問題一覧
1
- Increase clearance EPO - Very high RBC count - Increase oxygen carrying capacity
Decreased EPO
2
Problems affecting Vitamin B12 Absorption
Malabsorption , Lack of IF, Infection
3
The reticulocyte will stay into the Bone Marrow for about _______, and after that it will be released to the blood.
1-2 Days
4
Bacteria that can cause stomach ulcer
Helicobacter Pylori
5
- Found in the parietal cells of the stomach - Vitamin B12 Absorption.
Intrinsic Factor
6
Nuclear maturation lags behind cytoplasmic maturation
Asynchronous Maturation
7
Pronormoblast --> RBC: How many days?
6 days
8
Progenitors
BFU-E, CFU-E
9
During megaloblastic maturation we have what type of DNA?
Howell Jolly Bodies
10
Can be seen in the Blood
Reticulocyte , Mature RBCs
11
Ratio of Protein
4:1
12
Produce: 2,3 DPG - regulate hemoglobin affinity to O2
Luebering-Kapoport Pathway
13
In Hexose Monosphate Shunt, what is the oxidize form of glutathione
GSSG
14
Example of Decreased EPO: Kidney Damage
Chronic Kidney Disease (CKD)
15
Two types of Spectrin:
Alpha Spectrin , Beta Spectrin
16
Blood Structure and Function:
Diameter: 6-8 um
17
EPO Production Specific Actions: Promotes the early release of retics into the circulation (Normally it is _______, but if there is a great demand it will be shortened to 1 day = shift retics)
1-2 Days
18
Maintaining the horizontal & ventral structure of RBC
Band 3, Protein 4.1, 4.2 , Spectrin, Actin
19
Bone marrow failure
Aplastic Anemia
20
Product of Hexose Monophosphate Pathway
GSH
21
Phospholipid outer layer:
Phosphatidyl/Choline & Sphingomyelin
22
Macrophages surrounded by developing normoblast. Macrophages salvages iron and supply it to the developing normoblast
Erythroblastic Island
23
It allows water, bicarbonate and chloride to enter the RBC
Permeable
24
The BFU-E & CFU-E progenitors, proliferation/differentiation will turn into
Pronormoblast
25
The methemoglobin reductase is also called?
Cytochrome B5 Reductase
26
The plasma glucose
Glycolysis
27
- Abnormal RBC - Inclusion composed of DNA
Howell Jolly bodies
28
• Heme Synthesis • Hemoglobin
Iron
29
Provides membrane structural integrity
Actin Junctional Complex
30
Common cause of secondary erythrocytosis
Smoking
31
- Abnormal Maturation - Asynchronous Maturation
Megaloblastic Maturation
32
5-10% of energy requirement
Hexose Monosphate Shunt
33
Reducing the time needed for cells to mature in the bone marrow. It is called?
Accelerated Erythropoiesis
34
In Hexose Monosphate Shunt, what is the reduced form of glutathione?
GSH
35
Abnormal RBC inclusion composed by hemoglobin
Heinz Bodies
36
Fish Tapeworm Infection, Parasitic
D. Latum
37
- Nurse Cells - Supplies iron to the developing pronormoblast
Macrophage
38
The role of this pathway is to make sure that the iron will remain in ferrous state by preventing the oxidation of ferrous iron to ferric iron
Methemoglobin Reductase Pathway
39
In ATP dependent cation pumps, it has two defect
Cell Swelling, Cell Shrinkage
40
Stage it commences - basophilic normoblast stage up to reticulocyte stage
Hemoglobinization
41
- Decreased oxygen state - Detected by peritubular fibroblasts of the kidney - Low level of tissue oxygen
Hypoxia
42
Produced by increased erythropoietin production results from tissue hypoxia caused by such diverse factors as detective high oxygen affinity type of hemoglobin, anemia, chronic lung disease, inappropriate erythropoietin production
Secondary Polycythemia
43
A. Production: Collection of all stages of erythrocytes throughout the body; the developing precursors in the bone marrow, circulating erythrocytes in the peripheral blood and vascular spaces within organs, such as the spleen
Erythron
44
Pyknosis and nuclear extrusion giving rise to reticulocyte
Orthochromatic Stage
45
Nuclear Maturation
Vitamin B12 Cobalamine, Folic Acid
46
Maintains the RBC intracellular & extracellular cation
Na-K AtPase
47
Primary function is to transport O2 from lungs to tissues
Red Blood Cells
48
Selective entry of substances into RBCs
RBC Permeability
49
Erythroid Precursors
Pronormoblast, Orthochromic Normoblast
50
- Cell rigidity and decrease survival - Affecting shape and flexibility of RBC it became rigid
Lower level of ATP
51
Does not allow Na, K, Ca to enter the RBC
Impermeable
52
Erythrocyte Structure: 1/3 of the cell diameter
Central Pallor
53
The iron is in the what type of state? Which is functional and capable of transporting oxygen.
Fe2+ (Ferrous State)
54
Essential requirement for nuclear development:
Vitamin B12 deficiency , Folic Acid Deficiency
55
Phospholipid inner layer:
Phosphatidyl/Serine & Phosphatidyl Ethaholamine
56
Abnormally large pronormoblast
Megaloblast
57
Three Erythroid Precursors Nomenclature Systems
Normoblastic , Rubriblastic , Erythroblastic
58
Growth Requirements
Iron, Vitamin B12, Folic Acid, Mg, Co, Zn, Vit B6, Vit D, Panthotenic Acid , Intrinsic Factor
59
Methods of EPO Determination: Like pregnancy test, use of lab animals
Bioassays
60
Nuclear Fragmentation
Karyorrhexis
61
Metabolic Pathway
Embden-Meyerhof Pathway (EMP), Hexose Monosphate Shunt (HMS) / Penrose Phosphate Pathway (PPP), Luebering-Kapoport Pathway (LKP), Methemoglobin Reductase Pathway (MRP)
62
Causes: Vit B12 deficiency, Folic Acid Deficiency, Malabsorption, Lack of IF, Infection
Megaloblastic Maturation
63
- Aplastic Anemia - Decrease clearance of EPO - Panmyelophthesis
Increased EPO
64
- Transport substances - Links lipids membrane to cytoskeletal proteins - Transport sites, adhesion site, signaling receptors - Ankyrin complex
Transmembrane/Integral Proteins
65
Maintain cell membrane structure and intracellular substances
ATP
66
- Normal RBC Production - Synchronous Maturation
Normoblastic Maturation
67
Globin synthesis happens in the?
Ribosomes
68
Primary cause of higher erythropoietin is?
Secondary Polycythemia
69
- Anaerobic Glycolysis - Produce 2 mol of ATP - A source of ATP Requirement which composed of 90-95% - Support three metabolic pathways
Embden-Meyerhof Pathway
70
The hemoglobin's iron is in the what type of state? If the hemoglobin is non-functional and incapable of transporting oxygen.
Fe3+ (Ferric State)
71
BFU-E --> RBC: Maturation days?
18-21 Days
72
To protect and preserve hemoglobin you need to reduced the?
GSH
73
Oxygen sensor of the body
Kidney
74
It takes how many days for Pronormoblast to be an RBC?
6 days
75
40% Lipids is composed of
Phospholipid Bilayer
76
In RBC Intracellular and Extracellular Cation, the Primary EC of Sodium has a ratio of?
1:12
77
Heme synthesis happens in the?
Mitochondria
78
Ankyrin Complex:
Band 3, Glut 1, Glycopherin A (Sialic Acid), Protein
79
Can be seen in the Bone Marrow
Progenitors , Precursors , Immature RBCs
80
In RBC Intracellular and Extracellular Cation, the Primary IC of Potassium has a ratio of?
25:1
81
Main cytoskeletal proteins:
Spectrin
82
Product of Emden-Meyerhof Pathway?
ATP
83
Immature RBC
Reticulocyte
84
An autosomal dominant trait that produces a defect in the regulation of erythropoietin
Familial Polycythemia
85
In 1 BFU-E, how many RBC production?
16 RBC
86
Erythrocytes Maturation: Release in the circulation - retics - after _____
1-2 days
87
In this type of pathway the RBC lacks mitochondria and nucleus. It contains hemoglobin only.
Embden-Meyerhof Pathway
88
- RBC Membranes Proteins: Lipids: Carbohydrates:
50%, 40%, 10%
89
Erythron
Progenitors , Precursors, Immature RBCs, Mature RBCs
90
Requirements for Growth and Maturation
Healthy Bone Marrow , EPO- Produced by Kidneys , GM-CSF, IL-3 , Other Hormones: GH, Insulin, Thyroxin, Androgens
91
- Sialic Acid - Zeta Potential (negative charge)
Glycopherin A
92
The methemoglobin reductase is also called?
Cytochrome B5 Reductase
93
Anion transport
Band 3
94
Abnormally large blood cells
Macrocyte
95
Mechanism of RBC Production
Fragmentation , Osmotic Lysis , Erythrophagocytosis , Splenic Spitting, Splenic Culling, Complement , Hgb Denaturation
96
Prevents hemoglobin denaturation
GSH
97
Source of EPO Production, Functions and Regulation
Kidney
98
No RBC Production
Anemic
99
Shape and Flexibility - Actin Junction Complex
Cytoskeletal/Peripheral Proteins
100
Bacteria that can cause stomach ulcer
Helicobacter Pylori