Blood, Hematopoiesis, Respiratory Flashcards
Discontinuous connective tissue
Cells born in one place and function elsewhere
3 Components of blood
Plasma, Erythrocytes, Buffy Coat
Hematocrit
Packed cell volume, measurement of Erythrocytes in relation to plasma
Serum
Fluid remaining outside of plasma clot
Wright stain: Red to Orange
Eosinophilic/Acidophilic
Wright stain: Dark Purple to Black
Basophilic
Wright stain: Pink/Tan/Clear
Neutrophilic
Wright stain: Blue/Gray
Polychromatophilic
Types of Blood Cells
Erythrocytes, Leukocytes, Platelets
Types of Leukocytes
Granulocytes: Polyhmorphonuclear Neutrophils (PMNs) Eosinophils Basophils Agranulocytes: Monocytes Lymphocytes
Red Cell life span
100-120 days
3 identifiers of erythrocytes
No nucleus or organelles Biconcave shape Central pallor
4 essential membrane proteins in RBCs
Spectrin - bind to actin, forms a dimer Ankyrin - anchors band3 to spectrin Band3 - anion transporter, facilitates exchange of HCO3- and Cl- across membrane Glycophorins - provide hydrophilic charged coat to prevent sticking
Spherocytosis
Loss of connection between cytoskeleton and lipid bilayer causes release of microvesicles reducing erythrocyte to sphere shape. Spherocyte phagocytized by macrophages in spleen.
How is lipid bilayer specialized in RBCs
High concentration of Phosphatidylserine on inner monolayer. When PS appears on outside, it signals that the cell is sick.
Sickle Cell anemia and Thalassemia
Mutations in genes coding for hemoglobin, alters cell shape, bad cells culled in spleen
Heredetary Spherocytosis
Genetic defect in ankrin and spectrin
Anemia
Low hemoglobin, reduction of # of RBCs, amount of Hb/RBC, poor O2 binding to Hb
Polycythemia
Increase in RBCs/ml, Produces thick blood, can be due to high altitude, CO poisoning, bone marrow disorders and tumors

Neutrophil
PMN response to inflammatory signals
PMNs roll along endothelial cells, binding loosely to selectin proteins. Inflammation increases # of selectins, causing PMNs to express Integrin surface proteins, which bind to Integrin receptors. PMNs leave vessels by Diapedesis, move towards infection by chemotaxis
PMN killing of microbes
Phagocytosis, fusion with PMN granules containing peroxidases, reactive oxygen species, lysozyme, defensins
Respiratory Burst
Leakage of killing factors causes inflammation
PMN life expectancy
Hours in the blood, days in the tissues

Eosinophil
Major Basic Protein
Eosinophilic granules that kill larval parasites, associated with allergies. MBP can damage host tissues, cause asthma.

Basophil
What do basophil granules contain?
Granules contain histamine and heparin.
Surfae bound IgE triggers allergic reactions
Basophils are least common

Monocyte
What do Monocytes become
Macrophages, osteoclaasts, microglia, Kupffer cells.
They are antigen presenting cells

Small Lymphocyte
What do small lymphocytes do?
T and B cells, involved in acquired immunity

Large Lymphocyte/Natural Killer Cell

Platelets
What do platelets do?
Maintain integrity of CV system, plug small holes, promote clotting reactions.
Have organelles but no nucleus
Where and when does most hematopoiesis occur?
Most prenatally- initially in yolk sac, then liver and spleen, then bone marrow
After birth, amount of hematopoiesis drops off slowly.
After about 20 yrs, no hp in tibia
After 25 years, no ph in femur
Decreases over rest of life in vertebra, sternum and ribs
HSC
Hematopoietic Stem Cell
H-PSC
Hematopoietic Pluripotential Stem Cell
CFU-S
Colony Forming Unit - Spleen
GEMM
Common Myeloid progenitor. Gives rise to Granulocytes, Erythrocytes, Monocytes, Megakaryocytes
Lymphoid Stem Cell
Common Lymphoid progenitor, gives rise to T and B lymphocytes
BFU - E
Burst Forming Unit- Erythrocyte
CFU-E
Colony Forming Unit - Erythrocyte
CSF
Colony Stimulating Factor, Cytokine
Cytokines
Diverse set of protein hormones, generally involved in immune system activities and hematopoiesis
Where are all blood cells produced, except T lymphocytes?
Bone marrow
Visible developmental changes in blood cells
Cells get smaller, nucleus gets smaller faster
Nucleoli disappear, chromatin gets clumpy, heterochromatin increases, euchromatin decreases
Non-specific Cytoplasm contents and RNA decrease, specific contents, like Hb or granules increase
In general, basophilic staining decreases
Erythrocyte developmental series
BFU-E > CFU-E + EPO > Proerythroblast > Basophilic erythroblast > Polychromatophilic erythroblast > Orthochromatophilic erythroblast > Reticulocyte > RBC
Proerythroblasts
Lacy Chromatin
Nucleoli
Basophilic cytoplasm
Basophilic Erythroblasts
Condensed Nucleus
No visible nucleoli
Most basophilic cytoplasm
Polychromatophilic erythroblasts
Cell volume reduced
Regions of basophilia and eosinophilia
Orthochromatophilic erythroblast
Cell and nuclear volume condense
No basophilia
Often eccentric (off center) nucleus
Late in stage nucleus is ejected
Reticulocyte
Like RBC but still contains RNA and Ribosomes
Methylene blue staining required to se reticulum

Proerythroblast

Basophilic Erythroblast

Polychromatophilic Erythroblast

Orthochromatophilic Erythroblast

Reticulocyte
Granulocyte Developmental Series
CFU-GM > Myeloblast > Promyelocyte > Myelocyte > Meta-Myelocyte > Band Form > Mature Form
Myeloblast
Finely dispersed Chromatin, faint nucleoli
Promyelocyte
Promyelocyte: Basophilic cytoplasm, granules
Myelocyte
Increasing granules, smaller nucleus
Meta-myelocyte
Increasing granules, bean-shaped/dented nucleus
Band Form
Nucleus not yet lobed, but bent/C-shaped
Mature Form
Segmented nucleus

Myeloblast

Promyelocyte

Myelocyte

Metamyelocyte

Band Form

Mature Form - neutrophil

Megakaryocyte
Left Shift
Infection or bone marrow cancer will cause immature cells to appear in circulation
Vitamin B12 Deficiency
Slows DNA synthesis, but not RNA and protein synthesis. Causes larger cells (Megaloblasts) with large nucleus
Macrocytic anemia - PMNs become segmented
Hematopoietic marrow
Red = active
Yellow = inactive/fatty
Cords
Hematopoeitic tissue in marrow situated between sinusoid vessels
Adventitial reticular cells
Form network to support cords. Become fatty in yellow marrow
Lamina Propria
Layer beneath basal lamina in nasal cavities, contains capillary loop system to warm air
Respiratory Epithelium
Ciliated Pseudostratified Columnar epithelium
Olfactory Epithelium
Covers superior turbinate and roof of nasal cavity, contains bipolar olfactory neurons. Basal cells are stem cells that replace olfactory neurons every 2-3 months.
Lamina propria contains Bowman’s glands that produce liquid that help in odor detection
Larynx
Contains epiglottis, trachea, vocal cords, etc.
Lingual side has stratified squamous epithelium that ransitions to respiratory epithelium.
Vestibular folds contain glands and lymph nodes
Vocal cords covered in stratified squamous epithelium, contains large vocal muscle
Conducting zone
Trachea > Primary Bronchus > Secondary Bronchus > Tertiary Bronchi > Bronchioles > Terminal Bronchiole
Transitional Zone
Terminal Bronchiole - Respiratory Bronchiole
Respiratory Zone
Respiratory Bronchiole > Alveolar Duct > Alveolar Sac

Olfactory Epithelium

Respiratory Epithelium
Trachea Layers
Mucosa - Epithelial cells with Goblet (Mucous producing) cells and basal cells
Lamina Propria - CT, contains Tracheal (Seromucous) Glands that humidify air and trap particles and C shaped cartilage Rings with Trachealis muscle
Tunica Adventitia
Trachealis muscle
Closes C cartilage ring on posterior side adjacent to esophagus. Relaxes to allow swallowing

Trachea, C-shaped cartilage, Trachealis muscle

Bronchi - Surrounded by segmented cartilage

Terminal Bronchiole
Clara Cells
In Terminal Bronchioles, secrete surfactant, detoxify, secrete antimicrobial peptides and cytokines, have bronchiolar stem cell population
Why is asthma a problem?
Hypercontraction of bronchioles where there is no cartilage to hold open

Alveoli
Alveoli
Thin walled sacs, separated by interalveolar septum, connected by alveolar pores (pores of Kohn)
Type I Pneumocyte (alveolar cell)
% of cell surface, flat, thin cells, joined by tight junctions
Type II Pneumocyte (alveolar cell)
Large cuboidal cells, function as stem cells for type 1 and 2, produce surfactant
Dust Cell
Alveolar macrophage
Interalveolar Septum
Capillary > Cytoplasm of endothelial cell > fused basal lamina > Cytoplasm of type I pneumocyte > Alveolus
Pores of Kohn
Alveolar pores in Interalveolar septum