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Define Hematopoiesis
The process of maintain an adequate supply of red blood cells
Define homeostasis
A ballance between cellular proliferation, differentiation, and apoptosis
Define apoptosis
Preprogrammed cell death
What is apoptosis role in the cell lifecycle
Helps eliminate excess cells, old, abnormal, or infected cells
can be induced by other cells
Define necrosis
A cell that is dying by non-natural means (ie: burn your arm)
Where does definitive erythropoiesis occur
Primarily in the bone marrow after birth, and in the yolk sac, liver, and spleen during embryonic development.
The formation of what cell indicates definitive erythropoiesis?
Where does hematopoiesis happen during 18 days gestation?
Requires oxygen from mom, fetal hemoglobin
Where does hematopoiesis happen during childhood?
In the bone marrow, all bone marrow is active red marrow
Where does hematopoiesis happen during adulthood?
End of long bones, pelvis, skull, ribs, sternum, scapula, vertebrae, clavicles
Define primitive erythropoiesis
The process of blood cell formation occurring in the yolk sac during early embryonic development, primarily producing primitive red blood cells.
Define definitive erythropoiesis
the process of forming red blood cells from definitive erythroid progenitors, primarily occurring in the bone marrow during fetal development and after birth.
Define medullary hematopoiesis
Hematopoiesis in the bone marrow
Define extramedullary hematopoiesis
Hematopoiesis outside of the bone marrow
What is the difference between medullary and extra medullary hematopoiesis?
Medullary hematopoiesis occurs in the bone marrow, while extramedullary hematopoiesis takes place outside the bone marrow, often in organs like the spleen or liver.
What are the common sites of extramedullary hematopoiesis?
What is the only cell that can divide?
lymphocytes
How many RBCs per day do you make?
200 billion
How many WBCs and plts do you make per day?
100 billion
Where does hematopoiesis happen at 3 months gestation
Primarily the liver, also activity in the kidneys and lymphoid tissue
Where does hematopoiesis happen at 6 months gestation?
Shifts from organs to bone marrow
Define bone marrow hyperplasia
An increase in the production of blood cells in the bone marrow, often in response to increased demand or underlying conditions.
Describe the composition of bone marrow
Define the hematopoietic environment
What are the three main stromal cells?
Macrophages
Adipocytes
Fibroblasts
Define osteiblast
Define osteoclast
Define hyperplastic bone marrow
What causes hyperplastic bone marrow?
Define hypoplastic bone marrow
What causes hypoplastic bone marrow
What are the primary lymphoid organs?
The primary lymphoid organs are the bone marrow and thymus, where lymphocytes are produced and mature. No antigen activity
What are the secondary lymphoid organs?
Spleen, lymph nodes. Antigen dependent lymphopoiesis
What type of lymphocytes does the bone marrow make?
B cells
What type of lymphocytes does the thymus make?
T cells
What does the thymus do in hematopoiesis
The thymus plays a crucial role in hematopoiesis by maturing T cells, which are essential for adaptive immunity. Antigen dependent, well defined in children but atrophied in adults
What does the spleen do?
How does the spleen stress RBCs?
Define differentiation
Define commitment
Define maturation
Define culling
Define pitting
What three things are needed to diagnose hypersplenism
Define splenomegaly
What conditions cause splenomegaly
List the maturation of RBCs in order with old nomenclature
List the maturation of RBCs in order with new nomenclature
What’s the role of cytokines in cell maturation and differentiation
Whats the role