Correct Sequence of RBC Formation (Erythropoiesis)

Question

The correct sequence of RBC formation (erythropoiesis) is:

Select an answer

The correct sequence of RBC formation (erythropoiesis) is:

  1. Rubriblast → Prorubricyte → Rubricyte → Metarubricyte → Reticulocyte → RBC — Correct Answer
  2. Rubriblast → Prorubricyte → Metarubricyte → Rubricyte → Reticulocyte → RBC
  3. Reticulocyte → Rubricyte → Prorubricyte → Metarubricyte → Rubriblast → RBC
  4. Reticulocyte → Rubricyte → Prorubricyte → Rubricyte → Metarubriblast → RBC
Explanation:
Correct Answer: Rubriblast → Prorubricyte → Rubricyte → Metarubricyte → Reticulocyte → RBC

Erythropoiesis (RBC formation) follows a precise maturation sequence in the bone marrow, starting from the most immature blast cell and progressing to the mature anucleate RBC:

Erythropoiesis Steps
  1. Rubriblast (Pronormoblast): Earliest committed erythroid precursor; large nucleus, basophilic cytoplasm.
  2. Prorubricyte (Basophilic normoblast): Begins hemoglobin synthesis; deeply basophilic cytoplasm.
  3. Rubricyte (Polychromatic normoblast): Hemoglobin accumulates; cytoplasm becomes polychromatic (mix of blue and pink).
  4. Metarubricyte (Orthochromatic normoblast): Last nucleated stage; nucleus becomes pyknotic (shrunken, dark); cytoplasm mostly eosinophilic.
  5. Reticulocyte: Nucleus extruded; cell still contains residual RNA (detected with supravital staining); released from bone marrow into blood.
  6. RBC (Mature erythrocyte): Fully mature, biconcave, anucleate, filled with hemoglobin.
Key Facts
  • Principal erythroid growth factor: Erythropoietin (secreted by kidney).
  • Maturation factors for RBC: Vitamin B12, Folic acid, Intrinsic factor (Castle's factor).
  • Reticulocyte count is a clinical indicator of bone marrow activity.
Why Other Options Are Wrong
  • Option B → Wrong order: Metarubricyte comes AFTER Rubricyte, not before.
  • Option C & D → These sequences are entirely reversed — erythropoiesis proceeds from blast to mature cell, not in reverse.
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