Blood Cells. Dr. Sami Zaqout. Dr. Sami Zaqout Faculty of Medicine IUG

Transcription

1 Blood Cells Dr. Sami Zaqout

2 Blood Blood Blood cells (45%) Erythrocytes Platelets Leukocytes Plasma (55%)

3 Hematocrit tubes with blood

4 Composition of Plasma Plasma Aqueous solution (90%) Substances (10%) Plasma proteins (7%) Albumin α, β, and γ globulins Lipoproteins Prothrombin and fibrinogen Inorganic salts (1%) Organic compounds (2%)

5 Blood cells

6 Products and Functions of the Blood Cells

7 Staining of Blood Cells Blood smears are routinely stained with special mixtures of: Red (acidic) dyes Blue (basic) dyes Azures dyes Giemsa Wright's Leishman's

8 Erythrocytes Biconcave disks without nuclei. The biconcave shape provides erythrocytes with a large surface-tovolume ratio, thus facilitating gas exchange.

9 Normal concentration of erythrocytes in blood million per microliter in women million per microliter in men. A decreased number of erythrocytes in the blood is usually associated with anemia. If number of erythrocytes normal but each cell contain a reduced amount of hemoglobin called hypochromic anemia. An increased number of erythrocytes are called polycythemia.

10 Normal diameters of erythrocytes in blood When suspended in an isotonic medium, human erythrocytes are: 7.5 µm in diameter 2.6 µm thick at the rim 0.8 µm thick in the center. Erythrocytes with diameters greater than 9µm are called macrocytes. Erythrocytes with diameters less than 6µm are called microcytes. The presence of a high percentage of erythrocytes with great variations in size is called anisocytosis.

11 Erythrocytes plasmalemma 40% lipid (eg, phospholipids, cholesterol, glycolipids), 50% protein 10% carbohydrate.

12 Distorted erythrocyte

13 Reticulocytes Younger erythrocytes recently released by the bone marrow into the bloodstream often contain residual ribosomal RNA, which, in the presence of some dyes can be precipitated and stained. Reticulocytes normally constitute about 1% of the total number of circulating erythrocytes.

14 Mature erythrocytes Erythrocytes lose their mitochondria, ribosomes, and many cytoplasmic enzymes during their maturation. The source of energy for erythrocytes is glucose. Human erythrocytes survive in the circulation for about 120 days. Worn-out erythrocytes are removed from the circulation mainly by macrophages of the spleen and bone marrow. The signal for removal seems to be the appearance of defective complex oligosaccharides attached to integral membrane proteins of the plasmalemma.

15 Leukocytes

16 Differential count of blood leukocytes

17 Leukocytes functions Leukocytes are involved in the cellular and humoral defense of the organism against foreign material. In suspension in the circulating blood, they are spherical, nonmotile cells, but they are capable of becoming flattened and motile on encountering a solid substrate. Leukocytes leave the venules and capillaries by passing between endothelial cells and penetrating the connective tissue by diapedesis

18 Granulocytes

19 Granulocytes Being nondividing terminal cells, granulocytes do not synthesize much protein. Their Golgi complex and rough endoplasmic reticulum are poorly developed. They have few mitochondria and depend more on glycolysis They contain glycogen and can function in regions scarce in oxygen, such as inflamed areas.

20 Neutrophils (Polymorphonuclear Leukocytes) Neutrophils constitute 60 70% of circulating leukocytes. They are µm in diameter. Nucleus consisting of two to five lobes linked by fine threads of chromatin. Neutrophils are short-lived cells with a half-life of 6 7 h in blood and a life span of 1 4 days in connective tissues

21 Neutrophils (Polymorphonuclear Leukocytes) Immature neutrophils that have recently entered the blood circulation have a nonsegmented nucleus in the shape of a horseshoe (band forms). Neutrophils with more than five lobes are called hypersegmented and are typically old cells.

22 Eosinophils Eosinophils are far less numerous than neutrophils, constituting only 2 4% of leukocytes in normal blood. In blood smears, this cell is about the same size as a neutrophil. Contains a characteristic bilobed nucleus. The main identifying characteristic is the presence of many large and elongated refractile specific granules (about 200 per cell) that are stained by eosin.

23 Eosinophils Eosinophilic specific granules have a crystalline core (internum). It contains a protein called the major basic protein. This protein constitutes 50% of the total granule protein and accounts for the eosinophilia of these granules. The major basic protein also seems to function in the killing of parasitic worms. The less dense material surrounding the internum is known as the externum, or matrix.

24 Eosinophilia An increase in the number of eosinophils in blood is associated with allergic reactions and helminthic (parasitic) infections. These cells produce substances that modulate inflammation by inactivating the leukotrienes and histamine produced by other cells. They also phagocytose antigen antibody complexes.

25 Basophils Basophils make up less than 1% of blood leukocytes. They are about µm in diameter. The nucleus is divided into irregular lobes, but the overlying specific granules usually obscure the division. The specific granules stain metachromatically with the basic dye of the usual blood stains. This metachromasia is due to the presence of heparin.

26 Lymphocytes They can be classified into several groups according to distinctive surface molecules (markers). They also have diverse functional roles, all related to immune reactions in defending against invading microorganisms, foreign macromolecules, and cancer cells. Lymphocytes with diameters of 6 8 µm are known as small lymphocytes. A small number of medium-sized lymphocytes and large lymphocytes with diameters up to 18 µm are present in the circulating blood.

27 Lymphocytes The small lymphocyte, which is predominant in the blood, has a spherical nucleus, sometimes with an indentation. Its chromatin is condensed and appears as coarse clumps. The cytoplasm lymphocyte is scanty, it may contain a few azurophilic granules. The cytoplasm has a few mitochondria and a small Golgi complex, it contains free polyribosomes

28 Lymphocytes Lymphocytes vary in life span; some live only a few days, and others survive in the circulating blood for many years. Lymphocytes are the only type of leukocytes that return from the tissues back to the blood, after diapedesis.

29 Monocytes Monocytes are bone marrow-derived agranulocytes with diameters varying from 12 to 20 µm. The nucleus is oval, horseshoe, or kidney shaped and is generally eccentrically placed. The chromatin is less condensed than that in lymphocytes. The cytoplasm of the monocyte is basophilic and frequently contains very fine azurophilic granules These granules are distributed through the cytoplasm, giving it a bluish-gray color in stained smears.

30 Monocytes In the electron microscope, one or two nucleoli are seen in the nucleus Small quantity of rough endoplasmic reticulum, polyribosomes Many small mitochondria. A Golgi complex involved in the formation of the lysosomal granules is present in the cytoplasm. Many microvilli and pinocytotic vesicles are found at the cell surface.

31 Platelets Blood platelets are nonnucleated, disklike cell fragments 2 4 µm in diameter. Platelets originate from the fragmentation of giant polyploid megakaryocytes that reside in the bone marrow. Normal platelet counts range from 200,000 to 400,000 per microliter of blood. Platelets have a life span of about 10 days. In stained blood smears, platelets often appear in clumps. Peripheral light blue-stained (hyalomere). Central zone containing purple granules, (granulomere).

32 Platelets Platelets contain a system of channels, the open canalicular system, that connects to invaginations of the platelet plasma membrane Around the periphery of the platelet lies a marginal bundle of microtubules In the hyalomere, there are also a number of electron-dense irregular tubes known as the dense tubular system. A cell coat rich in glycosaminoglycans and glycoproteins lies outside the plasmalemma and is involved in platelet adhesion.

33 Platelets δ-granules (Dense bodies) nm Calcium ions Pyrophosphate ADP ATP Serotonin α-granules are a little larger nm Fibrinogen Platelet-derived growth factor Platelet-specific proteins. λ-granules are small vesicles nm Lysosomal enzymes

34 Platelet Functions Primary aggregation Platelet Secondary aggregation Blood coagulation Functions Clot retraction Clot removal

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