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Blood and Bone Marrow

             M1 – Immunology Sequence
              J. Matthew Velkey, Ph.D.


Fall 2008
Learning Objectives
   Reading assignment: Ross and Pawlina, Ch. 10 (Blood and Hemopoiesis)



1.  Be able to recognize all of the formed elements found
    in peripheral blood by light and electron microscopy.
2.  Know the approximate abundance and life span of the
    formed elements.
3.  Understand the functions of major plasma proteins and
    all of the formed elements.
4.  Be familiar with the general process of hematopoeisis.
5.  Describe the organization of the bone marrow.
6.  Be able to recognize megakaryocytes in the bone
    marrow and understand their function in platelet
    production.
Source Undetermined
Source Undetermined
Major Plasma Proteins
Protein                                 Function
Albumin               Maintain colloid osmotic pressure;
Globulins
    α and β                    Transport metal ions, protein-bound

    γ                          Antibodies for host defense

Complement proteins            Destruction of microorganisms

Clotting factors               Formation of blood clots

Plasma lipoproteins            Transport of triglycerides and
Cells of the blood
•  Erythrocytes (red blood cells, RBC)
•  Platelets (thrombocytes)
•  Leukocytes (white blood cells, WBC)
  – Granulocytes (with specific granules)
    •  Neutrophil (~60% of WBC)
    •  Eosinophil (~4% of WBC)
    •  Basophil (<1% of WBC)
  – Agranulocytes (without specific granules)
    •  Lymphocyte (B-cell, T-cell) (~27% of WBC)
    •  Monocyte (~8% of WBC)
FYI, blood smear
                                            procedure
                                     •  The procedure for making a blood smear
                                        is shown at left.
                                     •  After the smear is made, it is air-dried
      Image of blood                    and then stained. Common stains are
     smear procedure                    Wright's stain and Giemsa stain. The
        removed                         stains generally include two or more
                                        dyes, one of them a basic dye (often
                                        methylene blue) and another an acidic
                                        dye (usually eosin). Reddish-blue azures
                                        are formed when methylene blue is
                                        oxidized (metachromasia). Cells usually
Original Source: Junqueira's            stain pink/red with acidic dye and nuclei
histology text, 6th ed., page 231.      stain purple/black with basic dye, while
BloodSmear-23J91(2).tif.                specific granules stain characteristically.
                                     •  Remember that the cells you see in a
                                        blood smear have not been sectioned.
                                        Instead you are seeing whole cells dried
                                        down on the glass.
Human blood smear, with RBCs, WBCs and platelets


                                       Platelets




                                 RBC
                                           Lymphocyte




    Neutrophil



       Dr. A. Kent Christensen
Erythrocyte (red blood cell, RBC)
1.  Life span in blood: About 120 days.
2.  Size and shape:
   –    biconcave disk, 8 µm diameter, 2µm at thickest point, 1 µm at
        thinnest
   –    shape maintained by a cytoskeletal complex inside the plasma
        membrane (involving spectrin, actin and other components)
   –    flexible: RBC’s normally bend to pass through small capillaries
3.  LM appearance in smear: Pink circle with light center (center
    is thinner because of the biconcave shape). No nucleus.
4.  TEM appearance: Solid dark gray cytoplasm, because of
    highly concentrated hemoglobin.
5.  Function:
   –    Transport of oxygen and carbon dioxide
        •    bound to hemoglobin (oxyhemoglobin and carboxyhemoglobin)
        •    majority of CO2 transported as HCO3-
   –    pH homeostasis
        •    carbonic anhydrase: CO2 + H2O → HCO3- + H+
        •    band 3 membrane protein: exchanges HCO3- for extracellular Cl-
RBCs, scanning electron microscopy




       Junqueira's Basic Histology, 10th edition, page 235
Red blood cells in a blood smear




                   RBC




                                        Platelet




Mizoguti slide collection (J). J-199.
RBC, transmission electron microscopy
RBC




                                             Platelet




      Erlandsen's slide set (MH). MH-2G3..
RBC Cytoskeleton and Membrane-Associated Proteins



                       Image of RBC
                     cytoskeleton and
                        membrane-       Original Source: Ross' Histology, 4th edition,
                                        page 219. RBCmemb-Ross4-219.tif.
                         associated
                     proteins removed




•  Hereditary spherocytosis: defective spectrin; RBCs are fragile and
   destroyed in spleen leading to anemia.
•  A,B,O blood antigens: antigenic carbohydrate chains on
   extracellular domain of glycophorins
•  Rh antigen: multipass integral membrane protein (similar to band 3),
   also comprises a blood group
Platelets (thrombocytes)
1.  Life Span: about 10 days
2.  Shape, size, and origin: Small, biconvex disks, 2-3 µm in
    diameter. Non-nucleated cell fragments derived from
    cytoplasm of a very large cell, the megakaryocyte, in bone
    marrow. Platelets have a life span of about 10 days.
3.  LM appearance in smears: Small basophilic fragments, often
    appearing in clusters.
4.  TEM appearance: The platelet is bounded by a plasma
    membrane, and has a bundle of microtubules around the
    margin of the disk (which maintains the disk shape). There are
    three types of granules, containing fibrinogen, plasminogen,
    thromboplastin and other factors for clotting. There are also
    membrane tubules and glycogen.
5.  Function: Platelets initiate blood clots.
Platelets (at right) in a blood smear




                                                                                   Platelet




Mizobuti histology slide set (J). J-186.
Transmission electron micrographs of a platelet seen in cross
section (above) and in a section in the plane of the disk (below)




                                                            granule


                                                                      membrane
                                                                       tubule




             Fawcett's Histology, 11th edition, page 118.
Cutaway diagram of a platelet
1. Peripheral
   microtubule bundle
   (maintains shape)
2. Actin and myosin
   (clot contraction)
3. Organelles facilitate
   clotting:                Image of platelet
   – Mitochondria for ATP                       Original Source: Ross' Histology, 4th
                            cutaway removed     edition, page 230.
     production
   – Granules contain
     clotting factors
   – Dense tubular
     system sequesters
     Ca++ for signaling
     (similar to SR in
     skeletal muscle)
   – Open canalicular
     system facilitates
     signaling and
     secretion
Platelets and blood clot formation



                       Image of blood clot                Original Source: Fawcett's Concise
                                                          Histology, 2nd ed., page 45.
                       formation removed
                                                          BloodClot-FawcConc2-45.tif.




When a blood vessel wall is damaged, factors from the damaged endothelial cells and the ECM induce
the clotting cascade. Platelets aggregate and release proteins for clot formation and resolution:
1. Vasoconstriction –via release of serotonin
2. Further platelet aggregation –mediated via thromboxane A2 and ADP
3. Fibrin polymerization –initiated by thromboplastin and free Ca++
             thromboplastin                               thrombin
    Prothrombin          Thrombin            Fibrinogen              Fibrin      Fibrin polymerization
                                                            Ca++
4. Clot contraction –via actin, myosin, and ATP released into the matrix of the clot
5. Clot resolution –platelet plasminogen activator (pPA, converts plasminogen into active fibrinolytic plasmin)
6. Tissue repair –platelet derived growth factor (PDGF, stimulates smooth muscle and fibroblast proliferation)
Neutrophil (polymorphonuclear leukocyte)
1.  Life Span: < 1 week
2.  Granulocyte with specific and non-specific granules
Specific granules                             Non-specific granules (lysosomes)
•  Type IV collagenase (aids migration)       •  Lysozyme
•  Lactoferrin (sequesters iron)              •  Acid hydrolase
•  Phospholipase A2 (leukotriene synthesis)   •  Myeloperoxidase
•  Lysozyme (digests bacterial cell wall)     •  Elastase

3.  LM appearance in smear: About 9-12 µm in diameter (thus
    larger than RBC). Nucleus long and multi-lobed (usually 2-4
    lobes).
4.  Cytoplasm has small, neutrally stained specific granules.
    Non-specific granules are azurophilic.
5.  TEM appearance: Multi-lobed nucleus and numerous specific
    granules and lysosomes (=azurophilic granules in LM).
6.  Function: Primarily antibacterial
   –    Neutrophils leave the blood and follow chemotaxic signals to
        sites of wounding or other inflammation, and phagocytose
        foreign agents such as bacteria. Pus is composed largely of
        dead neutrophils.
Two neutrophils in a blood smear




            Mizoguti slide set (J). J-196.


LM appearance in smear: About 9-12 µm in diameter (thus larger than RBC). Nucleus long and multi-lobed (usually 2-4
      lobes). Cytoplasm has small, neutrally stained specific granules. Non-specific granules are azurophilic.
Neutrophil,
transmission
   electron
 micrograph



TEM
appearance:
Multi-lobed
nucleus and
numerous
specific
granules and
lysosomes
(=azurophilic
granules in LM).




                   Specific
                   granule
                   Lysosome
                                            Erlandsen's slide set (MH). MH-2F6.
                   (=azurophilic granule)
Extravasation via diapedesis




                                    Uwe Thurmann. Wikipedia

•  Selectin-selectin receptor interaction causes neutrophil to slow & roll along surface.
•  Chemokines from endothelium leads to expression of integrins & immunoglobulin family
   adhesion molecules on neutrophil cell membrane.
•  Neutrophil firmly attached to vessel wall & extends pseudopod into vessel wall.
•  Vascular permeability mediated by heparin & histamines released by mast cells/basophils.
•  Once in connective tissue, neutrophils respond to chemoattractants & migrate to injury site.
Neutrophil antibacterial activity
1.  Chemotaxis and migration (chemokine synthesis and matrix proteolysis)
2.  Phagocytosis and bacterial destruction
     •  Digestion via lysozymes
     •  Production of reactive oxygen compounds (respiratory burst)
                                           hydrogen Cl-     hypochlorous
                                     superoxide              peroxide                      acid
                         O2                O2   -                H2O2                     HOCl
                                NADPH               superoxide          myeloperoxidase
                                oxidase*            dismutase                                 *deficiency increases risk of
                                                                                              persistent bacterial infections
     •  Iron sequestration via lactoferrin
3.  Release factors to increase inflammatory response (and increase neutrophil production)




Original image: Ross'
Histology, 4th ed., page 223.
The labels to figure (a) have
been modified slightly.
                                           Wikipedia, Graham Colm
PMNfunction-Ross4-223.tif.
Eosinophil
1.     Life Span: < 2 weeks
2.     Granulocyte with specific and non-specific granules
      Specific granules                                Non-specific granules (lysosomes)
      •  Major basic protein                           •  Lysozyme
      •  Eosinophilic cationic protein                 •  Acid hydrolase
      •  Neurotoxin                                    •  Myeloperoxidase
      •  Histaminase                                   •  Elastase
2.     LM appearance in smear: About 10-14 µm in diameter. Bilobed
       nucleus. The cytoplasm has prominent pink/red specific granules
       (stained with eosin dye). If the smear is not stained properly, the
       granules may be brownish.
3.     TEM appearance: The specific granules are ovoid in shape, and
       contain a dark crystalloid body composed of major basic protein
       (MBP), effective against parasites. The rest of the granule contains
       other anti-parasitic substances. The cytoplasm also contains
       lysosomes (=azurophilic granules).
4.     Function:
         •         Anti-parasitic activity
         •         Mediators of inflammatory/allergic responses in tissues
              •      Inactivate leukotrienes and histamine secreted by basophils
              •      Engulf and sequester antigen-antibody complexes
              •      Inflammatory stimulus increases production/release of eosinophils from
                     bone marrow, whereas inflammatory suppression decreases eosinophil
                     numbers in peripheral blood.
              •      But, they also secrete PRO-inflammatory chemokines AND they can
                     degranulate inappropriately to cause tissue damage (as in reactive airway
                     disease)
Eosinophil in a human blood smear




                  University of Michigan Virtual Slide Collection


LM appearance in smear: About 10-14 µm in diameter. Bilobed nucleus. The cytoplasm has prominent pink/red specific
       granules (stained with eosin dye). If the smear is not stained properly, the granules may be brownish.
Eosinophil, transmission electron microscopy

                    externum


                       internum




                        Fawcett's Concise Histology, 2nd edition, page 49.

TEM appearance: The specific granules are ovoid in shape, and contain a dark crystalloid body composed
of major basic protein (MBP), effective against parasites. The rest of the granule contains other anti-
parasitic substances and histaminase. The cytoplasm also contains lysosomes (=azurophilic granules).
Basophil
1.    Life Span: 1-2 years (?)
2.    Granulocyte with specific and non-specific granules
      Specific granules                                      Non-specific granules (lysosomes)
      •  Histamine                                           •  Lysozyme
      •  Heparin                                             •  Acid hydrolase
      •  Eosinophil chemotactic factor                       •  Myeloperoxidase
      •  Phospholipids for synthesis of leukotrienes, e.g.   •  Elastase
         slow-reacting substance of anaphylaxis ( SRS-A )
2.    LM appearance in smear: About 8-10 µm in diameter. The cytoplasm
      contains large, purple/black specific granules (stained with the basic
      dye) that are larger but not as numerous as those of eosinophils. The
      nucleus is usually bilobed, but usually is partially obscured by
      granules, which can lie over it.
3.    TEM appearance: The specific granules vary in size and shape, and
      have occasional myelin figures (usually formed from phospholipids).
      The cytoplasm also has some lysosomes (=azurophilic granules).
4.    Function: Allergies and anaphylaxis (hypersensitivity reaction)
           •  Binding of antigens to membrane-bound IgE antibodies induces degranulation of
              specific granules, which leads to allergic reaction.
           •  In hypersensitivity reaction, widespread vasodilation (arteriolar) and vessel
              leakiness induce circulatory shock. Bronchial spasms cause respiratory
              insufficiency; combined effect is anaphylactic shock.
6.    Similarity to tissue mast cells: Tissue mast cells also have IgE
      receptors and similar (though not identical) granule content. Mast
      cells and basophils have a common precursor in bone marrow.
Comparison of basophil and eosinophil in a blood smear




                                 Eosinophil


                      Basophil




       J.M. Velkey.
Basophil, transmission electron microscopy




      Granule                         Myelin
                                      figure




                 Erlandsen's slide set (MH). MH-2G2.


TEM appearance: The specific granules vary in size and shape, and have occasional myelin figures (usually
formed from phospholipids). The cytoplasm also has some lysosomes (=azurophilic granules).
Lymphocyte
1.  Life Span: variable (few days to several years)
2.  LM appearance in smear: Small lymphocyte (about 90% of
    lymphocytes you will see) are ~8 µm in diameter, while large
    lymphocytes may be up to about 15 µm. Round, dense nucleus
    (abundant heterochromatin). The cytoplasm of a small
    lymphocyte is a narrow rim around the nucleus, and when well
    stained is pale blue. T-lymphocytes and B-lymphocytes cannot
    be distinguished in a smear.
3.  TEM appearance: The cytoplasm doesn't appear to be very
    active, containing mainly mitochondria and free ribosomes.
4.  Function: Cellular and humoral immunity (more detail in the
    lecture and lab on lymphatic system histology). In general:
   –    B-lymphocytes (B-cells): may differentiate into tissue plasma cells
        which make antibodies. Some B-cells become memory cells.
   –    T-lymphocytes (T-cells): cytotoxic T cells and helper T cells.
Small lymphocyte in a blood smear




                                      Small
                                      lymphocyte




            Mizobuti histology slide set (J). J-186.


LM appearance in smear: Small lymphocyte (about 90% of lymphocytes you will see) are ~8 µm in diameter, while large
lymphocytes may be up to about 15 µm. Round, dense nucleus (abundant heterochromatin). The cytoplasm of a small
lymphocyte is a narrow rim around the nucleus, and when well-stained is pale blue.
Large lymphocyte in a blood smear




                                                       Large
                                                       lymphocyte

               Mizoguti slide set (J). J-187.



LM appearance in smear: Small lymphocytes (about 90% of lymphocytes you will see) are ~8 µm in diameter, while large
lymphocytes may be up to about 15 µm with ovoid, dense nuclei (abundant heterochromatin).
Electron micrograph of a lymphocyte




                 Mitochondrion




                                                                     Centriole
                    Erlandsen slide set (MH). MH-2E7



TEM appearance: The cytoplasm doesn't appear to be very active, containing mainly mitochondria and free ribosomes.
Tissue plasma cells (derived from B-lymphocytes)




    Erlandsen slide set (MH). MH-2F1   Erlandsen slide set (MH).
Monocyte
1.  Life Span: few days in blood, several months in connective
    tissue
2.  LM appearance in smears: About 16 µm in smears, thus the
    largest leukocyte. Large, eccentric nucleus either oval,
    kidney-shaped or horseshoe-shaped, with delicate chromatin
    that is less dense than that of lymphocytes. Pale cytoplasm,
    often grayish, may contain occasional stained granules
    (lysosomes = azurophilic granules). Large lymphocytes may
    resemble monocytes, but the lymphocyte nucleus is usually
    more dense.
3.  TEM appearance: Cytoplasm contains mitochondria and some
    small lysosomes.
4.  Function
   –    Migrate into tissues and constitute mononuclear phagocyte
        system that help destroy foreign bodies and maintain or remodel
        tissues
        Tissue macrophages      Kupfer cells (liver)   Osteoclasts (bone)
        Dust cells (lungs)      Microglia (brain)
   –    Mediate inflammatory response
   –    Antigen presenting cells: Dendritic Cells, Langerhans cells
Monocyte in a blood smear




             Mizoguti slide collection (J). J-188.


LM appearance in smears: About 16 µm in smears, thus the largest leukocyte. Large, eccentric nucleus either
oval, kidney-shaped or horseshoe-shaped, with delicate chromatin that is less dense than that of lymphocytes.
Pale cytoplasm, often grayish, may contain occasional stained granules (lysosomes = azurophilic granules). Large
lymphocytes may resemble monocytes, but the lymphocyte nucleus is usually more dense.
Monocyte, transmission electron microscopy
Lysosome
(=azurophilic
granule)                                                                                  Mitochondrion




                                                     Centriole



                                                                                  Golgi




     Erlandsen's slide set (MH). MH-2F3.
                                           TEM appearance: Cytoplasm contains mitochondria and some small lysosomes.
Blood cell development (hematopoiesis = hemopoiesis)
1.  Normally occurs in red bone marrow in adult (also spleen & liver, if necessary)
    Phases: mesoblastic (yolk sac, 2 wks)* → hepatic (6 wks)* → splenic (12 wks) → myeloid (marrow, 24 wks)
    * Erythrocytes still have nuclei; leukocytes do not appear until 8 wks

2.  Mitotic stem and progenitor cells undergo increasing lineage restriction to produce
    committed precursors.
3.  Precursors undergo cell division and differentiation into mature cells.
4.  Maturation involves (note exceptions for megakaryocytes below):
         • decrease in cell size*
         • shutting down transcription (nucleoli disappear and chromatin condenses)*
         • adoption of morphological characteristics specific to that lineage.
    –  Future granulocytes produce specific and non-specific granules, and then shape
       their nucleus.
    –  Future monocytes produce non-specific granules and shape their nucleus.
    –  Future small lymphocytes decrease their size and enter the blood, but then undergo
       extensive further maturation at another site (T-cells in the thymus, and B-cells in the
       "bursa equivalent" –to be discussed in immune system lecture).
    –  Future erythrocytes fill cytoplasm with hemoglobin, synthesized on free polysomes
       (ribosomes on mRNA), and eventually extrude their nucleus.
5.  Mature cells enter marrow sinus; immature cells in peripheral blood typically indicates
    disease.
 * Megakaryocytes develop into large polyploid cells that remain transcriptionally active and extrude
 platelets as cytoplasmic fragments directly into marrow sinus.
Lineage Restriction

Junquiera’s Basic Histology, 10th edition,
page 250.
Source Undetermined
Source Undetermined
EM of developing erythrocyte, showing polyribosomes and hemoglobin in cytoplasm




       Fawcett's ConciseHistology, 2nd ed.,page 55.
Extrusion of nucleus from a developing erythrocyte in bone marrow, EM




  Erlandsen slide set (MH). MH-5E1.
Reticulocytes (somewhat immature RBCs) in blood smear, cresyl blue stain




                         Reticulocytes



                         Reticulocytes




             Wheater's Functional Histology, 4th edition, page 48.



Residual ribosomes in cytoplasm are basophilic. Number of reticulocytes in peripheral
blood reflects status of erythropoesis –generally increased by anemia and hypoxia.
Finger, bone marrow in phalanges

                       Marrow cavity




Japanese slide set (Humio Mizoguti, Kobe Univ Sch Med), slide 158 (= 26-14). Prepared by Dartmouth Medical School.
Section of bone marrow, LM



Sinus



                               Sinus


                                                                                    RBCs
 Bone


                                                                                      Sinus




                                                                                              Bone
                       Sinus

                                                           Marrow
  Dr. A. Kent Christensen, histological slide from Carolina Biological Supply Co.
Diagram of bone marrow

Blood flow through marrow:




                                                   Gray’s Anatomy



      Source Undetermined
                                                 Original Source: Ross' Histology, 4th edition,
                                                 page 241. BoneMarrow-Ross4-241.tif.


 Marrow sinuses are sinusoidal, discontinuous capillaries. Mature cells enter the sinuses
 and are conveyed to the systemic circulation via nutrient veins.
Diagram of bone marrow sinus showing intravasation of blood
cells and megakaryocyte releasing platelets into bloodstream




          Image of
       megakaryocyte    Original Source: Junqueira's Basic Histology, 10th ed., page 253.
                             MegakarPlatelet-Junqueira10-253.tif.
        intravasation
          removed
Megakaryocytes in bone marrow
           produce blood platelets
•  LM appearance: A huge cell, up to 50 µm in diameter. Its long
   nucleus has several lobes (the nucleus is polyploid and can be up
   to 64N). The cytoplasm is pale pink/red, without visible granules.
   In bone marrow, megakaryocytes are situated adjacent to a
   marrow sinus (large capillary), although this may not be obvious in
   tissue sections.
•  TEM appearance: Particularly striking in the cytoplasm are many
   curved white lines that are the platelet demarcation channels,
   membrane-bound spaces forming the boundaries between future
   platelets. The cytoplasm also contains granules of various sizes,
   that will be in the platelets.
•  Function: Megakaryocytes produce blood platelets by
   fragmentation of their cytoplasm, extending cell processes
   through the endothelium of a marrow sinus, and releasing clusters
   of immature platelets into the blood, to become mature platelets.
Megakaryocyte, LM section




                  Mizoguti histology slide set (J). J-202.


LM appearance: A huge cell, up to 50 µm in diameter. Its long nucleus has several lobes (the nucleus is polyploid
and can be up to 64N). The cytoplasm is pale pink/red, without visible granules. In bone marrow, megakaryocytes are
situated adjacent to a marrow sinus (large capillary), although this may not be obvious in tissue sections.
Electron micrograph of megakaryocyte, source of platelets




             Fawcett's Concise Histology, 2nd ed., page 59


Particularly striking in the cytoplasm are many curved white lines that are the platelet demarcation channels,
membrane-bound spaces forming the boundaries between future platelets. The cytoplasm also contains
granules of various sizes that will be incorporated into the platelets.
EM detail of
   megakaryocyte
     cytoplasm


Will be extruded as a platelet




             Fawcett's Concise Histology, 2nd ed., page 60.
Additional Source Information
                                    for more information see: http://open.umich.edu/wiki/CitationPolicy

Slide 5: Source Undetermined
Slide 6: Source Undetermined
Slide 9: Original Source from Junqueira's histology text, 6th ed., page 231. BloodSmear-23J91(2).tif.
Slide 10: Dr. A. Kent Christensen
Slide 12: Junqueira's Basic Histology, 10th edition, page 235
Slide 13: Mizoguti slide collection (J). J-199.
Slide 14: Erlandsen's slide set (MH). MH-2G3
Slide 15: Original Source from Ross' Histology, 4th edition, page 219. RBCmemb-Ross4-219.tif.
Slide 17: Mizobuti histology slide set (J). J-186.
Slide 18: Fawcett's Histology, 11th edition, page 118.
Slide 19: Original Source: Ross' Histology, 4th edition, page 230.
Slide 20: Original Source: Fawcett's Concise Histology, 2nd ed., page 45. BloodClot-FawcConc2-45.tif
Slide 22: Mizoguti slide set (J). J-196
Slide 23: Erlandsen's slide set (MH). MH-2F6.
Slide 24: Uwe Thurmann, Wikipedia, http://en.wikipedia.org/wiki/File:NeutrophilerAktion.png GNU-FDL http://en.wikipedia.org/wiki/
      GNU_Free_Documentation_License
Slide 25: Wikipedia, Graham Colm; Original image from Ross' Histology, 4th ed., page 223. The labels to figure (a) have been modified slightly.
      PMNfunction-Ross4-223.tif.
Slide 27: University of Michigan Virtual Slide Collection
Slide 28: Fawcett's Concise Histology, 2nd edition, page 49.
Slide 30: J.M. Velkey
Slide 31: Erlandsen's slide set (MH). MH-2G2.
Slide 33: Mizobuti histology slide set (J). J-186.
Slide34: Mizoguti slide set (J). J-187.
Slide 35: Erlandsen slide set (MH). MH-2E7
Slide 36: Erlandsen slide set (MH). MH-2F1; Erlandsen slide set (MH).
Slide 38: Mizoguti slide collection (J). J-188.
Slide 39: Erlandsen's slide set (MH). MH-2F3.
Slide 41: Junquiera’s Basic Histology, 10th edition, page 250.
Slide 42: Source Undetermined
Slide 43: Source Undetermined
Slide 44: Fawcett's ConciseHistology, 2nd ed.,page 55.
Slide 45: Erlandsen slide set (MH). MH-5E1.
Slide 46: Wheater's Functional Histology, 4th edition, page 48.
Slide 47: Japanese slide set (Humio Mizoguti, Kobe Univ Sch Med), slide 158 (= 26-14). Prepared by Dartmouth Medical School.
Slide 48: Dr. A. Kent Christensen, histological slide from Carolina Biological Supply Co.
Slide 49: Source Undetermined; Gray’s Anatomy
Slide 50: Original Source: Junqueira's Basic Histology, 10th ed., page 253. MegakarPlatelet-Junqueira10-253.tif.
Slide 52: Mizoguti histology slide set (J). J-202.
Slide 53: Fawcett's Concise Histology, 2nd ed., page 59
Slide 54: Fawcett's Concise Histology, 2nd ed., page 60.

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10.29.089(b): Blood and Bone Marrow

  • 1. Author(s): Matthew Velkey, 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution – Non-Commercial– Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/ We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it. The citation key on the following slide provides information about how you may share and adapt this material. Copyright holders of content included in this material should contact open.michigan@umich.edu with any questions, corrections, or clarification regarding the use of content. For more information about how to cite these materials visit http://open.umich.edu/education/about/terms-of-use. Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please speak to your physician if you have questions about your medical condition. Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.
  • 2. Citation Key for more information see: http://open.umich.edu/wiki/CitationPolicy Use + Share + Adapt { Content the copyright holder, author, or law permits you to use, share and adapt. } Public Domain – Government: Works that are produced by the U.S. Government. (USC 17 § 105) Public Domain – Expired: Works that are no longer protected due to an expired copyright term. Public Domain – Self Dedicated: Works that a copyright holder has dedicated to the public domain. Creative Commons – Zero Waiver Creative Commons – Attribution License Creative Commons – Attribution Share Alike License Creative Commons – Attribution Noncommercial License Creative Commons – Attribution Noncommercial Share Alike License GNU – Free Documentation License Make Your Own Assessment { Content Open.Michigan believes can be used, shared, and adapted because it is ineligible for copyright. } Public Domain – Ineligible: Works that are ineligible for copyright protection in the U.S. (USC 17 § 102(b)) *laws in your jurisdiction may differ { Content Open.Michigan has used under a Fair Use determination. } Fair Use: Use of works that is determined to be Fair consistent with the U.S. Copyright Act. (USC 17 § 107) *laws in your jurisdiction may differ Our determination DOES NOT mean that all uses of this 3rd-party content are Fair Uses and we DO NOT guarantee that your use of the content is Fair. To use this content you should do your own independent analysis to determine whether or not your use will be Fair.
  • 3. Blood and Bone Marrow M1 – Immunology Sequence J. Matthew Velkey, Ph.D. Fall 2008
  • 4. Learning Objectives Reading assignment: Ross and Pawlina, Ch. 10 (Blood and Hemopoiesis) 1.  Be able to recognize all of the formed elements found in peripheral blood by light and electron microscopy. 2.  Know the approximate abundance and life span of the formed elements. 3.  Understand the functions of major plasma proteins and all of the formed elements. 4.  Be familiar with the general process of hematopoeisis. 5.  Describe the organization of the bone marrow. 6.  Be able to recognize megakaryocytes in the bone marrow and understand their function in platelet production.
  • 7. Major Plasma Proteins Protein Function Albumin Maintain colloid osmotic pressure; Globulins α and β Transport metal ions, protein-bound γ Antibodies for host defense Complement proteins Destruction of microorganisms Clotting factors Formation of blood clots Plasma lipoproteins Transport of triglycerides and
  • 8. Cells of the blood •  Erythrocytes (red blood cells, RBC) •  Platelets (thrombocytes) •  Leukocytes (white blood cells, WBC) – Granulocytes (with specific granules) •  Neutrophil (~60% of WBC) •  Eosinophil (~4% of WBC) •  Basophil (<1% of WBC) – Agranulocytes (without specific granules) •  Lymphocyte (B-cell, T-cell) (~27% of WBC) •  Monocyte (~8% of WBC)
  • 9. FYI, blood smear procedure •  The procedure for making a blood smear is shown at left. •  After the smear is made, it is air-dried Image of blood and then stained. Common stains are smear procedure Wright's stain and Giemsa stain. The removed stains generally include two or more dyes, one of them a basic dye (often methylene blue) and another an acidic dye (usually eosin). Reddish-blue azures are formed when methylene blue is oxidized (metachromasia). Cells usually Original Source: Junqueira's stain pink/red with acidic dye and nuclei histology text, 6th ed., page 231. stain purple/black with basic dye, while BloodSmear-23J91(2).tif. specific granules stain characteristically. •  Remember that the cells you see in a blood smear have not been sectioned. Instead you are seeing whole cells dried down on the glass.
  • 10. Human blood smear, with RBCs, WBCs and platelets Platelets RBC Lymphocyte Neutrophil Dr. A. Kent Christensen
  • 11. Erythrocyte (red blood cell, RBC) 1.  Life span in blood: About 120 days. 2.  Size and shape: –  biconcave disk, 8 µm diameter, 2µm at thickest point, 1 µm at thinnest –  shape maintained by a cytoskeletal complex inside the plasma membrane (involving spectrin, actin and other components) –  flexible: RBC’s normally bend to pass through small capillaries 3.  LM appearance in smear: Pink circle with light center (center is thinner because of the biconcave shape). No nucleus. 4.  TEM appearance: Solid dark gray cytoplasm, because of highly concentrated hemoglobin. 5.  Function: –  Transport of oxygen and carbon dioxide •  bound to hemoglobin (oxyhemoglobin and carboxyhemoglobin) •  majority of CO2 transported as HCO3- –  pH homeostasis •  carbonic anhydrase: CO2 + H2O → HCO3- + H+ •  band 3 membrane protein: exchanges HCO3- for extracellular Cl-
  • 12. RBCs, scanning electron microscopy Junqueira's Basic Histology, 10th edition, page 235
  • 13. Red blood cells in a blood smear RBC Platelet Mizoguti slide collection (J). J-199.
  • 14. RBC, transmission electron microscopy RBC Platelet Erlandsen's slide set (MH). MH-2G3..
  • 15. RBC Cytoskeleton and Membrane-Associated Proteins Image of RBC cytoskeleton and membrane- Original Source: Ross' Histology, 4th edition, page 219. RBCmemb-Ross4-219.tif. associated proteins removed •  Hereditary spherocytosis: defective spectrin; RBCs are fragile and destroyed in spleen leading to anemia. •  A,B,O blood antigens: antigenic carbohydrate chains on extracellular domain of glycophorins •  Rh antigen: multipass integral membrane protein (similar to band 3), also comprises a blood group
  • 16. Platelets (thrombocytes) 1.  Life Span: about 10 days 2.  Shape, size, and origin: Small, biconvex disks, 2-3 µm in diameter. Non-nucleated cell fragments derived from cytoplasm of a very large cell, the megakaryocyte, in bone marrow. Platelets have a life span of about 10 days. 3.  LM appearance in smears: Small basophilic fragments, often appearing in clusters. 4.  TEM appearance: The platelet is bounded by a plasma membrane, and has a bundle of microtubules around the margin of the disk (which maintains the disk shape). There are three types of granules, containing fibrinogen, plasminogen, thromboplastin and other factors for clotting. There are also membrane tubules and glycogen. 5.  Function: Platelets initiate blood clots.
  • 17. Platelets (at right) in a blood smear Platelet Mizobuti histology slide set (J). J-186.
  • 18. Transmission electron micrographs of a platelet seen in cross section (above) and in a section in the plane of the disk (below) granule membrane tubule Fawcett's Histology, 11th edition, page 118.
  • 19. Cutaway diagram of a platelet 1. Peripheral microtubule bundle (maintains shape) 2. Actin and myosin (clot contraction) 3. Organelles facilitate clotting: Image of platelet – Mitochondria for ATP Original Source: Ross' Histology, 4th cutaway removed edition, page 230. production – Granules contain clotting factors – Dense tubular system sequesters Ca++ for signaling (similar to SR in skeletal muscle) – Open canalicular system facilitates signaling and secretion
  • 20. Platelets and blood clot formation Image of blood clot Original Source: Fawcett's Concise Histology, 2nd ed., page 45. formation removed BloodClot-FawcConc2-45.tif. When a blood vessel wall is damaged, factors from the damaged endothelial cells and the ECM induce the clotting cascade. Platelets aggregate and release proteins for clot formation and resolution: 1. Vasoconstriction –via release of serotonin 2. Further platelet aggregation –mediated via thromboxane A2 and ADP 3. Fibrin polymerization –initiated by thromboplastin and free Ca++ thromboplastin thrombin Prothrombin Thrombin Fibrinogen Fibrin Fibrin polymerization Ca++ 4. Clot contraction –via actin, myosin, and ATP released into the matrix of the clot 5. Clot resolution –platelet plasminogen activator (pPA, converts plasminogen into active fibrinolytic plasmin) 6. Tissue repair –platelet derived growth factor (PDGF, stimulates smooth muscle and fibroblast proliferation)
  • 21. Neutrophil (polymorphonuclear leukocyte) 1.  Life Span: < 1 week 2.  Granulocyte with specific and non-specific granules Specific granules Non-specific granules (lysosomes) •  Type IV collagenase (aids migration) •  Lysozyme •  Lactoferrin (sequesters iron) •  Acid hydrolase •  Phospholipase A2 (leukotriene synthesis) •  Myeloperoxidase •  Lysozyme (digests bacterial cell wall) •  Elastase 3.  LM appearance in smear: About 9-12 µm in diameter (thus larger than RBC). Nucleus long and multi-lobed (usually 2-4 lobes). 4.  Cytoplasm has small, neutrally stained specific granules. Non-specific granules are azurophilic. 5.  TEM appearance: Multi-lobed nucleus and numerous specific granules and lysosomes (=azurophilic granules in LM). 6.  Function: Primarily antibacterial –  Neutrophils leave the blood and follow chemotaxic signals to sites of wounding or other inflammation, and phagocytose foreign agents such as bacteria. Pus is composed largely of dead neutrophils.
  • 22. Two neutrophils in a blood smear Mizoguti slide set (J). J-196. LM appearance in smear: About 9-12 µm in diameter (thus larger than RBC). Nucleus long and multi-lobed (usually 2-4 lobes). Cytoplasm has small, neutrally stained specific granules. Non-specific granules are azurophilic.
  • 23. Neutrophil, transmission electron micrograph TEM appearance: Multi-lobed nucleus and numerous specific granules and lysosomes (=azurophilic granules in LM). Specific granule Lysosome Erlandsen's slide set (MH). MH-2F6. (=azurophilic granule)
  • 24. Extravasation via diapedesis Uwe Thurmann. Wikipedia •  Selectin-selectin receptor interaction causes neutrophil to slow & roll along surface. •  Chemokines from endothelium leads to expression of integrins & immunoglobulin family adhesion molecules on neutrophil cell membrane. •  Neutrophil firmly attached to vessel wall & extends pseudopod into vessel wall. •  Vascular permeability mediated by heparin & histamines released by mast cells/basophils. •  Once in connective tissue, neutrophils respond to chemoattractants & migrate to injury site.
  • 25. Neutrophil antibacterial activity 1.  Chemotaxis and migration (chemokine synthesis and matrix proteolysis) 2.  Phagocytosis and bacterial destruction •  Digestion via lysozymes •  Production of reactive oxygen compounds (respiratory burst) hydrogen Cl- hypochlorous superoxide peroxide acid O2 O2 - H2O2 HOCl NADPH superoxide myeloperoxidase oxidase* dismutase *deficiency increases risk of persistent bacterial infections •  Iron sequestration via lactoferrin 3.  Release factors to increase inflammatory response (and increase neutrophil production) Original image: Ross' Histology, 4th ed., page 223. The labels to figure (a) have been modified slightly. Wikipedia, Graham Colm PMNfunction-Ross4-223.tif.
  • 26. Eosinophil 1.  Life Span: < 2 weeks 2.  Granulocyte with specific and non-specific granules Specific granules Non-specific granules (lysosomes) •  Major basic protein •  Lysozyme •  Eosinophilic cationic protein •  Acid hydrolase •  Neurotoxin •  Myeloperoxidase •  Histaminase •  Elastase 2. LM appearance in smear: About 10-14 µm in diameter. Bilobed nucleus. The cytoplasm has prominent pink/red specific granules (stained with eosin dye). If the smear is not stained properly, the granules may be brownish. 3.  TEM appearance: The specific granules are ovoid in shape, and contain a dark crystalloid body composed of major basic protein (MBP), effective against parasites. The rest of the granule contains other anti-parasitic substances. The cytoplasm also contains lysosomes (=azurophilic granules). 4.  Function: •  Anti-parasitic activity •  Mediators of inflammatory/allergic responses in tissues •  Inactivate leukotrienes and histamine secreted by basophils •  Engulf and sequester antigen-antibody complexes •  Inflammatory stimulus increases production/release of eosinophils from bone marrow, whereas inflammatory suppression decreases eosinophil numbers in peripheral blood. •  But, they also secrete PRO-inflammatory chemokines AND they can degranulate inappropriately to cause tissue damage (as in reactive airway disease)
  • 27. Eosinophil in a human blood smear University of Michigan Virtual Slide Collection LM appearance in smear: About 10-14 µm in diameter. Bilobed nucleus. The cytoplasm has prominent pink/red specific granules (stained with eosin dye). If the smear is not stained properly, the granules may be brownish.
  • 28. Eosinophil, transmission electron microscopy externum internum Fawcett's Concise Histology, 2nd edition, page 49. TEM appearance: The specific granules are ovoid in shape, and contain a dark crystalloid body composed of major basic protein (MBP), effective against parasites. The rest of the granule contains other anti- parasitic substances and histaminase. The cytoplasm also contains lysosomes (=azurophilic granules).
  • 29. Basophil 1.  Life Span: 1-2 years (?) 2.  Granulocyte with specific and non-specific granules Specific granules Non-specific granules (lysosomes) •  Histamine •  Lysozyme •  Heparin •  Acid hydrolase •  Eosinophil chemotactic factor •  Myeloperoxidase •  Phospholipids for synthesis of leukotrienes, e.g. •  Elastase slow-reacting substance of anaphylaxis ( SRS-A ) 2. LM appearance in smear: About 8-10 µm in diameter. The cytoplasm contains large, purple/black specific granules (stained with the basic dye) that are larger but not as numerous as those of eosinophils. The nucleus is usually bilobed, but usually is partially obscured by granules, which can lie over it. 3. TEM appearance: The specific granules vary in size and shape, and have occasional myelin figures (usually formed from phospholipids). The cytoplasm also has some lysosomes (=azurophilic granules). 4.  Function: Allergies and anaphylaxis (hypersensitivity reaction) •  Binding of antigens to membrane-bound IgE antibodies induces degranulation of specific granules, which leads to allergic reaction. •  In hypersensitivity reaction, widespread vasodilation (arteriolar) and vessel leakiness induce circulatory shock. Bronchial spasms cause respiratory insufficiency; combined effect is anaphylactic shock. 6.  Similarity to tissue mast cells: Tissue mast cells also have IgE receptors and similar (though not identical) granule content. Mast cells and basophils have a common precursor in bone marrow.
  • 30. Comparison of basophil and eosinophil in a blood smear Eosinophil Basophil J.M. Velkey.
  • 31. Basophil, transmission electron microscopy Granule Myelin figure Erlandsen's slide set (MH). MH-2G2. TEM appearance: The specific granules vary in size and shape, and have occasional myelin figures (usually formed from phospholipids). The cytoplasm also has some lysosomes (=azurophilic granules).
  • 32. Lymphocyte 1.  Life Span: variable (few days to several years) 2.  LM appearance in smear: Small lymphocyte (about 90% of lymphocytes you will see) are ~8 µm in diameter, while large lymphocytes may be up to about 15 µm. Round, dense nucleus (abundant heterochromatin). The cytoplasm of a small lymphocyte is a narrow rim around the nucleus, and when well stained is pale blue. T-lymphocytes and B-lymphocytes cannot be distinguished in a smear. 3.  TEM appearance: The cytoplasm doesn't appear to be very active, containing mainly mitochondria and free ribosomes. 4.  Function: Cellular and humoral immunity (more detail in the lecture and lab on lymphatic system histology). In general: –  B-lymphocytes (B-cells): may differentiate into tissue plasma cells which make antibodies. Some B-cells become memory cells. –  T-lymphocytes (T-cells): cytotoxic T cells and helper T cells.
  • 33. Small lymphocyte in a blood smear Small lymphocyte Mizobuti histology slide set (J). J-186. LM appearance in smear: Small lymphocyte (about 90% of lymphocytes you will see) are ~8 µm in diameter, while large lymphocytes may be up to about 15 µm. Round, dense nucleus (abundant heterochromatin). The cytoplasm of a small lymphocyte is a narrow rim around the nucleus, and when well-stained is pale blue.
  • 34. Large lymphocyte in a blood smear Large lymphocyte Mizoguti slide set (J). J-187. LM appearance in smear: Small lymphocytes (about 90% of lymphocytes you will see) are ~8 µm in diameter, while large lymphocytes may be up to about 15 µm with ovoid, dense nuclei (abundant heterochromatin).
  • 35. Electron micrograph of a lymphocyte Mitochondrion Centriole Erlandsen slide set (MH). MH-2E7 TEM appearance: The cytoplasm doesn't appear to be very active, containing mainly mitochondria and free ribosomes.
  • 36. Tissue plasma cells (derived from B-lymphocytes) Erlandsen slide set (MH). MH-2F1 Erlandsen slide set (MH).
  • 37. Monocyte 1.  Life Span: few days in blood, several months in connective tissue 2.  LM appearance in smears: About 16 µm in smears, thus the largest leukocyte. Large, eccentric nucleus either oval, kidney-shaped or horseshoe-shaped, with delicate chromatin that is less dense than that of lymphocytes. Pale cytoplasm, often grayish, may contain occasional stained granules (lysosomes = azurophilic granules). Large lymphocytes may resemble monocytes, but the lymphocyte nucleus is usually more dense. 3.  TEM appearance: Cytoplasm contains mitochondria and some small lysosomes. 4.  Function –  Migrate into tissues and constitute mononuclear phagocyte system that help destroy foreign bodies and maintain or remodel tissues Tissue macrophages Kupfer cells (liver) Osteoclasts (bone) Dust cells (lungs) Microglia (brain) –  Mediate inflammatory response –  Antigen presenting cells: Dendritic Cells, Langerhans cells
  • 38. Monocyte in a blood smear Mizoguti slide collection (J). J-188. LM appearance in smears: About 16 µm in smears, thus the largest leukocyte. Large, eccentric nucleus either oval, kidney-shaped or horseshoe-shaped, with delicate chromatin that is less dense than that of lymphocytes. Pale cytoplasm, often grayish, may contain occasional stained granules (lysosomes = azurophilic granules). Large lymphocytes may resemble monocytes, but the lymphocyte nucleus is usually more dense.
  • 39. Monocyte, transmission electron microscopy Lysosome (=azurophilic granule) Mitochondrion Centriole Golgi Erlandsen's slide set (MH). MH-2F3. TEM appearance: Cytoplasm contains mitochondria and some small lysosomes.
  • 40. Blood cell development (hematopoiesis = hemopoiesis) 1.  Normally occurs in red bone marrow in adult (also spleen & liver, if necessary) Phases: mesoblastic (yolk sac, 2 wks)* → hepatic (6 wks)* → splenic (12 wks) → myeloid (marrow, 24 wks) * Erythrocytes still have nuclei; leukocytes do not appear until 8 wks 2.  Mitotic stem and progenitor cells undergo increasing lineage restriction to produce committed precursors. 3.  Precursors undergo cell division and differentiation into mature cells. 4.  Maturation involves (note exceptions for megakaryocytes below): • decrease in cell size* • shutting down transcription (nucleoli disappear and chromatin condenses)* • adoption of morphological characteristics specific to that lineage. –  Future granulocytes produce specific and non-specific granules, and then shape their nucleus. –  Future monocytes produce non-specific granules and shape their nucleus. –  Future small lymphocytes decrease their size and enter the blood, but then undergo extensive further maturation at another site (T-cells in the thymus, and B-cells in the "bursa equivalent" –to be discussed in immune system lecture). –  Future erythrocytes fill cytoplasm with hemoglobin, synthesized on free polysomes (ribosomes on mRNA), and eventually extrude their nucleus. 5.  Mature cells enter marrow sinus; immature cells in peripheral blood typically indicates disease. * Megakaryocytes develop into large polyploid cells that remain transcriptionally active and extrude platelets as cytoplasmic fragments directly into marrow sinus.
  • 41. Lineage Restriction Junquiera’s Basic Histology, 10th edition, page 250.
  • 44. EM of developing erythrocyte, showing polyribosomes and hemoglobin in cytoplasm Fawcett's ConciseHistology, 2nd ed.,page 55.
  • 45. Extrusion of nucleus from a developing erythrocyte in bone marrow, EM Erlandsen slide set (MH). MH-5E1.
  • 46. Reticulocytes (somewhat immature RBCs) in blood smear, cresyl blue stain Reticulocytes Reticulocytes Wheater's Functional Histology, 4th edition, page 48. Residual ribosomes in cytoplasm are basophilic. Number of reticulocytes in peripheral blood reflects status of erythropoesis –generally increased by anemia and hypoxia.
  • 47. Finger, bone marrow in phalanges Marrow cavity Japanese slide set (Humio Mizoguti, Kobe Univ Sch Med), slide 158 (= 26-14). Prepared by Dartmouth Medical School.
  • 48. Section of bone marrow, LM Sinus Sinus RBCs Bone Sinus Bone Sinus Marrow Dr. A. Kent Christensen, histological slide from Carolina Biological Supply Co.
  • 49. Diagram of bone marrow Blood flow through marrow: Gray’s Anatomy Source Undetermined Original Source: Ross' Histology, 4th edition, page 241. BoneMarrow-Ross4-241.tif. Marrow sinuses are sinusoidal, discontinuous capillaries. Mature cells enter the sinuses and are conveyed to the systemic circulation via nutrient veins.
  • 50. Diagram of bone marrow sinus showing intravasation of blood cells and megakaryocyte releasing platelets into bloodstream Image of megakaryocyte Original Source: Junqueira's Basic Histology, 10th ed., page 253. MegakarPlatelet-Junqueira10-253.tif. intravasation removed
  • 51. Megakaryocytes in bone marrow produce blood platelets •  LM appearance: A huge cell, up to 50 µm in diameter. Its long nucleus has several lobes (the nucleus is polyploid and can be up to 64N). The cytoplasm is pale pink/red, without visible granules. In bone marrow, megakaryocytes are situated adjacent to a marrow sinus (large capillary), although this may not be obvious in tissue sections. •  TEM appearance: Particularly striking in the cytoplasm are many curved white lines that are the platelet demarcation channels, membrane-bound spaces forming the boundaries between future platelets. The cytoplasm also contains granules of various sizes, that will be in the platelets. •  Function: Megakaryocytes produce blood platelets by fragmentation of their cytoplasm, extending cell processes through the endothelium of a marrow sinus, and releasing clusters of immature platelets into the blood, to become mature platelets.
  • 52. Megakaryocyte, LM section Mizoguti histology slide set (J). J-202. LM appearance: A huge cell, up to 50 µm in diameter. Its long nucleus has several lobes (the nucleus is polyploid and can be up to 64N). The cytoplasm is pale pink/red, without visible granules. In bone marrow, megakaryocytes are situated adjacent to a marrow sinus (large capillary), although this may not be obvious in tissue sections.
  • 53. Electron micrograph of megakaryocyte, source of platelets Fawcett's Concise Histology, 2nd ed., page 59 Particularly striking in the cytoplasm are many curved white lines that are the platelet demarcation channels, membrane-bound spaces forming the boundaries between future platelets. The cytoplasm also contains granules of various sizes that will be incorporated into the platelets.
  • 54. EM detail of megakaryocyte cytoplasm Will be extruded as a platelet Fawcett's Concise Histology, 2nd ed., page 60.
  • 55. Additional Source Information for more information see: http://open.umich.edu/wiki/CitationPolicy Slide 5: Source Undetermined Slide 6: Source Undetermined Slide 9: Original Source from Junqueira's histology text, 6th ed., page 231. BloodSmear-23J91(2).tif. Slide 10: Dr. A. Kent Christensen Slide 12: Junqueira's Basic Histology, 10th edition, page 235 Slide 13: Mizoguti slide collection (J). J-199. Slide 14: Erlandsen's slide set (MH). MH-2G3 Slide 15: Original Source from Ross' Histology, 4th edition, page 219. RBCmemb-Ross4-219.tif. Slide 17: Mizobuti histology slide set (J). J-186. Slide 18: Fawcett's Histology, 11th edition, page 118. Slide 19: Original Source: Ross' Histology, 4th edition, page 230. Slide 20: Original Source: Fawcett's Concise Histology, 2nd ed., page 45. BloodClot-FawcConc2-45.tif Slide 22: Mizoguti slide set (J). J-196 Slide 23: Erlandsen's slide set (MH). MH-2F6. Slide 24: Uwe Thurmann, Wikipedia, http://en.wikipedia.org/wiki/File:NeutrophilerAktion.png GNU-FDL http://en.wikipedia.org/wiki/ GNU_Free_Documentation_License Slide 25: Wikipedia, Graham Colm; Original image from Ross' Histology, 4th ed., page 223. The labels to figure (a) have been modified slightly. PMNfunction-Ross4-223.tif. Slide 27: University of Michigan Virtual Slide Collection Slide 28: Fawcett's Concise Histology, 2nd edition, page 49. Slide 30: J.M. Velkey Slide 31: Erlandsen's slide set (MH). MH-2G2. Slide 33: Mizobuti histology slide set (J). J-186. Slide34: Mizoguti slide set (J). J-187. Slide 35: Erlandsen slide set (MH). MH-2E7 Slide 36: Erlandsen slide set (MH). MH-2F1; Erlandsen slide set (MH). Slide 38: Mizoguti slide collection (J). J-188. Slide 39: Erlandsen's slide set (MH). MH-2F3. Slide 41: Junquiera’s Basic Histology, 10th edition, page 250.
  • 56. Slide 42: Source Undetermined Slide 43: Source Undetermined Slide 44: Fawcett's ConciseHistology, 2nd ed.,page 55. Slide 45: Erlandsen slide set (MH). MH-5E1. Slide 46: Wheater's Functional Histology, 4th edition, page 48. Slide 47: Japanese slide set (Humio Mizoguti, Kobe Univ Sch Med), slide 158 (= 26-14). Prepared by Dartmouth Medical School. Slide 48: Dr. A. Kent Christensen, histological slide from Carolina Biological Supply Co. Slide 49: Source Undetermined; Gray’s Anatomy Slide 50: Original Source: Junqueira's Basic Histology, 10th ed., page 253. MegakarPlatelet-Junqueira10-253.tif. Slide 52: Mizoguti histology slide set (J). J-202. Slide 53: Fawcett's Concise Histology, 2nd ed., page 59 Slide 54: Fawcett's Concise Histology, 2nd ed., page 60.