DEPARTMENT OF PHYSIOLOGYoer.unimed.edu.ng/LECTURE NOTES/3/3/MR-AKINOLA-AO-BLOOD... ·...
Transcript of DEPARTMENT OF PHYSIOLOGYoer.unimed.edu.ng/LECTURE NOTES/3/3/MR-AKINOLA-AO-BLOOD... ·...
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UNIVERSITY OF MEDICAL SCIENCES, ONDO
DEPARTMENT OF PHYSIOLOGY
BLOOD AND BODY FLUID PHYSIOLOGY
LECTURER: MR A.O. AKINOLA
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OBJECTIVES
Leukopoiesis
Thrombopoiesis
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Leukopoiesis and Lymphopoiesis White blood cells production
All blood cells originate from hemocytoblasts, which
produce:
1. Myeloid Stem Cells
Differentiate into progenitor cells, which produce all WBCs except lymphocytes
2. Lymphoid Stem Cells
Lymphopoiesis: the production of lymphocytes
All WBCs, except monocytes, develop fully in bone marrow
Monocytes develop into macrophages in peripheral
tissues
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Leukopoiesis Myeloid stem cells → Basophils, Eosinophils,
Neutrophils, Monocytes as directed by specific colony stimulating factors (CSFs) produced by Macrophages and T cells
Different CSFs (hormones) results in different cell
types:
M-CSF stimulates monocyte production
G-CSF stimulates production of granulocytes (neutrophils, eosinophils, and basophils)
GM-CSF stimulates granulocyte and monocyte production
Multi-CSF accelerates production of granulocytes,
monocytes, platelets, and RBCs
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Lymphopoiesis
Hemocytoblasts differentiates into Lymphoid Stem Cells → Prolymphocytes → Lymphocytes
Some lymphocytes are derived from lymphoid stem cells that remain in bone marrow → B cells and NK cells
Many lymphoid stem cells migrate to peripheral lymphoid tissues (e.g., thymus, spleen & lymph nodes) and then differentiate into mature lymphocytes
Lymphoid stem cells in the thymus give rise to T cells
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White Blood Cells
Leukocytes (5 types)
Have nuclei & organelles but no hemoglobin (hence “white” or buff)
5000 – 10,000 leukocytes/μl blood; < 1% total blood volume
Use blood to travel; most are found in connective tissue & lymph
Functions:
Defend against pathogens
Remove toxins and wastes
Attack abnormal/damaged cells
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Characteristics
Ameoboid movement – flow of cytoplasm into cellular processes
Diapedesis (move out of blood)
Exhibit positive chemotaxis - pathogens, damaged tissue, other WBCs
Phagocytosis (engulf pathogens and debris)
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Types of Leukocytes a-d: Non specific defense
e: Specific defense
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A. Neutrophils or Polymorphonuclear [PMN] Leukocytes
Non-specific, defense
Phagocytic
50-70% of all WBCs
2-5 lobed nucleus, 12 μm diameter
Granules (lysosomes) contain digestive enzymes & defensins that kill bacteria, fungi & enveloped viruses
Very mobile: first at injury
Life span < 10h
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Functions
Respiratory burst: H2O2 & O2 -, acts a bactericide
Degranulation: defensins (peptide) lyse bacteria
Prostaglandins: induce inflammation to stop spread of injury
Leukotrienes: attract phagocytes
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B. Eosinophils or Acidophils
Non-specific defense
Phagocytic
2–4% of circulating WBCs
Bilobed nucleus
12 μm diameter; 9-day life
Functions:
Attack antibody-coated objects (bacteria, protozoa, cell debris)
Defense against large parasites
Excrete toxic compounds
Control inflammation with enzymes that counteract inflammatory effects of neutrophils and mast cells
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C. Basophils Non-specific defense
Not phagocytic
< 1% of WBCs
“U” shaped nucleus
8 - 10μm diameter
Granules contain
histamine – dilate blood vessels
heparin – prevent clotting
Life span = 9 d
Functions:
Inflammation
Allergic response (via histamine)
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D. Monocytes
Non-specific defense
Phagocytic
2-8% of WBCs
Kidney shaped nucleus
15 μm + diameter
Circulate 24 h, then exit to tissues = macrophage
Life span = several months
Functions:
Phagocytosis: viruses and bacteria
Attract phagocytes
Attract fibroblasts for scar formation
Activate lymphocytes: to mount immune response
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E. Lymphocytes Immune-Specific Response
20-30% of WBCs, Large round nucleus
5-17μm diameter,
Migratory between blood and tissues (bidirectional)
Most in lymphatic system
Life span = days to lifetime
Function (depends on type [3]): T cells: cell-mediated immunity (attack foreign cells directly or
control the activity of other lymphocytes)
B cells: humoral immunity (differentiate into plasma cells & synthesize and secrete antibodies)
Natural Killer (NK) cells: immune surveillance (detect and destroy abnormal tissue; e.g., cancer)