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Dental Histology - Bone Marrow
Exam 2
25
Medical
Professional
10/05/2008

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Term
Hematopoiesis
Definition
continuous process that replaces erythrocytes and lekocytes
 
occures primarily in bone marrow and if needed in spleen and liver 
 
responsive to increased need 
Term
Blood Cells are derived from
Definition

pluripotential stem cells

 

which divide to give:

 

daughter cells of commited cell lines

and

cells that remain stem cells

Term
Cells that are committed form:
Definition

Either

1. Lymphoid lineages

2. Myeloid lineages 

Term
Lymphoid Lineage
Definition

-form lymphocytes

 

During development, migrated out of bone marrow to:

 

1. lymph nodes

2. thymus

3. spleen 

Term
Myeloid Lineage
Definition

-form erythrocytes, granulocytes, monocytes, and megakaryocytes

 

-continue to mature into marrow 

Term
Progression of Developing Blood Cells
Definition

1. stem cell - few but rapidly dividing

 

2. progenitor cell - first of the committed cell line

 

3. precursor cell (blast) - first morphogenic sign of                                         differentiation

 

4. mature cell 

Term

Progenitor Cells

(Colony-Forming Units or Cells)

(CFUs or CFCs) 

Definition
    different lines of progenitor cells form
lymphocyte colony-forming unit (LCFU)--> lymphocyte
erythrocyte colony-forming unit (ECFU)--> erythrocyte
eosinophil colony-forming unit (EoCFU)--> eosinophils
basophil colony-forming unit (BCFU)-->basophils
megakaryocyte colony-forming unit --> megakaryocyte
 
    derived from the same "preprogenitor" cell
monocyte colony-forming unit (MCFU)--> monocytes
granulocyte colony-forming unit (GCFU)--> neutrophils
Term
Substances that encourage proliferation and differentiation of blood cell lineages
Definition
-growth factors
-hematopoietins
-colony-stimulating factors (CSFs)
 
EX) erythropoietin, IL-3, granulocyte CSF (G-CSF)
Term
Maturation of Cell Lineages
Definition
1. decrease in cell size
2. decrease in nucleus:cytoplasm ratio
3. loss of nucleoli
4. loss of nuclear heterochromaticity
           if erythrocyte than loss of nucleus
5. differentiation of cytoplasm 
 
Term
Bone Marrow
Definition

-found within the medullary cavities of bones

 

-packed with hematopoietic cells (red marrow) which is replaced by yellow adipose tissue (yellow marrow)

 

REVERSIBLE if there is a demand for blood cell 

Term
Red Marrow (hematopoietic cells)
Definition

-hematopoietic cords in close proximity to sinusoids

-supported by stroma of reticular fibers 

-bound to extracelluar matrix by hemonectin

Term
Red Marrow - site fro blood cell destruction
Definition
-in spleen and liver

    hemoglobin = heme + globin

    globin = amino acids (recycled)

        -->iron released and stored 

-heme = bilirubin bound to albumin

        -->released into blood and modified by liver

        -->transported to gallbladder and excreted as                     component of bile
 

Term
Red Marrow - releasing factors
Definition
stimulate movement of blood cells into circulation 
    -hormones
    -C3
    -bacertial products
 
Term

Red Marrow forms an

 Aperture

Definition
cells enter circulation by pressing against endothelial cell until opposing cell membranes fuse forming an: APERTURE
 
migrating cell then peirces through endothelial cell and enters lumen of the vessel
(endothelium undergoes repair) 
Term
Blood Cell Maturation
Definition

results in fully finctioning cells

 

1. Erythropoiesis

2. Granulopoiesis

3. Lymphopoiesis

4. Monocytopoiesis

5. Thrombopoiesis 

Term

Erythropoiesis

 

(SEE MATURATION OF CELL CARD FOR GENERAL PROCESS) 

Definition
-takes 1 week 
-results in production of hemoglobin and extrusion of nucleus
-amount of ribosomes decreases, hemoglobin increases 
    --> stain changes from basophilic to esinophilic
-central to process:
    -->exposure to erythropoietin, iron, folic acid, and                 vitamin B12 
 
Term
Erythropoiesis process of differentiation and maturation
Definition
1. Proerythroblast - large and basophilic cell with       prominent nucleoli
2. Basophilic Erythroblast - basophilic cytoplasm, dark nucleous, no nucleolus
3. Polychromatophilic Erythroblast
4. Normoblast - eosinophilic cytoplasm, compact and dark nucleus; extrudes nucleus with a halo of cytoplasm
5. Reticulocyte - cytoplasm spekeled from residual polyribosomes (1-2% of circulating red blood cells)
6. Erythrocytes 
Term
Granulopoiesis
Definition
-development of granulocytes
-characterized by protein synthesis and placement into two types of granules
    -->initially azurophilic granules
    -->followed by specific granules 
Term

Common morphologic ancestors of granulocyte series

 

granulocyte series = (eosinophil, neutrophil, basophil) 

Definition
1. myeloblast - first morphologically recognizable cell                          in the series
2. promyelocyte - has basophilic cytoplasm and                                  azurophilic granules
3. myelocyte - specific granules crowd cytoplasm and                          give the resulting cells their                                  morphologic character, nucleous                              becomes increasingly compact and                          curved 
Term
After the 3 previous stages, granulocytes move through the following stages of development
Definition
Neutrophils:
    (early and late) neutrophilic myelocyte -->                 neutrophilic metamyelocyte --> band cell -->
    mature neutrophil
Eosinophil:
     (early and late) eosinophilic myelocyte -->
     eosinophilic metamyelocyte -->
     mature eosinophil
Basophil:
     (early and late) basophil myelocyte -->  
     mature basophil         
 
Term
Lymphopoiesis
Definition
see lymphoid lecture
Term
Monocytopoiesis
Definition
-contain azurophilic granules which represent lysosomes
 
-mature monocytes enter circulation --> 8 hrs. later move into conncetive tissue --> further differentiate into macrophages 
Term
Stages of Monocyte Development
Definition
1. Monoblast - morphologically identical to the                                     myeloblast
2. Promonocyte - large cell with basophilic cytoplasm                             and slightly indented nucleous 
3. Monocyte 
Term
Thrombopoiesis
Definition
-platelets are fragments of megakaryocytes
-derived from same multipotential stem cell as erythroid and myeloid lineages 
Term
Stages of Thrombopoiesis Development
Definition
1. Megakaryoblast - large cell with huge nucleous and basophilic cytoplasm
 (Numerous endomitoses result in 64n cell)
 
2. Megakaryocyte - huge cell with large, lobulated   nucleous and eosinophilic cytoplasm 
 
3. Platlet - thin cytoplasmic processes from megakaryocyte protrude into sinusoidal lumen and undergo fragmentation, liberating platelets into the circulation
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