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Presentation subject: The Blood
 Total volumein averageadult isabout 6 L or 7% to 8%
of total body weight;
 Blood consistsof cells and theirderivates and a
protein-rich fluid (extracellular component) called
plasma;
 Blood cellsand their derivates– erythrocytes (red
blood cells), leukocytes (whiteblood cells),
thrombocytes (platelets);
 Therelativevolumeof cellsand plasmain wholeblood
isapproximately 45% and 55%, respectively.
 Thevolumeof packed erythrocytesin asampleof
blood iscalled hematocrit.
Thehematocrit ismeasured by
centrifuging ablood sampleto
which anticoagulantshavebeen
added and then calculating the
percentageof thecentrifuge
tubevolumeoccupied by the
erythrocytescompared with of
thewholeblood. Normal
hematocrit – 39 to 50% in men,
35% to 45% to women. Low
hematocrit valueoften reflect
reduced numbersof circulating
erythrocytes(anemia) caused
by internal or external bleeding.
 Delivery of nutrientsand oxygen directly or indirectly
to cells;
 Transport of wastesand carbon dioxideaway from
cells;
 Delivery of hormonesand other regulatory substances
to and from cellsand tissues;
 Maintenanceof homeostasisby acting asabuffer and
participating in coagulation and thermoregulation;
 Transport of humoral agentsand cellsof theimmune
system that protect thebody from pathologenic agents,
foreign proteinsand transformed cells(i.e., cancer
cells)
Albumin ismain protein constituent of theplasma, accounting for
approximately half of thetotal plasmaproteins, it isresponsiblefor exerting the
concentration gradient between blood and extracellular tissuefluid. Themajor
osmotic pressure, called thecolloid osmotic pressure, maintainsthecorrect
proportion of blood to tissuefluid volume.
The
composition of
plasmais
usually an
indicator of the
mean
composition of
theextracellular
fluid in general.
For plasmapreparation, an
anticoagulant such acitrateor
heparin isadded to blood
specimen and it isusing for tests
of clotting ability of sample.
Plasmathat lackscoagulation
factorsiscalled serum, using
for several specific
biochemical laboratory tests
A drop of blood isplaced directly on aglassslideand spread over itssurface
with theedgeof another slide. Thepreparation isthen air dried and stained
 Themodified Romanovsky-type
stain commonly used for blood
smearsconsistsof mixtureof
methyleneblue(abasic dye),
related azures(also basic dyes)
and eosin (an acidic dye);
 After staining leucocytesare
traditionally divided into
granulocytesand agranulocytes;
 Although bothecell typesmay
contain granules, thegrabulocytes
possessobviuosspecific stained
granules.
Theuniquecytoskeletal arrangement
contributesto theshapeof the
erythrocyteand impartselastic
propertiesand stability to the
membrane
 Anucleatecellsdevoid of typical
organelles;
 Their shapeisthat of abiconcave
discs. Thisshapemaximizesthe
cell’ssurfacearea, an important
attributeof gasexchange
 Lifespan isapproximately 120
days;
 Erythrocytescontain hemoglobin, a
protein specialized for thetransport
of oxygen and carbon dioxide;
 A high concentration of hemoglobin
isresponsiblefor their uniform
staining with eosin.
An important factor in blood transfusion istheABO blood group system,
which essentially involvesthreeantigenscalled A, B and O. They arepresent
on thesurfaceerythrocytes. Theother important group system isRhesus
antigen – erythrocyteintegral membraneprotein.
Scanning electron micrograph of a
distorted erythrocytefrom aperson who
ishomozygousfor the HbSgene(sickle
cell disease)
Progressivestagesin thediscocyte
echinocytetransformation asviewed by
SEM. Thistransformation isreadily
reversiblein most situations.
The5 typesof human
leukocytes. Neutrophils,
eosinophils, and basophils
havegranulesthat stain
specifically with certain
dyesand arecalled
granulocytes. Lymphocytes
and monocytesare
agranulocytes; they may
show azurophilic granules
(lysosomes), which arealso
present in other leukocytes.
In connectivetissuethey are
activephagocytes
Electron micrograph of ahuman
matureneutrophil. Thenucleus
showsthetypical multilobed
configuration
 Named for their lack of characteristic
cytoplasmic staining;
 Readily identified by their multilobal
nucleus;
 In women, theBarr body (inactiveX
cgromosome);
 Thecytoplasm contais: specific
granules, azurophilic granules, tertiary
glanules;
 Half-life6-7 hoursin blood and alife
span of 1-4 daysin connectivetissue
E: eosinophil: N: neutrophil; left – U shaped nucleus; righ – Barr body (arrow)
Electron micrograph ahuman
eosinophil
 Nuclei typically bilobed;
 Named for thelarge, eosinophilic,
refractilegranulesin their
cytoplasm;
 Specific granules: Major Basic
Protein- responsiblefor
acidophiliaof thegranule;
Eosinophilic Cationic Protein;
eosinophil peroxidase, etc.;
 Azurophilic garanulesare
lysomes, containshydrolytic
enzymes;
 Eosinophilsareassociated with
allergic reactions, parasitic
infections, and chronic
inflammation
Electron micrograph of a
human basophil
 Named becauseof numerous
largegranules stain with basic
dyes;
 Cytoplasm contains: specific
granuleswith heparine,
histamine, etc; azurophilic
granules– lysosomes;
 Lobed nuclei;
 Plasmamembranepossesses
numeroushigh-affinity Fc
receptorsfor IgE antibodies;
 Functionally related, but not
identical to mast cellsof
connectivetissue;
 Associated with hypersencitivity
reactionsand anaphylaxis.
Characteristic Features Mast cells Basophils
Origin Hemopoietic stem cell Hemopoietic stem cell
Siteof differentiation Connectivetissue Bonemarrow
Cell divisions Yes(occasionally) No
Cellsin circulation No Yes
Lifespan Weeksto months Days
Size 20-30 µm 7-10 µm
Shapeof nucleus Round Segmented (usually
bilobar)
Granules Many, large,
metachromatic
Few, small, basophilic
Surfacereceptorsfor IgE
antibodies
Present Present
Marker of cellular activity Tryptase Not yet established
In thesemicrographssimilarly represent different stageof maturation
Electron micrograph of
medium-sized lymphocyte
 Immunocompetent cells;
 Most common agranulocytes, about
30% of total leukocytes;
 Threegroupsaccording to thesize:
small, medium and large, ranging in
diameter from 6 to 30 µm);
 Threefunctionally distinct types: T
lymphocytes, B lymphocytesand natural
killer (NK) cells;
 In blood smears, most lymphocytesare
small or medium sized;
 Haveintensely staining spherical
nucleus;
 Thecytoplasm appearsasavery thin,
palebluerim surrounding thenucleus.
Electron micrograph of a
human maturemonocyte
 Theprecursorsof thecell of the
mononuclear phagocytotic
system;
 Largest leukocyte;
 Moveto thebody tissues, where
differentiateinto thevarious
phagocytesof mononuclear
phagocytotic system;
 Thenucleusof themonocytesis
typically moreindented;
 Contain small denseazurophilic
granules(lysosomes);
 Well developed Golgu apparatus
and centriolesarelocated in the
siteof cell center.
Name of Cell Location
Macropage(histiocyte) Connectivetissue
Perisinusoidal macrophage(Kupffer cell) Liver
Alveolar macrophage Lungs
Fetal placental antigen-presenting cell Placenta
Macrophage Spleen, lymph node, bonemarrow, thymus
Pleural and peritoneal macrophage Serouscavities
Osteoclast Bone
Microglia Central nervoussystem
Langerhan’scell Epidermis
Fibroblast-derived macrophage Laminapropriaof interstine, endometrium
Dentritic cell Lymph nodes, spleen
Thelymphocitesshown herevary in size, but each representsamaturecell.
Thewhitecellsin thesecond linearematuremonocytes.
Thrombocytesaresmall, membrane-bounded, anuclear
cytoplasmic fragmentsderived from megakariocytes(cellswhose
nuclei contain mulptiplesetsof chromosomes- largepolyploid
cell)
Platelet Diagram
 Discoid structureabout 2 to 3 µm in
diameter;
 Lifespan isabout 10 days;
 Structurally divided into four zones
based on organization and function:
peripherial zone, structural zone,
organellezone, membranezone;
 Involved in sevral aspectsof
hemostasis(control of bleeding);
 When blood vessel wall isinjured
or broken, theexposed connective
tissueat thedamaged sitepromotes
platelet adhesion, which triggersthe
coagulation cascadereaction
 Peripheral zone consist of thecell membranecovered by athick surface
coat of glycocalyx. Theglycocalyx consistsof glycoproteins,
glycosaminoglycansand several coagulation factorsabsorbed from the
plasma;
 Thestructural zone comprisesmicrotubules, actin filaments, myosin and
actin-binding proteinsthat form anetwork supporting theplasma
membrane;
 Theorganelle zone occupiesthecenter of theplatelet. It consistsof
mitochondria, peroxisomes, glycogen particlesand at leatsthreetypesof
granules(α granules – contain mainly fibrinogen, coagulation factors,
plasminogen, etc.; δ granules - contain ADP, ATP, serotonin, histamine,
etc.; γ granules – lysosomeswith hydrolytic enzymes) dispersed within
thecytoplasm;
 Themembrane zone consistsof two typesof membranechannels: open
canalicularsystem (OCS) and dense tubularsystem (DTS).
Quantity of platelets(cell/L) in
blood stream – 150-450x109
Shown herearenormal
human bonemarrow
cellsasthey would
typically appear in a
bonemarrow and blood
smear.

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Blood

  • 2.  Total volumein averageadult isabout 6 L or 7% to 8% of total body weight;  Blood consistsof cells and theirderivates and a protein-rich fluid (extracellular component) called plasma;  Blood cellsand their derivates– erythrocytes (red blood cells), leukocytes (whiteblood cells), thrombocytes (platelets);  Therelativevolumeof cellsand plasmain wholeblood isapproximately 45% and 55%, respectively.  Thevolumeof packed erythrocytesin asampleof blood iscalled hematocrit.
  • 3. Thehematocrit ismeasured by centrifuging ablood sampleto which anticoagulantshavebeen added and then calculating the percentageof thecentrifuge tubevolumeoccupied by the erythrocytescompared with of thewholeblood. Normal hematocrit – 39 to 50% in men, 35% to 45% to women. Low hematocrit valueoften reflect reduced numbersof circulating erythrocytes(anemia) caused by internal or external bleeding.
  • 4.  Delivery of nutrientsand oxygen directly or indirectly to cells;  Transport of wastesand carbon dioxideaway from cells;  Delivery of hormonesand other regulatory substances to and from cellsand tissues;  Maintenanceof homeostasisby acting asabuffer and participating in coagulation and thermoregulation;  Transport of humoral agentsand cellsof theimmune system that protect thebody from pathologenic agents, foreign proteinsand transformed cells(i.e., cancer cells)
  • 5.
  • 6. Albumin ismain protein constituent of theplasma, accounting for approximately half of thetotal plasmaproteins, it isresponsiblefor exerting the concentration gradient between blood and extracellular tissuefluid. Themajor osmotic pressure, called thecolloid osmotic pressure, maintainsthecorrect proportion of blood to tissuefluid volume. The composition of plasmais usually an indicator of the mean composition of theextracellular fluid in general.
  • 7. For plasmapreparation, an anticoagulant such acitrateor heparin isadded to blood specimen and it isusing for tests of clotting ability of sample. Plasmathat lackscoagulation factorsiscalled serum, using for several specific biochemical laboratory tests
  • 8. A drop of blood isplaced directly on aglassslideand spread over itssurface with theedgeof another slide. Thepreparation isthen air dried and stained  Themodified Romanovsky-type stain commonly used for blood smearsconsistsof mixtureof methyleneblue(abasic dye), related azures(also basic dyes) and eosin (an acidic dye);  After staining leucocytesare traditionally divided into granulocytesand agranulocytes;  Although bothecell typesmay contain granules, thegrabulocytes possessobviuosspecific stained granules.
  • 9. Theuniquecytoskeletal arrangement contributesto theshapeof the erythrocyteand impartselastic propertiesand stability to the membrane  Anucleatecellsdevoid of typical organelles;  Their shapeisthat of abiconcave discs. Thisshapemaximizesthe cell’ssurfacearea, an important attributeof gasexchange  Lifespan isapproximately 120 days;  Erythrocytescontain hemoglobin, a protein specialized for thetransport of oxygen and carbon dioxide;  A high concentration of hemoglobin isresponsiblefor their uniform staining with eosin.
  • 10. An important factor in blood transfusion istheABO blood group system, which essentially involvesthreeantigenscalled A, B and O. They arepresent on thesurfaceerythrocytes. Theother important group system isRhesus antigen – erythrocyteintegral membraneprotein.
  • 11. Scanning electron micrograph of a distorted erythrocytefrom aperson who ishomozygousfor the HbSgene(sickle cell disease) Progressivestagesin thediscocyte echinocytetransformation asviewed by SEM. Thistransformation isreadily reversiblein most situations.
  • 12. The5 typesof human leukocytes. Neutrophils, eosinophils, and basophils havegranulesthat stain specifically with certain dyesand arecalled granulocytes. Lymphocytes and monocytesare agranulocytes; they may show azurophilic granules (lysosomes), which arealso present in other leukocytes.
  • 13. In connectivetissuethey are activephagocytes Electron micrograph of ahuman matureneutrophil. Thenucleus showsthetypical multilobed configuration  Named for their lack of characteristic cytoplasmic staining;  Readily identified by their multilobal nucleus;  In women, theBarr body (inactiveX cgromosome);  Thecytoplasm contais: specific granules, azurophilic granules, tertiary glanules;  Half-life6-7 hoursin blood and alife span of 1-4 daysin connectivetissue
  • 14.
  • 15. E: eosinophil: N: neutrophil; left – U shaped nucleus; righ – Barr body (arrow)
  • 16. Electron micrograph ahuman eosinophil  Nuclei typically bilobed;  Named for thelarge, eosinophilic, refractilegranulesin their cytoplasm;  Specific granules: Major Basic Protein- responsiblefor acidophiliaof thegranule; Eosinophilic Cationic Protein; eosinophil peroxidase, etc.;  Azurophilic garanulesare lysomes, containshydrolytic enzymes;  Eosinophilsareassociated with allergic reactions, parasitic infections, and chronic inflammation
  • 17. Electron micrograph of a human basophil  Named becauseof numerous largegranules stain with basic dyes;  Cytoplasm contains: specific granuleswith heparine, histamine, etc; azurophilic granules– lysosomes;  Lobed nuclei;  Plasmamembranepossesses numeroushigh-affinity Fc receptorsfor IgE antibodies;  Functionally related, but not identical to mast cellsof connectivetissue;  Associated with hypersencitivity reactionsand anaphylaxis.
  • 18. Characteristic Features Mast cells Basophils Origin Hemopoietic stem cell Hemopoietic stem cell Siteof differentiation Connectivetissue Bonemarrow Cell divisions Yes(occasionally) No Cellsin circulation No Yes Lifespan Weeksto months Days Size 20-30 µm 7-10 µm Shapeof nucleus Round Segmented (usually bilobar) Granules Many, large, metachromatic Few, small, basophilic Surfacereceptorsfor IgE antibodies Present Present Marker of cellular activity Tryptase Not yet established
  • 19. In thesemicrographssimilarly represent different stageof maturation
  • 20. Electron micrograph of medium-sized lymphocyte  Immunocompetent cells;  Most common agranulocytes, about 30% of total leukocytes;  Threegroupsaccording to thesize: small, medium and large, ranging in diameter from 6 to 30 µm);  Threefunctionally distinct types: T lymphocytes, B lymphocytesand natural killer (NK) cells;  In blood smears, most lymphocytesare small or medium sized;  Haveintensely staining spherical nucleus;  Thecytoplasm appearsasavery thin, palebluerim surrounding thenucleus.
  • 21. Electron micrograph of a human maturemonocyte  Theprecursorsof thecell of the mononuclear phagocytotic system;  Largest leukocyte;  Moveto thebody tissues, where differentiateinto thevarious phagocytesof mononuclear phagocytotic system;  Thenucleusof themonocytesis typically moreindented;  Contain small denseazurophilic granules(lysosomes);  Well developed Golgu apparatus and centriolesarelocated in the siteof cell center.
  • 22. Name of Cell Location Macropage(histiocyte) Connectivetissue Perisinusoidal macrophage(Kupffer cell) Liver Alveolar macrophage Lungs Fetal placental antigen-presenting cell Placenta Macrophage Spleen, lymph node, bonemarrow, thymus Pleural and peritoneal macrophage Serouscavities Osteoclast Bone Microglia Central nervoussystem Langerhan’scell Epidermis Fibroblast-derived macrophage Laminapropriaof interstine, endometrium Dentritic cell Lymph nodes, spleen
  • 23. Thelymphocitesshown herevary in size, but each representsamaturecell. Thewhitecellsin thesecond linearematuremonocytes.
  • 24. Thrombocytesaresmall, membrane-bounded, anuclear cytoplasmic fragmentsderived from megakariocytes(cellswhose nuclei contain mulptiplesetsof chromosomes- largepolyploid cell)
  • 25. Platelet Diagram  Discoid structureabout 2 to 3 µm in diameter;  Lifespan isabout 10 days;  Structurally divided into four zones based on organization and function: peripherial zone, structural zone, organellezone, membranezone;  Involved in sevral aspectsof hemostasis(control of bleeding);  When blood vessel wall isinjured or broken, theexposed connective tissueat thedamaged sitepromotes platelet adhesion, which triggersthe coagulation cascadereaction
  • 26.  Peripheral zone consist of thecell membranecovered by athick surface coat of glycocalyx. Theglycocalyx consistsof glycoproteins, glycosaminoglycansand several coagulation factorsabsorbed from the plasma;  Thestructural zone comprisesmicrotubules, actin filaments, myosin and actin-binding proteinsthat form anetwork supporting theplasma membrane;  Theorganelle zone occupiesthecenter of theplatelet. It consistsof mitochondria, peroxisomes, glycogen particlesand at leatsthreetypesof granules(α granules – contain mainly fibrinogen, coagulation factors, plasminogen, etc.; δ granules - contain ADP, ATP, serotonin, histamine, etc.; γ granules – lysosomeswith hydrolytic enzymes) dispersed within thecytoplasm;  Themembrane zone consistsof two typesof membranechannels: open canalicularsystem (OCS) and dense tubularsystem (DTS).
  • 27. Quantity of platelets(cell/L) in blood stream – 150-450x109
  • 28. Shown herearenormal human bonemarrow cellsasthey would typically appear in a bonemarrow and blood smear.