Lecture 4. Blood
formed elements: leucocytes (white blood cells) and
lymphocytes , erythrocytes (red blood cells), platelets
plasma (translucent, yellowish, viscous)
serum: portion of plasma that separates from
coagulum after clotting
blood smear:
Granules
3 types:
(1) primary: azurophilic granules: large lysosomes; primary granules; myeloperoxidase:
microbicidal agent; identifies leukemias
of neutrophil precursors.
(2) secondary (specific) granules: smaller, twice as numerous; alkaline phosphatase = phosphasome (light fraction of membranes)
(3) tertiary: contain gelatinase; enhance phagocytosis
neutrophilia:
cite of bacterial infection attract neutrophils > increased numbers
in circulation
receptors for IgE; produce eosinophil-derived-inhibitor; inhibits mast cell degranulation; inhibits SRS-A (vasoactive substance produced by basophils and mast cells).
Granules
specific: bright red with eosin & more brick red with Romanowsky; contain variety of hydrolytic enzymes including histaminase; crystalloid lattice consists of extremely alkaline major basic protein; hydrolytic lysosomal enzymes and peroxidase
smaller granules: contain aryl sulfatase (secreted independently of degranulation; function unknown) and acid phosphatase
eosinophilia: parasitic disease; numbers also increased in some allergic disorders (hay fever & asthma).
immediate hypersensitivity (analphylactoid) reaction: caused by rapid degranulation and release of histamine and other vasoactive mediators; characteristic of allergic rhinitis (hay fever), some forms of asthma, urticaria, and anaphylactic shock
up to 15% infiltrating cells in allergic dermatitis and skin allograft rejection = cutaneous basophil hypersensitivity induced by sensitized lymphocytes; degranulation slow.
Granules
specific: highly soluble in water; metachromatic
with toluidine blue; proteoglycans: sulphated
glycosaminoglycans: heparin & chondroitin sulphate; histamine &
slow reacting substances of anaphylaxis (SRS-A), eosinophil
chemotactic factor of anaphylaxis (ECF-A).
smaller granules: near nucleus
mononuclear phagocyte system: monocyte-macrophage system (histiocytes); multinucleate giant cells; hepatic macrophages (Kupffer )cells; microglia of CNS; macrophages (Langerhans cells) of skin; antigen-presenting cells (APCs) of lymphoid organs; osteoclasts of bone.
Granules
Lymphocytes (B and T cells): 20 to 50% differential white cell count; increased numbers during viral infection; round, densely stained nucleus, small amount pale basophilic; no nucleoli visible in lt microscope due to nuclear basophilia; cytoplasm with free ribosomes; short microivilli (seen in EM) more numerous on B lymphocytes than T lymphocytes; only blood (lymphoid) cell capable of division outside of bone marrow.Platelets (thrombocytes):small: 6 to 9 micro m: 3% of lymphocytes in peripheral blood (also medium) large: 9 to 15 micro m: possibly natural killer cells; possibly dividing lymphocytes
directed against foreign antigen; key roles in immune response homeostasis: control of bleeding: 150,000 to 400,000/ml; round or oval, biconvex discs, 1.5 to 3.5 micro m; cytoplasm purple-staining, granular; organelles concentrated toward center; granules constitute about 20% volume
Granules (4 types)
Alpha granules: contain two platelet exclusive proteins: platelet factor 4; b thromboglobulin (function unknown); also coagulation factors (fibrinogen, factor V, factor VIII/ von Willebrand factor) fibronectin, thrombospondin, platelet-derived growth factor), other growth factors.
Dense granules: contain serotonin absorbed from plasma (from enterochromaffin cells of gut)
Lysosomes:
microperoxisomes: peroxidase activity, probably catalase.
Plasma membrane: ability to form fibrillar bridges between platelets; attached to thick, filamentous glycocalyx; high concentration of external membrane proteins.
Marginal band of microtubules; rich in actin and myosin (thrombostherin)
Dense tubular system (DTS): narrow membranous tubules containing isoenzyme of peroxidase specific for platelets (site prostaglandin synthesis?)
external pits connected to canalicular membrane system: (secretion of alpha granules?)