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Leukocytes
202 - Lec 2: Leukocytes
Question | Answer |
---|---|
WHAT IS LEUKOCYTOSIS? | increase in total population of white blood cell count |
WHAT IS LEUKOPENIA? | decrease in total population of white blood cell count |
NEUTROPHIL MORPHOLOGY | • Size 12-15 microns 2-2.5 x diameter of RBC • Nucleus Lobulated or partially segmented Fine granules • Cytoplasm Pale pink or light blue |
HETEROPHILS = NEUTROPHILS | o Found in reptiles, rabbits, birds & guinea pigs** o Granules are very prominent (red or blue or mixed) |
TOXIC NEUTROPHILS SHOW UP FROM? | - Severe inflammatory disease or toxemia |
TOXIC NEUTROPHILS MORPHOLOGICAL CHANGES | Diffuse cytoplasmic basophilia (stains blue); Foamy vacuolation of the cytoplasm (looks like bubbles); Dohle bodies (greyish/purple ovals - remnants of RNA that remain in cytoplasm after cell matures); Abnormal nuclear shape- like connecting blobs |
WHAT IS THE FUNCTION OF A NEUTROPHIL? | o Defend the body against antigens/bacteria/foreign bodies o Accumulate at sites of inflammation o Phagocytic (eat cells) and microbicidal (kills cells) |
WHAT IS THE LIFE CYCLE OF A NEUTROPHIL? | o Myloid cell = produced in bone marrow o Circulate in blood stream for ~8-10 hours o Leave blood vessels and migrate into the tissue spaces where they clean things up o Lifespan in tissues is 1-4 days before death |
WHAT IS NEUTROPHILIA? | o Increased number of neutrophils o Most frequent cause of leukocytosis o May be physiological or pathological Physiological: normal body process Pathological: infection |
RATIO OF NEUTROPHILS TO LYMPHOCYTES | 1:1 in horse 3.5:1 in dog/cat 0.5:1 in ruminants 0.7:1 in pigs reversal indicates something is wrong** |
MECHANISMS FOR NEUTROPHILIA | • Epinephrine release – causes spleen to contract and release neutrophils • Corticosteroids or stress • Acute or chronic inflammation |
WHAT IS NEUTROPENIA? | o Decreased number of neutrophils o Most frequent cause of leukopenia |
MECHANISMS FOR NEUTROPENIA | • Acute demand or consumption in tissues • Decreased production in marrow • Ineffective granulopoiesis • Increased margination – cells are not circulating |
WHAT ARE BAND CELLS? | - immature neutrophils - “C” or “S” shaped nucleus (not segmented) - Cytoplasm – blue; has fragments of RNA - indicates a bad thing |
WHAT IS LEFT SHIFT? | - increase in # of band cells - Indicated band cell # is higher than it should be |
WHAT IS DEGENERATIVE LEFT SHIFT? | there are more band cells than neutrophils |
LYMPHOCYTE MORPHOLOGY | • Size 9-12 microns 1.5-2 x diameter of RBC • Nucleus Round, eccentric (off to one side) • Cytoplasm Scant rim of pale blue (very little) |
LYMPHOCYTE FUNCTION | o Immune response o Can be either: B-cells – deals with humoral (in circulation) immunity T-cells – deals with cellular (directed at specific cell types) immunity Memory cells (can be B or T-memory cells) to remember an antigen |
LYMPHOCYTE LIFE CYCLE | Myloid – created in bone marrow then go to bursa (in bird), or thymus for maturation; Bursa – B-cell; Thymus – T-cell Generally remain in vascular system May survive for months to years |
LYMPHOCYTE CIRCULATION | • Blood -> Lymph nodes -> Lymph -> Blood • Transit time is ~8-12 hours from Blood to Blood |
WHAT IS LYMPHOCYTOSIS AND THE MECHANISMS FOR IT? | - Increased number of lymphocytes - Mechanisms: Excitement (shown only in cats and young horses) Antigenic stimulation Lymphosarcoma (malignant cancer & same as lymphoma) or lymphocytic leukemia |
WHAT IS LYMPHOPENIA AND THE MECHANISMS FOR IT? | - Decrease in the number of lymphocytes - Mechanisms: Glucocorticoids Disruption of lymphatic circulation Lymphosarcoma |
MONOCYTE MORPHOLOGY | • Size Large cells 15-20 microns 3-5 x diameter of RBC • Nucleus Irregular shape • Cytoplasm Abundant & blue to blue-grey in color Normal monocytes have a smooth cytoplasm border |
MONOCYTES: FRESH BLOOD VS. EDTA | o EDTA causes vacuolation in monocyte o EDTA causes seudopods on the border of the cytoplasm |
MONOCYTE FUNCTION | o Main function is phagocytosis = eat dead cells and tissues o Regulation of inflammatory response o Responsible for antigen processing = makes antigen more recognizable for the immune system to recognize |
MONOCYTE LIFE CYCLE | o Myloid – originate in bone marrow o Released into blood as immature cells o Transported into tissues -> macrophages |
WHAT IS MONOCYTOSIS AND THE MECHANISMS FOR IT? | o Increased number of monocytes o Mechanisms: Inflammation Demand for phagocytosis Tissue necrosis – eat the dead tissue Glucocorticoids/steroids |
WHAT IS MONOCYTOPENIA? | o Decreased number of monocytes o Not clinically recognized in animals |
EOSINOPHIL MORPHOLOGY | • Size 12-20 microns about size of neutrophil • Nucleus Lobulated or partially segmented • Cytoplasm Different granules (red) for species • Canine: round granules • Feline: rod-shaped (linier) • Equine: large round |
EOSINOPHIL FUNCTION | o Major role in destruction of parasites o Limited phagocytic and bactericidal activity o May play a role in destroying neoplastic (cancer) cells |
EOSINOPHIL LIFE CYCLE | o Myloid o Circulate in blood for a few hours o Migration into tissue spaces and never go back o Lifespan in tissues is several days to several weeks |
WHAT IS EOSINOPHILIA AND THE MECHANISMS FOR IT? | o Increase in the number of eosinophils o Mechanisms: 3 W’s Worms (all parasites) Wheezes (allergies) Weird diseases |
WHAT IS EOSINOPENIA AND THE MECHANISMS FOR IT? | o Reduction in the number of eosinophils o Mechanisms: Glucocorticoids – stress |
WHAT IS A STRESS LEUKOGRAM? | -Endogenous (produced within body) steroid release or treatment with exogenous corticosteroids -Lymphopenia is the most consistent change -Mature neutrophilia is usually present -Monocytosis and eosinopenia are expected changes but are more variable |
BASOPHIL MORPHOLOGY | • Size 12-20 microns • Nucleus Lobulated or partially segmented • Cytoplasm Light purple or grey Granules (same shade of nucleus color) • Most species – dark purple • Feline – lavender |
BASOPHIL FUNCTION | o Hypersensitivity reactions o Inflammation |
BASOPHIL LIFE CYCLE | o Myloid o Share a common progenitor (stem) cell with mast cells o Circulate in blood for a few hours o Migrate to tissue and do not go back (unidirectional) o Lifespan in tissues is several weeks |
WHAT IS BASOPHILIA AND THE MECHANISMS FOR IT? | o Increase in basophils o Mechanisms: Allergies, parasites (Dirofilaria immitis – heart worm) |
WHAT IS BASOPENIA? | o Decreased number of basophils o Not clinically recognized |
MAST CELL MORPHOLOGY | • Size Similar to basophil • Nucleus Round to oval Central to eccentric location • Cytoplasm Numerous small round, dark purple granules that may obscure the nucleus |
MAST CELL TUMORS | o Looks like other tumors o Looks benign on the skin o Has histamine in the granules – gets larger when the cells de-granulates and tumor keeps growing (spreads) o Anti-histamine before surgery |