2 mantab maknyus
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2 mantab maknyusTRANSCRIPT
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HEMATOPOIESIS THIRD YEAR MEDICAL STUDENT
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OUTLINEINTRODUCTION
HAEMATOPOIETIC STEM AND PROGENITOR CELLS
ADHESION MOLECULES
HAEMATOPOIETIC GROWTH FACTORS
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INTRODUCTIONHSCs arise in york sac and the intraembryonic aorta/gonad/mesoneophros regionLong-term reconstituting hematopoietic stem cells (LTR-HSCs) are cells capable of long-term reconstitution of myelopoiesis and lymphopoiesis
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HAEMATOPOIETIC STEM AND PROGENITOR CELLSHaemopoietic stem cells- self-renewal and differentiationThe earlier progenitor cells are multipotent The marrow contains a stromal matrix that provide the correct microenvironment for stem cell growth
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Progenitor CellsErythroid colony-forming cells entire process requires about 2 wks in vitro
Granulocyte and macrophage colony-forming cells 12-14 days is required for full maturation
Megakaryocyte colony-forming cells 7-10 days is required
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The granulocyte monocyte macrophage differentiation pathway
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The erythroid differentiation pathway
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The production of erythropoietin
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Role of cytokines in megakaryocytopoiesis
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ADHESION MOLECULESMediate the attachment of various body cells to each other and extracellular matrix
Include 6 groups according to the molecular structure3 main groups- immunoglobulin, selectins and integrins3 smaller groups- cadherins, syndecams, ADAMS
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ADHESION MOLECULESImmuglobulin superfamilyAntigen receptor- T-cell receptor, IgsGrowth factors receptors
Selectins- leucocyte and platelet adhesionto endothelium during inflammation or coagulation
Integrins- important in immune function, tissue repair and platelet aggregation
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Adhesion molecules and growth factors
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Stromal cells and extracellular matrix
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HAEMATOPOIETIC GROWTH FACTORSProduced by stromal cells of the microenvironment and the haemopoietic cells themselvesFor example; colony-stimulating factor, interleukins (ILs), the kidneys (erythropoietin) or liver (thrombopoietin)
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HAEMATOPOIETIC GROWTH FACTORSAre glycoprotiens involved in the self-renewal of stem cells and the proliferation and differentiation of lineage-committed progenitor cells
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HAEMATOPOIETIC GROWTH FACTORSThe sources of the CSFs are marrow stromal cells (fibroblast and endothelial cells), lymphocytes and macrophages
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Types of Hematopoietic Growth factorsLineage-specific hematopoietic growth factors: G-CSF, M-CSF, IL-5, TPO and EPO
Multilineage hematopoietic growth factors: IL-3 and GM-CSF
Early-acting hematopoietic growth factors: SCF and FL
Synergistic factors: IL-1, IL6 and IL-11
Negative regulator of hematopoietic growth factors: transforming growth factors
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HAEMATOPOIETIC GROWTH FACTORSIL-3 and GM-CSF are required throughout haemopoiesis, acting on pluripotent and early progenitor cells
required for self-renewal and differentiaiton
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HAEMATOPOIETIC GROWTH FACTORSG-CSF, M-CSF,, IL-5, thrombopoietin and erythropoietin act on more mature cells of a specific lineage
They also act synergistically with other growth factor on early cells
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Questions
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HAEMATOPOIETIC GROWTH FACTORSErythropoietin
Derived from kidney and liver
Secreted in response to anoxia caused for example by anemia or high attitude
Stimulated erythropoiesis at the committed CFUE stage, BFUE progenitors, later cells up to reticulocyte stage
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HAEMATOPOIETIC GROWTH FACTORSThrombopoietin
Stimulated survival and proliferation of haemopoietic stem and megakaryocyte colony-forming cells
Stimulated formation of megakaryocytes, including megakaryocyte maturation and release of platelet into the blood
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HAEMATOPOIETIC GROWTH FACTORSHas an elimination half-life of 30 hoursBeing with erythropoietin, stimulated growth of erythroid progenitor cells
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Colony-Stimulating FactorsGM-SCF
Its ability to stimulate colonies of neutrophils and macrophagess
Acts on many cell types including early multipotential sttem cells, megakaryocyte, eosinophil, erythroid and mature neutrophils and macrophages
Stimulates of cytotoxic and phagocyte activity against bacteria, yeast, and parasites
May also raise the platelet count and possibly the reticulocyte level
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Colony-Stimulating FactorsG-CSF
Stimulate predominantly neutrophil colony formation
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Cytokines active on lymphohematopoiesis stem and progenitor cells
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Interleukin-1Defined as a macrophage product inducing IL-2 receptor expression on T lymphocytes
Activation of cells involved in early stages of hematopoiesis The inflammatory responseWound healingActivates lymphocytes, neutrophils and macrophages and NK cellsActs as endogenous pyrogensInduces proliferation of fibroblasts, epithelial and endothelial cells
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Interleukin-2Is T-cell growth factor
Promotes the proliferation of T-lymphocytes, B-lymphocytes and monocytes
Promotes cytotoxic function by stimulating the proliferation and activity of NK cells
May inhibit both granulocyte-macrophage colony formation and erythropoiesis
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Interleukin-5Knows as eosinophil differentiation factor
Support the proliferation, maturation and function of eosinophils
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Interleukin-6Has a wide effects in hemopoiesis
Interacts synergistically with other growth factors to stimulate myeloid proliferation
Is a major factor in the immune response and inflammation and act as acute phase protein
Stimulates granulocyte-macrophage and megakaryocyte colony formation
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Interleukin-6
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Other cytokinesFlt-3 ligand acts on relatively primitive progenitor stem cells showing synergies with G-CSF, GM-CSF, M-CSF, IL-3 and SCF