MEH - Haemopoiesis Flashcards Preview

CJ: UoL Medicine Semester Two (ESA2) > MEH - Haemopoiesis > Flashcards

Flashcards in MEH - Haemopoiesis Deck (45)
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Where are most red blood cells, platelets and white blood cells produced?

Bone marrow


Where is bone marrow mainly distributed in adulthood?

Pelvis, sternum, skull, ribs, vertebrae


How are blood cells produced?

A multipotential haematopoietic stem cell becomes either a common myeloid progenitor or a common lymphoid progenitor.

The lymphoid progenitors form B and T lymphocytes, and the myeloid progenitors form thrombocytes, monocytes, basophils, neutrophils and eosinophils


What cells are included in the reticuloendothelial system (RES)?

Monocytes, macrophages, kupffer cells, tissue histiocytes, microglial cells in CNS


What do RES cells in the spleen dispose of?

Damaged or old red blood cells


What are the functions of red blood cells?

Primary - to deliver oxygen to the tissues

- carry haemoglobin
- maintain haemoglobin in its reduced (ferrous) state
- generate energy (ATP)
- maintain osmotic equilibrium


Do red blood cells have a cell membrane?

Yes, a lipid bilayer. They also have membrane proteins inserted into it


At what age does the switch from foetal to adult haemoglobin occur?

Around 3-6 months of age


What is the function of the globin chains?

- protect haem molecule from oxidation
- confer solubility
- permits variation in oxygen affinity


What shape is an oxygen dissociation curve?



Why do people with too many red blood cells get jaundiced?

Excess of red blood cell destruction causes an excess of bilirubin formation which leads to jaundice


What is the function of the RES?

Cells identify and mount an appropriate immune response to foreign antigens


What are the main organs of the RES?

Spleen and liver


What is a peripheral blood count of haemoglobin used to measure with regards to red blood cells?

Their effectiveness. Normal range is 130-180 g/L (or 115-165 g/L for females)


What is a red blood count used to measure with regards to red blood cells?

How many red blood cells are present. Normal range is 4.5-6.5 x 10^12/L (3.9-5.6 in women)


What is a peripheral blood count of mean cell volume used to measure with regards to red blood cells?

How large the cells are. Normal range is 80-100 fL


How large are red blood cells?

8 micrometres diameter, and they can fit through the capillaries with a diameter of 3.5 micrometres


True or false - haemoglobin exists in three configurations?

False - it exists in two (oxyhaemoglobin/relaxed, and deoxyhaemoglobin/tight)


Which chromosome is the gene for the globin chain formation found on?

The globin gene clusters on chromosome 11 and 16.


How is erythropoiesis controlled by oxygen levels in the body?

- reduced pO2 detected in interstitial peritubular cells in kidney
- increased production of erythropoietin (hormone)
- this stimulates maturation and release of red cells from bone marrow
- haemoglobin rises
- pO2 rises
- erythropoietin production falls


What are the two main metabolic pathways in red cells?

1) glycolysis - generates ATP
2) pentose phosphate - generates NADPH


True or false - there is no mechanism of excreting iron?



Give some examples of 'available' iron

- haemoglobin
- myoglobin
- tissue iron (enzyme systems)
- transported iron ('serum iron')


Give some examples of 'stored' iron

- ferritin
- haemosiderin (macrophage iron)


How do macrophages obtain iron?

They 'eat' old senescent red blood cells. Mainly occurs in splenic macrophages and Kupffer cells of the liver


Roughly how much iron enters and leaves the body each day?

1-2 mg


Roughly how much iron is required each day in the diet?

10-15 mg


What is the diffference between haem and non-haem iron?

Haem iron is from meat sources, while non-haem is from beans, cereals etc


What form is haem iron in?

Enters enterocyte and released as Fe2+, so it is FERROUS


What form is non-haem iron in?

Mainly Fe3+ (FERRIC) - reduced to ferrous iron before being transported across the intestinal epithelium

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