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White Blood Cells

Neutrophil

  • Morphology
    • Size- 10-15 microns
    • Nucleus has 2-5 distinct lobes and coarse chromatin
    • Abundant cytoplasm with fine, pink/violet-pink granules
  • Half-life in blood is 7hrs, while they function in tissues for 1-2 days.
  • 0.85-1.6x109 neutrophils/Kg are produced every day
  • Death of neutrophils occurs by apoptosis
  • Types of granules (Contents of granules change as the cell matures)
    • Primary (azurophilic)- Contain myeloperoxidase, lysozymes, defensins etc.
    • Secondary (specific)- Contain collagenase, sialidase, lactoferrin etc
    • Tertiary (Gelatinase)- Contains gelatinase, acetyl transferase and lysozyme
    • Secretory vesicles 

 

Eosinophil

  • Morphology
    • Size- 10-15 microns
    • Nucleus has 2-3 distinct lobes and coarse chromatin
    • Abundant cytoplasm with large, coarse, uniform sized, crimson red numerous granules
  • Half-life in blood is 18hrs, while in tissues they may live for several weeks.
  • Death occurs due to apoptosis, which is enhanced by glucocorticoids.
  • Proteins present in the granules:
    • Major basic protein
    • Eosinophil cationic protein
    • Eosinophil peroxidase
    • Eosinophil derived neurotoxin
  • They help in control of parasitic infections

  

Basophil

  • Morphology
    • Size- 10-15 microns
    • Nucleus has 2-3 distinct lobes and coarse chromatin, nuclear details are obscured by granules
    • Abundant, cytoplasm with large, coarse, uniform, bluish-black granules.
  • Granules are metachromatic and contain histamine and heparin
  • They mediate immediate hypersensitivity reaction 

 

Monocyte

  • Comprise 1-9% of WBCs
  • Normal absolute count: <1000/cmm
  • They mature to form macrophages
  • Immunophenotype: CD45+, CD4+, CD68+, CD163+ and lysozyme+
  • Macrophages form the mononuclear phagocyte (reticulo-endothelial) system which consists of 
    • Kupfer cells in liver
    • Alveolar macrophages in lung
    • Littoral cells in spleen
    • Langerhans cells in skin
    • Microglial cells in brain
    • Macrophages in bone marrow
    • Osteoclasts in bone
    • Type A cells of synovium
  • Functions of these cells include:
    • Phagocytosis and degradation of both soluble and particulate substances
    • Act as antigen presenting cells
    • Stimulate proliferation of lymphocytes through release of various cytokines
    • Removal of cells that have undergone apoptosis
  • Dendritic cells:
    • Have projecting cytoplasmic dendrites.
    • Process antigens for presentation to T cells
    • Subtypes include:
      • Langerhans cells: S100 protein+, CD1a+, CD207+, CD4+
      • Indeterminate dendritic cells: S100 protein+, CD1a+, CD207-, CD4+
      • Interdigitating dendritic cells: S100 protein+, CD1a-, CD207-, CD4+
      • Interstitial dendritic cells: Fascin+, factor XIIIa+, CD4+/-
  • Plasmacytoid dendritic cells
    • Immunophenotype: CD123 (IL-3R)+, CD303, (BDCA2)+, CD304 (BDCA4)+, TCF4+ 
    • Play role in antiviral immunity and systemic autoimmunity

 

Figures:

Figure 1.4.1.jpg

Figure 1.3.1 - Neutrophil

 

Figure 1.4.2.jpg

Figure 1.3.2 - Eosinophil

 

Figure 1.4.3.jpg

Figure 1.3.3 - Basophil (Arrow)

 

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