Proliferation Stage Nucleus Cytoplasm Pronormoblast (Rubriblast) (N:C ratio of 8:1) ● round to oval, containing one or two nucleoli. ● The purple red chromatin is open and contains few, if any,fine clumps. Dark Blue . ● Pronormoblas ts may show small tufts of irregular cytoplasm along the periphery of the membrane. Division ● ● Undergoes mitosis and gives rise to two daughter pronormobla sts More than one division is possible before maturation into basophilic normoblasts. Location present only in the bone marrow in healthy states. Cellular Activity ● ● ● Basophilic Normoblast (Prorubricyte) The chromatin begins to condense, ● revealing clumps along the periphery of the nuclear membrane and a few in the interior. ● As the chromatin condenses, the parachromati n areas become larger and sharper N:C ratio When stained, the cytoplasm may be a deeper, richer blue than in the pronormoblast—hence the name basophilic for this stage Undergoes mitosis, giving rise to two daughter cells. Present only in the bone marrow in healthy states Begins to accumulate the components necessary for hemoglobin production The proteins and enzymes necessary for iron uptake and protoporphyrin synthesis are produced Globin production begins. Detectable hemoglobin synthesis occurs, ● but the many cytoplasmic organelles, including ribosomes and a substantial amount of messenger ribonucleic acid (RNA;chiefly for hemoglobin production), completely Length of Time in This Stage This stage lasts slightly more than 24 hours This stage lasts slightly more than 24 hours ● ● decreases to about 6:1. The chromatin stains deep purple-red. Nucleoli present but disappear later mask the minute amount of hemoglobin pigmentation. Polychromatic (Polychromatophi lic) Normoblast (Rubricyte) The chromatin pattern varies but becomes condensed by the end. The condensation of chromatin reduces the diameter of the nucleus considerably, so the N:C ratio 4:1 to about 1:1. Notably, no nucleoli are present. First stage in which the pink color associated with stained hemoglobin can be seen.. The color produced is a mixture of pink and blue, resulting in a murky gray-blue. polychromatophilic means “many color loving.” ORTHOCHROMIC NORMOBLAST (Metarubricyte) Completely condensed (i.e., pyknotic) As a result, the N:C ratio 1:2. Increase in the salmon-pink color. Division. not capable of division due to the condensation of the chromatin. Last stage in which the cell is capable of undergoing mitosis Present only in the bone marrow in healthy states Hemoglobin synthesis increases, begins to be visible in the color of the cytoplasm. The progressive condensation of the nucleus and disappearance of nucleoli are evidence of progressive decline in transcription of (DNA). Present only in the bone marrow in healthy states Hemoglobin production continues Late in this stage, the nucleus is ejected from the cell. loss of vimentin, a protein responsible for holding organelles in proper location in the cytoplasm, is probably important in the movement of the nucleus to the cell periphery. The enveloped extruded nucleus is then engulfed by bone marrow macrophages. The macrophages recognize phosphatidylserine on This stage lasts approximately 30 hours This stage lasts approximately 48 hours its surface as an “eat me” flag. Often, small fragments of nucleus are left behind if the projection is pinched off before the entire nucleus is enveloped and are called Howell-Jolly bodies when seen in peripheral blood cells. Polychromatic (Polychromatophi lic) Erythrocyte or Reticulocyte There is no nucleus By the end of the polychromatic erythrocyte stage, the cell is the same color as a mature RBC, salmon pink. It remains larger than a mature cell, however Cannot divide The polychromatic erythrocyte resides in the bone marrow for 1 day or longer Complete production of hemoglobin can be visualized with a vital stain such as new methylene blue, cells are stained while alive in suspension (i.e., vital), before the film is made . The residual ribosomes appear as a mesh of small blue strands, a reticulum, or, when more fully digested, merely blue dots. When so stained, the polychromatic erythrocyte is called a reticulocyte Erythrocyte There is no nucleus The mature circulating erythrocyte is a biconcave disc measuring 7 to 8 mm in diameter, with a thickness of about 1.5 to 2.5 mm. salmon pink-staining cell with a central pale area The central pallor is about one third the diameter of the cell. Cannot divide Mature RBCs remain active in the circulation for approximately 120days The interior of the erythrocyte contains mostly hemoglobin, the oxygen-carrying component. The cell’s main function of oxygen delivery throughout the body requires a membrane that is flexible and deformable Deformability is crucial for RBCs to enter and subsequently remain in the circulation Remains a polychromatic erythrocyte for about 3 days, with the first 2 days spent in the marrow and the third spent in the peripheral blood STAGE NUCLEUS Myeloblasts Type 1 - high nucleus-to-cytoplasm (N:C) ratio of 8:1 to 4:1 (the nucleus occupies most of the cell, with very little cytoplasm) Nucleoli: 2 - 4 Chromatin: Fine Nuclear Chromatin ______________________ Type 3 - Size: N:C: Promyelocytes CYTOPLASM DIVISION Type 1 slightly basophilic cytoplasm Inclusion: Auer rods Granules: None Amount: Scanty Color: Medium blue ------------------------------------Type 2 Granules: Primary Azurophilic Granules Rare in normal bone marrows, but can be seen in certain types of acute myeloid leukemias Chromatin: Darker ------------------------------------Type 3 Shape: Oval or Round, eccentric Nucleoli: 1-5 Chromatin: Smooth; Clumping may be visible (heterochromatin) Evenly basophilic Inclusion: None Granules: Heavy, Nonspecific, full of Primary Azurophilic Granules Amount: Slightly Increased Color: Moderate blue Mitosis Shape: Oval or Indented Nucleoli: Variable Chromatin: Slightly clumped Considerable HETEROCHROMATIN Inclusion: None Granules: Fine, Specific Amount: Moderate Color: Blue-pink Grainy pale cytoplasm Decrease of primary granules production begins to manufacture secondary (specific) neutrophil granules. Grainy Pale Pink Cytoplasm (representing the presence of secondary neutrophil Granules) Mitosis Final stage Shape: Indented (Kidney bean / Peanut shaped) Nucleoli: None Chromatin: Clumped Major morphological change is the change of shape Inclusion: None Granules: Fine, Specific Amount: Moderate Color: Pink Synthesis of tertiary granules (GELATINASE GRANULES) - More purple Size: N:C: Neutrophil Myelocytes Size: N:C: Neutrophil Metamyelocytes Size: N:C: - Neutrophil Bands Size: N:C: Neutrophil Segmented Size: N:C: Shape: Elongated or Curved Nucleoli: None Chromatin: Very Clumped (highly) Inclusion: None Granules: Fine, Specific Amount: Abundant Color: Pink SECRETORY GRANULES may begin to form Shape: Distinct Lobes 2-5 Nucleoli: None Chromatin: Densely packed Inclusion: None Granules: Fine, Specific Amount: Abundant Color: Pink