Monocyte and Promonocyte Characteristics

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Questions and Answers

Which characteristic distinguishes promonocytes from promyelocytes?

  • Promonocytes lack nucleoli.
  • Promonocytes have a more condensed chromatin pattern.
  • Promonocytes contain more numerous and larger azure granules.
  • Promonocytes possess fewer and smaller azure granules. (correct)

What is the typical fate of monocytes after they enter the tissues?

  • They revert back to promonocytes.
  • They undergo apoptosis without further differentiation.
  • They transform into neutrophils to aid in acute inflammation.
  • They mature into macrophages, osteoclasts, or dendritic cells. (correct)

Under normal circumstances, how many mitotic divisions do promonocytes undergo to produce monocytes, and over what time frame?

  • Two divisions in 60 hours (correct)
  • Four divisions in 60 hours
  • Three divisions in 72 hours
  • One division in 24 hours

Which of the following best describes the appearance of monocyte chromatin under light microscopy?

<p>Lace-like or stringy (A)</p> Signup and view all the answers

What accounts for the observed larger size of monocytes (15 to 20 "m) compared to neutrophils under a microscope?

<p>Monocytes actively stick to and spread out on glass or plastic surfaces. (A)</p> Signup and view all the answers

What is the approximate number of promonocytes in the promonocyte pool of a healthy individual?

<p>6 x 10^8 cells/kg (B)</p> Signup and view all the answers

What is the production rate of monocytes in a healthy individual?

<p>7 x 10^6 monocytes/kg per hour (D)</p> Signup and view all the answers

Which of the following enzymes are found within monocyte azure granules?

<p>Peroxidase and lysozyme (D)</p> Signup and view all the answers

How do hemopoietic stem cells (HSCs) differ from common myeloid progenitors (CMPs) and granulocyte-monocyte progenitors (GMPs) in terms of microscopic identification?

<p>HSCs, CMPs, and GMPs are indistinguishable via light microscopy and Romanowsky staining but can be differentiated through surface antigen detection by flow cytometry. (C)</p> Signup and view all the answers

Under conditions of increased demand for monocytes, how many monocytes can be produced from a single promonocyte in 60 hours?

<p>16 (D)</p> Signup and view all the answers

What is the primary distinction between early and late myelocytes during neutrophil development?

<p>Early myelocytes actively produce primary granules, whereas late myelocytes primarily produce secondary granules. (C)</p> Signup and view all the answers

What is the significance of the maturation pool in the context of neutrophil development within the bone marrow?

<p>It serves as a storage reservoir of cells that can be released into circulation when needed. (B)</p> Signup and view all the answers

What characteristic nuclear feature is commonly observed in monocytes under a light microscope?

<p>A deeply indented or horseshoe-shaped nucleus (D)</p> Signup and view all the answers

How does the presence or absence of a paranuclear halo (“hof”) relate to the differentiation between normal promyelocytes and the malignant promyelocytes seen in acute promyelocytic leukemia?

<p>A 'hof' is typically observed in normal promyelocytes but is usually absent in malignant promyelocytes. (B)</p> Signup and view all the answers

What role does Colony-Stimulating Factor (G-CSF) play in neutrophil development?

<p>It promotes the differentiation and release of neutrophils from the bone marrow. (C)</p> Signup and view all the answers

During which stage of neutrophil development does chromatin clumping (heterochromatin) first become visible in the nucleus?

<p>Promyelocyte (C)</p> Signup and view all the answers

Considering the progression of neutrophil maturation, which of the following represents the correct sequence of granule production?

<p>Primary (azurophilic) granules $\rightarrow$ Secondary (specific) granules (D)</p> Signup and view all the answers

A researcher is analyzing a bone marrow aspirate and identifies a cell with a round nucleus, evenly basophilic cytoplasm filled with azurophilic granules, and one visible nucleolus. Based on these characteristics, which stage of neutrophil development is the cell most likely in?

<p>Promyelocyte (D)</p> Signup and view all the answers

Which of the following is NOT a component of eosinophil development?

<p>G-CSF (C)</p> Signup and view all the answers

What is the approximate mean turnover rate of eosinophils in cells/kg per day?

<p>2.2 × 10^8 (A)</p> Signup and view all the answers

If a patient has 0.5 × 10^9/L eosinophils in their peripheral blood, what does this indicate?

<p>Eosinophilia. (A)</p> Signup and view all the answers

Which of the following best describes the role of transcobalamin I (R binder protein)?

<p>Absorption of Vitamin B12. (B)</p> Signup and view all the answers

The release of NETs is a result of what process?

<p>Neutrophil antibacterial activity. (B)</p> Signup and view all the answers

A researcher is studying the bone marrow composition. If they observe that slightly more than a third of the eosinophils are mature, what proportion represents eosinophilic metamyelocytes?

<p>Approximately one-quarter. (A)</p> Signup and view all the answers

What is the primary criterion for identifying eosinophilic promyelocytes cytochemically?

<p>Presence of Charcot-Leyden crystal protein in primary granules. (A)</p> Signup and view all the answers

Which transcription factors regulate the eosinophil lineage?

<p>GATA-1, PU.1, and c/EBP. (A)</p> Signup and view all the answers

Which characteristic distinguishes lymphocytes from other leukocytes?

<p>Lymphocytes recirculate between the blood, tissues, and lymphatic system. (C)</p> Signup and view all the answers

What is the estimated size of the storage pool of eosinophils in the marrow consisting of?

<p>Between 9 and 14 × 10^8 cells/kg. (B)</p> Signup and view all the answers

What is the primary reason lymphocyte kinetics are considered complex and not completely understood?

<p>T and NK lymphocytes develop and mature outside the bone marrow. (B)</p> Signup and view all the answers

What percentage do eosinophils make up of nucleated cells in the bone marrow?

<p>1% to 3%. (A)</p> Signup and view all the answers

How does the antigen-independent phase of lymphocyte development differ from the antigen-dependent phase?

<p>The antigen-independent phase involves gene rearrangement to create antigen receptors, while the antigen-dependent phase involves activation and differentiation after antigen exposure. (D)</p> Signup and view all the answers

What is the functional consequence of B and T lymphocytes' ability to rearrange antigen receptor gene segments?

<p>It enables the immune system to generate a diverse repertoire of antibodies and surface receptors capable of recognizing a wide array of antigens. (A)</p> Signup and view all the answers

If a patient has a consistently low lymphocyte count (lymphopenia), which of the following immune functions would be most significantly impaired?

<p>The capacity to produce antibodies and mount targeted cellular attacks against pathogens. (A)</p> Signup and view all the answers

In lymphocyte development, what is the significance of the thymus?

<p>It provides a microenvironment for T lymphocyte maturation, including positive and negative selection processes. (B)</p> Signup and view all the answers

What cellular characteristic is typically used to differentiate a resting lymphocyte from a plasma cell?

<p>The presence of abundant, eccentric cytoplasm in plasma cells, indicative of active antibody production. (A)</p> Signup and view all the answers

Why is the understanding of basophil kinetics limited?

<p>Basophils are present in very low quantities. (D)</p> Signup and view all the answers

What crucial role do IL-3 and IL-25 play in the context of basophils?

<p>Triggering antiapoptotic pathways, thus extending basophil lifespan. (C)</p> Signup and view all the answers

What is the primary reason for the limited understanding of basophil functions, as opposed to their mere numbers?

<p>The lack of animal models, specifically basophil-deficient animals. (D)</p> Signup and view all the answers

In what significant way do TSLP-elicited and IL-3 elicited basophils differ?

<p>IL-3 elicited basophils are IgE-dependent, whereas TSLP-elicited basophils are not. (B)</p> Signup and view all the answers

How does the transit system facilitate the maturation of mast cells?

<p>It provides a pathway for mast cell precursors to leave the bone marrow and mature in tissues. (D)</p> Signup and view all the answers

What classifies basophils as true leukocytes versus other similar cells?

<p>Basophils, in contrast to mast cells, mature in the bone marrow and circulate as mature cells. (B)</p> Signup and view all the answers

What is the significance of the balance between TSLP elicited and IL-3 elicited basophil populations?

<p>It dictates the type of mediator response by the basophils. (B)</p> Signup and view all the answers

How does the recent development of a conditional basophil-deficient mouse model contribute to understanding basophil function?

<p>By enabling researchers to study basophil function in the absence of basophils. (A)</p> Signup and view all the answers

What has been the historical perception of basophils in the context of allergic inflammation, and why?

<p>As minor contributors, overshadowed by mast cells despite their shared IgE receptor mechanism. (D)</p> Signup and view all the answers

Which of the following best describes the current understanding of basophil function in immunity?

<p>Basophils play roles in both innate and adaptive immunity. (A)</p> Signup and view all the answers

Which of the following represents the most accurate depiction of leukocyte development, considering the interplay between differentiation, maturation, and circulation?

<p>Leukocyte development begins with differentiation and maturation from hematopoietic stem cells (HSCs) in the bone marrow, followed by release into circulation. (B)</p> Signup and view all the answers

How does the innate immune response mediated by neutrophils differ mechanistically from the adaptive immune response facilitated by lymphocytes and plasma cells?

<p>Neutrophils mediate immunity through nonspecific phagocytosis, whereas lymphocytes and plasma cells produce antibodies for specific adaptive immunity. (B)</p> Signup and view all the answers

Which of the following cell types is derived from the common myeloid progenitor (CMP) but NOT from the granulocyte-monocyte progenitor (GMP)?

<p>Megakaryocyte (D)</p> Signup and view all the answers

Considering the diagram of hematopoiesis, which of the following lineages differentiates directly from the common lymphoid progenitor?

<p>NK Cells (C)</p> Signup and view all the answers

Which factor contributes LEAST to the physiological variance observed in circulating leukocyte counts among individuals?

<p>Hair color (C)</p> Signup and view all the answers

If a researcher aims to study the earliest stage of B cell development within the bone marrow, which cell type should they primarily focus on isolating and analyzing?

<p>Pre-B cell (C)</p> Signup and view all the answers

Under what circumstances might the typical reference interval for circulating leukocytes in adults (4.5 – 11.5 × 10^9/L) be considered insufficient for assessing a patient's immune status, necessitating further investigation?

<p>When the patient's leukocyte count falls within the reference interval but they exhibit symptoms of immunodeficiency. (B)</p> Signup and view all the answers

A researcher is investigating the effects of a novel cytokine on hematopoiesis. If the cytokine specifically promotes the differentiation of the eosinophil-basophil progenitor, which of the following downstream effects would be most likely to occur?

<p>Increased production of eosinophils and basophils, potentially affecting allergic and parasitic immune responses. (A)</p> Signup and view all the answers

How does the presence of mast cell progenitors (MCPs) in the blood relate to their function?

<p>The progenitors circulate briefly to reach tissue destinations such as the intestine and lung, where they mature and act. (A)</p> Signup and view all the answers

What is the role of KIT ligand (stem cell factor) in mast cell development, and how does it exert its effects?

<p>It promotes mast cell maturation and differentiation by acting as a growth factor and activating intracellular signaling pathways. (A)</p> Signup and view all the answers

Which of the following characteristics differentiates mast cells from typical leukocytes, as described?

<p>Mast cells are tissue-resident cells rather than circulating blood cells and are not traditionally classified as leukocytes. (B)</p> Signup and view all the answers

What similarities in phenotypic and functional characteristic links mast cells to eosinophils and basophils?

<p>The cells all express high-affinity IgE receptors, enabling them to mediate allergic reactions (D)</p> Signup and view all the answers

In what key way does the morphology of malignant monoblasts in acute monoblastic leukemia differ from normal monoblasts in the bone marrow?

<p>Normal monoblasts are very rare and difficult to distinguish from myeloblasts, but malignant monoblasts have distinct characteristics (Chapter 31). (D)</p> Signup and view all the answers

Given that promonocytes possess azure granules, how can they be distinguished from promyelocytes under light microscopy?

<p>Promonocytes have azure granules that are much smaller than those seen in promyelocytes. (B)</p> Signup and view all the answers

Under light microscopy, how can a promonocyte be distinguished from a neutrophil band form, considering their nuclear morphology?

<p>The promonocyte nucleus has a deeply indented shape, but the chromatin patterns differ significantly from a neutrophil band form. (D)</p> Signup and view all the answers

What is the primary role of NADPH oxidase (NOX2) in neutrophils during phagocytosis?

<p>To generate reactive oxygen species (ROS) like H2O2, crucial for microbial killing. (B)</p> Signup and view all the answers

Which of the following accurately describes the sequence of events in neutrophil extravasation during an inflammatory response?

<p>Rolling → Adhesion → Crawling → Transmigration (D)</p> Signup and view all the answers

How do neutrophils contribute to the innate immune response?

<p>By phagocytosing and destroying foreign material and microorganisms through oxygen-dependent and independent mechanisms. (C)</p> Signup and view all the answers

Which of the following statements accurately contrasts the formation and release of secondary (specific) granules with those of secretory granules in neutrophils?

<p>Secondary granules are formed earlier in neutrophil development and are released later, while secretory granules are formed later and are the first to be released. (A)</p> Signup and view all the answers

What is the final step in the formation of neutrophil extracellular traps (NETs)?

<p>The dissolution of nuclear and organelle membranes, followed by cytoplasmic membrane rupture expelling DNA and enzymes. (A)</p> Signup and view all the answers

A researcher is investigating the contents of neutrophil granules following cellular activation. If the researcher observes a rapid increase of CD11b/CD18 on the cell surface, which type of granule has most likely fused with the plasma membrane?

<p>Secretory granules (Secretory Vesicles) (A)</p> Signup and view all the answers

What is the primary function of chemotactic agents in the context of neutrophil activity?

<p>To attract neutrophils to sites of inflammation or infection. (B)</p> Signup and view all the answers

A laboratory is studying the impact of targeted gene knockout on neutrophil function. If they observe a significant reduction in the neutrophil's ability to degrade the extracellular matrix, which granule component is most likely affected?

<p>Gelatinase in tertiary granules (C)</p> Signup and view all the answers

What is the primary difference between oxygen-dependent and oxygen-independent mechanisms of microbial killing in neutrophils?

<p>Oxygen-dependent mechanisms involve the production of reactive oxygen species, while oxygen-independent mechanisms use enzymes like lysozyme and defensins. (A)</p> Signup and view all the answers

In a comparative study of neutrophil granule release kinetics, which of the following sequences accurately represents the order in which different granule types are typically mobilized during an inflammatory response?

<p>Secretory, Tertiary, Secondary, Primary (C)</p> Signup and view all the answers

How does the pH within the phagosome change after a neutrophil engulfs a bacterium, and why is this significant?

<p>The pH becomes alkaline and then neutral, optimizing the activity of digestive enzymes. (D)</p> Signup and view all the answers

A researcher is investigating the role of specific enzymes during phagocytosis by neutrophils. Which enzyme, primarily found in primary (azurophilic) granules, is crucial for generating hypochlorite, a potent microbicidal agent?

<p>Myeloperoxidase (B)</p> Signup and view all the answers

A scientist is examining the protein content of various neutrophil granule types. Which of the following proteins is uniquely present in secondary granules and plays a key role in iron sequestration, thereby limiting bacterial growth?

<p>Lactoferrin (A)</p> Signup and view all the answers

What cellular event immediately follows the formation of a phagosome during neutrophil-mediated phagocytosis?

<p>Fusion of lysosomes with the phagosome to form a phagolysosome. (C)</p> Signup and view all the answers

In eosinophil development, what is the specific cytochemical characteristic used to identify eosinophilic myelocytes?

<p>Presence of large, pale reddish-orange secondary granules along with azure granules in blue cytoplasm. (C)</p> Signup and view all the answers

A research team is investigating the mechanisms by which neutrophils respond to inflammatory signals. Which of the following membrane-bound proteins, found in secretory vesicles, facilitates neutrophil adhesion to the endothelium during the initial stages of inflammation?

<p>CD11b/CD18 (D)</p> Signup and view all the answers

What accounts for the ability of neutrophils to efficiently migrate from blood vessels into tissues during inflammation?

<p>They express specific adhesion molecules and respond to chemotactic signals, enabling them to roll, adhere, and transmigrate across the endothelium. (B)</p> Signup and view all the answers

If a patient has a genetic defect that impairs the formation of tertiary granules in their neutrophils, which cellular function would be most directly compromised?

<p>Extracellular matrix remodeling (A)</p> Signup and view all the answers

Which of the following characteristics distinguishes the content of secretory granules from that of primary granules in neutrophils, and what is the functional consequence of this difference?

<p>Secretory granules contain membrane receptors that promote adhesion and migration, allowing for rapid response to inflammatory signals, whereas primary granules contain microbicidal enzymes for intracellular killing (A)</p> Signup and view all the answers

A researcher is comparing the protein composition of different neutrophil granule types. Which of the following proteins are present in both secondary and tertiary granules?

<p>Lysozyme (B)</p> Signup and view all the answers

As a myelocyte matures, the number of primary granules decreases, resulting in altered membrane chemistry. What is the consequence of this change?

<p>Reduced visibility of primary granules under light microscopy. (D)</p> Signup and view all the answers

A hematologist observes a cell in the bone marrow with a high nucleus-to-cytoplasm ratio (8:1 to 4:1), fine nuclear chromatin, and two visible nucleoli, but no visible granules. Based on these characteristics, which type of cell is the hematologist most likely observing?

<p>Type I myeloblast. (B)</p> Signup and view all the answers

How does the cytoplasm of a late myelocyte differ from that of a promyelocyte?

<p>Late myelocytes have cytoplasm that is more lavender-pink than blue, due to secondary neutrophilic granules, while promyelocytes are generally more basophilic. (A)</p> Signup and view all the answers

A researcher is investigating the effects of different cytokines on neutrophil development. If they want to stimulate the proliferation of granulocyte-monocyte progenitors (GMPs) in vitro, which cytokine(s) would be most effective to use?

<p>GM-CSF and IL-3. (A)</p> Signup and view all the answers

Considering the role of cytokines in neutrophil development, which of the following reflects their influence on the maturation/storage pool within the bone marrow?

<p>G-CSF is the predominant cytokine influencing cells within this pool, supporting the progression from myelocytes to neutrophils. (C)</p> Signup and view all the answers

What is the correct order of the stages in the maturation (storage) pool?

<p>Myelocyte, Metamyelocyte, Band, Neutrophil. (D)</p> Signup and view all the answers

Which of the following best describes the 'dawn of neutrophilia' during neutrophil development?

<p>The stage at which secondary granules begin to appear as patches of grainy pale pink cytoplasm in the area of the Golgi apparatus of myelocytes. (A)</p> Signup and view all the answers

A researcher is examining bone marrow cells and identifies a cell that is slightly smaller than a promyelocyte, with a nucleus that is undergoing chromatin condensation. The cytoplasm contains both primary and secondary granules. Which stage of neutrophil development is this cell most likely in?

<p>Myelocyte. (D)</p> Signup and view all the answers

What is the primary distinction between type I, type II, and type III myeloblasts?

<p>Type I has no visible granules under light microscopy, while types II and III are distinguished by an increasing number of granules. (C)</p> Signup and view all the answers

How does the use of Romanowsky stains and light microscopy differentiate a type I myeloblast from other early myeloid cells?

<p>Type I myeloblasts are distinguishable from other early myeloid cells due to the absence of visible granules under light microscopy with Romanowsky stains. (C)</p> Signup and view all the answers

Flashcards

G-CSF

A growth factor that stimulates the bone marrow to produce granulocytes and stem cells. Also known as colony-stimulating factor.

Nucleus

The cell organelle that houses the cell's DNA. In neutrophil development, it changes shape and chromatin density as the cell matures.

Paranuclear Halo (Hof)

An area around the nucleus, often seen in normal promyelocytes. Helpful in distinguishing from malignant cells.

Primary (Azurophilic) Granules

The first granules produced during neutrophil maturation, which appear basophilic when stained.

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Hematopoietic Stem Cells (HSCs)

The earliest recognizable myeloid precursor, capable of self-renewal and differentiation into various blood cell lineages.

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Maturation (Storage) Pool

Bone marrow cells undergoing nuclear maturation, including metamyelocytes, band neutrophils, and segmented neutrophils.

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Myelocytes

The final stage in which neutrophil cells divide, producing primary granules stops and secondary neutrophil granules start to form.

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Proliferation (Mitotic) Pool

Cells dividing, include CMPs, GMPs, myeloblasts, promyelocytes, and myelocytes.

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Basophils

Leukocytes that mature in bone marrow, circulate in blood, and contain granules.

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Mast Cell Precursors

Precursors leave bone marrow, transit in blood to tissues to mature.

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Basophil Abundance

0% to 2% of circulating leukocytes; less than 1% of nucleated bone marrow cells.

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Basophil Development Location

Bone marrow and spleen.

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Key Basophil Cytokines

IL-3 and TSLP (thymic stromal lymphopoietin).

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Basophil Populations

IL-3 elicited (IgE dependent) and TSLP elicited (non-IgE dependent).

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Mediator Response

Response determined by balance between two populations.

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Basophil Lifespan

Relatively longer than other granulocytes, ~60 hours.

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Prolonged Basophil Lifespan

Activation by IL-3 and IL-25 initiates antiapoptotic pathways.

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Basophil Functions

Innate and adaptive immunity; release of subtype 2 helper T cell quantities.

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NETosis

A unique form of neutrophil cell death resulting in the release of NETs (Neutrophil Extracellular Traps).

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Neutrophil Secretory Function

Neutrophils secrete transcobalamin I (R binder protein), crucial for vitamin B12 absorption.

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Eosinophil Percentage

Eosinophils typically make up 1% to 3% of nucleated cells in bone marrow and peripheral blood leukocytes.

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Eosinophil Origin

Eosinophil development stems from the CMP (Common Myeloid Progenitor).

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Key Eosinophil Cytokines

IL-5 and IL-33 are crucial cytokines for eosinophil growth and survival.

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Eosinophil Transcription Factors

Transcription factors GATA-1, PU.1, and c/EBP are key in establishing the eosinophil lineage.

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Eosinophil turnover

The daily mean turnover of eosinophils is approximately 2.2 x 10^8 cells/kg.

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Eosinophil Storage Pool

Bone marrow stores a large pool of eosinophils, between 9 and 14 x 10^8 cells/kg.

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Charcot-Leyden Crystals

Eosinophilic promyelocytes contain Charcot-Leyden crystal protein in their primary granules.

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First Identifiable Eosinophil Stage

The eosinophil early myelocyte is the first maturation phase identifiable using light microscopy and Romanowsky staining.

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B Lymphocytes (B cells)

Lymphocytes that produce antibodies, developing in bone marrow.

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T Lymphocytes (T cells)

Lymphocytes providing cellular immunity, maturing in the thymus.

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NK cells

Lymphocytes providing cellular immunity, developing in bone marrow, and thymus.

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Lymphocytes as non-end cells

Resting cells, stimulated to produce memory and effector cells.

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Lymphocyte Recirculation

The ability of lymphocytes to move from blood to tissues and back.

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Effector B cells

Antibody-producing B cells.

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B and T cell development

Development subdivided into antigen-independent and antigen-dependent phases.

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Promonocytes

Precursor to monocytes, 12-18 μm in diameter, with a slightly indented or folded nucleus. The chromatin is delicate, and at least one nucleolus is apparent.

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Monocyte Azure Granules Composition

Heterogeneous granules found in monocyte azure granules containing lysosomal enzymes, peroxidase, nonspecific esterases, and lysozyme.

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Monocyte Size

Monocytes are slightly immature cells that stick to glass or plastic, resulting in a larger apparent size (15-20 μm).

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Monocyte Nucleus

Round, oval, kidney-shaped, or horseshoe-shaped, with a lace-like or stringy chromatin pattern. Nucleoli are visible via electron-microscopy.

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Monocyte Function

Monocytes differentiate to reduce inflammation and support healing.

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Monocyte Ultimate Destination

To enter tissues and mature into macrophages, osteoclasts, or dendritic cells.

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Promonocyte Pool Size

Approximately 6 x 10^8 cells/kg, producing 7 x 10^6 monocytes/kg per hour.

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Monocyte Production (Normal)

Under normal circumstances, promonocytes undergo two mitotic divisions in 60 hours to produce a total of four monocytes.

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Monocyte Production (Increased Demand)

Under conditions of increased demand, promonocytes undergo four divisions to yield a total of 16 monocytes in 60 hours.

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Monocyte Differentiation Pathways

Monocytes can differentiate into macrophages, osteoclasts and dendritic cells.

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Leukocyte Development

The process where leukocytes develop from hematopoietic stem cells (HSCs) in the bone marrow.

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Leukocyte Function

Immunity mediated by leukocytes in the body, which can be innate (nonspecific) or adaptive (specific).

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Long-Term Self-Renewing Stem Cell

A stem cell with the ability to self-renew for long periods and differentiate into multiple blood cell types.

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Short-Term Self-Renewing Stem Cell

A stem cell with the ability to self-renew for a shorter amount of time.

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Granulocyte-Monocyte Progenitor

A progenitor cell that can differentiate into granulocytes (neutrophils, eosinophils, basophils) and monocytes.

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Hematopoiesis

The process of producing blood cells, including leukocytes, in the bone marrow.

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Normal Leukocyte Count

The normal range for the number of leukocytes circulating in an adult's blood.

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Megakaryocyte-Erythrocyte Progenitor

A progenitor cell that gives rise to megakaryocytes (platelets) and erythrocytes (red blood cells).

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Myeloblast

The earliest stage of granulocyte maturation; large cell (14-20 μm), high N:C ratio, fine chromatin, 2-4 nucleoli, and no visible granules in Type I.

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Dawn of Neutrophilia

Describes the presence of grainy, pale pink cytoplasm in myelocytes, indicating the formation of secondary neutrophilic granules, a step towards neutrophilia.

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Nucleus-to-Cytoplasm (N:C) Ratio

The ratio of the nucleus size to the cytoplasm size within a cell; high in early blasts.

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Promyelocyte

The stage after myeloblast, before myelocyte, where primary granules are produced.

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Late Myelocyte

Later stage of myelocyte maturation, smaller than promyelocytes (15-18 μm).

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Mast Cells

Tissue effector cells involved in allergic responses and inflammation. Not considered leukocytes, but their precursors circulate in the blood.

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Mast Cell Progenitors (MCPs)

Originate in the bone marrow and spleen, circulate in the blood, and mature in tissues like the intestine and lung.

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Key Mast Cell Cytokine

KIT ligand (stem cell factor). It is the primary cytokine for maturation and differentiation of mast cells.

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Basophil Granule Contents

Histamine, Platelet-activating factor, Leukotriene C4, Interleukin-4, Interleukin-13, Vascular endothelial growth factor A, Vascular endothelial growth factor B, and Heparan sulfate.

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Monoblast Location

Bone marrow, but very rare and hard differentiate from myeloblasts by morphology.

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Secondary (Specific) Granules

Neutrophil granules formed during the myelocyte and metamyelocyte stages; contain collagenase and lactoferrin.

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Tertiary Granules

Neutrophil granules formed during the metamyelocyte and band stages; contain gelatinase and collagenase.

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Secretory Granules

Neutrophil granules formed during the band and segmented neutrophil stages; contain CD11b/CD18 and alkaline phosphatase to fuse to plasma membrane.

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Myeloperoxidase

An enzyme found in primary granules that catalyzes the production of hypochlorite. Very important for the microbicidal killing.

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Defensins

Antimicrobial peptides found in primary granules that disrupt pathogen membranes.

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Lactoferrin

An iron-binding protein in secondary granules that deprives bacteria of iron.

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Gelatinase and Collagenase

Enzymes in tertiary granules that break down the extracellular matrix.

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CD11b/CD18

Adhesion molecules stored in secretory granules that promote neutrophil adherence to endothelium.

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Alkaline Phosphatase

An enzyme contained in secretory granules, involved in various cellular processes.

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Innate Immunity

Non-specific defense mechanisms effective against a wide range of pathogens, offering no lasting protection against reinfection.

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Neutrophil Extravasation

The process by which neutrophils leave blood vessels to reach an inflammation site through rolling, adhesion, crawling, and transmigration.

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Chemotactic Agents

Chemical signals released by microorganisms or damaged cells that attract neutrophils to the site of inflammation.

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Phagocytosis

The process by which neutrophils engulf and digest foreign materials or microorganisms.

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Oxygen-Dependent Killing

Oxygen-dependent killing mechanism in neutrophils involving a respiratory burst that produces H2O2 and hypochlorite.

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Oxygen-Independent Killing

Killing mechanism in neutrophils that doesn't rely on oxygen; digestive enzymes break down engulfed material.

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Neutrophil Extracellular Traps (NETs)

Web-like structures composed of DNA and enzymes released by neutrophils to trap and kill bacteria outside the cell.

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Transcobalamin I (R binder protein)

Enzyme crucial for vitamin B12 absorption, secreted by neutrophils.

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NADPH

Reduced form of nicotinamide adenine dinucleotide phosphate, used in the respiratory burst by neutrophils.

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Eosinophil myelocytes

Characterized by large, reddish orange secondary granules.

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Study Notes

Neutrophil rolling

  • Rolling involves transient contact between neutrophil receptors and adhesive molecules on the surface of endothelial cells (P selections and E selections)
  • Rolling is enhanced by chemokine activation
  • Outside-in signaling is activated through integrin binding to ligands on the neutrophil surface
  • Once adhesion occurs, motility is initiated when neutrophils bind to ligands on the neutrophil surface
  • Transmigration occurs in a directional manner with the neutrophil migrating toward the greatest concentration of chemotactic gradients
  • Those at the site of infection uses receptor inventories through recognition by a pathogen, apoptotic cell, or surfaces for prime cells exposed to factors stimulating colony factors
  • Neutrophils make and activate through the cell
  • Trapping agents are used during death due to antibacterial functions </existing_notes>

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