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Hematology Lecture 4
Hematology Lecture 4 Red Cell Maturation and Morphology
29
Biology
Undergraduate 3
11/26/2014

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Term
Erythroid cells
Definition
Contains no granules
Cytoplasm is navy or royal blue
Mature cytoplasm is pink
Term
What are the primary responsibilities of RBCs
Definition
Carry oxygen from lung to tissues
Oxygen is attached to hemoglobin
Return CO2 to lungs
Buffers the blood pH
Term
Erythropoiesis
Definition
Occurs in the bone marrow
Complex, regulated process for maintaining adequate numbers of RBCs in peripheral blood
Over 5 days, reductions and divisions occur going from blast to mature RBC
Term
_____ gives rise to the earliest identifiable colony of RBC
Definition
Burst-Forming Unit-Erythroid
CFU-GEMM
Term
Burst-Forming Unit-Erythroid
Definition
produces a large multiclustered colony
16 or more clusters
Few receptors for erythropoietin (EPO)
Develop into CFU-E colonies
Term
Erythropoietin
Definition
Produced by renal cells (kidney) due to stimulation by oxygen tension
Small amount produced in liver
Prevents apoptosis (cell death) of erythroid precursors
Induces hemoglobin synthesis
A differentiation factor causing CFU-E to differentiate into pronormoblasts
Term
Colony-Forming Unit-E
Definition
Has many receptor sites for EPO
Proliferate into pronormoblasts
Earliest recognizable erythrocyte precursors in the bone marrow
Erythropoietin (EPO)
Term
Reticulocytes
Definition
young erythrocytes with residual RNA but no nucleus
Term
Normoblasts or erythroblasts
Definition
nucleated erythrocyte precursors in the bone marrow
Term
How long do reticulocytes circulate in the blood before becoming mature RBCs?
Definition
1-2 days
Term
What happens as RBCs mature?
Definition
-Decrease in cell size
-Loss of nucleoli
-Nucleus condenses and is excluded
-Reticulocyte is released into circulation through the endothelial cells of BM in venous sinuses
-Cytoplasm color changes from deeply basophilic to orange-red color
-Hemoglobin production increases
Term
Pronormoblast / Rubriblast
Definition
Earliest recognizable cell
1% of BM cells
Homogeneous nucleus with nucleoli and chromatin strands
Nucleus stains reddish-blue
Royal blue/navy cytoplasm
Term
Basophilic Normoblast / Prorubricyte
Definition
Nuclear material has begun to coarsen
Nucleoli not evident
Parachromatin evident
More RNA and hemoglobin
Cytoplasm may have patches of pink
Perinuclear halo may be apparent
1-4% of BM cells
Term
Polychromatic Normoblast / Rubricyte
Definition
Nuclear chromatin is thickened and irregularly condensed
Pyknotic areas
Nucleoli no longer visible
Nucleus is eccentric
Cytoplasm is gray-blue
10-20% BM cells
Not normally seen in peripheral blood
Term
Orthochromatic Normoblast / Metarubricyte
Definition
Incapable of further DNA synthesis
Nucleus is small and dense
Round or bizarre shaped
Will soon be extruded
Cytoplasm is blue -pink-orange
Increased hemoglobin synthesis
5-10% BM cells
Not normally in peripheral blood of adults
Term
Polychromatic Erythrocyte / Reticulocyte
Definition
Nucleus has been extruded
Cytoplasm is diffusely basophilic
Larger than mature erythrocyte
Contains 2/3 of total hemoglobin
When stained with New Methylene Blue are called Reticulocytes
Term
Erythrocyte
Definition
Thin central pallor
Biconcave disc, 6-8 µL
Pliable, deformable
Color is pink to orange
No residual RNA
Does not synthesize protein
Term
65% of cell hemoglobin is made during the ______ stage
Definition
Normoblast
Term
35% of cell hemoglobin is made during the ______ stage
Definition
Reticulocyte (polychromatic)
Term
What is the life span of a RBC?
Definition
120 Days
Term
RBCs loss of deformability is due to what?
Definition
-Decrease of glycolyic enzymes
-As energy is depleted, calcium is no longer pumped out of the cell
-Calcium builds up and prevents the cell from deforming
Term
What will remove the old RBCs and how?
Definition
Spleen
Macrophages in the spleen will engulf and digest with lysosomes
Term
About _____% of aged erythrocyte destruction is extravascular
Definition
90%
Term
10% of erythrocyte destruction is ____
Definition
intravascular
Term
Hemoglobin molecule is broken down into components
Iron is returned by _______ to bone marrow
Definition
transferrin
Term
Hemoglobin molecule is broken down into components
Globin is broken down and returned to ____ ___ ____
Definition
amino acid pool
Term
Hemoglobin molecule is broken down into components
______ ring is broken down and is converted to ______ in liver and is eliminated
Definition
Protoporphyrin
Bilirubin
Term
Approximately ____% of the total RBCs are removed from circulation on a DAILY Basis
Definition
1%
Term
These red cells are replaced by approximately 1% of the younger RBCs reticulocytes from the ___ ____ ______
Definition
bone marrow pool
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