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HEMOPOIESIS &
ERYTHROPOIESIS
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HEMOPOIESIS: INTRO
Hemo: Referring to blood cells
Poiesis: The development or production of
The word Hemopoiesis refers to the production &
development of all the blood cells: Erythrocytes: Erythropoiesis
Leucocytes: Leucopoiesis
Thrombocytes: Thrombopoiesis.
Begins in the 20thweek of life in the fetal liver &spleen, continues in the bone marrow till youngadulthood & beyond!
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Appendicular
skeleton:
Bones of the
Upper & Lower
limbs
In Adults active
hemopoietic marrow is
found only in:
The axial skeleton
The proximal ends of theappendicular skeleton.
SITES OF HEMOPOIESIS
Active Hemopoietic
marrow is found, in
children throughout
the:
Axial skeleton:
Cranium
Ribs.
Sternum
Vertebrae
Pelvis
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STEM CELL THEORY
The dazzling array of all the blood cells are
produced by the bone marrow.
They all come from a single class of primitive
mother cells called as: PLURIPOTENT STEM CELLS.
These cells give rise to blood cells of:
Myeloid series: Cells arising mainly from the bonemarrow.
Lymphoidseries: cells arising from lymphoid
tissues.
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CLONAL HEMOPOIESIS
PLURIPOTENT STEM CELL
STEM CELL
MULTIPLICATION COMMITTMENT
COMMITTED
STEM CELL
COMMITTED
STEM CELL
MULTIPLICATION
PROGENITOR
CELL
CFU: COLONY
FORMING UNIT
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CLONAL HEMOPOIESIS: (Contd)
COLONY FORMING UNIT(CFU)
INTERMEDIATE
BLAST CELLS
MATURE BLOOD CELLS
END CELLS: FINITE LIFE SPAN
MORPHOLOGICALLYRECOGNIZABLE
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STEM CELLS
These cells have extensive proliferative
capacity and also the:
Ability to give rise to new stem cells (Self
Renewal) Ability to differentiate into any blood cells lines
(Pluripotency)
They grow and develop in the bone marrow.
The bone marrow & spleen form a supportingsystem, called the
hemopoietic microenvironment
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Pluripotent Stem cells: Has a diameter of 1823 .
Giving rise to: both Myeloid and Lymphoid seriesof cells
Capable of extensive self-renewal. Myeloid Stem cells: Generate myeloid cells:
Erythrocytes
Granulocytes: PMNs, Eosinophils & Basophils.
Thrombocytes. Lymphoid Stem cells: Giving rise only to:
Lymphocytes: T type mainly.
STEM CELLS: Types
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PROGENITOR CELLS
Committed stem cells lose their capacity for
self-renewal.
They become irreversibly committed.
These cells are termed as Progenitor cells
They are regulated by certain hormones or
substances so that they can:
Proliferate Undergo Maturation.
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CELL LINE REGULATORS
CELL LINE REGULATOR
ERYTHROID: BFU-E:
CFU : E
BURST PROMOTING ACTIVITY
ERYTHROPOIETIN
GRANULOCYTE-MONOCYTE:CFU-GM
COLONY STIMULATINGFACTOR(CSF)
MEGAKARYOCYTES: CFU-M MEGAKARYOCYTICSTIMULATING ACTIVITY
MEGAKARYOCYTES THROMBOPOIETIN
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BLOOD CELLS: DEVELOPMENT
PROGENITORCELLS
LYMPHOIDCELLS
PRONORMOBLAST
MEGAKARYOBLAST MYELOBLAST MONOBLAST
LYMPHOCYTES ERYTHROCYTES THROMBOCYTES GRANULOCYTES MONOCYTES
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ERYTHROPOIESIS:
SITES/PHASES
INTRAUTERINELIFE: INTRAVASCULAR PHASE:Upto 3rdmonth of
Intra Uterine Life.Endothelial cells = = = RBCs
HEPATIC PHASE: 3rdto 5th month IULLiver SpleennRBCs from Mesenchymal cells.
MYELOID PHASE: From 5thmonth of IULonwards.
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POST NATAL LIFE:
CHILDREN:
Predominantly Red Bone Marrow of skeleton:
Axial &
Appendicular.
ADULTS:
Red Bone Marrow of Axial Skeleton.
ERYTHROPOIESIS: SITES/PHASES
contd.
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PROERYTHROBLAST
BASOPHILICERYTHROBLAST
POLYCHROMATOPHILICERYTHROBLAST
ORTHOCHROMATICERYTHROBLAST
RETICULOCYTE
MATURE ERYTHROCYTES
ERYTHROPOIESIS
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FACTORS REGULATING
ERYTHROPOIESIS
SINGLE MOST IMPORTANT REGULATOR:
TISSUE OXYGENATION
BURST PROMOTING ACTIVITY
ERYTHROPOIETIN
IRON
VITAMINS:
Vitamin B12
Folic Acid
MISCELLANEOUS
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ERYTHROPOIETIN
A hormone produced by the Kidney.A circulating GlycoproteinNowadays available as Synthetic EpoietinActs mainly on CFU E. Increases the number of:
Nucleated precursors in the marrow. Reticulocytes Mature Erythrocytes in the
blood.
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VITAMINS
B12: Cyanocobalamine Folic Acid: Is also called Extrinsic Factor of Castle. Needs the Intrinsic Factorfrom the Gastric juice
for absorption from Small Intestine. Deficiency causes Pernicious (When IF is
missing) or Megaloblastic Anemia. Stimulates Erythropoiesis Is found in meat diary products.
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IRON
Essential for the synthesis of Hemoglobin.Deficiency causes Microcytic, Hypochromic
Anemia.TheMCV, Color Index MCHare low.
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ERYTHROPOIESIS: SEQUENTIAL CHANGES
I II III IV V
VIPRONORMOBLAST
EARLYNBLAST
INTERNBLAST
LATENBLAST
RETICULOCYTE
MATURERBC
MITOCHONDRIA
BASOPHILIA
HEMOGLOBIN
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ERYTHROID PROGENITOR CELLS
BFU-E: Burst Forming Unit Erythrocyte: Give rise each to thousands of nucleated
erythroid precursor cells, in vitro. Undergo some changes to become the Colony
Forming Units-Erythrocyte (CFU-E) Regulator: Burst Promoting Activity (BPA)
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CFU-E: Colony Forming Unit- Erythrocyte:Well differentiated erythroid progenitor cell. Present only in the Red Bone Marrow. Can form upto 64 nucleated erythroid precursorcells. Regulator: Erythropoietin.
Both these Progenitor cells cannot bedistinguished except by in vitro culturemethods.
ERYTHROID PROGENITOR CELLS
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Normoblastic Precursors
PROERYTHROBLAST: Large cell: 15 20 Microns in diameter. Cytoplasm is deep violet-blue staining Has no Hemoglobin. Large nucleus 12 Microns occupies 3/4thof the
cell volume. Nucleus has fine stippled reticulum manynucleoli.
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EARLY NORMOBLAST:
Smaller in size.
Shows active Mitosis.
No nucleoli in the nucleus.
Fine chromatin network with few
condensation nodes found.
Hemoglobin begins to form.
Cytoplasm still Basophilic.
Normoblastic Precursors
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INTERMEDIATE NORMOBLAST:
Has a diameter of 1014 Microns.
Shows active Mitosis.
Increased Hemoglobin content in the
cytoplasm
Cytoplasm is Polychromatophilic.
Normoblastic Precursors
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LATE NORMOBLAST:
Diameter is 710 Microns.
Nucleus shrinks with condensed
chromatin.
Appears like a Cartwheel
Cytoplasm has a Eosinophilic appearance.
Normoblastic Precursors
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RETICULOCYTE:
The penultimate stage cell.
Has a fine network of reticulum like a
heavy wreath or as clumps of dots This is the remnant of the basophilic
cytoplasm, comprising RNA.
In the Neonates, Count is 26/Cu.mm.
Falls to
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MATURE ERYTHROCYTE:
Biconcave disc.
No nucleus.
About One-third filled with Hemoglobin.
Normoblastic Precursors
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Regulation of Erythropoiesis
CFU
E
ProerythroblastsMature Erythrocytes
Tissue OxygenationFactors decreasing:
Hypovolemia Anemia
Poor blood flow Pulmonary Disease
ERYTHROPOIETINDecreases
Stimulates
An exampleof a
Negativefeed backmechanism
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HEMOPOIESIS: REVIEW I
Hemopoiesis: Production of bloodcells.
Site: Predominantly in the BoneMarrow.
Both axial & appendicular skeletons. Erythropoiesis: Production of
Erythrocytes. Leucopoiesis: Production of
Leucocytes. Thrombopoiesis: Production of
Thrombocytes.
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HEMOPOIESIS: REVIEW II
Cell lines:
Pluripotent Stem Cell
Progenitor Stem Cells: Committed
Proerythroblasts
Myeloblasts
Monoblasts
Lymphoid cellsMegakaryoblasts
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