Blood and Hemopoiesis. Bone marrow....S. Konturek i T. Brzozowski „Fizjologia człowieka”, 2003...
Transcript of Blood and Hemopoiesis. Bone marrow....S. Konturek i T. Brzozowski „Fizjologia człowieka”, 2003...
Seminar 16
Blood and Hemopoiesis
Bone marrow
Classes 2020/2021
• Plasma is yellowish fluid in which formed elements, organic
compounds and electrolytes are suspended or dissolved.
• During coagulation some organic and inorganic components of the
plasma become integrated in the clot and remaining fluid differs
from plasma (no clot-forming components, straw colored) and is
known as blood serum.
Blood plasma and serum
• Major plasma components:
▪ 92% - water,
▪ 7% - proteins,
▪ 1% - inorganic salts, ions,
nutrients, gases, wastes.
• Plasma leaves vessels and
enters connective tissue spaces
as extracellular fluid.
FORMED ELEMENTS
RED BLOOD CELLS
(ERYTHROCYTES)WHITE BLOOD CELLS
(LEUKOCYES)
PLATELETS
(THROMBOCYTES)
GRANULOCYTES AGRANULOCYTES
• NEUTROPHILIC GRANULOCYTES
(NEUTROPHILS)
• EOSINOPHILIC GRANULOCYTES
(EOSINOPHILS)
• BASOPHILIC GRANULOCYTES
(BASOPHILS)
• MONOCYTES
• LYMPHOCYTES
➢ T
➢ B
➢ NK
Blood cells/µL or mm3
Erythrocytes 4.5-5.5 × 106
Leukocytes 4.0-11.0 × 103
Neutrophils 5000 (55%-65%)
Eosinophils 150 (2%-4%)
Basophils 30 (0.5%- 1.0%)
Lymphocytes 2400 (20-40%)
Monocytes 350 (4-8%)
Platelets approx. 300,000
Normal adult blood volume measures 5 to 6 L.
White blood cells = leukocytes• 1 nucleus, either made by many lobes (granulocytes)
or present as one structure (agranulocytes)
• are round
• 4,000 – 11,000/µl
NEUTROPHILIC
GRANULOCYTES
55-65% EOSINOPHILIC
GRANULOCYTES
2-4%BASOPHILIC
GRANULOCYTES
0,5-1%
LYMPHOCYTES
20-40%
MONOCYTES
4-8%
GRANULOCYTES
AGRANULOCYTES
(containing primary, and specific or
secondary cytoplasmic granules)
(containing only primary =
azurophilic, granules)
• In response to an appropriate stimulus, leukocytes may leave
the bloodstream (diapedesis) and enter the connective tissue
• are responsible for the transport of O2 and CO2
S. Konturek i T. Brzozowski „Fizjologia człowieka”, 2003
A. Stevens „ Histologia”, 2000
• are anucleate
• round, biconcave cells (120 µm2)
• when suspended in an isotonic medium human
erythrocytes are 7.5 µm in diameter, 2.2 µm thick
at the rim, and 0.8 µm thick in the center
• have no organelles
• the biconcave shape provides erythrocytes with a large
surface-to-volume ratio, thus facilitating gas exchange
Red blood cells (erythrocytes)
• mature erythrocytes are filled with hemoglobin and stain
light salmon pink
• erythrocytes with diameters greater than 9 µm are called
macrocytes, and those with diameters less than 6 µm
are called microcytes
• anisocytosis – the presence of a high percentage
of erythrocytes with great variations in size
• The average life span of an RBC is 120 days
• The RBC is quite flexible – a property that permits it to adapt
to the irregular shapes and small diameters of capillaries
• Aged RBCs are fragile and express membrane surface
oligosaccharides that are recognized by splenic, hepatic,
and bone marrow macrophages which destroy those erythrocytes
Red blood cells (erythrocytes)
• Several cytoskeletal proteins (ankyrin, band 4.1 and band 3 proteins,
spectrin, and actin) maintain the shape of RBCs
Junqueira, Basic Histol, 11ed
Inherited alterations in hemoglobin molecules are
responsible for several pathological conditions,
of which sickle cell disease is an example
Sickle cell disease is caused by a mutation
of one nucleotide in the DNA of the gene for
the β-chain of hemoglobin The triplet GAA
(for glutamic acid) is changed to GUA,
which specifies valine.
The sickled erythrocyte is inflexible and
fragile and has a shortened life span that
leads to anemia.
It increases the blood viscosity and can
damage the walls of blood vessels,
promoting blood coagulation.
A. Myśliwski et al. „Atlas histologiczny”, 2002
Leukocytes
MONOCYTE
NEUTROPHIL
EOSINOPHIL
BASOPHIL
LYMPHOCYTE
EOSINOPHIL NEUTROPHIL BASOPHIL
Neutrophils, eosinophils, and basophils have granules that stain specifically
with certain dyes and are called granulocytes. They have a multilobed nucleus.
Underlined cells are presented
under microscopes.
A. Myśliwski et al. „Atlas histologiczny”, 2002
3 types of granulocytes
Neutrophil
Neutrophils have a life span of 6 to 8 hours and
may live for up to 4 days in connective tissue.
Eosinophil
Basophil
Agranulocytes
Junqueira, Basic
Histol, 11ed
A large lymphocyteSmall
lymphocytes
(round dark-
stained nuclei)
A monocyte
(a kidney-shaped nucleus
with delicately stained
chromatin; the cytoplasm
is slightly basophilic)
Lymphocytes and monocytes are considered agranulocytes,
even though they may show azurophilic granules (lysosomes),
which are also present in other leukocytes.
Underlined cells are included
in the practical task.
Lymphocyte
Monocytes
Platelets (thrombocytes)
are small (2 to 4 µm), disk-shaped, anucleated
cell fragments derived from megakaryocytes
• The plasma membrane of a platelet invaginates to form a system
of cytoplasmic channels, called the open canalicular system.
• The central region of the platelet, the granulomere, contains
mitochondria, rough endoplasmic reticulum, the Golgi apparatus,
and granules.
• The periphery of the platelet, the hyalomere, contains
microtubules and microfilaments that regulate platelet shape
and movement.
• Platelets function in blood coagulation by aggregating at lesions
in vessel walls and producing various factors that aid in clot
formation. They are also responsible for clot retraction and
contribute to clot removal.
Platelets
(thrombocytes)
PRACTICAL PART
Peripheral blood
✓ Neutrophilic granulocyte
✓ Eosinophilic granulocyte
✓ Basophilic granulocyte
✓ Lymphocyte
✓ Monocyte
✓ Platelets
Bone marrow blood
Erythropoiesis
✓ Proerythroblast
✓ Basophilic erythroblast
✓ Polichromatophilic erythroblast
✓ Ortochromatophilic erythroblast
✓ Reticulocyte
Granulopoiesis
✓ Myeloblast
✓ Promyelocyte
✓ Neutrophilic myelocyte
✓ Neutrophilic metamyelocyte
✓ Neutrophilic band form
✓ Eosinophilic myelocyte
✓ Eosinophilic metamyelocyte
✓ Eosinophilic band form
Thrombopoiesis
✓ Megakaryocyte
Hemopoiesis
Yolk sac
Liver
Spleen
Bone marrow
In the fetus, hematopoiesis starts during the first trimester
in islands of hematopoiesis found in the yolk sac
(develop from hemangioblasts)
Fetal hematopoiesis continues after the second trimester
in the liver and then in the spleen.
The liver and spleen cease hemopoiesis at about the time of
birth.
During the seventh month of intrauterine life, the
bone marrow becomes the primary site of
hematopoiesis, where it remains during adulthood.
Junqueira, Basic Histol, 11ed
Erythropoiesis
• cell volume decreases
• the continuous increase in hemoglobin
(acidophilic protein) concentration from
proerythroblast to erythrocyte
• a gradual decrease in nuclear volume
• a gradual decrease in the number of
polyribosomes (basophilia decreases)
• an increase in chromatin condensation,
followed by extrusion of a pyknotic
nucleus
• mitochondria and other organelles
gradually disappear
Reticulocytes – the young erythrocytes
• account for 1% to 2% of circulating RBCs
Residual polyribosomes
• anucleated cells
• measure approximately 7 to 8 µm in diameter
• with supravital stains, such as methylene
blue or cresyl blue, a filamentous (reticular)
network of polyribosomes becomes visible
• reticulocytes remain in bone marrow for 1 or 2 days and then are
released into the peripheral blood. Following 1 day of circulation,
reticulocytes mature into erythrocytes.
PROERYTHROBLAST
(PE)
BASOPHILIC
ERYTHROBLAST
(EZ)
POLYCHROMATOPHILIC
ERYTHROBLAST
(EW)
ORTHOCHROMATIC
ERYTHROBLAST
(EK)
RETICULOCYTE
(R)
źródło: A. Myśliwski i wsp. „Atlas histologiczny”, 2002
Erythroid lineage
Underlined cells are included
in the practical task.
Principal processes of granulopoiesis:• modest reduction in cel size
• increasing chromatin condensation and lobation of nucleus
• accumulation of specific granules
• loss of proliferation (cell divisions)
No proliferation
at this and next
stages
Myeloblast Promyelocyte
Neutrophilic
myelocyte
Eosinophilic
myelocyte
Neutrophil
Eosinophil
Basophil
Basophilic
myelocyte
Eosinophilic
metamyelocyte
Neutrophilic
metamyelocyte
Myeloid lineage
Underlined cells are included
in the practical task.
Platelets formationMYELOID STEM CELLS
MEGAKARYOCYTE CFU
(CFU-MK)
MEGAKARYOBLAST
• size 30-50 µm
• a large, ovoid or kidney-
shaped nucleus
• basophilic, nongranular
cytoplasm
PROMEGAKARYOCYTEMEGAKARYOCYTE
• size 40-150 µm
• a large polypoid nucleus that
is highly indented
PLATELETS
źródło: A. Myśliwski i wsp. „Atlas histologiczny”, 2002
• size to 80 µm
• an irregularly shaped
nucleus
Underlined cells are included in the practical task.