Hematopoiesis: Platelet Production

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Questions and Answers

What is the normal reference value (N.V.) for platelet count?

  • 250 – 500 x 10^9/L
  • 100 – 300 x 10^9/L
  • 200 – 450 x 10^9/L
  • 150 – 400 x 10^9/L (correct)

Which sex tends to have a higher platelet count?

  • No consistent pattern
  • Females (correct)
  • Males
  • Both sexes equally

What percentage of platelets are found circulating in the blood?

  • 30%
  • 66% (correct)
  • 67%
  • 50%

What initiates primary hemostasis?

<p>Platelet adhesion to collagen (A)</p> Signup and view all the answers

What is the end product of primary hemostasis?

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

Where are approximately 30% of platelets typically stored?

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

What happens to the primary hemostasis process after a brief period?

<p>It is replaced by secondary hemostasis (B)</p> Signup and view all the answers

What role do proplatelet processes play in platelet formation?

<p>Extending platelet cytoplasmic projections (D)</p> Signup and view all the answers

Which hormone is essential for the early stages of megakaryocytopoiesis?

<p>Interleukin-3 (B)</p> Signup and view all the answers

Which cell type undergoes endomitosis leading to less proliferation?

<p>LD-CFU-Meg (B)</p> Signup and view all the answers

Where is the primary production of Thrombopoietin (TPO) located?

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

In the terminal differentiation stage, how can immature megakaryocytes be differentiated?

<p>Using a microscope (D)</p> Signup and view all the answers

Which interleukin is important in the later stages of megakaryocytopoiesis?

<p>Interleukin-6 (A)</p> Signup and view all the answers

What is the characteristic of BFU-Meg among the other megakaryocyte progenitors?

<p>Least mature form (D)</p> Signup and view all the answers

What is the initial identifiable stage in the development of megakaryocytes?

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

Which cytokine is not mentioned as involved in megakaryocytopoiesis?

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

What technique is used to identify megakaryocyte progenitors in the bone marrow?

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

What is the role of thrombopoietin (TPO) in the bone marrow?

<p>To trigger megakaryocytopoiesis (D)</p> Signup and view all the answers

Where in the body does megakaryocytopoiesis occur?

<p>Red bone marrow (C)</p> Signup and view all the answers

What is the size range of platelets (thrombocytes)?

<p>1 to 4 µm (C)</p> Signup and view all the answers

Which of the following cells are the largest in the bone marrow?

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

Which of the following best describes the cytoplasm of platelets?

<p>Light blue to purple and very granular (B)</p> Signup and view all the answers

What is endomitosis?

<p>A unique form of mitosis in megakaryocytes (D)</p> Signup and view all the answers

What is the function of flow cytometry in megakaryocyte production?

<p>To identify progenitor cells (D)</p> Signup and view all the answers

What major component is absent in platelets that distinguishes them from other blood cells?

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

What does the 'LD' in LD-CFU-Meg stand for?

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

What are the two parts of the platelet's cytoplasm?

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

Which progenitor cell undergoes the first stage of endomitosis?

<p>LD-CFU-Meg (D)</p> Signup and view all the answers

Which system forms a series of channels that aid in thrombocyte production?

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

What happens to megakaryocyte nuclei during thrombopoiesis?

<p>They are consumed by marrow macrophages. (B)</p> Signup and view all the answers

Why are platelets considered small under the microscope?

<p>They are just fragments of megakaryocytes. (D)</p> Signup and view all the answers

What characterizes the hyalomere component of the platelet's cytoplasm?

<p>Nongranular and clear to light blue (B)</p> Signup and view all the answers

What is the primary role of phospholipase A2 in platelets?

<p>Supports platelet activation (A)</p> Signup and view all the answers

Which structure is responsible for maintaining the discoid shape of platelets?

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

What is the thickness range of the glycocalyx in platelets?

<p>20-30 nm (C)</p> Signup and view all the answers

What is the primary function of the sol-gel zone in platelets?

<p>Provides structural support and shape change (B)</p> Signup and view all the answers

Which component is NOT involved in platelet adhesion and aggregation?

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

What happens to the cytoskeleton of platelets when they are refrigerated?

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

What is the effect of warming refrigerated platelets to 37°C?

<p>Reverses the disassembly of the cytoskeleton (C)</p> Signup and view all the answers

What is the primary role of the dense tubular system in platelets?

<p>Control center for platelet activation (B)</p> Signup and view all the answers

What role does ADP play in platelet function?

<p>It supports neighboring platelet aggregation by binding to specific receptors. (D)</p> Signup and view all the answers

Which of the following best describes the process of platelet adhesion?

<p>Platelets stick to exposed collagen on a vessel wall. (A)</p> Signup and view all the answers

What is the function of lysosomes in platelets?

<p>To digest vessel wall matrix components during aggregation. (B)</p> Signup and view all the answers

What occurs after platelet activation?

<p>Platelets change their shape. (A)</p> Signup and view all the answers

Which molecule is specifically mentioned as having an unknown function upon platelet activation?

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

What sequence correctly represents the formation of a platelet plug?

<p>Platelet adhesion → Platelet activation → Platelet secretion → Platelet aggregation (B)</p> Signup and view all the answers

Which of the following components is a vasoconstrictor released by platelets?

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

Which ions are mentioned as supporting platelet activation and coagulation?

<p>Ca2+ and Mg2+ (A)</p> Signup and view all the answers

Flashcards

Thrombopoietin (TPO)

A hormone responsible for stimulating the production and maturation of megakaryocytes, the cells that produce platelets.

CFU-Meg (Colony Forming Unit - Megakaryocyte)

A type of megakaryocyte progenitor that divides using normal mitosis, maintaining a pool of megakaryocyte progenitors.

LD-CFU-Meg (Light Density - Colony Forming Unit - Megakaryocyte)

A more mature megakaryocyte progenitor that loses its ability to divide via mitosis but undergoes endomitosis, increasing its DNA content and size.

Interleukin-3 (IL-3)

A cytokine that cooperates with thrombopoietin to stimulate early megakaryocyte differentiation.

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Interleukin-6 (IL-6)

A cytokine that promotes megakaryocyte maturation and platelet release in later stages.

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Interleukin-11 (IL-11)

A cytokine that contributes to megakaryocyte maturation and platelet release, often working alongside Interleukin-6.

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Flow Cytometry

A method of analyzing cells based on their physical and chemical properties, useful for identifying megakaryocyte progenitors in the bone marrow.

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Megakaryopoiesis

The process of megakaryocyte development, including proliferation, differentiation, and maturation.

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Megakaryocytopoiesis

The process of producing megakaryocytes, the large cells that give rise to platelets.

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Megakaryocyte-Erythrocyte Progenitor

A stem cell that can develop into both megakaryocytes and erythrocytes. It's a precursor cell type that has the versatility to become either.

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Where is megakaryocytopoiesis?

Red bone marrow holds the megakaryocytes, the specialized cells responsible for making platelets.

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Megakaryoblast

The first recognizable stage of a megakaryocyte. An immature, rapidly growing cell which later differentiates into a mature megakaryocyte.

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Endomitosis

Specialized process of cell division unique to megakaryocytes. During endomitosis, DNA replicates repeatedly, but the cell does not divide into daughter cells, resulting in one large cell with multiple nuclei.

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What stimulates megakaryocytopoiesis?

Thrombopoietin (TPO) is a hormone that regulates the production of megakaryocytes, thereby influencing platelet production.

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Megakaryocytes and Polyploidy

Megakaryocytes are the largest cells in the bone marrow and contain multiples copies of chromosomes (being polyploid). The process of endomitosis leads to this increase in DNA content.

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Thrombopoiesis

The process of platelet production, starting from megakaryocytes and resulting in cell fragments called platelets.

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Megakaryocytes

Large cells in the bone marrow responsible for producing platelets.

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Platelets (Thrombocytes)

Platelets are small, anucleate (no nucleus) cell fragments that play a crucial role in hemostasis (stopping bleeding).

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Chromomere

The central portion of a platelet containing granules, giving it a granular appearance.

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Hyalomere

The outer region of a platelet surrounding the chromomere, appearing clear or light blue under a microscope.

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Demarcation System

A system of channels within megakaryocytes that progressively divides the cytoplasm into smaller fragments, which ultimately become platelets.

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Thrombocytopoiesis

The process of platelet formation, involving the development of megakaryocytes and their fragmentation into platelets.

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Platelet Structure

Platelets are derived from fragments of megakaryocytes, explaining their small size and lack of a nucleus.

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Platelet Shedding

The shedding of platelets from megakaryocytes, a process involving the formation of proplatelet processes that extend into the bloodstream and release individual platelets.

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Proplatelet Process

A cytoplasmic extension that forms from a megakaryocyte, allowing for the release of platelets into the bloodstream.

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Normal Platelet Count

The normal range of platelets in a healthy individual, typically 150 to 400 x 10^9/L.

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Spleen Sinusoid

A structure in the spleen that filters blood and helps to regulate the number of platelets in circulation.

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Primary Hemostasis

The process of stopping bleeding by the formation of a platelet plug to seal the wound.

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Platelet Release

A measure of the percentage of platelets in blood that are in the circulation rather than stored in the spleen.

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Platelet Adhesion: What is it?

Platelets adhere to the vessel wall, initiating the clotting process. This is triggered by the exposure of collagen, a protein found in blood vessel walls.

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Platelet Activation: What happens?

When platelets are activated, they change shape and begin signaling other platelets to join the clotting process.

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Platelet Secretion: What is released?

Activated platelets release granules, which attract other platelets and initiate the clotting cascade.

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Platelet Aggregation: What is the process?

Platelets clumping together to form a plug to stop bleeding. This is a crucial step in the hemostasis process.

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What components are essential for platelet function?

ADP, ATP, serotonin, and calcium ions are all important components of platelet function, supporting platelet aggregation and activation.

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What is the function of lysosomes in platelets?

Lysosomes are organelles within platelets that play a key role in breaking down damaged tissue during clotting. Think of them as the 'clean up crew'.

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What are the steps in platelet plug formation?

The platelet plug is formed through a series of steps: platelet adhesion, platelet activation, platelet secretion, and platelet aggregation.

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What is the significance of platelet plug formation?

A platelet plug is a temporary barrier that stops bleeding. It is quickly followed by the formation of a more permanent clot (secondary hemostasis).

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Glycocalyx

A layer of glycoproteins and other molecules on the outer surface of the platelet membrane, crucial for adhesion, aggregation, and coagulation.

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Dense Tubular System (DTS)

The control center of platelet activation, responsible for the platelet's reaction to thrombin and fibrinogen.

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Sol-Gel Zone

A network of microtubules, actin microfilaments, and intermediate filaments that controls platelet shape, extension of pseudopods, and secretion of granules.

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Tubulin

The major protein component of microtubules, maintaining the discoid shape of platelets.

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Platelet Repulsion

The negative surface charge maintained by the glycocalyx helps platelets repel each other, preventing unwanted clotting.

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Shape Change

The ability of platelets to change shape, extending pseudopods to adhere to the damaged blood vessel wall.

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Secretion of Granule Contents

The process where platelets release the contents of their granules, including growth factors and signaling molecules, to aid in healing.

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Study Notes

Hematopoiesis: Platelet Production

  • Megakaryocytopoiesis is the production and development of megakaryocytes
  • Progenitor cell: Common myeloid progenitor (CMP) or CFU-GEMM
  • Lineage: Megakaryocyte-Erythrocyte Progenitor
  • Site: Bone marrow (specifically red bone marrow)
  • Megakaryoblasts develop into megakaryocytes, which produce platelets (thrombocytes)
  • Megakaryocytes are the largest cells in bone marrow, containing multiple chromosome copies (polyploid)
  • Thrombopoietin (TPO) is a liver-produced hormone that triggers megakaryocytopoiesis

Stages of Megakaryocyte Development

  • Megakaryoblast: First identifiable stage
  • Promegakaryocyte
  • Megakaryocyte
  • Platelets

Hematopoietic Stem Cells (CD34)

  • Pluripotential hematopoietic stem cell
  • Multipotential stem cells
  • Committed progenitor cells
  • CFUs (CFU-GM, CFU-Eo, CFU-Baso, CFU-MegE, CFU-G, CFU-M, BFU-E, CFU-Meg, LD-CFU-Meg): various committed progenitor cells like granulocytes, monocytes, eosinophils, basophils, megakaryocytes, erythrocytes, and precursors of T cells, NK cells and B cells

Endomitosis

  • A type of cell division unique to megakaryocytes
  • DNA replicates, but cytokinesis (division of cytoplasm) does not occur
  • Allows megakaryocytes to develop multiple copies of their genome
  • Low-density CFU-megakaryocytes (LD-CFU-Meg) undergo endomitosis
  • Megakaryocytes lose the ability to divide after endomitosis

Hormones and Cytokines for Megakaryopoiesis

  • Thrombopoietin (TPO): Primarily produced by the liver; induces stem cell differentiation, proliferation, and platelet release
  • Interleukins (IL-3, IL-6, IL-11): Support megakaryocyte maturation and platelet release
  • Stem cell factor (SCF): Supports megakaryocytic progenitor proliferation.
  • Granulocyte-macrophage colony-stimulating factor (GM-CSF): Supports megakaryocytic progenitor proliferation.
  • Granulocyte-CSF (G-CSF) : Supports megakaryocytic progenitor proliferation

Platelets (Thrombocytes)

  • Small, anucleate cell fragments
  • Cytoplasm contains granules (alpha granules, dense granules) and a cytoskeleton
  • Primary role in hemostasis; forms the initial plug to stop bleeding
  • Circulate in blood; lifespan of about 8-12 days
  • Destroyed by macrophages in the spleen and liver

Platelet Structure and Function

  • Peripheral Zone: Glycocalyx (outer surface), plasma membrane (phospholipids and carbohydrates), cytosol.
  • Sol-Gel Zone: Cytoskeleton (microfilaments, microtubules) that supports and maintains platelet shape
  • Organelle Zone: Alpha granules (contain proteins involved in clotting cascade, e.g., VWF, fibrinogen, etc.), dense granules (contain ADP, ATP, serotonin, calcium), mitochondria
  • Membranous System: Dense tubular system, open canalicular system.

Stress Platelets (Reticulated Platelets)

  • Platelets that are produced more rapidly in response to decreased platelet numbers, or inflammation.
  • They are larger than mature platelets.

Platelet Plug Formation

  • Platelets adhere to exposed collagen (and VWF(von Willebrand factor) at an injury site.
  • Platelets release granules containing clotting factors.
  • Platelets aggregate (clump together) to form a plug and trigger secondary hemostasis
  • Platelets activate via shape change (change from disc to irregular).
  • Platelet aggregation occurs once platelets are activated

Platelet Ultrastructure

  • Primarily consists of protein, phospholipids, carbohydrates, electrolytes, and water.

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