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Questions and Answers
What is the primary consequence of Vitamin B12 or folic acid deficiency on red blood cell maturation?
What is the primary consequence of Vitamin B12 or folic acid deficiency on red blood cell maturation?
- Enhanced cytoplasmic maturation
- Speeding up DNA synthesis
- Delayed erythropoiesis leading to megaloblasts (correct)
- Increased production of erythroblastic cells
How does folic acid deficiency affect cytoplasmic maturation in red blood cells?
How does folic acid deficiency affect cytoplasmic maturation in red blood cells?
- It causes premature cell division
- It is significantly impaired
- It remains relatively unimpeded (correct)
- It enhances the maturation process
What term describes the abnormal red blood cells produced due to Vitamin B12 or folic acid deficiency?
What term describes the abnormal red blood cells produced due to Vitamin B12 or folic acid deficiency?
- Normoblasts
- Microcytes
- Megaloblasts (correct)
- Hypochromic cells
What condition develops as a result of decreased red blood cell production due to B12 or folic acid deficiency?
What condition develops as a result of decreased red blood cell production due to B12 or folic acid deficiency?
What is the shape and durability of red blood cells affected by B12 or folic acid deficiency?
What is the shape and durability of red blood cells affected by B12 or folic acid deficiency?
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Study Notes
Vitamin B12 and Folic Acid in RBC Maturation
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Vitamin B12 and folic acid are vital for DNA synthesis, a process critical for the maturation of red blood cells (RBCs).
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A deficiency in either vitamin B12 or folic acid disrupts DNA synthesis and nuclear maturation within RBCs.
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While DNA synthesis is impaired, cytoplasmic maturation (controlled by RNA function) continues relatively unaffected.
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The imbalance results in delayed erythropoiesis, leading to a build-up of erythroblastic cells in the bone marrow.
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These immature cells grow but cannot divide at a normal rate, becoming larger than usual – a condition known as megaloblastic anemia.
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This process ultimately produces abnormally large erythrocytes called macrocytes, which exhibit irregular shapes and are prone to breakage.
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The decreased number of RBCs in the blood caused by the fragile macrocytes leads to a condition called megaloblastic anemia or maturation failure anemia.
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