BLOOD PHYSIOLOGY. White Blood Cells (WBC) Dr Nervana Mostafa
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1 BLOOD PHYSIOLOGY White Blood Cells (WBC) Dr Nervana Mostafa 1
2 Lecture content. 1 Eosinophils and Basophilophils formation, maturation and function Monocytes and macrophage formation, maturation and function Reticuloendothelial system component and function Lymphocytes formation, maturation and function Leucocytosis, leucopenia and leukemia 2
3 White Blood Cells EOSINOPHILLS & BASOPHILS 3
4 Formation and Maturation of Eosinophils Formed in Bone Marrow: Stem cells Eosinophil Eosinophil Myeloblast Promyelocytes myelocytes metamyelocytes polymorphnuclear eosinophil (Mature Eosinophil released to blood) 4
5 Eosinophil Function Phagocytosis High eosinophil count: Parasitic (hook worm, ascaris, bilharzia) Allergic (asthma, rhinitis, drug reaction) Eosinophil attach themselves to parasites and releases substances (hydrolytic anzymes, superoxide) to kill it 5
6 Formation and Maturation of Basophils Formed in Bone Marrow Stem cells Myeloblast Promyelocytes Basophil myelocytes Polymorphnuclear Basophil (Mature Basophils released to blood) 6
7 Basophils Similar to mast cells both secrets: Heparin to prevent clotting, Histamine, bradykinin & serotinin to inflammation response contribute The release of those substances cause local and vascular reactions characteristic of allergic manifestation 7
8 White Blood Cells MONOCYTES & MACROPHAGES 8
9 Monocytes and Macrophages Formed in Bone Marrow. 1 Stem cell monoblast promonocyte mature monocytes released into blood. 2 Stay for hours in circulation. 3 Then leave blood to tissues transforming into larger cells macrophage,. 4 Macrophage life span is longer upto few months 9
10 Function of Monocytes and Macrophages Macrophages are a powerful phagocytic cells; first line of defense Ingest up to 100 bacteria, Ingest larger particles as old RBC Get rid of waste and survive Functions: anti-inflamatory Directly: phygocytosis of bacteria, dead cells Indirectly cooperating with lymphocytes by recognizing foreign body (take in foreign body process it and present it to lymphocytes) 10
11 11 Direct anti Inflammatory
12 Indirect anti-inflammatory 12 Dr Sitelbanat 2011
13 Reticuloendothelial system Consist of: Monocytes Macrophage Endothelial cells (bone marrow, spleen, lymph node) Located in all tissues especially: skin (histocytes), liver (kupffer), spleen, bone marrow, lymph nodes, lung 13
14 Functions of Reticuloendothelial system 1. Phagocytosis: Bacterial, foreign particles dead cells, 2. Breakdown of Hb 3. Immune function: processing antigen and antibodies production (indirect) 4. Storage of iron 14
15 White Blood Cells LYMPHOCYTES 15
16 Lymphocytes Formation and Maturation. 1 Formed in bone marrow, thymus, lymphoid tissues. 2 Stem cell (thymus, lymphoid tissue & bone marrow) lymphoblast intermediate pyronophilic blast cell lymphocytes. 3 Life Span Of Lymphocytes range to months according to its type from weeks 16
17 LYMPHOCYTES Function and types Function: Types:. 1Thymus dependent (T-lymphocytes). 2Thymus (B-lymphocytes) independent 17
18 T-Lymphocytes (Thymus dependent) Formed in bone marrow or lymphoid tissue migrate to thymus for maturation Life spans days. Circulate between blood, tissues, lymph. Types of T-lymphocytes T-helper T-cytotoxic Natural killer Functions Cellular immunity (graft rejection delyed hypersensitivity.) Role in antibody secretion. 18
19 B- Lymphocytes (thymus-independents) First discovered in Bird Bursa Formed in: Bone marrow, germinal layer of lymph node, red pulp of spleen Life span 2-7 days 19 It transforms into large antibody) Function: Humoral immunity. Stimulated by antigen transforming plasma cell (produce
20 Leucocytosis Increased WBC Physiological Diurnal morning evening After physical exercise Stress or Adrenaline injection Disease Bacterial infection Appendicitis) Worm infection (tonsillitis, 20
21 WBC Causes; Leucopenia 1- malnutrition. 2- typhoid fever. 3- drugs. 4- B12 & folic acid 5- radiation 21
22 Leukaemia Cancer of white cells due to chromosomal abnormality caused by chemicals, radiation, and viruses. WBC more than 50x10 3 Types of leukaemia Myeloblast leukaemia myeloid cells Lymphoblast leukaemia lymphocytic cells Acute or chronic onset Accompanied with anaemia, bleeding 22
23 Objectives At the end of this lecture student should be able to:. 1 Describe Esinophils formation and functions. 2 Describe Basophils formation and functions. 3 Describe Monocytes and macrophage formation and functions.. 4 Describe Reticuloendothelial componants and functions 23
24 Objectives At the end of this lecture student should be able to:. 5 Describe lymphocytes formation and maturation Describe the functions of the different types of lymphocytes. Recognise leucocytosis and leucopenia. Recognize type of leukaemia 24
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