UNIT 1 - Lecture 10: Monocytes, Lymphocytes, Eosinophils, Basophils Flashcards

1
Q

What two “pools” do monocytes have in circulation?

A

circulating and marginating

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2
Q

Which line of defense are monocytes?

A

second line

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3
Q

When do monocytes come into tissues?

A

After NPs “clean up” debris as a MP

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4
Q

What are monocytes that marginate then emigrate into tissues classified as?

A

“short lived”

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5
Q

What are monocytes that are residents in organs classified as? What are the AKA?

A

“long lived” = macrophages

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6
Q

What is an increase in the circulating monocyte pool called?

A

monocytosis

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7
Q

What is inflammatory monocytosis associated with?

A

Non-acute to chronic inflammation (>7-10 days)

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8
Q

What species have corticosteroid monocytosis?

A

dogs

(sometimes cats)

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9
Q

What is a decrease in monocytes called and when is it seen?

A

monocytopenia;

rarely seen, often of no clinical significance

(all WBC lines may be decreased in the bone marrow

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10
Q

Where do B cells mature?

A

In the bone marrow

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11
Q

What type of tissues are B cells found in and what are the specific tissues?

A

Peripheral lymphoid tissues;

Spleen, LNs, MALT, GALT, BALT

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12
Q

Where do T cells mature?

A

Thymus

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13
Q

In what tissues are T cells found?

A

Peripheral lymphoid tissue - effector cells

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14
Q

Where do lymphocytes circulate?

A

Between blood, tissues, and lymphoid tissue via blood and lymphatics

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15
Q

T/F: Microscopic appearance cannot differentiate monocyte subsets (B cells vs. T cells)

A

True

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16
Q

How can you differentiate between B and T cells in peripheral blood?

A

ID surface Rs and/or lymphocyte clonality (flow cytometry or PCR for Ag R rearrangement)

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17
Q

What are the 5 main causes for lymphocytosis?

A
  1. Physiologic
  2. Antigenic stimulation
  3. Inflammation
  4. Lymphoproliferative disease
  5. Lack of glucocorticoids
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18
Q

What are physiologic causes for lymphocytosis?

A

Epinephrine/catecholamine

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19
Q

What is an example of lymphoproliferative disease that causes lymphocytosis?

A

lymphoid neoplasia

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20
Q

What is an example of lack of glucocorticoids causing lymphocytosis?

A

Addison’s

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21
Q

How does epinephrine cause lymphocytosis?

A

Increases blood flow rate, shifts MLP to CLP

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22
Q

When can we see lymphocytosis in health?

A

Common in young animals

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23
Q

In some spp, the RI results for lymphocytosis in health may be the result of _____ and _____.

A

sampling, epinephrine release

24
Q

How can antigenic stimulation cause lymphocytosis?

A

There is chronic cytokine stimulation, altered lymphocyte circulation, lymphoid hyperplasia, and reactive lymphocytes

25
What are reactive lymphocytes?
LCs that are larger in size with a deep blue cytoplasm, seen secondary to antigen stimulus.
26
T/F: Reactive lymphocytes are specific.
False - they are non-specific
27
When are reactive lymphocytes seen?
With infectious, inflammatory, neoplastic, and immune-mediated disorders
28
What cell type can be increased with recent vaccination?
Lymphocytes because the immune system has been stimulated (antigenic stimulation)
29
What lymphoproliferative diseases are associated with lymphocytosis?
1. Leukemic (blood) stage of lymphoma 2. Lymphocytic leukemia 3. Virus-associated (Bovine leukosis virus [BLV], Felike leukemia virus [FeLV])
30
When should you consider Addison's?
When you expect lymphopenia and an obviously stressed dog has lymphocytosis
31
What impact do glucocorticoids have on lymphocyte production?
When present/increased, glucocorticoids function to inhibit lymphocyte production and alter distribution --\> lymphopenia
32
What are the 4 major causes of lymphopenia?
1. Corticosteroid lymphopenia 2. Acute inflammatory lymphopenia 3. Viral associated lymphopenia 4. Lymphocyte depletion
33
What is the most common cause of lymphopenia and what spp is it observed in?
corticosteroid lymphopenia; observed in dogs
34
How can corticosteroids cause lymphopenia?
Shift from CLP to other pools; Lymphotoxic effects - lymphoid hypoplasia, decreased lymphopoiesis
35
What happens with acute inflammatory lymphopenia?
Increased adherence and margination/emigration from vessels into tissues via inflammatory mediators; Homing of LCs to LNs; Trapping of LCs in the nodes
36
What are examples of viruses that can cause lymphopenia?
Parvoviruses, FIP, FeLV, FIV, canine infectious hepatitis, canine distemper
37
What can cause lymphopenia due to depletion?
1. Loss of lymph with LCs 2. 3rd space accumulation of lymphatic fluid 3. Protein losing enteropathies 4. Certain drugs
38
What spp have "grey eosinophils"?
Sighthounds (i.e. Greyhounds)
39
What is eosinophil production called?
eosinopoiesis
40
What can eosinophil granule contents do?
Induce tissue damage
41
How do eosinophils get into tissues and how long are they there for?
They marginate/emigrate; weeks to months
42
What are the 3 main functions of eosinophils?
1. Contain histaminase that degrades/inactivates histamine 2. Phagocytic/bactericidal 3. Anti-parasitic
43
What 3 things can cause eosinophilia?
1. Allergic/hypersensitivity reaction and disorders 2. Parasitism 3. Inflammation of hollow organs
44
What are examples of allergic/hypersensitivity reactions that can cause eosinophilia?
Flea bite dermatitis, allergic dermatitis, asthma
45
What are additional, more minor causes of eosinophilia?
1. Mast cell degranulation 2. Hypoadrenocorticism 3. Idiopathic
46
What are 2 causes of eosinopenia?
1. Acute inflammation 2. Corticosteroid
47
How often can we see eosinopenia due to acute inflammation and corticosteroids?
Acute inflammation = rare Corticosteroids = sometimes
48
How can acute inflammation cause eosinopenia?
By release of small amounts of chemotactic factors in tissue for cell recruitment
49
How can corticosteroids cause eosinopenia?
They impair eosinophil release from marrow; They cause increased margination/sequestration of blood eosinophils
50
What is basophil production activated by?
IgE, IL-3, C5a, bacterial peptides
51
What are 4 causes for basophilia?
1. Allergic/hypersensitivity disorders 2. Parasitism 3. Infectious disease 4. Neoplasia
52
How often do we see mast cells in circulation?
rarely
53
What does mast cell degranulation do in regards to eosinophils?
Releases a variety of mediators that are chemotactic for eosinophils
54
What are 2 types of inflammatory diseases in which we can find mast cells?
1. Enteritis (parvo in dogs) 2. Feline asthma
55
What neoplasms are associated with mast cells in circulation?
Mast cell neoplasia, Leukemia, lymphoma