1 Leukopoiesis

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    Chapter 12

    Leukopoiesis

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    Leukopoiesis

    the development of white blood cells (WBCs)except lymphocytes occurse in the samelocation as erythropoiesis

    Leukocytes it exist to defend the organismagainst nonself agents through intricatecooperation among cells.

    - divided into granulocytes and

    lymphocytes

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    Granulocytes

    Contain visible granules and develop solely inthe bone marrow

    Subdivided as granulocytes containg large

    granules (neutrophil, basophil, eosinophil)and granulocytes containing minute granules(monocytes)

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    Granulocytes

    Can be found in four locations also calledgranulocyte pools:

    a) In the bone marrow

    b) Circulating in peripheral blood

    c) Marginating against the endothelium ofblood vessels

    d) In the tissues

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    Bone Marrow Pool

    Has 3 functions:

    a) Proliferation

    b) Maturation

    c) Storage

    ) Proliferating component contain cellcapable of mitotic divisions (myeloblasts,

    promyelocytes, and myelocytes)

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    Maturation component contain cells that areincapable of mitosis but not yet fully functional(metamyelocytes and bands)

    Storage component contains bands andpolymorphonuclear leukocytes

    Circulating pools contain approximately 50% of total

    peripheral blood granulocytes levels and the other50% in the marginating pools

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    Stem cell to Myeloblast

    Hematopoietic stem cell mature into astem cell specific for bone marrow-derivedor myeloid cells (CFU-GEMM)

    CFU-GEMM matures into another progenitorcell called the colony-forming unitgranulocyte-monocyte/macrophage (CFU-GM)

    - this is controlled by by a complexofinteraction humoral factors, such asinterluekins and CSFs

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    Myeloblast Usually 15-20 micrometers

    Nucleus is delicate withprominent nucleoli

    Cytoplasm is meager thatcontains RER, developingGolgi apparatus, and theinitial presence of primaryor azurophilic granules

    The granules colors positivefor enzymeMYELOPEROXIDASE

    Incapable of motility,adhesion, and phagocytosis

    < 1% in the normal bone

    marrow compartment

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    Promyelocyte(Proganulocyte)

    Size may exceed 20 micrometers

    Nuclear chromatin pattern mayshow slight clumping

    Nucleoli begin to fade

    Dominant characteristic ofPRIMARY GRANULES

    Motility may be present

    1 to 5% in the bone marrow

    reduced nicotinamide adeninedinucleotide phosphate oxidaseand flavocytochrome B activates neutral proteinasescathepsin G, elastase,proteinases for killing to take

    place

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    NeutrophilicMyelocyte

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    NeutrophilicMetamyelocyte

    Result after the cessation of allactive DNA synthesis

    Nucleus is indented

    Cytoplasm has collection of primaryand secondary granules ( majorfeature of cytoplasm)

    The granules constitute the majorcomponent necessary to kill anddegrade non self agents

    Incapable of reacting to chemotactic

    factors 13 22% of normal bone marrow

    differential

    At the end of this stage GELATINASE

    GRANULE is made

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    Band(Nonsegmen

    ted Form)

    Band shape, a transitional formbecause it is considered to be part ofmaturation and storage pools in thebone marrow and peripheral blood

    constitutes 40% of white blood cellsbut < 6% in the peripheral blood

    Non segmented

    Nucleus have uniform or parallelwidth

    Nuclear indention is less than halfthe width of the nucleus (horse shoeshaped)

    Possess full motility, adhesionproperties and phagocytic ability

    Membrane is characterized by

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    PolymorphonuclearNeutrophil(SegmentedNeutrophil)

    Nucleus continues its indention untilthin it become a lobed nucleus

    Nucleus is easily deformable because

    of active motility of the cell

    Polymorphonuclear means manyshaped nucleus

    Part of storage pool in bone marrowand circulating and marginating pools

    50 70% of total WBC differential

    Nuclei have visible segments

    10 12 microns

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    Studies have indicated that there is a heterogeneouspopulation of mature neutrohils

    Neutrophils with increased mobility, numbers of CD 15receptors in lymphocye homing, CD21 that binds to C3

    Positive for CD62 an adhesion molecule active onneutrophils and epithelial cells

    Performs phagocytosis (involves larger material) andpinocytosis (involves small material)

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    Phagocytosis

    chemotactic factors cause thepolymorphonuclear cell to migrate to source

    Neutrophils periodically determine whether

    the vessel endothelium is expressing surfacemolecules, which enhance a more firmcontact (adhesion)

    Egress of neutrophil outside the blood

    circulation (diapedesis) in response tochemical gradient

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    It adhere to particles that initiated the attractionthen pseudopods extend the around the particle,engulfing it and forming a phagosome

    Cytplasmic granules combine with the phagosomeforming phagolysosome and dump their contents in it

    Primary granules contribute to proteolysis

    Secondary granules increase complement fixationand chemotactic response

    - causes degradation anddetoxification of material

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    Eosinophil Maturation

    Prominent secondary granules are stainedheavily with the eosin dye with Romanowskybased stains

    Requires IL-3, IL-5 and GM-CSF and inhibitedby interferon

    Developed from CFU-GEMM to CFU-Eo

    Similar to neutrophil in the myeloblast andpromyelocyte stage

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    In the myelocyte stage, it is distinguish fromneutrophil by presence of numerous large roundgranules containing crystalloid compound

    compromising major basic protein Its granules contain proteolytic enzymes but no

    secretory vesicles

    Spends less than 1 week in the peripheral blood

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    Eosinophil Nucleus with 2 or 3 lobes connected

    by thin strand

    Large, uniform sized granules stain

    orange red with acidic dyes that donot obscure the nucleus

    10 12 microns

    1 -3 % of circulating WBCs

    Charcot-Leyden crystals watersoluble, needle shaped crystals as

    the result of eosinophil disintegration

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    Basophil Maturation

    Process of maturation from the stem cell innot well known

    May parallel the development of eosinophils

    Can be differentiated into myelocytes,metamyelocytes, bands andpolymorphonuclear cells on the basis ofnuclear development, although nuclei with

    more than two lobes are extremely rare

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    Basophils Large dark purple variable sized

    granules stain with basic dyes thatobscure the nucleus

    Irregular shaped bilobed nucleus

    8 10 microns

    0 1% of circulating WBCs

    Have specific high affinity for the Fcregion of IgE

    Involved in allergic inflammationand initiate localized and system

    anaphylaxis

    - granules contain heparin,

    chondroitin sulfate, histamin,serotonine, and other vasoactive

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    Questions

    1. last stage of granulopoesis that is capableof mitosis

    a) Myeloblast b) promyelocyte c) myelocyte d)

    metamyelocyte2. neutrophil maturation stage where it is

    part of both storage and maturation pool inthe bone marrow

    a) Metamyelocyte b) band c) myelocyte d)segmented neutrophil

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    3. responsible for the staining of the granulesof eosinophils

    a) Major basic protein b) peroxidasec) proteolytic enzymes d) myeloperoxidase

    4. the common myeloid progenitor

    a) CFU-GM b) GM-CSF c) CFU-GEMM d) G-CSF

    5. involved in allergic inflammation andinitiate localized and system anaphylaxis

    a) BAND neutrophil b) basophil c) PMN d)

    eosinophil