9. what is the name of the cells that create all formed elements in the blood?
Within the bone marrow, all blood cells originate from a single type of unspecialized cell called a stem cell. When a stem cell divides, it first becomes an immature red blood cell, white blood cell, or platelet-producing cell. The immature cell then divides, matures further, and ultimately becomes a mature red blood cell, white blood cell, or platelet. Show White blood cells (leukocytes). These help fight infections and aid in the immune process. Types of white blood cells include:
Platelets (thrombocytes). These help in blood clotting. Where are blood cells made?Blood cells are made in the bone marrow. The bone marrow is the spongy material in the center of the bones that makes all types of blood cells. There are other organs and systems in our bodies that help regulate blood cells. The lymph nodes, spleen, and liver help regulate the production, destruction, and function of cells. The production and development of new cells in the bone marrow is a process called hematopoiesis. Blood cells formed in the bone marrow start out as stem cells. A stem cell (or hematopoietic stem cell) is the first phase of all blood cells. As the stem cell matures, several distinct cells evolve. These include red blood cells, white blood cells, and platelets. Immature blood cells are also called blasts. Some blasts stay in the marrow to mature. Others travel to other parts of the body to develop into mature, functioning blood cells. What are the functions of blood cells?The main job of red blood cells, or erythrocytes, is to carry oxygen from the lungs to the body tissues and carbon dioxide as a waste product, away from the tissues and back to the lungs. Hemoglobin (Hgb) is an important protein in the red blood cells that carries oxygen from the lungs to all parts of our body. The main job of white blood cells, or leukocytes, is to fight infection. There are several types of white blood cells, and each has its own role in fighting bacterial, viral, fungal, and parasitic infections. Types of white blood cells that are most important for helping protect the body from infection and foreign cells include the following:
White blood cells:
The main job of platelets, or thrombocytes, is blood clotting. Platelets are much smaller in size than the other blood cells. They group together to form clumps, or a plug, in the hole of a vessel to stop bleeding. What is a complete blood cell count (CBC)?A CBC count is a measurement of size, number, and maturity of the different blood cells in the blood sample. A CBC can be used to find problems with either the production or destruction of blood cells. Variations from the normal number, size, or maturity of the blood cells can be used to mean there is an infection or disease process. Often with an infection, the number of white blood cells will be elevated. Many forms of cancer can affect the production of blood cells. For instance, an increase in the immature white blood cells in a CBC can be associated with leukemia. Blood diseases, such as anemia and sickle cell disease, will cause an abnormally low hemoglobin. Common blood testsTest Uses CBC, which includes:
To help diagnose anemia and other blood disorders and certain cancers of the blood; to monitor blood loss and infection; or to monitor response to cancer therapy, such as chemotherapy and radiation The lifespan of the formed elements is very brief. Although one type of leukocyte called memory cells can survive for years, most erythrocytes, leukocytes, and platelets normally live only a few hours to a few weeks. Thus, the body must form new blood cells and platelets quickly and continuously. When you donate a unit of blood during a blood drive (approximately 475 mL, or about 1 pint), your body typically replaces the donated plasma within 24 hours, but it takes about 4 to 6 weeks to replace the blood cells. This restricts the frequency with which donors can contribute their blood. The process by which this replacement occurs is called hemopoiesis, or hematopoiesis (from the Greek root haima- = “blood”; -poiesis = “production”). Prior to birth, hemopoiesis occurs in a number of tissues, beginning with the yolk sac of the developing embryo, and continuing in the fetal liver, spleen, lymphatic tissue, and eventually the red bone marrow. Following birth, most hemopoiesis occurs in the red marrow, a connective tissue within the spaces of spongy (cancellous) bone tissue. In children, hemopoiesis can occur in the medullary cavity of long bones; in adults, the process is largely restricted to the cranial and pelvic bones, the vertebrae, the sternum, and the proximal epiphyses of the femur and humerus. Throughout adulthood, the liver and spleen maintain their ability to generate the formed elements. This process is referred to as extramedullary hemopoiesis (meaning hemopoiesis outside the medullary cavity of adult bones). When a disease such as bone cancer destroys the bone marrow, causing hemopoiesis to fail, extramedullary hemopoiesis may be initiated. All formed elements arise from stem cells of the red bone marrow. Recall that stem cells undergo mitosis plus cytokinesis (cellular division) to give rise to new daughter cells: One of these remains a stem cell and the other differentiates into one of any number of diverse cell types. Stem cells may be viewed as occupying a hierarchal system, with some loss of the ability to diversify at each step. The totipotent stem cell is the zygote, or fertilized egg. The totipotent (toti- = “all”) stem cell gives rise to all cells of the human body. The next level is the pluripotent stem cell, which gives rise to multiple types of cells of the body and some of the supporting fetal membranes. Beneath this level, the mesenchymal cell is a stem cell that develops only into types of connective tissue, including fibrous connective tissue, bone, cartilage, and blood, but not epithelium, muscle, and nervous tissue. One step lower on the hierarchy of stem cells is the hemopoietic stem cell, or hemocytoblast. All of the formed elements of blood originate from this specific type of cell. Hemopoiesis begins when the hemopoietic stem cell is exposed to appropriate chemical stimuli collectively called hemopoietic growth factors, which prompt it to divide and differentiate. One daughter cell remains a hemopoietic stem cell, allowing hemopoiesis to continue. The other daughter cell becomes either of two types of more specialized stem cells ():
Hematopoietic System of Bone Marrow Hemopoiesis is the proliferation and differentiation of the formed elements of blood. Lymphoid and myeloid stem cells do not immediately divide and differentiate into mature formed elements. As you can see in , there are several intermediate stages of precursor cells (literally, forerunner cells), many of which can be recognized by their names, which have the suffix -blast. For instance, megakaryoblasts are the precursors of megakaryocytes, and proerythroblasts become reticulocytes, which eject their nucleus and most other organelles before maturing into erythrocytes. Development from stem cells to precursor cells to mature cells is again initiated by hemopoietic growth factors. These include the following:
Blood Doping With the development of synthetic EPO in the 1980s, it became possible to provide additional RBCs by artificially stimulating RBC production in the bone marrow. Originally developed to treat patients suffering from anemia, renal failure, or cancer treatment, large quantities of EPO can be generated by recombinant DNA technology. Synthetic EPO is injected under the skin and can increase hematocrit for many weeks. It may also induce polycythemia and raise hematocrit to 70 or greater. This increased viscosity raises the resistance of the blood and forces the heart to pump more powerfully; in extreme cases, it has resulted in death. Other drugs such as cobalt II chloride have been shown to increase natural EPO gene expression. Blood doping has become problematic in many sports, especially cycling. Lance Armstrong, winner of seven Tour de France and many other cycling titles, was stripped of his victories and admitted to blood doping in 2013. Watch this video to see doctors discuss the dangers of blood doping in sports. What are the some potential side effects of blood doping? Sometimes, a healthcare provider will order a bone marrow biopsy, a diagnostic test of a sample of red bone marrow, or a bone marrow transplant, a treatment in which a donor’s healthy bone marrow—and its stem cells—replaces the faulty bone marrow of a patient. These tests and procedures are often used to assist in the diagnosis and treatment of various severe forms of anemia, such as thalassemia major and sickle cell anemia, as well as some types of cancer, specifically leukemia. In the past, when a bone marrow sample or transplant was necessary, the procedure would have required inserting a large-bore needle into the region near the iliac crest of the pelvic bones (os coxae). This location was preferred, since its location close to the body surface makes it more accessible, and it is relatively isolated from most vital organs. Unfortunately, the procedure is quite painful. Now, direct sampling of bone marrow can often be avoided. In many cases, stem cells can be isolated in just a few hours from a sample of a patient’s blood. The isolated stem cells are then grown in culture using the appropriate hemopoietic growth factors, and analyzed or sometimes frozen for later use. For an individual requiring a transplant, a matching donor is essential to prevent the immune system from destroying the donor cells—a phenomenon known as tissue rejection. To treat patients with bone marrow transplants, it is first necessary to destroy the patient’s own diseased marrow through radiation and/or chemotherapy. Donor bone marrow stem cells are then intravenously infused. From the bloodstream, they establish themselves in the recipient’s bone marrow. Through the process of hemopoiesis, the formed elements of blood are continually produced, replacing the relatively short-lived erythrocytes, leukocytes, and platelets. Hemopoiesis begins in the red bone marrow, with hemopoietic stem cells that differentiate into myeloid and lymphoid lineages. Myeloid stem cells give rise to most of the formed elements. Lymphoid stem cells give rise only to the various lymphocytes designated as B and T cells, and NK cells. Hemopoietic growth factors, including erythropoietin, thrombopoietin, colony-stimulating factors, and interleukins, promote the proliferation and differentiation of formed elements. Watch this video to see doctors discuss the dangers of blood doping in sports. What are the some potential side effects of blood doping? Side effects can include heart disease, stroke, pulmonary embolism, and virus transmission. Which of the formed elements arise from myeloid stem cells?
Which of the following statements about erythropoietin is true?
Interleukins are associated primarily with which of the following?
Myelofibrosis is a disorder in which inflammation and scar tissue formation in the bone marrow impair hemopoiesis. One sign is an enlarged spleen. Why? When disease impairs the ability of the bone marrow to participate in hemopoiesis, extramedullary hemopoiesis begins in the patient’s liver and spleen. This causes the spleen to enlarge. Would you expect a patient with a form of cancer called acute myelogenous leukemia to experience impaired production of erythrocytes, or impaired production of lymphocytes? Explain your choice. The adjective myelogenous suggests a condition originating from (generated by) myeloid cells. Acute myelogenous leukemia impairs the production of erythrocytes and other mature formed elements of the myeloid stem cell lineage. Lymphocytes arise from the lymphoid stem cell line. What is the name of blood cell formation?Most blood cells are made in your bone marrow. This process is called haemopoiesis.
Why are red blood cells called formed elements?The formed elements include erythrocytes (RBCs), leukocytes (WBCs), and platelets (thrombocytes). They are formed mostly in the red bone marrow (not within the blood itself) and one of them, platelets, are circulating fragments of a much larger cell so referring to them as cells (even thrombocytes) is a misnomer.
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