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Saturday, 4 March 2017

PHYSIOLOGY BLOOD UNIT 6

Blood Unit 6
White Blood Cells (Leucocytes)

Objectives

• Introduction

• Leucopoiesis

• Classification

• Morphology

• Properties

• Functions

• Applied physiology

• Recent advances

Introduction

• Why leucocytes called white cells??

• Gabriel Andral,a French professor of medicine and William Addison, an English country practitioner reported simultaneously the first description of leucocytes (1843)

• Play important role in immunity of the body

• These are also called Scavengers & Microscopic policemen

Leucopoiesis

Definition

The process of development and maturation of 

white blood cells(leucocytes), is called leucopoiesis. 




Normal range of WBC 

-At birth,in full term infant: 20,000/cumm of blood

-Infants upto 1 yr of age:6000-16,000/cumm of blood

-Adults:4000-11,000/cumm of blood




TLC < 4000/µL( Leucopenia)

1. Infections by non-pyogenic organisms e.g. typhoid fever

2. Viral infections, influenza,smallpox,mumps etc

3. Protozoal infections

4. Starvation & malnutrition

5. Aplasia of bone marrow

6. Bone marrow depression 








Properties Of WBC's

* Diapedesis

* Opsonization

* Chemotaxis

* Phagocytosis

* Degranulation

FUNCTIONS

Neutrophils

* 1st line of defense

* Granules contain enzymes like lysosome

* Antibody like substances -> Defensins

Eosinophils

• Defense (specially against parasites )

• Role in allergic reactions

• Substances present in granules 

1. Major basic protein

2. Eosinophilic cationic proteins

3. Eosinophil peroxidase

4. Aryl sulphatase B

Basophils

• Role in allergic responses

• Substances present in granules 

1. Histamine

2. Heparin

3. Hyaluronic acid

4. Proteases & Myeloperoxidase

Monocytes

• 1st line of defense

• Motile & phagocytic

• Precursors of tissue macrophages secrete:

1. Interleukin 1

2. Colony stimulating factor

3. Platelet activating factor

Lymphocytes

• Immunity

1.T- Lymphocyte -> Cellular Immunity

2.B- Lymphocyte -> Humoral Immunity

APPLIED PHYSIOLOGY






PATHOLOGICAL VARIATIONS

-Chediak-Higashi syndrome

• Autosomal recessive disorder

• Giant granules in granulocytes, monocytes and lymphocytes

• Recurrent pyogenic infections

• Lymphoproliferative syndrome may develop

• Treatment is BMT


Leukemia

• WBC upto 1,000,00/cu.mm

• It can be -

1. Acute

2. Chronic


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