Four complementary ways to group leukocytes (white-blood cells):
Developmental lineage
\text{Lymphoid} \rightarrow B cells, T cells, NK cells
\text{Myeloid} \rightarrow granulocytes, monocytes, macrophages, dendritic cells, mast cells, platelets, erythrocytes
Arm of immunity
\text{Innate} (rapid, non-specific)
\text{Adaptive} (delayed, antigen-specific, immunological memory)
Cytoplasmic granularity
\text{Granulocytes} (neutrophils, eosinophils, basophils, mast cells)
\text{Agranulocytes} (lymphocytes, monocytes, macrophages, dendritic cells)
Dominant function
Phagocytosis, antigen presentation, cell-mediated cytotoxicity, antibody-dependent cell-mediated cytotoxicity (ADCC)
All blood cells derive from pluripotent haematopoietic stem cells (HSCs) in the bone marrow.
Major formed elements:
Erythrocytes (RBCs) – gas transport
Leukocytes (WBCs) – immunity
Platelets – haemostasis
Innate leukocytes: neutrophils, eosinophils, basophils, mast cells, monocytes, macrophages, dendritic cells, natural-killer (NK) cells
Adaptive leukocytes: B lymphocytes (→ plasma cells), T lymphocytes (CD4^+ Th & CD8^+ Tc)
Granulocytes (multi-lobed nuclei, cytoplasmic granules): neutrophils, eosinophils, basophils, mast cells
Agranulocytes (round nuclei, scant granules): lymphocytes, monocytes → macrophages & dendritic cells
Professional phagocytes: neutrophils, monocytes, macrophages, dendritic cells, immature B cells, eosinophils (limited)
Four sequential stages
Adherence (pattern-recognition receptors engage PAMPs or opsonins)
Ingestion → phagosome formation
Digestion → phagolysosome (fusion with granules/lysosomes)
Exocytosis of debris
Cellular prerequisites: actin cytoskeleton rearrangement, abundant lysosomes, oxidative burst enzymes, low pH vacuole.
Dendritic cells, macrophages, B cells
Express \text{MHC II} constitutively → present exogenous peptides to CD4^+ T helper cells.
Cells able to trigger apoptosis of infected or malignant host cells
Innate: NK cells
Adaptive: cytotoxic T lymphocytes (CTL, CD8^+)
Bridge between humoral & cellular arms
Mechanism
Antibodies bind antigens on target cell → Fc portion exposed.
FcγR (for IgG) on NK cells, macrophages, neutrophils OR FcεR (for IgE) on eosinophils engage Fc.
Cross-linking → cell activation → apoptosis of antibody-coated target
Participating effector cells: NK cells, macrophages, neutrophils, eosinophils.
Most abundant leukocyte (≈50-70 % of WBCs)
First responders at infection/injury (chemotaxis via IL-8, C5a)
Granules
Primary/azurophilic: peroxidase, lysozyme, acid hydrolases
Secondary/specific: collagenase, lactoferrin, additional lysozyme, \text{NADPH} oxidase components
Functions
Phagocytosis & respiratory burst
NETs (neutrophil extracellular traps) – chromatin-based microbicidal webs
Monocytes circulate ≈8 h, then extravasate and differentiate.
Macrophage differentiation changes
↑ cell size (×5–10), more lysosomes, RER, Golgi, secretory vesicles.
Macrophage types
Resident tissue macrophages with specialised names & roles:
Kupffer (liver): tissue repair & detox
Mesangial (kidney): support glomerular filtration
Wandering/inflammatory macrophages – recruited during infection
Functions: phagocytosis, cytokine secretion, APC activity (MHC II)
Sentinel phagocytes in peripheral tissues; most potent APCs.
Express MHC I & II, co-receptors CD80/86, CD4, CD8.
Lifecycle
Capture antigen by phagocytosis/macropinocytosis.
Maturation (↑MHC, ↓phagocytosis).
Migration via lymphatics to T-cell zones of lymph node/spleen.
Present peptide–MHC II to naïve CD4^+ T cells → adaptive priming.
1–3 % of circulating WBCs; abundant in mucosal & connective tissues.
Granules rich in major basic protein, eosinophil cationic protein, peroxidase → toxic to helminths, protozoa.
Functions
Parasite & fungal defense, late-phase allergic reactions.
Release ROS, lipid mediators (prostaglandins, leukotrienes) & cytokines → amplify inflammation & recruit other leukocytes.
Express complement receptors, cytokine receptors, and FcεR for IgE → ADCC against large parasites.
<1 % of WBCs; non-phagocytic granulocytes.
Recruited from blood to infected tissues.
Express FcεR (IgE) & cytokine receptors.
Effector molecules: histamine, heparin → ↑vascular permeability; IL-4, IL-13 → Th2 skewing.
Cooperate with eosinophils in anti-parasite responses; mediate type I hypersensitivity.
Arise from bone-marrow progenitors but complete maturation in tissues (skin, mucosae, perivascular & perineural sites).
Granules contain histamine, proteases, TNF-α.
Surface FcεR high for IgE → degranulation on cross-linking by allergens → immediate hypersensitivity.
Secrete cytokines & lipid mediators; major orchestrators of local inflammation and vascular changes.
5–10 % of circulating lymphocytes (large granular lymphocytes).
Receptor balance model
Activating receptors detect stress-induced ligands on infected/tumour cells → trigger cytotoxicity.
Inhibitory receptors (KIR, CD94/NKG2) bind self-MHC I → suppress killing (“missing-self” recognition).
Cytotoxic granules contain perforin (membrane pore) & granzymes (serine proteases) → apoptosis.
Additional pathways: Fas-ligand–Fas interaction; ADCC via FcγR III (CD16).
Fas-Independent (Perforin/Granzyme)
Recognition & conjugate formation with target.
Directed exocytosis of perforin & granzymes.
Detachment; target undergoes apoptosis (caspase cascade, mitochondrial disruption, DNA fragmentation into 200\,\text{bp} ladders).
Fas-Dependent
NK/Tc cells express Fas-ligand → bind Fas (CD95) on target → caspase-8 activation → apoptosis.
Both mechanisms are silent (no lytic inflammation) and discriminate cells with reduced MHC I.
Small, round, 8{-}10\,\mu\text{m}; large nucleus, scant cytoplasm.
Originate in bone marrow; circulate between blood and secondary lymphoid organs.
Express unique antigen receptors produced by V(D)J gene recombination:
B-cell receptor (BCR) – membrane Ig
T-cell receptor (TCR) – αβ heterodimer
Maturation sites: B cells in bone marrow (and partially spleen); T cells in thymus.
Antigen recognition
BCR/antibodies bind native proteins, polysaccharides, lipids, small chemicals.
TCR recognises peptide antigens bound to MHC only.
Effector functions
B cells secrete antibodies; are phagocytic.
T cells produce cytokines (Th) or kill infected cells (Tc); non-phagocytic.
Mature (naïve) B cells exit bone marrow → circulate/settle in secondary lymphoid organs.
Upon antigen encounter + Th help → activation → clonal expansion.
Differentiate into
Plasma cells – secrete high-affinity antibodies, survive 1{-}2\,\text{weeks}.
Memory B cells – migrate to bone marrow; long-lived, rapid recall.
Bone-marrow progenitors migrate to thymus → rearrange TCR genes.
Positive selection: retain cells whose TCRs recognise self-MHC moderately.
Negative selection: delete cells with high affinity for self peptide-MHC (central tolerance).
Surviving single-positive cells exit as
CD4^+ T helper (Th)
CD8^+ cytotoxic T (Tc / CTL)
Th (CD4^+): secrete cytokines → activate macrophages, assist B-cell antibody production, orchestrate inflammation.
CTL (CD8^+): recognise peptide-MHC I on infected cells → induce apoptosis (perforin/granzyme & Fas).
B cells / plasma cells: produce soluble antibodies → neutralisation, opsonisation, complement activation, ADCC.
Leukocytes: all nucleated immune cells in blood & tissues.
Lymphocytes: adaptive (B, T) + innate-like (NK, ILCs) agranulocytes.
Granulocytes: polymorphonuclear leukocytes with cytoplasmic granules (neutrophils, eosinophils, basophils, mast cells).
Agranulocytes: leukocytes lacking conspicuous granules (lymphocytes, monocytes, macrophages, dendritic cells).
Antigen-Presenting Cells (APC): cells that display processed antigen with \text{MHC II} (DC, macrophage, B cell).
Phagocytes: cells that ingest & degrade particles/microbes (neutrophils, macrophages, DCs, monocytes, eosinophils).
Cytotoxic cell: cell that induces apoptosis in target cells (NK, CTL, some macrophages/eosinophils via ADCC).
Phagocytosis: receptor-mediated endocytosis culminating in intracellular digestion.
Cell cytotoxicity: active killing of host cells harbouring intracellular pathogens or malignancy.
Apoptosis: programmed, caspase-mediated cell death (membrane blebbing, DNA laddering, non-inflammatory).
Necrosis: uncontrolled cell death with membrane rupture & inflammation.
Antigen: any molecule recognised by BCR/TCR; capable of eliciting an immune response.
List innate phagocytes; describe phagocytosis steps & enabling ultrastructural features.
Describe distribution & molecular features of \text{MHC I} vs \text{MHC II}.
Exogenous vs endogenous antigen-processing pathways.
Immunological significance (CD4 vs CD8 activation, self-tolerance).
Kuby Immunology, 8th ed., Chapters 1, 2, 7.
Janeway’s Immunobiology, 9th ed., Chapter 1 & Chapter 6 (MHC).
Roitt’s Essential Immunology; Parham – The Immune System (3rd ed.).
Relevant pathogen sections in standard Medical Microbiology texts.