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what is the main cytokine used for differentation in eosinophils?
IL-5
what does a mature eosinophil look like?
bright orange granules
fewer nuclear lobes
where are the majority of eosinophils found?
in tissues
whats a special characteristic of eosinophils?
they are diurnal
dirunal
highest in morning and lowest in evening
what are the functions of eosinophils?
defend against parasitic infection
neutralize basophil and mast cell effects during allergic reactions
phagocytosis (limited)
why is it important that eosinophils neutralize basophil and msat cell effects?
prolonged sever inflammation can lead to tissue damage
how do we know that eosinophils were a part of the inflammatory response?
there are charcot-leyden (crystals left behind)
eosinophilia
an increase in eos
seen with allergic rxns, parasitic infection, and asthma
eosinopenia
decrease in eos
from stress
not clinically significant
what are the two cells that aren’t worth reporting their immature forms?
basophils and eosinophils
characteristics of basophils
slightly smaller
large purple-black granules
1-2 lobes for nucleus
granules can obscure nucleus
have IgE receptors
where are the majority of basophils found?
tissues
what is the main cytokine that controls basophils?
IL-3
where are mast cells found?
in the bone marrow and tissues
how are mast cells and basophils related?
they come from the same progenitor cell
what do the granules in basophils contain?
histamines
heparin
cathepsin G
what are the functions of basophils?
they are mediators of the IR
involved in hypersensitivity rxns (asthma, allergic rxns)
once IgE receptors are binded degranulation is activated
what is seen with degranulation?
all the chemicals are released and create the symptoms associated with hypersensitivity
basophilia
increase in basos
seen in leukemias
basopenia
decrease in basos
seen with hives and allergic rxns (all consumed)
mononuclear phagocytic system (MPS)
monocytes
macrophages/histiocytes
where are monocytes found
in the PB
where are macrophages and histiocytes found?
in tissues
order of maturation for monocytes
HSC → CFU-GM →CFU-M → Monoblast →promonocyte → monocyte → macrophage
how are monoblasts and promonocytes related?
very low concentration in bone marrow
indistinguishable in microscopy
charactersitcs of monoblasts
found in bone marrow (RARE)
large
lacy, pale blue nuclear chromatin
several nucleoli
agranulare blue gray cytoplasm
characteristics of promonocytes
found in bone marrow (VERY RARE)
irregular, indented nucleus
coarser nuclear chromatin
azurophilic granules
gray blue cytoplasm
characteristics of monocytes
largest mature cell
chewed gum look of nucleus
lacy chromatin
ground glass look for cytoplasm
vacuoles
characteristics of macrophages
found in tissues only
become enlarged
blue cytoplasm
prominent nucleoli
become different names based on location
(histiocytes = marrow)
function of monocytes
phagocytosis
antigen presenatation
monocytosis
increase in monos
intracellular bacteria
TB or salmonella
monocytic leukemia
increase in all stages of monos (severe infection)
phagocytosis from monocytes
slower but more efficient than segs
can be done repeatedly
cleans up debris
antigen presentation from monocytes
It is the by-product of phagocytosis
in innate and adaptive IR
cytokine production (interleukins)
attract neutrophils