School of Anatomy and Human Biology - The University of Western Australia
Blue Histology - Blood
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School of Anatomy and Human Biology - The University of Western Australia | ||
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Blue Histology - Blood |
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Topics |
Lab Guides and Images |
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Most of the lab is based on only one preparation - a Leishman stained blood smear. | |
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Granular leukocytes: Neutrophils, Basophils and Eosinophils |
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Agranular leukocytes: Monocytes and Lymphocytes |
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Thrombocytes,
Megakaryocytes and Megakaryoblast | |
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Normoblasts,
Myelocytes and Metamyelocytes |
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Blood is sometimes considered to be a fluid connective tissue because of the mesenchymal origin of its cells and a low ratio of cells to liquid intercellular substance, the blood plasma. In human adults about 5 liter of blood contribute 7-8 % to the body weight of the individual. The contribution of red blood cells (erythrocytes) to the total volume of the blood (haematocrit) is about 43%.
Erythrocytes are the dominant (99%) but not the only type of cells in the blood. We also find leukocytes and, in addition, blood platelets. Erythrocytes, leukocytes and blood platelets are also being referred to as the formed elements of the blood. Erythrocytes and blood platelets perform their functions exclusively in the blood stream. In contrast, leukocytes reside only temporarily in the blood. Leukocytes can leave the blood stream through the walls of capillaries and venules and enter either connective or lymphoid tissues.
Erythrocytes do not contain a nucleus. They do contain haemoglobin, which
fills almost the entire cytoplasm. Erythrocytes are unable to move actively, but
they are remarkably elastic and can withstand deformation. They are typically
biconcave disks although their shape is influenced by osmotic forces. The
average diameter of the disk is ~7 µm. Since erythrocytes can be found in the
vast majority of histological sections - in small numbers even in perfused
tissues - they will often allow us to estimate the size of other structures or
cells. Mature erythrocytes do not contain organelles, and their cytoplasm looks
fairly homogenous - even in the EM
At high
magnification some granularity may be visible in EM images. The granular
appearance is caused by haemoglobin molecules. Foetal erythrocytes (up to the
4th month of gestation) are larger than "adult" erythrocytes, and they are
nucleated. The later feature they share with erythrocytes of other animal
classes (e.g. amphibia and birds).
Functions
Erythrocytes function in the transport of oxygen. Haemoglobin, the oxygen
binding protein in erythrocytes, contributes about 30% of the weight of an
erythrocyte. The lifespan of an erythrocyte in the bloodstream is 100-120
days.
About 5×1011 erythrocytes are
formed/destroyed each day.
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? Where
to look for cells in a blood smear |
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Blood Smear, human - Leishman stain
It is a good idea to do one large composite drawing for all types of blood cells. |
Leukocytes can be further subdivided into granular leukocytes, i.e. neutrophils, basophils and eosiniphils, and non-granular leukocytes, i.e. monocytes and lymphocytes.
In healthy individuals the relative numbers of circulating leukocyte types are quite stable. A differential leukocyte count would typically produce the following cell frequencies (numbers in parentheses are the range of normal frequencies reported in different texts):
Changes in their relative numbers indicate that something abnormal is happening in the organism. A larger than usual number of neutrophils (neutrophilia) would indicate e.g. an acute or chronic infection. The number of basophils and eosinophils may increase (eosinophilia or basophilia) as a consequence of e.g. allergic disorders.
Granular leukocytes are all approximately the same size - about 12-15 µm in diameter. Their nuclei form lobes, and nucleoli cannot be seen. The number of nuclear lobes varies according to cell type. All granulocytes are motile.
The term granulocytes refers to the presence of granules in the cytoplasm of these cells. The granules correspond to secretory vesicles and lysosomes. Specific granules are the granules which are only found in one particular type of granulocytes.
have a very characteristic nucleus. It is divided into 3-5 lobes which are connected by thin strands of chromatin. The number of lobes increases with cell age. Up to 7 lobes can be found in very old neutrophils (hypersegmented cells).
Neutrophils (like all other granulocytes, monocytes and lymphocytes)
contain all the organelles that make up a typical cell. In addition to the
usual complement of organelles, they also contain two types of granules 
. Primary granules (or A
granules) contain lysosomal enzymes and are likely to be primary lysosomes,
although they are larger (0.4 µm) than the
"ordinary" primary lysosome. Secondary granules
(or B granules), the specific granules of the
neutrophils, contain enzymes with strong bactericidal actions. The
specific granules of neutrophils stain only weakly if they are at all visible
- they are "neutral", hence the term neutrophil.
Functions
Neutrophils play a central role in inflammatory processes. Large numbers invade sites of infection in response to factors (e.g. cytokines) released by cells which reside at an infection site. Neutrophils are the first wave of cells invading infection sires. Receptors in their plama membrane allow them to recognise foreign bodies, e.g. bacteria, and tissue debris, which they begin to phagocytose and destroy. The phagocytotic activity of neurophils is further stimulated if invading microorganisms are "tagged" with antibodies (or opsonised). Neutrophils cannot replenish their store of granules. The cells die once their supply of granules has been exhausted. Dead neutrophils and tissue debris are the major components of pus. Their lifespan is only about one week.
Lost neutrophils are quickly replenished from a reserve population in the bone marrow. Because they are younger, their nuclei have fewer lobes than the "average" neutrophil. A high proportion of neutrophils, with few nuclear lobes indicates a recent surge in their release from the bone marrow.
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Blood Smear, human - Leishman
stain How the neutrophils and other leukocytes exactly will look like depends somewhat on how the stain turned out. In some batches (labeled B2 in the images) nuclei are dark and crisp, and the cytoplasm is well demarcated. In other batches (labeled B1 in the images) nuclei and cytoplasm are lighter and their boundaries are less well defined. While the morphology appears clearer in the darker stained smears, it will usually be more difficult to identify eosinophils and basophils (see below). |
Their nucleus usually has only two lobes. Almost all of the cytoplasm
appears filled with the specific granules of the eosinophils. As the term
"eosinophil" indicates, these granules are not neutral but stain red or pink
when eosin or a similar dye is used in the staining process. Aside from the
usual complement of organelles eosinophils contain some large rounded vesicles
(up to 1 µm) in their cytoplasm . These granules correspond to the
eosinophilic grains that we see in the light microscope. The specific granules
contain, in addition to enzymes that otherwise are found in lysosomes, an
electron-dense, proteinaceous crystal. This crystal is composed of major basic protein (MBP).
Functions
The presence of antibody-antigen complexes stimulates the immune system. Eosinophils phagocytose these complexes and this may prevent the immune system from "overreacting". Their granules also contain the enzymes histaminase and arylsufatase. These enzymes break down histamine and leukotrienes, which again may dampen the effects of their release by basophils or mast cells. MBP, which can also function as a cytotoxin, and its release by eosinophils may be involved in the response of the body against parasitic infections, which are accompanied by an increase in the number of eosinophils.
Blood Smear, human - Leishman stain
Eosinophils
and basophils are the only cell types present in normal blood which initially
may be difficult to distinguish - in particular in darker smears. If you see
them side by side in your drawing the difference between them should become
apparent. Chances are 6:1 that the you find an eosinophil before you find a
basophil. The two lobes of the nucleus of eosinophils are usually well-defined
and of about equal size. The nucleus is embedded in a cytoplasm crowded with
granules, which seem to form a solid mass in the cell. The 2-3 nuclear lobes of
basophils are not as well defined as those of eosinophils, granules are not as
numerous as in eosinophils, and pretty much all of them can be identified "as
individuals" rather than the dense mass they form in eosinophils.
Note that eosinophils and basophils are much easier to
distinguish in B1. In B2, the difference in the staining of their of granules is
not as pronounced, and the nuclei do not stand out as clear as in
B1.
Identify, draw and label an eosinophil and a
basophil.
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Basophilic granulocytes have a 2 or 3 lobed nucleus. The lobes are usually not as well defined as in neutrophilic granulocytes and the nucleus may appear S-shaped. The specific granules of basophils are stained deeply bluish or reddish-violet. Their colour corresponds closely to the colour of the nucleus which sometimes is difficult to see amongst or behind the granules. The granules are not as numerous as those in eosinophils. The specific granules of basophils (about 0.5 µm) appear quite dark in EM pictures. They contain heparin, histamine lysosomal enzymes and leukotrienes (the later correspond to the slow-reacting substance of anaphylaxis or SRS-A).
Functions
Heparin and histamine are vasoactive substances. They dilate the blood vessels, make vessel walls more permeable and prevent blood coagulation. As a consequence, they facilitate the access of other lymphocytes and of plasma-borne substances of importance for the immune response (e.g. antibodies) to e.g. a site of infection. The release of the contents of the granules of basophils is receptor-mediated. Antibodies produced by plasma cells (activated B-lymphocytes; see below) bind to Fc-receptors on the plasma membrane of basophils. If these antibodies come into contact with their antigens, they induce the release of the contents of the basophil granules.
These cells can be slightly larger than granulocytes (about 12-18 µm in diameter). Their cytoplasm stains usually somewhat stronger than that of granulocytes, but it does not contain any structures which would be visible in the light microscope using most traditional stains (a few very fine bluish gains may be visible in some monocytes). The "textbook" monocyte has a C-shaped nucleus. Monocytes contain granules (visible in the EM) which in appearance and content correspond to the primary granules of neutrophils, i.e. the granules correspond to lysosomes.
Functions
Once monocytes enter the connective tissue they differentiate into macrophages. At sites of infection macrophages are the dominant cell type after the death of the invading neutrophils. The phagocytose microorganisms, tissue debris and the dead neutrophils. Monocytes also give rise to osteoclasts, which are able to dissolve bone. They are of importance in bone remodelling.
Blood Smear, human - Leishman stain
Monocytes
and lymphocytes definitely look much prettier in darker stained smears (B2) than
in lighter ones (B1) - mainly because of a clearer distinction between cytoplasm
and nucleus. The cell is very likely to be a lymphocyte if the nucleus is round
and surrounded by a narrow rim of cytoplasm. The C-shaped nucleus of a textbook
monocyte may not be easy to find. The nuclei will vary from a peanut- to a "fat"
S-shape in smears. Whatever the shape of the nucleus, it is usually not lobed, and it is bound, at least on its concave
side, by a wide rim of non-granular cytoplasm. Note also the light area of
monocyte cytoplasm which is often visible close to the concave surface of the
nucleus. The Golgi apparatus is located in the area. The
Golgi apparatus does not stain as well as the remainder of the cytoplasm and
leaves a light "impression" - the phenomenon is also called a "negative
image".
Identify and draw lymphocytes and a
monocyte.
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These cells are very variable in size. The smallest may be smaller than erythrocytes (down to ~5 µm in diameter) while the largest may reach the size of large granulocytes (up to 15 µm in diameter). How much cytoplasm is discernible depends very much on the size of the lymphocyte. In small ones, which are the majority of lymphocytes in the blood, the nucleus may appear to fill the entire cell. Large lymphocytes have a wider rim of cytoplasm which surrounds the nucleus. Both the nucleus and the cytoplasm stain blue (and darker than most other cell types in the blood). The typical lymphocyte only contains the usual complement of cellular organelles. The appearance of lymphocytes may change drastically when they are activated (see below).
Functions
Most lymphocytes in the blood stream belong to either the group of B-lymphocytes (~5%) or the group of T-lymphocytes (~90%). Unless they become activated,
the two groups can not easily be distinguished using routine light or electron
microscopy.
Upon exposure to antigens by antigen-presenting cells (e.g.
macrophages) and T-helper cells (one special group of T-lymphocytes) B-lymphocytes differentiate into antibody producing plasma cells. The amount of cytoplasm increases
and RER fills a large portion of the cytoplama of plama cells . T-lymphocytes represent the "cellular
arm" of the immune response (cytotoxic T cells) and may attack foreign cells,
cancer cells and cells infected by e.g. a virus.
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Blood platelets do not contain a nucleus. Unlike erythrocytes, which also lack a nucleus, the blood platelets of mammals have never been nucleated cells. Instead, blood platelets are fragments of the cytoplasm of very large thrombocyte precursor cells, megakaryocytes. Like other cells involved in the formation in blood cells, megakaryocytes are found in the bone marrow.
Platelets are about 3 µm long but appear somewhat smaller in the microscope. This is because their cytoplasm is divided into two zones: and outer hyalomere, which hardly stains, and an inner granulomere, which contains bluish staining granules. These granules are usually not individually visible with the highest magnification on your microscope, and the granulomere appears more or less homogeneously blue. In addition to different types of vesicles (i.e. the granules), mitochondria, ribosomes, lysosomes and a little ER are present in the thrombocyte granulomere. Different types of vesicles contain either serotonin (electron-dense delta granules; few) or compounds important for blood coagulation (alpha granules - they also contain platelet-derived growth factor (PDGF) which may play a role in the repair of damaged tissue). The hyalomere contains cytoskeletal fibres, which include actin and myosin.
Functions
Platelets assist in haemostasis, the arrest of bleeding. Serotonin is a potent vasoconstrictor. The release of serotonin from thrombocytes, which adhere to the walls of a damaged vessels, is sufficient to close even small arteries. Platelets, which come into contact with collagenous fibers in the walls of the vessel (which are not usually exposed to the blood stream), swell, become "sticky" and activate other platelets to undergo the same transformation. This cascade of events results in the formation of a platelet plug (or platelet thrombus). Finally, activating substances are released from the damaged vessel walls and from the platelets. These substances mediate the conversion of the plasma protein prothrombin into thrombin. Thrombin catalyzes the conversion of fibrinogen into fibrin, which polymerizes into fibrils and forms a fibrous net in the arising blood clot. Platelets captured in the fibrin net contract leading to clot retraction, which further assists in haemostasis.
Blood coagulation is a fairly complex process, which involves a large number of other proteins and messenger substances. Deficiencies in any one of them, either inherited or acquired, will lead to an impairment of haemostasis.
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Blood Smear, human - Leishman stain Red Bone Marrow, rabbit - H&E |
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During foetal development, the formation of blood cells (haemopoiesis) commences in wall of the yolk sac. After the second month of foetal development, the liver, and, slightly later, the spleen, become the dominant sites of haemopoiesis. From the 6th month, and dominating from the 7th month onwards, the formation of blood cells occurs in bone marrow, which is the major site of formation blood cells in normal adult humans.
Yellow bone marrow, which harbours mainly adipocytes, dominates in the hollow of the diaphysis of adult long bones. Haemopoiesis occurs in red bone marrow, which is typically found between the trabeculae of spongy bone in the epiphysis of adult long bones. Both age and demands on haemopoiesis may effect the relative amounts of red and yellow bone marrow. Haemopoietic cells surround the vascular sinusoids and are supported by reticular connective tissue. In addition to the endothelial cells of the sinusoids and the reticulocytes of the connective tissue, macrophages are frequent in red bone marrow.
The basis of haemopoiesis is a small population of self-replicating stem cells, which ultimately can generate all types of blood cells. Their progeny may develop into either lymphocytic stem cells or pluripotent haemal stem cells (colony-forming unit - stem cell - CFU-S). The latter type gives rise to stem cells which can form the major groups of blood cells other than lymphocytes. Depending on their progeny it is possible to differentiate
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Precursors of blood cells which are
usually only found in the bone marrow can be found in peripheral blood in a
variety of pathological conditions.
If a
Rh-negative mother has been immunised by erythrocytes of a Rh-positive foetus, a
condition called Erythroblastosis fetalis may
develop during subsequent pregnancies. It would show itself in the foetus or
newborn by the presence of erythrocyte precursors in peripheral blood - although
other, more severe symptoms should be obvious. Chronic myeloid leukemia is
another condition - in this case showing itself by the presence of all types of
granulocyte precursors in peripheral blood.
The nomenclature employed for haemopoietic cells (but not the number of stages recognized) is somewhat variable across texts. Note also that these cell types refer to stages of development along a morphologically more or less continuous spectrum.
Red Bone Marrow, rabbit - H&E
Most of the haemopoietic cells visible will be of the
erythroblastic line. The only cell type of this line which is easy to
distinguish in H&E stained sections are normoblasts.
A very
condensed nucleus is seen in late (orthochromic)
normoblast. Granulocyte and erythrocyte precursors will mostly intermingle, but
may be distinguished by nuclear morphology and/or size. A bent nucleus is found
in metamyelocytes - this shape is very pronounced in the last, immature form of
neutrophils, which are also called stab or band cells. If the cell (1) is large,
with a distinct "clearing" in the otherwise pink cytoplasm and (2) has an ovoid
or slightly indented nucleus, it is likely to be a myelocyte. Cells with large
light nuclei and almost unstained cytoplasm are either reticulocytes or
macrophages.
Macrophages are frequently associated with
normoblasts, and together these cells form erythroblastic islands. The name for
macrophages in these islands, nurse cells, may tell you a bit about their
function in addition to the scavenging of the expelled nuclei.
Identify normoblasts, myelocytes and metamyelocytes and include them
in your drawing of the megakaryocyte/blast.
If you still have some time and are desperate to get frustrated try to hunt up a nice basophilic erythroblast - a basophilic cell with homogeneously staining nucleus that is somewhat smaller than the nuclei of granulocyte precursors.
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page content and construction: Lutz Slomianka
last updated: 9/01/04
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