Peripheral Blood and Bone Marrow Flashcards
Polycythemia
Abnormally high hematocrit
MCV
Measures size of erythrocytes - including contributions from circulating reticulocytes (normal - 80-100 μm³)
Reticulocytes
Immature (newly formed) RBCs that are slightly larger (mean MCV of 95-115 μm³)
Only 1-2% of circulating RBCs
Left shift - high reticulocyte count - may indicate pathology
Sperocytes
Damaged RBCs - removed by the spleen
Megakaryocyte - largest cell in marrow
Fragements to make platelets
Zones of the platelet
alpha granules contain fibrinogen, coagulation factors, plasminogen, and PDGF
delta granules contain ADP, ATP, serotonin, and histamine
Lambda granules contain hydrolytic enzymes
Neutrophils - polymorphonuclear leukocytes (PMNs)
The # of lobes increase as cells age
(non-specific) Zure granules - lysosomes and contain acid phosphatase, elastase, peroxidase, and defensins
Specific granules - contain antibacterial substances such as collagenase, phospholipase, complement activators and lysozyme
Neutrophil phagocytosis
Fc receptors
Complement receptors
Scavenger and TLRs
Eosinophil
Nucleus is bi (or tri) lobed
Granules contain major basic protein, eosinophil cationic protein, eosinophil peroxidase, eosinophil-derived neurotoxin, and histaminase
Also contain non-specific (azure) lysosomal granules
Release histaminase to dampen effects of mast cell and basophil degranulation
Stain w/ Wright’s stain
Basophil
Contain same substances as mast cell granules - heparin, histamine, heparan sulfate, and leukotrienes
Short-lived cells
IgE surface receptors (same as mast cells)
If progenitor cells are exposed to the
appropriate transcription factors they differentiate into basophils and remain in peripheral blood; if not exposed to these transcription factors, progenitor cells migrate to the spleen and after further differentiation become mast cell progenitors. The mast cell progenitors travel to CT associated with organs such as the intestine and skin where they become mature mast cells.
Shifts in leukocyte count
Table
Three lineages in hematopoiesis from the common stem cell
- Erythroid/megakaryocyte lineage (RBCs/Platelets)
- Myeloid lineage
- Lymphoid lineage (includes NK cells)
Hematopoiesis throughout life
Megakaryocytes (arrows)