White Blood Cells Flashcards

1
Q

Define hematopoiesis. Where does it occur in the fetus and in an adult? What is leucopoesis?

A

hematopoises - formation of new blood cells
- fetal - flat bones, long bones, vertebrae, liver, spleen
- adult - flat bones, epiphyses of longs bones, vertebrae

leucopoiesis - formation of WBC
- all white blood cells drive from same common cells as RBC - hematocytoblast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe formation of the different WBC

A

all comes from hematocytoblast like RBC
can either become:
- lymphoid - then becomes a lymphocyte
- myeloid - all other WBC: monocytes, granulocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe the size, nucleus, and presence/lack of granules in a neutrophil. What are its functions?

A

12-15 microns (2x size RBC)
distinctive multi lobular nucleus
contains granules - fine, light pink
- lysosomal and bactericidal enzymes

70% of total WBC
phagocytosis - non specific defense - lysosomes and proteases
- leave post capillary venues via diapedesis
increases during bacterial infections - pus, lining membrane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Describe the size, nucleus, and presence/lack of granules in an eosinophil. What are its functions?

A

12-15 microns in diameter
bilobed, horseshoe like nucleus
contains granules - moderately sized, salmon colored

functions:
- phagocytic cells interact with antigen-antibody complexes
- releases enzymes that destroy parasites
- breaks down histamine (released by basophils/mast cells), allergens
- increases in parasitic infection, allergies, diseases of spleen/CNS

2-5% of total WBC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Describe the size, nucleus, and presence/lack of granules in a basophil. What are its functions?

A

10-12 microns in diameter
irregular surface of nucleus - similar to lymphocytes but granulated
large, dark blue/pink granules that obscure nucleus

functions:
- secrete histamine, heparin - associated with asthma, allergies
- increases in chickenpox, DM, polycythemia, sinusitis
- bind to dock of Y of IgE to release histamine and heparin

LEAST COMMON WBC - nonphagocytic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe the size, nucleus, and presence/lack of granules in a lymphocyte. What are its functions?

A

8-10 microns in diameter
round nucleus surrounded by thin rim of clear cytoplasm - uniform stain of blue/purple
no granules

function: SPECIFIC IMMUNITY
- T cells: granzymes and perforin, non phagocytic
- B lymphocyte: releases antibodies, phagocytic, may function as APC

  • natural killer cells - large, nonspecific T cells that release granzymes and perfori
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe the size, nucleus, and presence/lack of granules in a monocyte. What are its functions?

A

16-20 microns in diameter - largest
nucleus late, bilobed/kidney shaped, blue stained

function:
- differentiates into macrophages - phagocytic APC’s
- can become dendritic cell
- increase in viral infections and inflammation
- synthesizes tumor necrosis factor and interleukin-1

differentiation occurs in CT outside of bloodstream
- macrophage: alveolar (lung), Kupffer (liver
- dendritic cell
- microglia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the order of most common to least common WBC? how do WBC relate to RBC?

A

RBC - mostly function within blood stream
WBC - use blood stream to get to where they need to go
- interstitial fluid, CT, organs

neutrophils > lymphocyte > monocyte > eosinophil > basophil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe lymphatic capillaries. What kind of ET, and what kind of system?

A

wall of simple squamous ET with restricted basement membrane for cells
- very permeable, loosely joined endothelial cells
- collagen filaments anchored to endothelial cells increase openings s interstitial fluid increases
- can absorb cell debris, pathogen, cancer cells

considered part of an open system
- anything that can cross capillary membrane into extracellular space can enter the lymphatic system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe the different pressures between cardiovascular capillaries, lymphatic capillaries, and interstitial fluid. What will have a higher hydrostatic P, the arterial or venous system?

A

P capillaries > P extracellular > P lymphatic capillaries

arterial system has high P and flows out - increases [albumin]
- increased [albumin] on venous side encourages uptake, but not enough to offset H2O loss on arterial side
- causes increase in extracellular fluid - picked up by lymphatics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe the following lymphatic vessels: collecting vessels, trunks, ducts

A

collecting vessels - have same 3 tunics as veins with less tunica media
- have more valves - prevent back flow
- branch and anastomose more frequently

trunks - paired with lumbar, bronchomediastinal, subclavian, jugular and single intestinal trunk

ducts
- R lymphatic duct: drains R upper extremity, R side of head and thorax
- L lymphatic trunk: originates from cisterna chyli and drains the rest of the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Where do the R and the thoracic duct empty? What is the cisterna chyli?

A

where the external jugular vein and subclavian vein meet on both sides
- both enter on respective subclavian vein

cisterna chyli - drains R and L lumbar trunks, intestinal trunk and emptied into the thoracic duct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the lymphoid cells?

A

T lymphocytes, B lymphocytes, macrophages and reticular cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the functions of T lymphocytes? Where do they arise and where do they mature?

A

function: manage the immune response
- directly attacks on foreign cells
- T killer cells (cytotoxic T cells) attach directly to tumor cells

arrive in the red bone marrow
mature in the thymus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the functions of the B lymphocytes? Where do they arise and where do they mature?

A

function: protect against antigens by producing antibodies
- APC
- attack from afar
- becomes plasma cell in spleen, lymph, or extracellular fluid

arise in the red bone marrow
mature in the bone marrow and lymph nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the functions of macrophages? What are they derived from?

A

function: phagocytose foreign material
- helps activate B lymphocyte
- helps activate T helper cells
- APC
- contains many nuclei, pseudopodia, and lysosomes

differentiates from macrophages

17
Q

What are the function of reticular cells? Describe their structure

A

function: secrete reticular fibers (collagen)
- fibers support structure of lymphoid tissue
- support cells only

basket like structure that support placement of plasma cells and macrophages
- help slow fluid to increase time for T/B lymphocytes

18
Q

What is MALT and what kind of tissue does it contain?

A

mucosa-associated lymphatic tissue

includes:
diffuse lymphatic tissue
lymphatic follicles (nodules

19
Q

What are some examples of MALT structures?

A

Peyer’s patches in the ileum (lymphatic follicles)
tonsils of the pharynx and oral cavity - partially encapsulated
appendix of the colon
lymphoid follicles of trachea and bronchi

20
Q

Describe diffuse lymphatic tissue

A

loose accumulation of lymphocytes among reticular fibers in the loose irregular CT present in almost every organ
- lacks capsule around the collection of lymphocytes
- access to lymphatic capillaries

21
Q

Describe lymphatic follicles (nodules)

A

unencapsulated clusters of tightly packed spheres of reticular fibers and cells of loose/dense irregular CT found underlying mucous/serous membranes
- consist mostly of lymphocytes and macrophages
- access to lymphatic capillaries
- high concentration of lymphatic follicles

germinal center - dendritic (APC) and B lymphocytes (plasma cells)
peripheral border - T lymphocytes

found in the Payer’s patches in the ileum and the appendix

22
Q

Describe the flow of lymph through a lymph node

A

enters via afferent lymphatic vessels, then two options:

  1. passes through sub capsular sinus
    - accesses the cortex and the lymphatic follicles - forms medullary cords and reaches medullary sinus
  2. travel down trabecular sinus to reach medullary sinus

once at medullary sinus, it can flow out efferent lymphatic vessels
sinuses spanned with reticular fibers

23
Q

What is the function of lymph nodes?

A

filters lymphatic fluid
activates B and T lymphocytes

lymph flows through many lymph nodes - allows macrophages and lymphocytes to be exposed to the antigen/virus

24
Q

What structures does the lymph node have that no other structure has?

A

medullary cords, sinuses, afferent lymphatics

25
Q

What are the three tonsils? what are their structures like? what is its function?

A

superficial surface - invaginating epithelium forms deep crypts and crevices
- traps bacteria

deep surface - dense irregular CT capsule

partially encapsulated, no afferent lymphatics

function - 2nd line of defense if foreign cells penetrate epithelium

26
Q

which tonsil is removed in children? which tonsils have pairs? what is the epithelium for the tonsils?

A

nasopharyngeal - 1 - pseodostratified with cilia

palatine - 2 - non cornified stratified squamous ET
- most common to be removed as child

lingual - 2 - non cornified stratified squamous ET

27
Q

describe the spleen. where is it located. what is its vasculature like?

A

fist sized
intraperitoneal - visceral peritoneum
under the ribbon L side of abdominal cavity

splenic artery - arterioles - open ended capillaries - allow RBCs to leave

28
Q

what is the function of the spleen? what is the red pulp and white pulp?

A

complete capsule - contains smooth muscle
functions:
- RBC/platelet storage - ONLY organ that filters blood
- lymphatic filtration
- fetal site of hematopoiesis

red pulp - storage site for RBC, breaks down old RBCs via macrophages
- venous sinuses: large capillaries that RBCs can exit to form splice cords
- splenic cords - network of reticular fibers filled w RBC for storage

white pulp - PALS - periarteriolar lymphatic sheath
- surrounds central arterioles
- areas of sheath demonstrate lymphatic arterioles

29
Q

describe the thymus’s structure and function

A

structure - 2 lobes further divided into lobules
- lobules formed by a cortex surrounding inner medulla
- capsule present
- presence of epitheliorecticular cells (Hassal’s corpuscles)
- reticular cells form blood-thymic barrier in cortex

largest in 2 year old - small remnants in adult, replaced by adipose

function - T cell maturation (stem cells - thymocytes)
- MHC restriction: development of receptors that bind only to MHC I or II
- produce the hormone thymosin - stimulated T cell maturation

30
Q

describe the medulla and the cortex of the thymus

A

blood supply brings T cells into area btw medulla and cortex
- lymphocytes leave medulla and enter cortex

in cortex, T cell will be tested if they can recognize APC
- if they cant, they die
- if they can, they move into medulla

in the medulla - presented with antigens that are found all over the body
- react too strongly: cell death

31
Q

describe T lymphocyte maturation. what role do epithelial cells play?

A

epithelial cells secrete thymosins (hormones), present self-antigens and guide selection, differentiation and division of T cells

Positive selection - cortex - does the T cell react to the antigen?
yes - lives
no - apoptosis

Negative selection - medulla - does the T cell react too strongly to self?
yes - apoptosis
no - lives