Hematopoiesis: Platelet Production
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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</p> Signup and view all the answers

    What is the end product of primary hemostasis?

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

    Where are approximately 30% of platelets typically stored?

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

    What role do proplatelet processes play in platelet formation?

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

    Which hormone is essential for the early stages of megakaryocytopoiesis?

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

    Which cell type undergoes endomitosis leading to less proliferation?

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

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

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

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

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

    Which interleukin is important in the later stages of megakaryocytopoiesis?

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

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

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

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

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

    Which cytokine is not mentioned as involved in megakaryocytopoiesis?

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

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

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

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

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

    Where in the body does megakaryocytopoiesis occur?

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

    What is the size range of platelets (thrombocytes)?

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

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

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

    What is endomitosis?

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

    What is the function of flow cytometry in megakaryocyte production?

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

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

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

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

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

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

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

    Which progenitor cell undergoes the first stage of endomitosis?

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

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

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

    What happens to megakaryocyte nuclei during thrombopoiesis?

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

    Why are platelets considered small under the microscope?

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

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

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

    What is the primary role of phospholipase A2 in platelets?

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

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

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

    What is the thickness range of the glycocalyx in platelets?

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

    Which component is NOT involved in platelet adhesion and aggregation?

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

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

    <p>It disassembles</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</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</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.</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.</p> Signup and view all the answers

    What is the function of lysosomes in platelets?

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

    What occurs after platelet activation?

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

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

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

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

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

    Which ions are mentioned as supporting platelet activation and coagulation?

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

    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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    Description

    This quiz covers the process of hematopoiesis with a focus on megakaryocytopoiesis and platelet production. Learn about the lineage, stages of development, and the role of thrombopoietin in megakaryocyte formation. Test your knowledge on the key concepts and cell types involved.

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