D’YOUVILLE COLLEGE BIOLOGY 108/508 - HUMAN ANATOMY & PHYSIOLOGY II LECTURE # 12 BLOOD II WHITE CELLS - INFLAMMATION/IMMUNITY 3. Leukocytes: • two categories, five types (figs. 17 - 9 & 17 - 10, table 17 - 2): a. Granulocytes: obvious granules in cytoplasm; 3 granule-staining types: • Neutrophils (polymorphonuclear cells, PMNs): faint lavender-staining granules, nucleus usually with at least three lobes; 50 - 70% of all leukocytes; phagocytize bacteria • Eosinophils: coarse, crimson-staining granules, nucleus with two lobes; 2 - 5% of leukocytes; abundant in parasitic infections, allergies • Basophils: coarse, dark blue-staining granules, nucleus with two lobes (usually obscured by granules); less than 1% of leukocytes; similar to histamineproducing mast cells b. Agranulocytes: no obvious granules in cytoplasm; two types: • Lymphocytes: spherical nucleus surrounded by sparse “skin” of cytoplasm; 25 - 30% of all leukocytes; mediators of immune responses • Monocytes: largest of the leukocytes; kidney-shaped nucleus; approximately 5% of leukocytes; source of tissue macrophages • Functional Capabilities: several capabilities facilitate function: • Margination: ability to ‘stick’ to capillary wall • Diapedesis: squeezing through capillary wall into interstitial space • Ameboid movement: oozing along connective tissue fibers in tissues • Chemotaxis: movement is directed by chemical concentration gradient • Phagocytosis: vesicle of engulfed material (phagosome) fuses with lysosome forming phagolysosome, in which material is broken down and recycled or stored away from rest of cytoplasm; WBC lysosomes: hydrolytic enzymes + a variety of other defensive agents (defensins) (fig. 21 - 2) • Leukopoiesis: like erythropoiesis, occurs in bone marrow (fig. 17 - 11) - lymphocytes arise from lymphoid stem cell; all others arise from myeloid stem cell, which proliferates into four different white cell lines (granulocytes + monocytes) - leukopoiesis is stimulated by a variety of factors: interleukins, colonystimulating factors (CSFs) • Methods of Assessing White Cell Status of Blood: Bio 108/508 lec. 12 - p. 2 a. White Cell Count: averages 5000 - 10,000/cu. mm. (=l.) b. Differential Count: expressed as percentage values; see above Bio 108/508 lec. 12 - p. 3 • White Cell Disorders: leukopenias (deficiencies of WBCs) are usually caused by drugs; increased vulnerability to infections - leukocytosis (elevated WBC count - approx. 20,000/l.) occurs when infection is present; instigated by inflammations - leukemias (500,000/l.) arise from bone marrow tumor - infectious mononucleosis (elevated agranulocyte count) is a disease caused by Epstein-Barr virus 4. Inflammation: (figs. 21 - 3 & 21 - 4) • normally beneficial response to tissue injury, infection (viruses, fungi, bacteria) • cardinal signs: redness (rubor), swelling (tumor), heat (calor), pain (dolor), & altered function (functio laesa) • local injury ---> vasoactive agents, e.g. histamine (mast cells), also prostaglandins a. Vasodilation: opening of arterioles to site; hyperemia (redness, warmth) b. Capillary Permeability Increase: leakage of increased fluid from plasma (edema – swelling, pain); ---> further fluid leakage; clotting factors among proteins coagulate tissue fluid (“walling off” of site) - trauma and attendant tissue damage also triggers release of chemotaxins (white cell attractants) and leukocytosis-inducing factors (stimulate release of leukocytes from marrow and increased leukopoiesis) ---> i. leukocyte infiltration, ii. phagocytic response, iii. leukocytosis, e.g. neutrophilia, eosinophilia - increased lymphatic drainage (due to edema) and containment (due to walling off) potentiates likelihood of immune response - pain results from tissue damage and from plasma-derived agents such as bradykinin - fever may induced by pyrogens released from inflammation site • Chronic Inflammations: persistent irritant prevents resolution ---> damage to adjacent healthy tissues; given suffix “-itis”, e.g. appendicitis, arthritis, etc.