.
What does it indicate if you find a large megakaryocyte in a blood smear?
What does it indicate if you find a large megakaryocyte in a blood smear?
Which of these choices does erythropoietin NOT increase?
Which of these choices does erythropoietin NOT increase?
If a researcher discovers a novel drug that selectively impairs the function of the morel receptor, what hematological abnormality would be most anticipated?
If a researcher discovers a novel drug that selectively impairs the function of the morel receptor, what hematological abnormality would be most anticipated?
A patient presents with a condition leading to increased levels of erythropoietin (EPO). However, the patient is also experiencing severely blocked blood flow in the bone marrow. What effect would this impact thrombopoietin?
A patient presents with a condition leading to increased levels of erythropoietin (EPO). However, the patient is also experiencing severely blocked blood flow in the bone marrow. What effect would this impact thrombopoietin?
You observe a dog with a platelet count significantly lower than normal but their platelet size is much higher and their blood exhibits abnormal clotting. Which diagnosis is most likely?
You observe a dog with a platelet count significantly lower than normal but their platelet size is much higher and their blood exhibits abnormal clotting. Which diagnosis is most likely?
Flashcards
Hematopoiesis
Hematopoiesis
The formation and development of blood cells.
Erythropoiesis
Erythropoiesis
The formation and development of red blood cells.
Leukopoiesis
Leukopoiesis
The formation and development of white blood cells.
Thrombopoiesis
Thrombopoiesis
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Bone Marrow
Bone Marrow
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Active Bone Marrow
Active Bone Marrow
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Inactive Bone Marrow
Inactive Bone Marrow
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Thymus
Thymus
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Lymph Nodes
Lymph Nodes
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Spleen
Spleen
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Extramedullary Hematopoiesis
Extramedullary Hematopoiesis
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Mononuclear Phagocyte System
Mononuclear Phagocyte System
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Hematopoietic Microenvironment
Hematopoietic Microenvironment
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Nonhematopoietic cells
Nonhematopoietic cells
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Hematopoietic Growth Factors
Hematopoietic Growth Factors
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Cytokines
Cytokines
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Hematopoietic Stem Cells
Hematopoietic Stem Cells
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Differentiation
Differentiation
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Maturation
Maturation
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Colony-Forming Units (CFU)
Colony-Forming Units (CFU)
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Precursor Cells
Precursor Cells
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Erythrocyte Maturation
Erythrocyte Maturation
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Rubriblast
Rubriblast
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Prorubricyte
Prorubricyte
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Erythropoietin (EPO)
Erythropoietin (EPO)
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Platelets
Platelets
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Thrombopoietin (TPO)
Thrombopoietin (TPO)
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Granulocyte Maturation
Granulocyte Maturation
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Clinical Pathology
Clinical Pathology
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Anatomic Pathology
Anatomic Pathology
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Clinical Pathology Divisions
Clinical Pathology Divisions
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Diagnostics
Diagnostics
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Erythrocytes (Red Blood Cells)
Erythrocytes (Red Blood Cells)
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Leukocytes (White Blood Cells)
Leukocytes (White Blood Cells)
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Categories of Leukocytes
Categories of Leukocytes
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Granulocytes
Granulocytes
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Embryonic Hematopoiesis
Embryonic Hematopoiesis
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Extramedullary Hematopoiesis Relevance
Extramedullary Hematopoiesis Relevance
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Nurse Cell
Nurse Cell
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Megakaryocyte Function
Megakaryocyte Function
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Erythropoietin Function
Erythropoietin Function
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Polychromatophilic Erythrocyte
Polychromatophilic Erythrocyte
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Reticulocyte
Reticulocyte
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Non-regenerative Anemia
Non-regenerative Anemia
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Primary Hemostasis
Primary Hemostasis
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Thrombocytes
Thrombocytes
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Megakaryocytes
Megakaryocytes
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Thrombocytosis
Thrombocytosis
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Thrombocytopenia
Thrombocytopenia
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Secondary Hemostasis
Secondary Hemostasis
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Study Notes
Clinical Pathology
- Clinical pathology addresses pathology concerns of live patients via lab diagnostics.
- Laboratory diagnostics include hematology, cytology, and clinical chemistry.
Anatomic Pathology
- Anatomic pathology covers necropsy, surgical biopsy, and histopathology
Relationship Between Clinical and Anatomic Pathology
- Crossover occurs; some pathologists gain dual certifications
- Clinical pathologists examine bone marrow core biopsies
- Anatomic pathologists sometimes perform cytology
Diagnostic Approach
- Clinical pathology uses lab results for diagnosis
- Radiology may be needed in addition to laboratory findings
Focus of the Course
- Covers pathophysiology's effects on tests
- Includes theory of tests, with an emphasis on the interpretation of test results for understanding conditions.
Course Instructors
- Instructors include Dr. Noll, Dr. Conrado, Dr. Adela Farkas and Cheryl Stockman
Course Assignments
- Quizzes are primarily multiple-choice or short answer questions in Canvas
- Assignments consist of eight projects and four laboratory sessions
Lab Sessions
- Lab sessions involve normal and abnormal hematology, including red and white blood cells, and cytology
- Microscopy experience and exposure to common abnormalities is the goal
- Attendance determines lab grades, and makeup labs are available
Discussion Sessions
- Attendance is mandatory in discussion sessions that involve question-and-answer formats utilizing provided lab data sets
Exams
- Three exams will be given, covering hematology/coagulation, cytology, and clinical chemistry
- Exams consist of multiple-choice questions or short answer questions
- Examiners will provide reference intervals, so memorization is not required
Textbooks and Reading Lists
- Dr. Harvey's "Veterinary Hematology" is the recommended textbook for dogs and cats
- Shalman's "Veterinary Hematology" offers comprehensive information
Blood Cell Categories
- Erythrocytes (red blood cells/erythron), leukocytes (white blood cells/leukon), and platelets/thrombocytes (thrombon) are the major categories
- Erythrocytes transport oxygen
- Leukocytes aid in defending against disease and microorganisms
- Platelets play a key role in primary hemostasis
Leukocyte Subcategories
- Leukocytes are divided into granulocytes and mononuclear cells
- Granulocytes are distinguished by granule staining, including neutrophils, eosinophils, and basophils
- Mammalian granulocytes are also referred to as polymorphonuclear cells because of their segmented and elongated nucleus
Hematopoiesis
- Hematopoiesis, also known as hemopoiesis, pertains to the production and development of blood cells
- Erythropoiesis, leukopoiesis, and thrombopoiesis are its three components
Maintenance of Blood Cell Numbers
- Due to their limited lifespan, blood cells require continuous replenishment
- Blood cell numbers are maintained via interaction between hematopoietic organs (mainly bone marrow) and humoral regulatory molecules
- The balance between cell production and loss determines circulating cell numbers or volume
Organs Involved in Hematopoiesis
- Organs include bone marrow, thymus, lymph nodes, spleen, mononuclear phagocyte system, and liver
Embryonic Hematopoiesis
- Hematopoiesis initially occurs in the yolk sac during the embryonic stage
- Subsequently, the liver and spleen take over, followed by the bone marrow
- Lymph nodes mainly produce lymphocytes
Extramedullary Hematopoiesis (EMH)
- Other hematopoietic tissues can revert and begin producing blood cells under certain conditions
- EMH commonly occurs in the spleen and liver
- Lymph nodes continue producing lymphocytes throughout the life of the patient
Bone Marrow
- The bone marrow produces blood cells in adult animals
- Serves as storage and reserve for mature cells.
- Includes iron and lipid storage
- Active (red) marrow is retained in flat bones but recedes from long bone shafts as one ages
- Inactive (yellow) marrow consists of adipocytes, endothelial cells, and reticular cells
Bone Marrow Sampling
- Areas of active bone marrow should be targeted for sampling
- Flat bones like the sternum, ribs, pelvis, and vertebrae retain more active bone marrow
- The sternum is often sampled in horses
- In small animals, clinicians sample the humerus, but they risk missing active bone marrow if it is inactive.
Other Organs
- The thymus facilitates T lymphocyte differentiation, especially in early development
- Lymph nodes proliferate lymphocytes and produce plasma cells
- The spleen proliferates lymphocytes, serves as an erythrocyte and platelet reservoir, removes damaged or old red blood cells, and is a common EMH site
Spleen's Role
- Facilitates hemoglobin degradation and iron storage
- Splenic macrophages are capable of removing abnormal red cell structures without destroying the cells (pitting function)
- EMH in the spleen commonly involves one or multiple cell lines
- Aspirates are commonly taken of the spleen to check for abnormalities
Mononuclear Phagocyte System
- Facilitates blood cell removal/destruction, degrades hemoglobin, stores iron, and secretes factors that influence hematopoiesis
- Liver and lymph node macrophages participate
Liver
- Stores vitamins, produces coagulation factors and erythropoietin precursor, and functions as a site for EMH
Non-Mammalian Hematopoiesis
- Blood cells are produced in the kidney, liver, and spleen of fish and amphibians
- Reptiles produce blood cells in the spleen and bone marrow
- Birds produce blood cells primarily in the bone marrow
Bone Marrow Microenvironment
- Structural elements and chemical surroundings are essential for blood cell production
- Disruption of the microenvironment can disrupt hematopoiesis, even if the hematopoietic cells are normal
Bone Marrow Structural Elements
- Reticular cells and trabeculae serve as scaffolding for hematopoietic cells
- Extracellular matrix includes collagen, fibronectin, and proteoglycans
- Adipocytes store lipids
- Highly vascular organ
- Nerves provide regulation
Circulation in the Bone Marrow
- Blood flows into sinuses lined by endothelial cells
- Endothelial lining controls cell release into the bloodstream, which prevents immature cells from exiting
- Endothelial cell damage can result in immature cells being released into circulation
Hematopoietic Growth Factors
- Aid in the development and differentiation of blood cells
- Colony-stimulating factors (CSFs) and interleukins (IL) are examples of soluble circling glycoproteins that bind to membrane receptors on target cells
- Erythropoietin and thrombopoietin are examples of poietins.
Cytokines
- Proteins that modulate the functions of other cell types
- Produced by activated macrophages or lymphocytes, as well as endothelial cells, epithelial cells, or connective tissue cells
- Interleukins (IL) are a subtype of cytokine that influences hematopoiesis
Stem Cells
- Pluripotent stem cells are primitive, undifferentiated cells that can create any myeloponic cell
- These cells are located in the bone marrow but can't enter circulation
- Capable of sustained self-replication
- Division and differentiation of stem cells result in other cell lines
- Cells become committed to specific lineages, which is irreversible
- Pluripotent stem cells can produce all cell types, including lymphocytes
- A small number of stem cells can repopulate the entire lymphohematopoietic system
- Stem cells are not a large number of ceels in normal situation and present mostly in the resting state
Differentiation vs. Maturation
- Differentiation is the commitment of primitive cells to a particular cell line or cell lines
- Maturation is the development of a differentiated cell into a functional blood cell
- Cells become more and more different as they continue in their development
The Term "Myeloid"
- The term "myeloid" can be used in different ways
- In the context of bone marrow, the myeloid to erythroid ratio (M:E ratio) refers to granulocytes or monocytes, but not lymphocytes
- Myeloid leukemias are neoplasms of hematopoietic cells that are non-lymphoid by definition
- Myelo can also refer to the bone marrow in general
Colony-Forming Units
- Colony-forming units (CFU) are stem cells at various levels, named based on what they can produce
- CFU-L (lymphoid) and CFU-GEMM (granulocyte, erythroid, monocyte, megakaryocytic) are examples
Precursor Cells
- Recognizable during cell counts and are the maturing cells in bone marrow evaluation
- Stem cells basically look like small lymphocytes, making them nearly unrecognizable
Erythrocyte Maturation
- Decrease in cell size as maturation progresses
- Nucleus becomes more condensed and is eventually extruded (in mammals)
- Nuclei of erythroid cells should have an almost perfectly round shape
- Cytoplasm becomes less basophilic (blue) and more red as hemoglobin is produced and RNA levels are reduced
- Red cell precursors may cluster around a macrophage (nurse cell) to receive iron and have their defective cells and extruded nuclei phagocytized.
Rubroblast
- The first identifiable erythroid cell is characterized
- Typically presents as a large and round cell with dark blue cytoplasm
- The rubroblasts contain round shaped nuclei that tend to stain dark purple during Romanowski staining
Prorubricyte
- Cells morph into dark blue cytoplasm, though smaller than rubroblast
- Exhibits more clumped chromatin and lacks nucleoli
Rubricyte
- Further diminishing in size with paler cytoplasm along with a more clumped nucleus
- Is divided sometimes among basophilic and polychromatophilic rubricytes
- Polychromatophilic cells show visible red color due to its product of hemoglobin
Metarubricyte
- The nucleus completely condenses during this stage
- The cytoplasm has a polychromatophilic appearance (blue + red staining)
Polychromatophilic Erythrocyte
- Characterized as having the nucleus has been extruded
- Cytoplasm exhibits bluish coloration due to the presence and usage of ribosomes & RNAs
Mature Erythrocyte
- Stains red, also known as acidophilic
- Exhibits reticulocytes when stained in New Methylene Blue Stain
Reticulocyte vs. Polychromatophilic Erythrocyte
- A polychromatophilic erythrocyte is named based on the stain that's used to detect hemoglobin synthesis rather then its maturity, it is differently colored compared to a normal red cell
- If stained with new methylene blue, it's called a reticulocyte and exhibits a precipitative reticular material
Hormone Regulation
- Hormones are vital to normal production of erythropoiesis
- Erythropoietin is a key player in regulation, along with other things such as IL-3
Erythropoietin
- Erythropoietin Is a glycoprotein produced by peritubular interstitial fibroblasts in the kidney and made by hepatocytes and Ito cells in the liver
- EPO production is stimulated when there's low oxygen that leads to decreased circulation
Effects of Erythropoietin
- Inhibits apoptosis of erythroid progenitor cells
- In chronic renal failure EPO levels decrease, which can lead to severe anemia
- Stimulates proliferation of erythropoietin precursors
- Horses do not release reticulocytes during anemic conditions
Erythropoietin Continued
- Primarily upregulates red cell production.
- Chronic renal failure can result in very low erythropoietin, leading to severe, non-regenerative anemia
- No clinical test is available to measure erythropoietin in dogs; deduce based on renal disease
- Speeds up red cell production, accelerating it
- Decreases apoptosis in red cells
- Releases immature red blood cells into circulation for dogs, cats, rodents, and rabbits; look for these immature cells to determine if anemia is regenerative; this will be discussed later in the course
- Horses and ruminants aren’t reliable in releasing reticulocytes
Other Hormone Regulation
- Not just restricted to red cell production; can increase platelet numbers as well, with mild erythropoietin increase, and very high levels shift production to red cells and away from platelets
- With iron deficiency anemia, thrombocytosis can be seen; this will be discussed in another lecture
- Testosterone and anabolic steroids increase erythropoietin production
- Estrogen decreases response to erythropoietin, creating possible anemia with estrogen-producing tumors or iatrogenic causes
- Thyroxine indirectly stimulates erythropoietin production, which increases tissue oxygen demand and results in hypoxia
Platelets
- Provide primary hemostasis, where they cover small defects in blood vessels
- Circulate in blood and are sticky, causing them to seal off defective areas
- Platelets are non-nucleated cells or cell fragments in mammals
Thrombocytes
- Found in birds, fish, amphibians, and reptiles; they are used interchangeably with platelets in mammals
- Thrombocytosis: too many platelets
- Thrombocytopenia: too few platelets
Blood Smears
- Should not be taken too seriously because they do not necessarily mean the platelets have increased activation in our patient
- In bird blood, thrombocytes present challenges in distinguishing it between lymphocytes
Megakaryocytes
- Produce platelets in mammals
- Distinctive large cells found in bone marrow aspirates or the spleen with large nuclei
- Nucleus replicates, but cells don’t divide physically, resulting in large, multilobulated nucleus
- Cytoplasm is full of granules that become platelet granules
- Immature megakaryocytes have blue cytoplasm with less cytoplasm overall
- Mature megakaryocytes appear as a mass of nuclei with pinkish granulation in the cytoplasm
- Megakaryocytes release cytoplasmic extensions that break off and reseal to form platelets
- Can sometimes be found in the spleen or lung and occasionally in blood smears
Thrombopoietin (TPO)
- Glycoprotein produced mostly in the liver but also in bone marrow and kidney
- Stimulates megakaryocyte and platelet production
- Increases the size and number of megakaryocytes and stimulates them to release platelets from cytoplasm
- Synergizes with erythropoietin and affects erythropoietin production
- Regulation is tricky as the body cannot directly sense platelet needs
- Thrombopoietin receptors can be found on circulating platelets and endothelial cells
- Less platelets results in less binding of thrombopoietin, leading to more free thrombopoietin
- Less platelet surface area = More Free thrombopoietin = Stimulate Platelet Production
Tricky Thing about Platelets
- Production is tied to platelet breakdown due to membrane aging and desialization
- Cleared by the Ashwell-Morell receptor, which stimulates platelet production
- Really low platelets can result in not enough platelet breakdown to stimulate platelet production
- Chronic thrombocytopenia can make it hard for the body to respond, even if the cause is removed
- The immune system could be attacking platelets and megakaryocytes
- With really low platelets caused by immune-mediated thrombocytopenia, the body has a hard time responding to increases of platelets, even after the cause has been suppressed.
- Solutions to this problem can be blood transfusions or platelet-rich plasma to give platelets from an external source
Platelet Regulation Summary
- Free thrombopoietin is mostly regulated by binding to platelet membranes. The less platelets, the more free thrombopoietin and stimulation
- Thrombopoietin production must be uninhibited in order to stimulate production
- Cats are generally have much larger platelets, while dogs have platelets that are more similar in size
- Increased platelet production leads to extra-large platelets in circulation
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