What happens when the spleen is enlarged?
More platelets are sequestered/stored, and even young & healthy cells may be affected and damaged.
What is red bone marrow responsible for?
Production of developing cells and progenitors that produce mature blood cells.
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p.7
Bone Marrow Function

What happens when the spleen is enlarged?

More platelets are sequestered/stored, and even young & healthy cells may be affected and damaged.

p.3
Bone Marrow Function

What is red bone marrow responsible for?

Production of developing cells and progenitors that produce mature blood cells.

p.3
Bone Marrow Function

At what age is bone marrow approximately 60-70% active?

In the 20s.

p.1
Hematopoiesis Overview

What are the key processes involved in hematopoiesis?

Cell renewal, proliferation, differentiation, and maturation.

p.8
Stem Cell Theories

What is the ratio of hematopoietic stem cells to nucleated blood cells?

1 hematopoietic stem cell per 1000 nucleated blood cells.

p.5
Hematopoietic Microenvironment

What are the key types of stromal cells that support HSCs in bone marrow?

Endothelial cells, adipocytes, macrophages, osteoblasts, osteoclasts, and reticular cells.

p.1
Hepatic Phase

When does the hepatic phase of hematopoiesis begin?

At 5 to 7 gestational weeks.

p.1
Hepatic Phase

When does the hepatic phase reach its peak production?

Around the 3rd month of pregnancy (roughly 12 weeks).

p.4
Bone Marrow Function

What characterizes hypercellular bone marrow?

An abnormal increase in the production of cells, with more than 70% hematopoietic cells.

p.4
Bone Marrow Function

What arteries supply nutrients and oxygen to the bone marrow?

Nutrient and periosteal arteries.

p.9
Cytokines and Growth Factors

What functions do cytokines serve in hematopoiesis?

They prevent precursor cells from dying, stimulate stem cell division, and regulate cell differentiation.

p.7
Bone Marrow Function

What are the primary functions of the spleen?

Sequesters or stores platelets and removes unwanted or abnormal cells in blood.

p.7
Hematopoietic Microenvironment

What are the two regions of lymph nodes?

Cortex (outer layer) containing B-cells and Medulla (inner layer) containing T-cells.

p.1
Bone Marrow Function

Where does hematopoiesis primarily occur in healthy adults?

In the bone marrow.

p.7
Stem Cell Theories

What are the two theories of stem cell hematopoiesis?

Monophyletic theory and Polyphyletic theory.

p.6
Hematopoietic Microenvironment

What is the major site of cell production during the second trimester of fetal development?

The liver.

p.5
Hematopoietic Microenvironment

How do adipocytes contribute to hematopoiesis?

They secrete steroids that influence erythropoiesis, maintain bone integrity, and regulate bone marrow volume.

p.2
Bone Marrow Function

What is the chief site for hematopoiesis during the Medullary Phase?

Bone Marrow.

p.2
Hematopoiesis Overview

What are the main types of hemoglobin present in adults?

Hemoglobin A (HbA), Hemoglobin A1 (HbA1), and Hemoglobin A2 (HbA2).

p.2
Cytokines and Growth Factors

What is the significance of growth factors during the Medullary Phase?

They ensure that stem cells commit to the production of specific blood cells.

p.2
Hematopoiesis Overview

Which organs are involved in hematopoiesis during the fetal stage?

Liver, spleen, kidneys, thymus, and placenta.

p.6
Bone Marrow Function

When do we examine a bone marrow specimen?

In cases of hematologic disorders affecting the cells, such as anemia, leukemia, tumors, and infections.

p.8
Stem Cell Theories

What do Lymphoid Stem Cells produce?

Lymphocytes, including B-cells and T-cells.

p.7
Hematopoiesis Overview

What is the primary function of the thymus?

Normal development of T-cells and conditioning of lymphocytes.

p.9
Cytokines and Growth Factors

Which cytokines have positive influences on hematopoiesis?

Interleukins 1, 3, 6, 7, 9, 11, KIT Ligands (KITLG), and GM-CSF.

p.8
Stem Cell Theories

What does the loss of CD38 and HLA-DR indicate?

Loss of 'stemness' in producing cells.

p.8
Stem Cell Theories

What do CD10 and CD38 markers indicate?

Committed Lymphoid progenitors.

p.4
Bone Marrow Function

What percentage of hematopoietic cells is considered normocellular in a stained smear?

30-70%.

p.4
Bone Marrow Function

What is hypocellular bone marrow?

An abnormal decrease in the production of cells, with less than 30% hematopoietic cells.

p.4
Hematopoietic Microenvironment

What is the role of the hematopoietic microenvironment?

To nurture and protect hematopoietic stem cells (HSCs).

p.4
Hematopoietic Microenvironment

How does the hematopoietic microenvironment adjust during transitions in hematopoiesis?

It adjusts to provide a proper supply of nutrients needed by hematopoietic stem cells.

p.9
Cytokines and Growth Factors

What are cytokines?

A group of proteins that have direct and indirect effects on hematopoietic stem cells.

p.7
Bone Marrow Function

What is splenectomy?

The surgical removal of the spleen, often needed if the spleen is damaged.

p.6
Bone Marrow Function

What needle is used for trephine biopsy?

Jamshidi needle (gauge size: 11).

p.6
Extramedullary Hematopoiesis

Which organs are involved in extramedullary hematopoiesis?

Liver, spleen, lymph nodes, and thymus.

p.1
Mesoblastic Phase

When does the hematopoietic stage begin during gestation?

As early as the 19th day of gestation.

p.6
Hematopoietic Microenvironment

What are the functions of the spleen?

Phagocytosis and lymphopoiesis.

p.7
Stem Cell Theories

What are Hematopoietic Stem Cells (HSCs)?

Self-renewing and pluripotent cells that can reconstitute the hematopoietic system of irradiated hosts.

p.2
Medullary Phase

What phase of hematopoiesis occurs after the yolk sac has discontinued its role?

The Medullary Phase.

p.5
Hematopoiesis Overview

What does an elevated M:E ratio indicate during infection?

It can increase from 2:1 up to 6:1 due to the need for more WBCs.

p.5
Bone Marrow Function

What components make up the extracellular matrix of the bone marrow?

Fibronectin, collagen, laminin, thrombospondin, tenascin, and proteoglycans.

p.3
Hematopoiesis Overview

What are the primary lymphoid tissues?

Bone Marrow (produces B-cells) and Thymus (produces T-cells).

p.6
Bone Marrow Function

What is the usual procedure for counting cells in a bone marrow specimen?

Medical technologists and pathologists usually count 500 cells that will eventually be identified and differentiated.

p.8
Stem Cell Theories

What do Myeloid Stem Cells produce?

Mature cells excluding lymphocytes, including RBCs.

p.7
Hematopoietic Microenvironment

What are lymph nodes?

Bean-shaped structures located along the lymphatic capillaries that remove foreign blood contaminants.

p.8
Cytokines and Growth Factors

What is the significance of Growth Factors in stem cell commitment?

They stimulate stem cells to commit to specific cell types.

p.3
Bone Marrow Function

What is one of the main functions of bone marrow related to iron?

Iron storage, especially when RBCs are destroyed.

p.6
Hematopoietic Microenvironment

What role does the liver play in hematopoiesis?

It provides necessary proteins and essential minerals for the synthesis of DNA and RNA.

p.1
Mesoblastic Phase

What are the types of embryonic hemoglobins produced during the mesoblastic phase?

Gower 1, Gower 2, and Portland hemoglobins.

p.1
Mesoblastic Phase

What is a key feature of the mesoblastic phase?

It occurs intravascularly within developing blood vessels.

p.5
Hematopoiesis Overview

What is the normal M:E ratio range?

2:1 up to 4:1.

p.5
Hematopoiesis Overview

What M:E ratio might be observed in leukemia?

It can go as high as 25:1.

p.2
Medullary Phase

What is the term used for hematopoiesis occurring in the bone marrow?

Medullary Hematopoiesis.

p.3
Bone Marrow Function

What is the main function of bone marrow?

Proliferation and production of blood cells.

p.6
Bone Marrow Function

What are some normal cells found in bone marrow?

Macrophages, mast cells, osteoblasts, and osteoclasts.

p.9
Cytokines and Growth Factors

What is the role of Colony-Stimulating Factor (CSF)?

It regulates the production of white blood cells (WBCs).

p.9
Cytokines and Growth Factors

What is Erythropoietin (EPO) and where is it derived from?

A cytokine derived from the kidneys that helps myeloid stem cells produce red blood cells (RBCs).

p.9
Cytokines and Growth Factors

What are Interleukins?

Signaling molecules that help progenitor cells commit to specific lineages, initially thought to be produced only by leukocytes.

p.7
Stem Cell Theories

What does the Monophyletic theory suggest?

All blood cells are derived from a single progenitor stem cell, the Pluripotential Hematopoietic Stem Cell (PHSC).

p.5
Hematopoietic Microenvironment

What is the function of endothelial cells in the bone marrow?

They regulate the flow of particles entering and leaving the hematopoietic spaces.

p.6
Hematopoietic Microenvironment

What are the three types of splenic tissue?

White pulp, red pulp, and marginal zone.

p.4
Bone Marrow Function

What is the process by which mature blood cells enter peripheral circulation?

The processes are not clearly understood.

p.2
Hematopoiesis Overview

What happens to the production of HbF after birth?

There is a decrease in the production of HbF.

p.3
Hematopoiesis Overview

What is the primary function of hematopoietic tissue?

Responsible for the synthesis or production of blood cells.

p.3
Bone Marrow Function

What does the bone marrow contain?

Hematopoietic cells, stromal cells, and blood vessels.

p.8
Stem Cell Theories

What type of stem cell gives rise to progenitor cells?

Pluripotent Stem Cell.

p.3
Bone Marrow Function

What is yellow bone marrow?

Inactive hematopoietically, accumulates fats, and is not capable of producing blood cells.

p.9
Cytokines and Growth Factors

Which cytokines have negative influences on hematopoiesis?

Transforming growth factors-beta, Tumor Necrosis Factor-alpha, and Interferon.

p.6
Bone Marrow Function

What is the preferred site for bone marrow collection?

The posterior iliac crest.

p.1
Hematopoiesis Overview

What is hematopoiesis?

A continuous and regulated process of blood cell production resulting in the formation, development, and specialization of all functional blood cells (RBCs, WBCs, and Platelets).

p.8
Cytokines and Growth Factors

What is a Colony Forming Unit (CFU)?

A colony of hematopoietic precursor cells that can survive for 5-8 weeks.

p.3
Bone Marrow Function

What happens to adipocytes in bone marrow as we age?

They become more present and occupy spaces in long bones.

p.6
Extramedullary Hematopoiesis

What is extramedullary hematopoiesis?

It occurs when hyperplasia of the bone marrow cannot meet the physiological needs of the body.

p.9
Cytokines and Growth Factors

What is Thrombopoietin (TPO) and its source?

A cytokine derived from the liver and kidneys needed for the production of megakaryocytes, which produce platelets.

p.8
Hematopoiesis Overview

How many erythrocytes are produced daily per kilogram of body weight in a normal adult?

2.5 billion.

p.1
Mesoblastic Phase

What is the chief site of cell production during the mesoblastic phase?

The embryonic yolk sac.

p.5
Hematopoietic Microenvironment

What is the role of stromal cells in hematopoiesis?

They regulate HSCs and progenitor cells, aiding in their survival and differentiation into cell lines like RBCs, WBCs, and platelets.

p.8
Stem Cell Theories

What markers identify the earliest human hematopoietic stem cells?

CD34+, CD38-, HLA-DR low, Thy1 low.

p.7
Stem Cell Theories

What does the Polyphyletic theory suggest?

Each blood cell lineage is derived from its own unique stem cell.

p.5
Hematopoiesis Overview

What is the significance of the myeloid to erythroid (M:E) ratio?

It compares the relative number of granulocyte precursors to erythrocyte precursors in the bone marrow.

p.2
Medullary Phase

At what month of gestation does the Medullary Phase begin?

At the 5th to 6th month of gestation.

p.2
Hematopoiesis Overview

What type of hemoglobin is predominant during the fetal stage?

Hemoglobin F (HbF).

p.4
Bone Marrow Function

What is aplastic bone marrow?

A condition with very few or a total absence of hematopoietic cells.

p.2
Bone Marrow Function

What cells are responsible for the development and production of blood cells in the bone marrow?

Hematopoietic Stem Cells (HSCs) and Mesenchymal cells.

p.4
Hematopoietic Microenvironment

What does the stroma in the hematopoietic microenvironment do?

Serves as an anchor for developing hematopoietic cells and promotes cell adhesion.

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