Shared Flashcard Set

Details

HUCM Blood & Hematopoiesis
This almost makes me want to listen to My Chemical Roamcne's song "Blood"...ALMOST
111
Medical
Professional
09/14/2011

Additional Medical Flashcards

 


 

Cards

Term
The three main functions of blood
Definition
Transport, Homeostasis, and Protection
Term
What are the four things you can transport with blood?
Definition
gases
Nutrients & waste
Regulatory molecules
Term
What are 2 examples of protections afforded by blood?
Definition
vascular integrity and immune cells and molecules
Term
What percent of body weight is in blood?
Definition
7 - 8 %
Term
Blood is a specialized ? tissue?
Definition
connective
Term
How do you separate components of blood?
Definition
Centrifugation
Term
What are the 3 layers when centrifugation is done from top and ending with bottom.
Definition
Plasma (top)
WBCs & platelets (buffy coat)
RBCs (the hematocrit
Term
Without an anticoagulant what will still be left in serum?
Definition
Protein rich fluid CONTAINS albumin, immunoglobulins and other components
LACKING fibrinogen
Term
What are the two elements blood is made up of?
Definition
Plasma and Formed Elements
Term
What plasma protein is the most abundant protein (65%), responsible for osmolarity and viscosity
Definition
Albumin
Term
Other plasma proteins that are clotting proteins are?
Definition
fibrinogens and globulins
Term
What are 3 other types of plasma proteins?
Definition
globulins, storage or transport proteins, and antibodies
Term
What makes up 91% of plasma?
Definition
water
Term
How much of plasma is protein
Definition
7%
Term
Ions, small molecules, and lipids each make up ?
Definition
1% EACH
Term
? - red blood cells, carry hemoglobin and certain other substances, 5 to 6 X 106/mm3.
Definition
Erythrocytes
Term
? - white blood cells, part of defense and
immune mechanisms, 5 to 10 X 103/mm3.
Definition
Leukocytes
Term
? - platelets, instrumental in the intrinsic blood clotting pathway, 150 to 200 X 103 /mm3.
Definition
Thrombocytes
Term
What constitute > 99% of blood cells by number?
Definition
RBCs
Term
Lifespan of neutrophils?
Definition
12-14 hours
Term
What has a lifespan of 10 days?
Definition
Platelets
Term
RBCs have a lifespan of?
Definition
4 months (120 days)
Term
What have a lifespan of many years?
Definition
Lymphocytes
Term
Resilient and flexible shape of RBC is due to ?-based membrane skeleton linked to cytoplasmic side of the plasma membrane
Definition
spectrin
Term
What are the most abundant cells of the body?
Definition
Erythrocytes
Term
Aged RBC are phagocytosed by macrophages in ? and ?
Definition
liver and spleen
Term
What hemoglobin abnormality has (oval shape RBC) an autosomal dominant disorder causes defects in the cytoskeleton due to defective self-association of spectrin subunits and binding of to ankyrin, protein 4.1defects and glycoprorin
Definition
Elliptocytosis
Term
? - = hemoblobin genetic defects (α2 βS2) changing the biconcave disk shape of RBC into rigid less deformable sickle –shaped cells.
Definition
Sickle Cell Anemia
Term
? - defective synthesis of α or β chains of the normal hemoglobin tetramer (α2 β2). Defined by anemia produced by the defective synthesis of the hemoglobin molecule and hemolysis
Definition
Thalassemia
Term
What are 3 clinical disorders of erythrocytes?
Definition
elliptocytosis, sickle cell anemia, thalassemia
Term
What are the last stage of RBC development?
Definition
Reticulocytes (small % released into blood)
Term
What group of cells is this?
Size - larger than erythrocytes (10 - 18 µm diameter)
All - contain non-specific azurophilic (primary) granules that are equivalent to lysosomes
Granulocytes - contain specific (secondary) granules that contain specific enzymes for each cell type
Agranulocytes - no specific granules present
Definition
Leukocytes
Term
Name 3 types of granulocytes
Definition
Neutrophil (60%)
Eosinophil (4%)
Basophil (1%)
Term
Name 2 types of agranulocytes?
Definition
Lymphocyte (T, B, NK) 26%
Monocyte (9%)
Term
What contain specific (secondary) granules that contain specific enzymes for each cell type
Definition
Granulocytes
Term
What have no specific granules present?
Definition
Agranulocytes
Term
These cells have observable granules in their cytoplasm. Their origin is the myeloid tissue in the red bone marrow. The granules contain digestive enzymes and all the granulocytes can act as phagocytes.
Definition
Granulocytes
Term
? the most numerous wbc, about 65% of normal white count. Most important phagocytic cell in the circulation. Polymorphonuclear Neutrophils (PMN) because of their multilobed shaped nucleus. They spend 8 to 10 days in the circulation making their way to sites of infection etc. where they engulf, bacteria, viruses, infected cells and debris.
Definition
Neutrophils
Term
Neutrophils have 2 types of granules the most numerous are ? which contain bactericidal agents such as lysozyme; the azurophilic granules are
lysosomes containing peroxidase and other enzymes.
Definition
specific granules
Term
? leave vessels and migrate to their site of action throughout the body.
Definition
Motile neutrophils
Term
? - movement out of blood into connective tissue
? - movement directed by homing molecules
Definition
Diapedesis
Chemotaxis
Term
? - When moving out of blood vessel and into post capillary venule (low pressure, thin wall).
Definition
Diapedesis
Term
neutrophils are Phagocytic for ? bacteria – bacteria coated with antibodies
Definition
“opsonized”
Term
Neutrophils can form extracellular ? of proteins and neutrophil chromatin as they die, in which bacteria are killed
Definition
NETs (neutrophil extracellular traps)
Term
What may enter the CT as a first line of defense against parasites. They also participate in triggering bronchial asthma?
Definition
Eosinophils
Term
In eosinophils the crystalloid core of the specific granules are composed of ?
Definition
major basic proteins
Term
What counteract the actions of the basophils by secreting anti-histamine (histaminase) and other enzymes which combat inflammation in allergies, they help to remove antigen-antibody complexes
Definition
Eosinophils
Term
? also play a role in allergic reactions ,parasite infections, and chronic inflammation.
Definition
Eosinophils
Term
? is the term for increased eosinophils in circulation. Found in many types of parasitic diseases in which the number of eosinophils is increased. Intestinal parasites are the main cause
Definition
Eosinophilia
Term
Formed in BM ? measure 14-16 μm in diameter are blobbed with numerous densely basophilic specific granules that are fewer and larger than those in Neutrophils.
Definition
basophiles
Term
? mediate inflammation by secreting histamine and heparan sulfate (related to the anticoagulant heparin
Definition
Basophils
Term
? makes blood vessels permeable?
Definition
Histamine
Term
What inhibits blood clotting?
Definition
Heparin
Term
What are functionally related to mast cells?
Definition
Basophils
Term
Proteoglycans are a mixture of what two things?
Definition
Heparin and chondroitin
Term
What can modulate the immune response of other immune cells?
Definition
Basophils
Term
Basophils infiltrate what during an asthmatic attack?
Definition
Bronchioles
Term
What do basophils infiltrate during hay fever?
Definition
Nasal passages
Term
? are small cytoplasmic fragments (2-4 μm) derived from the megakaryocyte., under control of the glycoprotein thrompopoietin produced in the kidney and liver.
Definition
Platelets
Term
are cellular derivatives from megakaryocytes which contain
factors responsible for the intrinsic clotting mechanism. They represent
fragmented cells which contain residual organelles including rough
endoplasmic reticulum and Golgi apparati. They are seen in peripheral blood either singly or, often, in clusters, and have a lifespan of 5- 10 days
Definition
Thrombocytes
Term
? - the "stopping of the blood". Triggered by a ruptured vessel wall it occurs in several steps:
Definition
Hemostasis
Term
When blood vessels are damaged, platelets bind to exposed ? and are activated.
Definition
subendothelium
Term
What are 4 substances released when platelets are activated?
Definition
Platelet-derived growth factor (PDGF)

Fibrinogen

Serotonin

ADP
Term
? - - produces platelets in bone marrow sinus
Definition
Megakaryocyte
Term
What has the following structure?

granules, mitochondria, glycogen, cytoskeleton
Granules - alpha (clotting factors), dense core (histamine)
Definition
Platelets
Term
What are derived from megakaryocytes, number from 150,000 to 400,000/ml in the circulation with a 5 - 10 lifespan, these bind to subendothelium and are activated when blood vessels are damaged.
Definition
Platelets
Term
Platelets secrete factors involved in ?
Definition
repair
Term
Platelets promote clot formation by providing a surface to assemble coagulation protein complexes for ?
Definition
thrombin generation
Term
What are the two types of agranulocytes?
Definition
lymphocytes and monocytes
Term
What are the three main categories of lymphocytes?
Definition
T cells, b cells, and Natural killer cells
Term
What is the physiological role of B-Lymphocyte?
Definition
Production of immunoglobulins (antibodies)
Term
Both B and T cells once activated form ?
Definition
long-lived memory cells
Term
What are responsible for a more intense and faster immune response the second time an antigen is encountered
Definition
Memory Cells
Term
What circulate 1/2 - 4 d in the blood, then enter the connective tissue, where they become macrophages
Definition
Monocyte
Term
Because these cells are in the connective tissue, they serve as the residential defense against pathogens. Phagocytic for bacteria, foreign matter and necrotic tissue
Definition
Macrophages
Term
Specific names of some macrophages include:
Definition
Kupffer cells, dust cells, microglia
Term
Increased monocytes are seen in the blood in ?
Definition
chronic inflammatory conditions and tuberculosis
(this is called monocytosis)
Term
What phase of life has NO LEUKOCYTES?
Definition
Yolk sac phase
(blood in 'islands' in yolk sac)
Term
What phase of life has primitive nucleated RBCs, fetal hemoglobin?
Definition
Hepatic phase
Term
What phase of life has mature RBCs, leukocytes and occurs around 12 weeks
Definition
Bone marrow phase
Term
What phase of life has hematopoiesis occuring in pelvis, vertebrae, skull, ribs, ends of long bones
Definition
Adult phase
Term
What are the 5 options that a myeloid stem cell has for a committed cell?
Definition
Granulocyte macrophage, eosinophil, basophil, megakaryocyte, erythroid
Term
? - - symmetric cell division yields daughter cells with same fate
Definition
Transient amplifying cells
Term
Stem cells have the capacity to do what?
Definition
regenerate themselves
Term
Undifferentiated cell producing blood cells of all lineages are capable of self-renewal
Definition
Pluripotent hematopoietic stem cell (HSC)
Term
Undifferentiated cell producing cells of multiple lineages, limited self-renewal (e.g., myeloid SC, lymphoid SC)
Definition
Multipotent hematopoietic stem cell (HSC)
Term
- undifferentiated cell capable of producing cells of one lineage, colony forming units (CFUs) (e.g., erythroid CFU, granulocyte-macrophage CFU)
Definition
Committed progenitor
Term
active rRNA and ribosome synthesis (nucleoli visible) active gene expression (euchromatin in nucleus) secretory pathway inactive (no cytoplasmic granules)
Definition
Proerythroblast (pronormoblast)
Term
rRNA synthesis largely complete (no nucleoli) active protein synthesis in cytoplasm (basophilia) gene expression in nucleus (some heterochromatin)
Definition
Basophilic erythroblast
Term
protein synthesis mostly complete (less basophilia) gene expression minimal (more heterochromatin)
Definition
Polychromatophilic
erythroblast
Term
protein synthesis complete (no or little basophilia) gene expression silenced (condensed chromatin) no mitosis, nucleus may be off-center
Definition
Orthochromatic
erythroblast
(normoblast)
Term
nucleus extruded, small cell size, enters peripheral blood, 1-2% of cells in blood, matures in 1-2 days
Definition
Reticulocyte
Term
Granulocyte - Macrophage ends up becoming?
Definition
macrophage
Term
Granulocytes can ALSO eventually become?
Definition
neutrophil
Term
basophil ends up becoming?
Definition
eosinophil
Term
Basophil ends up becoming ?
Definition
mast cell
Term
Megakaryocyte ends up becoming ?
Definition
platelets
Term
Lymphoid stem cell gives rise to ?
Definition
T-lymphocyte and B-lymphocyte lineages
Term
T - cell maturation occurs where?
Definition
thymus
Term
B - cell maturation occurs where?
Definition
bone marrow
Term
What is present in marrow, lymphatic tissue, connective tissue
Definition
Plasma cells
Term
- major regulator of erythropoiesis, stimulates erythroid CFU cells and proerythroblasts
Definition
Erythropoietin (EPO)
Term
increases platelet production, stimulates megakaryocyte CFU cells
Definition
Thrombopoietin (TPO)
Term
- increases production of neutrophils, stimulates granulocyte-macrophage CFU cells
Definition
Granulocyte CSF (G-CSF)
Term
- increases macrophage production, stimulates granulocyte-macrophage CFU cells
Definition
Granulocyte-macrophage CSF (GM-CSF)
Term
- stimulate B- and T-cell formation, function together with G-CSF and GM-CSF
Definition
Interleukins
Term
What is the location of marrow proper and venous sinuses
Definition
Bone marrow cavity
Term
What is the location of - stromal cells, adipocytes, endothelial cells, macrophages, hematopoietic cells
Definition
Bone marrow cells
Term
What is the location of - nutrient arteries supply marrow cavity
Stem cells and early precursor cells do not leave marrow
Definition
Blood vessels
Term
Blood cell development in ?
Definition
stroma
Term
Mature blood released into?
Definition
sinusoids
Supporting users have an ad free experience!