blood physiology 1432 lecture 3 leucocytes 1 professor a m abdel gader md, phd, frcp (lond., edin),...

54

Upload: kathleen-wilkinson

Post on 13-Jan-2016

225 views

Category:

Documents


1 download

TRANSCRIPT

Page 1: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of
Page 2: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Blood Physiology1432

Lecture 3

Leucocytes 1

Professor A M Abdel GaderMD, PhD, FRCP (Lond., Edin), FRSH (London)

Professor of Physiology, College of Medicine &the Blood Bank, King Khalid University Hospital

King Saud UniversityRiyadh

Page 3: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of
Page 4: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

LeucocytesWhite Blood Cells

(WBCs)

Page 5: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Objectives of Lecture -3At the end of this lecture the student should be able to:1.Describe the different types of WBCs2.Recognize the general functions of WBCs3.Describe the genesis and site of formation of WBCs4.Describe the stages of neutrophil formation5.Describe the role of the neutrophil in defending the body against infections6.Describe the process of phagocytosis

Page 6: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Leucocytes (WBCs)Contents

• General Characteristics & types of WBCs• Genesis (Production) of WBCs• Life Span of WBCs• Defense properties of neutrophils &

macrophages– Chemotaxis– Diapedesis– Amaeboid Motion– Phagocytosis– Structure and function of Eosinophils and

basophils

Page 7: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

• General Characteristics & types of WBCs• Genesis (Production) of WBCs• Life Span of WBCs• Defense properties of neutrophils &

macrophages– Chemotaxis– Diapedesis– Amaeboid Motion– Phagocytosis– Structure and function of Eosinophils and

basophils

Leucocytes (WBCs)Contents

Page 8: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Blood Film

Page 9: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of
Page 10: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Hematopoiesis

Page 11: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Formed Elements of Blood• Red blood cells ( erythrocytes )• White blood cells ( leukocytes )

– granular leukocytes• neutrophils• eosinophils• basophils

– agranular leukocytes• lymphocytes = T cells, B cells, and natural killer

cells• monocytes

• Platelets

Page 12: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Leucocytes (WBCs) – cont.

General Characteristics & types of WBCs

• Types of WBC1. Granular (polymorphnuclear):

• Neutrophil 62%.– 10-16um, nucleus 2-5 lobes, purple

cytoplasmic granules

• Eosinophil 2.3%.– 12-18um, 2 lobes nucleus, coarse red

granules

• Basophil 0.4%.– 10-14um, rarely segmented nucleus,

nucleus hidden by large round bluish granules

Page 13: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Leucocytes (WBCs) – cont.

General Characteristics & types of WBCs

• Types of WBC2. Agranular WBC

– Monocytes 5.3%• 15-20um, kidney shape nucleus

– Lymphocyte 30%• round nucleus

– small (5-8um) – large (9-15um)

Page 14: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of
Page 15: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of
Page 16: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

• General Characteristics & types of WBCs• Genesis (Production) of WBCs• Life Span of WBCs• Defense properties of neutrophils &

macrophages– Chemotaxis– Diapedesis– Amaeboid Motion– Phagocytosis

Leucocytes (WBCs)-cont.

Contents

Page 17: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

• General Characteristics & types of WBCs• Genesis (Production) of WBCs• Life Span of WBCs• Defense properties of neutrophils &

macrophages– Chemotaxis– Diapedesis– Amaeboid Motion– Phagocytosis

Leucocytes (WBCs)-cont.

Contents

Page 18: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Leucocytes (WBCs) – cont.

Genesis (Production) of WBCs

Pluripotential stem cell

Committed Stem cell

RBCs WBCs Platelets

Mylocytic Lymphocytic Linage Linage

Page 19: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Figure 16-5c: Bone marrow

Page 20: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Hematopoiesis

Page 21: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

21

Page 22: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Leucocytes (WBCs) – cont.

Genesis (Production) of WBCs- leucopoiesis)

Sites of WBC formation• Granulocytes (neutrophil, basophil,

eosinophil):

– bone marrow

• Agranulocytes – lymphocytes- bone marrow,

thymus, lymphoid tissues– monocytes- bone marrow

Page 23: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

23

Page 24: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

• General Characteristics & types of WBCs• Genesis (Production) of WBCs• Life Span of WBCs• Defense properties of neutrophils &

macrophages– Chemotaxis– Diapedesis– Amaeboid Motion– Phagocytosis

Leucocytes (WBCs)-cont.

Contents

Page 25: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

• General Characteristics & types of WBCs• Genesis (Production) of WBCs• Life Span of WBCs• Defense properties of neutrophils &

macrophages– Chemotaxis– Diapedesis– Amaeboid Motion– Phagocytosis

Leucocytes (WBCs)-cont.

Contents

Page 26: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Life Span of WBCs

Granulocytes:• 4 to 8 hrs (transit time ) in blood circulation• 4 to 5 hrs in tissues

– In infections life span a few hours

Monocytes :– 10 to 20 hrs in blood circulation– Leave capillaries to tissues, increase in size

to become tissue macrphages which live for months

Page 27: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Life Span of WBCs-cont.

Lymphocytes:

• A few hrs in blood circulation >> tissues >> lymph >>> Blood (Recirculation)

?Life span: weeks to months

Page 28: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

• General Characteristics & types of WBCs• Genesis (Production) of WBCs• Life Span of WBCs• Defense properties of neutrophils &

macrophages– Chemotaxis– Diapedesis– Amaeboid Motion– Phagocytosis

Leucocytes (WBCs)-cont.

Contents

Page 29: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

• General Characteristics & types of WBCs• Genesis (Production) of WBCs• Life Span of WBCs• Defense properties of neutrophils (& macrophages)

– Chemotaxis– Diapedesis– Amaeboid Motion– Phagocytosis

Leucocytes (WBCs)-cont.

Contents

Page 30: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Leucocytes (WBCs)

• General Characteristics & types of WBCs• Genesis (Production) of WBCs• Life Span of WBCs• Defense properties of neutrophils &

macrophages– Chemotaxis– Diapedesis– Amaeboid Motion– Phagocytosis

Page 31: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Defense properties of neutrophils (& macrophages)

• Attack and destroy bacteria, viruses

• Sequence of events:– Chemotaxis– Diapedesis– Amaeboid Motion– Phagocytosis

Page 32: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of
Page 33: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Netrophils function-cont.

Defense properties of neutrophils & macrophages-cont

Phyagocytosis: Engulfing and killing of bacteria or any

invading organism

Steps: Chemotaxis:

– Bacterial & viral toxins• Products of damaged tissues:

attract neutrophil to accumulate at infected site.

– Opsonization: plasma substances (IgG) attached to the bacteria to make them easy to phagocyte

Page 34: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Diapedesis

Page 35: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Diapedesis

http://www.whfreeman.com/immunology/CH01/diapedesis.htm

Page 36: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Defense properties of neutrophils & macrophages

• Attack and destroy bacteria, viruses

• Sequence of events:– Chemotaxis– Diapedesis– Amaeboid Motion– Phagocytosis

Page 37: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of
Page 38: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Defense properties of neutrophils & macrophages

• Attack and destroy bacteria, viruses

• Sequence of events:– Chemotaxis– Diapedesis– Amaeboid Motion– Phagocytosis

Page 39: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Phagocytosis- cont.

Phagocytosis is selective:Distinguish self from non-self…... How?

– Normal tissues have smooth surface– Normal tissues have protective

protein surface– Antibodies coating bacteria

(Opsonization)

Page 40: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Phagocytosis

Page 41: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Microbial killing

41

Page 42: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Phagocytosis by neutrophils- cont.

Neutrophils attach to bacteria & encircled it with pseudopodia and take it into a vacuole (phagosome).

• One Neutrophil can engulf 3 to 20 bacteria• One Macrophage can engulf up to 100 bacteria

Microbial killing: fusion of neutrophil granules with vacuole,

– Discharge of lysozyme, myeloperoxidase enzymes into the vacuole, killing and digesting the engulfed bacteria.

– Release of Free radicals by oxidizing agents: superoxide, hydrogen peroxide to kill the bacteria

Page 43: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of
Page 44: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Leucocytes (WBCs) – cont.

• Types of WBC1. Granular (polymorphnuclear):

• Neutrophil 62%.– 10-16um, nucleus 2-5 lobes, purple

cytoplasmic granules

• Eosinophil 2.3%.– 12-18um, 2 lobes nucleus, coarse red

granules

• Basophil .4%.– 10-14um, rarely segmented nucleus,

nucleus hidden by large round bluish granules

Page 45: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Blood Film

Page 46: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Eosinophils

Function: • Phagocytosis: Phagocytosis is same as neutrophil,

but less efficient

• Chemotaxis: eosinophil attracted towards chronic inflammation/allergic tissue (allergic disease of skin & lungs)

By eosinophil chemotactic factor

Phagocytose (& detoxify) antigen/antibody complexes

Page 47: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Eosinophils cont,

•High eosinophil count:– Parasitic (hook worm, ascaris,

bilharzia)– Allergic (asthma, rhinitis, drug

reaction)– Allergic skin diseases

Page 48: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Leucocytes (WBCs) – cont.

• Types of WBC1. Granular (polymorphnuclear):

• Neutrophil 62%.– 10-16um, nucleus 2-5 lobes, purple

cytoplasmic granules

• Eosinophil 2.3%.– 12-18um, 2 lobes nucleus, coarse red

granules

• Basophil .4%.– 10-14um, rarely segmented nucleus,

nucleus hidden by large round bluish granules

Page 49: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Leucocytes (WBCs) – cont.

• Types of WBC1. Granular (polymorphnuclear):

• Neutrophil 62%.– 10-16um, nucleus 2-5 lobes, purple

cytoplasmic granules

• Eosinophil 2.3%.– 12-18um, 2 lobes nucleus, coarse red

granules

• Basophil .4%.– 10-14um, rarely segmented nucleus,

nucleus hidden by large round bluish granules

Page 50: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Blood Film

Page 51: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Basophils

• Similar to tissue mast cells• Non-phagocytic cells• Granules: dark blue color.• Granules contain:

– Heparin– Histamine – Serotonin (5HT).

Released during allergic reactions

Page 52: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

Objectives of Lecture -3At the end of this lecture the student should be able to:1.Describe the different types of WBCs2.Recognize the general functions of WBCs3.Describe the genesis and site of formation of WBCs4.Describe the stages of neutrophil formation5.Describe the role of the neutrophil in defending the body against infections6.Describe the process of phagocytosis

Page 53: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of
Page 54: Blood Physiology 1432 Lecture 3 Leucocytes 1 Professor A M Abdel Gader MD, PhD, FRCP (Lond., Edin), FRSH (London) Professor of Physiology, College of

THANK YOU

جزيل لكمالشكر