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Leukocytes

WBC

Numbers

Different types

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- The leukocytes, also called white blood cells, are the mobile units of the body’s protective system.

- They are formed partially in the bone marrow (granulocytes and monocytes and a few lymphocytes) and partially in the lymph tissue (lymphocytes and plasma cells).

- The real value of the white blood cells is that most of them are specifically transported to areas of serious infection and inflammation, thereby providing a rapid and potent

defense against infectious agents

- Leukocytes work together in two ways to prevent disease: (1) by actually destroying invading bacteria or viruses by phagocytosis (2) by forming antibodies and sensitized lymphocytes, which

may destroy or inactivate the invader

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Leukocyte classification systems

Two major types of classification are used for leukocytes.

Granulocytes - cells with specific granules that are quite evident by virtue of the fact that they have affinity for specific stains.

Agranulocytes - blood cells that don't have obvious specifically stained cytoplasmic granules.

A. One classification system is based on appearance of the stained cell cytoplasm - whether or not visible “granules” are present

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B. The second classification system is based on the morphology of the stained nucleus.

•Mononuclear - nucleus is not composed of identifiable lobes. Nucleus may be irregular.

•Polymorphonuclear - nucleus is composed of two or more distinct lobes.

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General Characteristics of Leukocytes

Types of White Blood Cells

Granulocytes

- Contain specialized membrane-bound cytoplasmic granules

- Include neutrophils, eosinophils, and basophils.

Agranulocytes

- Lack obvious granules

- Include lymphocytes and monocytes

The granulocytes and monocytes protect the body

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• 1 WBC /700 RBC

• The adult human being has about 7000 WBCs per microliter of blood (in comparison with 5 million RBCs)

• Total leucocyte count = 5-11 x 109 cells/mL • Function – To combat pathogens

• Only 2% of WBCs are found in blood,

• The rest are found in tissues, lymphatic fluid, skin, lungs, lymph nodes & spleen

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The Differential White Blood Cell Count

Concentration of the different WBCs in the Blood

%

Neutrophils

60 -70

Lymphocytes

20 -25

Monocytes

3 - 8

Eosinophils

2 - 4

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Leucocyte Disorders

• Leucopenia - low WBC count (<5000/

L)

– radiation, poisons, chemotherapy, shock, microbes → elevated risk of infection

• Leucocytosis = high WBC count (>11,000/

L)

– infection, allergy and disease – differential count

• Leukaemia = cancer of hemopoietic tissue

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Genesis of WBCs- leucopoiesis

Sites of WBC formation

Granulocytes (neutrophil, basophil, eosinophil): – bone marrow

Agranulocytes

– lymphocytes- bone marrow, thymus, lymphoid tissues

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leukopoiesis

Pluripotent stem cell

Colony forming unit

Myeloblasts

(neutrophils eosinophils basophils and monocytes)

Lymphoblasts B and T lymphocytes

NK cells

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Interleukin 3 (IL-3) multipotent stem cell, most progenitor cells, many

terminally differentiated cells

T lymphocytes,

Granulocyte/ macrophage C SF (GM-CSF)

GM progenitor cells T lymphocytes, endothelial cells, fibroblasts

Granulocyte CSF (G-CSF) GM progenitor cells and neutrophils

macrophages, fibroblasts

Macrophage CSF (M-CSF) GM progenitor cells and macrophages

fibroblasts, macrophages, endothelial cells

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Life Span of the White Blood Cells

Granulocytes:

• 4 to 8 hrs (transit time ) in blood circulation • 4 to 5 days in tissues

• In infections life span a few hours (because the granulocytes proceed even more rapidly to the infected area, perform their functions, and, in the process, are themselves destroyed)

Lymphocytes:

• A few hrs in Blood Circulation >> Tissues >> Lymph >>> Blood (Recirculation)

Life span: weeks to months Monocytes :

• 10 to 20 hrs in blood circulation

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Neutrophils (polymorphonuclear neutrophil -PMN)

• 10-12 μm in diameter

• 2 to 5 lobed nucleus - thin chromatin strands – older cells -more lobes

– young cells - band cells

• Highly mobile - 6-10 hrs in circulation • Spent up to 5 days in the tissues

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Neutrophil - granules

- Neutrophils have fine or small granules in the cytoplasm. The granules take acidic and basic stains. When stained with Leishman’s stain the granules appear violet in color.

- Granules of neutrophils contain enzymes like proteases, myeloperoxidases, elastases and metalloproteinases. These enzymes destroy the microorganisms.

- The granules also contain antibody like

peptides called cathelicidins and defensins, which are antimicrobial peptides and are active against bacteria and fungi.

- Membrane of neutrophils contains an enzyme called NADPH oxidase. It is activated by the toxic metabolites released from infected

tissues. The activated NADPH oxidase is responsible for bactericidal action of

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Eosinophil

• 2 to 4% of circulating WBCs

• Circulate 6 hrs before migrating to tissues • 10 to 14 microns

• Nucleus - 2 or 3 lobes

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Eosinophils - granules

– Eosinophil peroxidase (for destruction of worms, bacteria and tumor cells)

– Major basic protein (for destruction of worms)

– Eosinophil cationic protein (for destruction of worms)

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Basophils

• <1% of circulating WBCs • Diameter 8 to 10 microns

• Basophils also have coarse granules in the cytoplasm. The granules stain purple blue with methylene blue, obscure

nucleus

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• Similar to tissue mast cells • Non-phagocytic cells

• Granules contain: – Histamine

– Serotonin (5HT) – Bradykinin

Released during allergic reactions

• Interleukin-4 (for acceleration of inflammatory response and destruction of invading organisms)

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Monocyte

• Nucleus kidney / horse-shoe shaped

• Largest blood cell - diameter 14 – 18 μm • 3 to 8% of circulating WBCs

• The cytoplasm is clear without granules • Motile and phagocytic in nature

• Numbers increase during chronic bacterial infections, protozoan infections, malignancies • Circulate 8-12 hrs - migrate to tissues

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Monocyte

• Monocytes secrete:

1. Interleukin-1 (IL-1) (Acceleration of inflammatory response and destruction of invading organisms)

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Monocyte

• 20 to 25% of circulating WBCs; • Major cell of immune response • High nucleus:cytoplasm ratio

• Have not granules in the cytoplasm • 7-12 µm in diameter

• Depending upon the function, lymphocytes are divided into two types:

1. T lymphocytes: Cells concerned with cellular immunity.

References

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