Immunology

eosinophils

Eosinophils (acidophils) are granulocytes packed with granules that stain acidic (red with H&E). Eosinophils combat parasitic infection, and have diverse immune responsibilities.

Eosinophils play roles in:
● combatting viral infections (RNAses)
● allergic response
● fibrinolysis (following inflammation).
● pathogenesis of asthma
● combatting helminthic colonization, other parasites.

The acidophilic granules contain proteolytic enzymes that are toxic to parasite and elicit allergic symptoms in the host. The enzymes include histaminase, peroxidase, RNase, DNases, lipase, plasminogen, and Major Basic Protein. Eosinophils also secrete IL-5.

Eosinophils normally comprises about 2.3% of leukocytes, and elevations (eosinophilia) are associated with parasitic infestation, collagen vascular diseases (such as rheumatoid arthritis), malignancies such as Hodgkin's lymphoma, allergic skin conditions (such as exfoliative dermatitis), Addison's Disease, and hypersensitivity to drugs such as penicillin.

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granulocytes

Granulocytes are granulated leukocytes generated by granulopoiesis in the bone marrow. Because their nuclei vary in shape (usually 3-lobed) granulocytes are also termed polymorphonuclear leukocytes (PMN, PML). Usually, the term polymorphonuclear leukocyte is used to designate neutrophil granulocytes, which are the most abundant of the granulocytes.

The granules are named according to their staining characteristics with hematoxylin and eosin (H&E) :
Basophil granules stain purple
Eosinophil granules stain red
Neutrophil granules stain a neutral pink

Mast cells contain metachromatic granules that store inflammatory mediators, including rich in histamine and heparin. Mast cells react to allergens and other degranulating agents with sequential exocytosis (description). Mast cells function in wound healing, in autoimmune disorders, and in the inflammatory and immune responses, including allergic reactions and anaphylaxis. (image at left - click to enlarge).

Mast cells are morphologically similar to basophils and both express CD34, though they may have different bone marrow precursors. Unlike basophils, masts cell circulate in an immature form, maturing only in tissue sites where they are resident. Mast cells are found in connective tissue of most organs, and in mucosal tissue.

Mast cells can be activated when an allergen binds to the IgE that is already coating the cell. Allergens are typically proteins or polysaccharides that bind to the Fab segment of the cognate IgE coating the mast cell surface. Crosslinking of two or more IgE molecules is required to activate the mast cell when steric changes disturb the cell membrane structure, triggering an intracellular cascade that activates the mast cell. Although this reaction is most often encountered in allergic reactions, it apparently evolved as a defense system against intestinal parasitism, such as tapeworm infestations.

Mast cells express pattern-recognition receptors plus high-affinity receptor (FcεRI) for IgE, which ligates specific IgE molecules irreversibly.
On activation, mast cells degranulate, releasing preformed mediators into the interstitium:
● histamine
● proteoglycans, mainly heparin (anticoagulant)
serine proteases
● freshly synthesized lipid mediators (eicosanoids)  Eicosanoid Actions :
_prostaglandin D2 (PGD2)
_ ● leukotriene C4 (LTC4)
cytokines

 Complement Receptors  Cytokines  Eicosanoid Actions  Fc receptors  Immune Cytokines  Immunoglobulins  Interferons  Scavenger Receptors  Toll-like Receptors

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leukocytes

Leukocytes are white blood cells (WBCs) – left b=basophil, e=eosinophil, m=monocyte, n=neutrophil.

Leukocytes are subdivided according to presense or lack of granulation:

granulocytes generated by granulopoiesis :
--- basophilsmast cells
--- eosinophils
--- neutrophils

agranulocytes
-lymphocytes generated by lymphopoiesis
---B lymphocytesplasma cells
---T lymphocyteshelper T cells, killer T cells
--- ○ natural killer cells → lymphoid dendritic cells

- ○ agranulocytes generated by monocytopoiesis
---monocytesmacrophages
----------------.myeloid dendritic cells

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