Granulopoiesis Flashcards
Factors that increase Leukopoiesis
Leukopoietin
Infection
Leukopoietin
- Causes proliferation of precursor cells in bone marrow (BM)
- Increased release of mature or almost mature cells from BM to circulation
- Alters ratio of stored/circulating cells
- Available in synthetic form for chemo patients → neulastin/neulasta / neulastim
infection (increases leukopoiesis)
detected by release of chemotactic factors released from infecting organism or virus
Granulopoiesis characteristics
As granulocyte develops..
- Cell volume decreases
- NC ratio decreases
- Chromatin → condenses and creates lobules
- Nucleoli → disappear
- Cytoplasm → primary and secondary granules appear
CFU-GEMM → CFU-Bas →
Basophil
CFU-GEMM → CFU-GM → CFU-G
Neutrophil
CFU-GEMM → CFU-Eo →
Eosinophil
Myeloblast
(basophilic, eosinophilic, neutrophilic lines)
size?
Nucleus?
Cytoplasm?
NC?
BM?
size → 14-20 micro m
Nucleus → round, oval, slightly indented. 2-4 nucleoli. Chromatin is fine meshlike; light red/purple
Cytoplasm → small amount; moderate blue. NO granules
NC → 7:1 - 5:1
BM → 0-2%; Normally only in BM
Auer Rods are only present in
Myeloblast + Promyelocyte
Promyelocyte
(Basophilic, Eosinophilic, Neutrophilic lines)
Size?
Nucleus?
Cytoplasm?
NC ratio?
BM%?
Size → 15-22 micro m
Nucleus → can be obscured. Oval/round/possibly eccentric, flattened. 1-3 nucleoli, Chromatin is medium density; light red/purple
Cytoplasm → moderate blue. Primary granules; Azurophilic, non specific
NC ratio → 5:1 - 3:1
BM → 1-4% normally only in BM
BM%?
Promyelocyte (basophilic, eosinophilic, neutrophilic)
Promyelocyte (basophilic, eosinophilic, neutrophilic)
Promyelocyte (basophilic, eosinophilic, neutrophilic)
Primary granules in Promyelocyte contain..
Myeloperoxidase
Eosinophilic Series
- Eosinophilic Myelocyte
- Eosinophilic Metamyelocyte
- Band Eosinophil
- Eosinophil
Defense against parasitic + fungal infections
Inactivates mast cell products during anaphylactic reactions
Highest amount at 4 am
Eosinophilic series specific/secondary granules contain
Major basic protein + Eosinophil Peroxidase
Eosinophilic Myelocyte
Eosinophilic Myelocyte
Size?
Nucleus?
Cytoplasm?
NC ratio?
BM ?
Size → 10-18 micro m
Nucleus → oval/flat. chromatin is course/slightly granular + red/purple
Cytoplasm → filled with large/red secondary granules
NC ratio → 2:1 - 1:1
BM → 0-3%
Eosinophilic Metamyelocyte
size?
Nucleus?
Cytoplasm?
NC?
BM?
size → 10-15 micro m
Nucleus → indented eccentric/kidney bean. Indention = less than half nuclear diameter. Chromatin: patches of course
Cytoplasm → pale blue/pink. Red/orange secondary granules
NC → 1:1
BM → 0-5%
Eosinophilic Metamyelocyte
Eosinophilic Band
Eosinophilic Band
size?
Nucleus?
Cytoplasm?
NC?
BM?
size → 9-15 micro m
Nucleus → Band Shaped w/ NO filament. Indention is more than ½ nuclear diameter. Chromatin is coarsely clumped “leopard”
Cytoplasm → orange/pink. Red orange secondary granules
NC → 1:1 - 1:2
BM → 0-5%
Eosinophil
Eosinophil
size?
Nucleus?
Cytoplasm?
NC?
BM?
size → 10-16 micro m
Nucleus → Bi-Lobed (connected by thin filament). Chromatin is coarsely granular
Cytoplasm → orange/pink. Red orange secondary granules
NC → 1:2
BM → 0-1%; present in peripheral blood
Eosinophil
Basophilic Series
Smallest in circulation
Allergic reactions
Specific/secondary granules contain → Histamine and heparin (water soluble)
histamine
vasoconstriction
heparin
anticoagulant
Basophilic Myelocyte
Basophilic Myelocyte
size?
Nucleus?
Cytoplasm?
NC?
BM?
size → 10-18 micro m
Nucleus → oval/indented/obscured. Chromatin is courser/slightly granular, red purple. Nucleoli →none for remaining maturation
Cytoplasm → Filled with large purple-black secondary granules
NC → 2:1 - 1:1
BM → 0-3%
Basophilic Metamyelocyte
Basophilic Metamyelocyte
size?
Nucleus?
Cytoplasm?
NC?
BM?
size → 10-15 micro m
Nucleus → indented eccentric/kidney bean. Indention = less than half nuclear diameter. Chromatin is in patches of course
Cytoplasm → pale blue. purple/black secondary granules
NC → 1:1
BM → 0-5%
Basophilic Band
size?
Nucleus?
Cytoplasm?
NC?
BM?
size → 9-15 micro m
Nucleus → Band shaped - no filament. Indention is more than ½ nuclear diameter. Chromatin is coarsely clumped “leopard spots”
Cytoplasm → pale blue + purple/black secondary granules
NC → 1:1 - 1:2
BM → 0-5%
Basophilic Band
Basophil
Basophil (segmented)
size?
Nucleus?
Cytoplasm?
NC?
BM?
size → 10-14 micro m
Nucleus → lobulated (2) / clover like /obscured. Chromatin is coarse, clumped
Cytoplasm → pale blue. Purple/black secondary granules; can lead to decolorized areas if over rinsed (water soluble)
NC → 1:3
BM → 1:3
Referred to as Mast Cell in tissues
Basophil (over rinsed on left)
Mast cell (tissue basophil)
Neutrophilic Series
Most numerous
Protects host from microorganisms
Release substance causing chemotaxis
2 populations → marginating pool and circulation
Specific/ secondary granules contain Collagenase, lactoferrin, lysozyme
Neutrophilic Myelocyte
“dawn of neutrophilia”
first distinguishable neutrophil
Neutrophilic myelocyte
size?
Nucleus?
Cytoplasm?
NC?
BM?
size → 10-18 micro m
Nucleus → oval/flattened, chromatin: course/slightly granular, red/purple. No nucleoli
Cytoplasm → Filled with dusty fine, red/blue secondary granules
NC → 5-20 %
BM?
Neutrophilic Metamyelocyte
Neutrophilic Metamyelocyte size?
Nucleus?
Cytoplasm?
NC?
BM?
size → 10-15 micro m
Nucleus → indented eccentric/kidney bean. Indention is less than half nuclear diameter. Chromatin: patches of course
Cytoplasm → blue/pink. Fine, dusty red/blue secondary granules
NC → 1:1
BM → 5-15 %
Neutrophilic metamyelocyte
Neutrophilic Metamyelocyte
Band Neutrophil
size?
Nucleus?
Cytoplasm?
NC?
BM?
size → 9-15 micro m
Nucleus → Band shaped. Indention more than nuclear diameter. Chromatin is coarsely clumped “leopard spots”.
Cytoplasm → brownish, pinkish, bluish
NC → 1:1 - 1:2
BM → 10 - 35%; present in peripheral blood
Band Neutrophil
Band Neutrophil
Band Neutrophil
Band Neutrophil
Segmented Neutrophil aka PMN
Segmented Neutrophil aka PMN
Segmented Neutrophil aka PMN
Segmented Neutrophil aka PMN
Segmented Neutrophil
size?
Nucleus?
Cytoplasm?
NC?
BM?
size → 9 -15 micro m
Nucleus → 2-5 distinct lobes connected with filament. Chromatin is clumped and granular
Cytoplasm → pale lilac with blue shading. Fine dusty, red/blue secondary granules
NC → 1:3
BM → 5-15 % present in peripheral blood
Neutrophil Toxic Granulation
primary granules (from promyelocyte stage) remain through maturation
Quantity is graded 0-4
Possible causes → severe infection, Rheumatoid Arthiritis
Primary granules
Start?
What happens during maturation?
Specific/Nonspecific?
Start → Promyelocyte stage
What happens during maturation → normally decrease in Myelocyte stage
Specific/Nonspecific → NON SPECIFIC
Secondary Granules
Start?
What happens during maturation?
Specific/Nonspecific?
Start → myelocyte stage
What happens during maturation → stays present through entire remaining maturation
Specific/Nonspecific → specific for granulocytic cell line
Proliferation storage pool - Bone Marrow
myeloblasts
promyelocytes
myelocytes
3-6 days
cell dividing
Maturation Storage Pool - Bone Marrow
Metamyelocyte
Bands
segmented cells
5-7 days
non dividing cells
Functional pool - Blood Stream
Circulating pool
6 hours
Enters tissue by diapedesis
cannot reenter blood or BM
Marginating pool
Replenishes circulating cells
Marginate stimuli
synthetics
hemodialysis
viral infection
Demarginate stimuli- enter circulating pool
Severe exercise
Stress
Administration of epinephrine
E. coli, pseudomonas or staphylococcus infection