Maturation of Blood Cells

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Questions and Answers

What characterizes Intermediate or Progenitor cells in hematopoiesis?

  • They develop into mature cells without any specific commitment.
  • They retain their nuclei even after maturation.
  • They are unipotential and committed to a specific cell line. (correct)
  • They are multipotential and can develop into various cell lines.

During which period of prenatal hematopoiesis does erythropoiesis begin?

  • Mesoblastic Period (correct)
  • Lymphoid Period
  • Hepatic Period
  • Myeloid Period

What is the primary site of hematopoiesis during the Hepatic Period?

  • Yolk Sac
  • Spleen
  • Liver (correct)
  • Bone Marrow

Which type of erythroblast is formed during the Hepatic Period and contains fetal hemoglobin (HbF)?

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

At what stage in fetal life does the Medullary or Myeloid Period start?

<p>5th month (A)</p> Signup and view all the answers

What significant change occurs in the cells formed during the transition from definitive erythroblasts to erythropoiesis?

<p>They extrude their nucleus. (B)</p> Signup and view all the answers

What is the chief site of hematopoiesis by the end of 24 weeks of gestation?

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

Which two hemoglobin types are detected by the end of the Medullary Period?

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

What percentage of hemoglobin is formed during the reticulocytic stage?

<p>35% (C)</p> Signup and view all the answers

How many lobes does a mature neutrophil typically have?

<p>2-5 (B)</p> Signup and view all the answers

What stage do cells undergo enucleation before becoming reticulocytes?

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

What is the primary function of erythroblastic islands in the bone marrow?

<p>To facilitate the proliferation and differentiation of erythroid precursors (B)</p> Signup and view all the answers

What happens to chromatin structure as cells mature?

<p>It becomes more clumped and coarse. (B)</p> Signup and view all the answers

Which of the following processes occurs during synchronistic maturation of blood cells?

<p>Cytoplasmic granules are produced alongside nuclear changes (C)</p> Signup and view all the answers

Which of the following best describes the change in size of cells during maturation, except for megakaryocytic cells?

<p>Cells become smaller. (C)</p> Signup and view all the answers

What is the first stage of hemoglobin (Hb) formation during erythropoiesis?

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

Which granulocyte is characterized by retaining its stab-shaped nucleus during maturation?

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

What change occurs to the cytoplasm of erythrocytic cells during maturation?

<p>Loss of basophilia as RNA content decreases (B)</p> Signup and view all the answers

What is the term used for the removal of the nucleus just before reticulocyte formation?

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

During maturation, what feature distinguishes immature erythrocytic cells from mature ones?

<p>Nucleus presence and size reduction (D)</p> Signup and view all the answers

In which type of cell are primary granules first developed during granulocyte maturation?

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

What percentage of nucleated cells in the bone marrow do erythroid cells typically account for?

<p>5% - 38% (C)</p> Signup and view all the answers

Which stage of development is characterized by the appearance of secondary granules in granulocytes?

<p>Early myelocytic stage (D)</p> Signup and view all the answers

What role do macrophages play in erythroblastic islands?

<p>They surround and support developing normoblasts (B)</p> Signup and view all the answers

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Study Notes

Erythroblastic Islands

  • Specialized niches where erythroid precursors proliferate, differentiate, and enucleate (extrude their nucleus).
  • Consist of a macrophage surrounded by developing normoblasts.
  • Involves cell-cell and cell-extracellular matrix adhesion, both positive and negative regulatory feedback.
  • Erythroid cells constitute 5% to 38% of nucleated cells in bone marrow.

Principles of Synchronistic Maturation

  • Nucleus and cytoplasm mature simultaneously, resulting in normal, typical cells.

Cytoplasmic Changes

  • Loss of Basophilia: Younger cells have higher RNA content, leading to greater affinity for basic dyes.
  • Production of Cytoplasmic Granules:
    • Non-specific/primary granules develop in promyelocytes.
    • Secondary granules appear in early myelocytes.
    • Tertiary granules emerge in late myelocytes; distinguish granulocyte types by granule color.
  • Elaboration of Hemoglobin (Hb): Begins in pronormoblasts and is observed through the reticulocyte stage.

Intermediate and Mature Cells

  • Intermediate (Progenitor) cells are denoted as CFU/BFU, committed to specific cell lines.
  • Mature cells or precursor cells have specific functions after development.

Stages of Hematopoiesis

  • Divided into pre-natal and post-natal hematopoiesis.

Pre-Natal Hematopoiesis

Mesoblastic Period

  • Begins on the 14th day of gestation, peaks in the first month, lasts until the 3rd month.
  • Chief site: Blood islands of the yolk sac.
  • Primitive erythroblasts are formed intravascularly, megaloblastic, and retain nuclei, containing embryonic hemoglobin (Gower 1, Gower 2, Portland).

Hepatic Period

  • Starts from the 5th to 7th week of gestation until birth.
  • Chief site: Liver, with contributions from spleen, lymph nodes, and thymus.
  • Definitive erythroblasts formed extravascularly; they extrude their nucleus and contain HbF.
  • Erythropoiesis continues, and granulopoiesis begins around the 3rd month, leading to lymphopoiesis and monocytopoiesis in subsequent months.

Medullary or Myeloid Period

  • Starts from the 5th month of fetal life to adulthood.
  • Bone marrow becomes the chief hematopoiesis site by the 24th week (6 months), with measurable erythropoietin (EPO) and growth factors.
  • Both HbA and HbF are detectable; various maturation stages of blood cells can be observed.

Post-Natal Hematopoiesis

  • At the reticulocytic stage, only 35% of hemoglobin is formed; this hemoglobin serves for oxygen delivery for the erythrocyte's lifespan (about 120 days).

Nuclear Changes

  • Lobulation: Granulocytes increase nuclear lobes with maturation; neutrophils generally have 2-5 lobes.
  • Changes in Chromatin Structure: Nuclear chromatin transitions from fine and linear (euchromatin) to coarse and clumped (heterochromatin).
  • Extrusion of Nucleus: Occurs from pronormoblast to orthochromic normoblast; enucleation happens right before reticulocyte stage.
  • Reduction in Cell Size: Maturing cells decrease in size, except megakaryocytes, which increase in size.

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