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HAEMOPOIESIS & HISTOLOGY OF BONE MARROW Radhakrishnan P Department Of Anatomy Hadhramout University College Of Medicine D r R a d h a k r i s h n a n

Haemopoisis and Histology of Bone Marrow

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Page 1: Haemopoisis and Histology of Bone Marrow

Dr Radhakrishnan

HAEMOPOIESIS & HISTOLOGY OF BONE MARROW

Radhakrishnan PDepartment Of Anatomy

Hadhramout University College Of Medicine

Page 2: Haemopoisis and Histology of Bone Marrow

Dr RadhakrishnanHow did you get All the things for

surveying External LIFE???

Transport

Page 3: Haemopoisis and Histology of Bone Marrow

Dr RadhakrishnanHow did you get All the things for

surveying Internal LIFE???

Page 4: Haemopoisis and Histology of Bone Marrow

Dr RadhakrishnanFluid Connective tissue

Centrifuge

Page 5: Haemopoisis and Histology of Bone Marrow

Dr RadhakrishnanBlood made up of two parts, Formed

elements(Erythrocytes, Platelets, Leukocytes) & Plasma

Page 6: Haemopoisis and Histology of Bone Marrow

Dr Radhakrishnan

Page 7: Haemopoisis and Histology of Bone Marrow

Dr Radhakrishnan

Page 8: Haemopoisis and Histology of Bone Marrow

Dr Radhakrishnan

Page 9: Haemopoisis and Histology of Bone Marrow

Dr RadhakrishnanWhere did they come from???

Origin, development and Maturation of Blood cells called as Haemopoiesis

Origin, development and Maturation of Red Blood cells called as Erythropoiesis

In adult its from BONE MARROW

What about Fetus ? New Born ? Old Age ?

Page 10: Haemopoisis and Histology of Bone Marrow

Dr Radhakrishnan

IN FETAL LIFE

1. Mesoblastic Stage (upto 2 months)Mesenchyme of yolk sac.

2. Hepatic Stage (3-6 months)Liver and also Spleen and lymphoid

organs

3. Myeloid Stage(last 3 months) Red bone marrow and liver.

Site of Erythropoiesis �

Page 11: Haemopoisis and Histology of Bone Marrow

Dr Radhakrishnan

IN NEWBORN BABIES, CHILDREN AND ADULTS

1. Up to the age of 20 years:

Red bone marrow of all bones (long bones and all the flat

bones).

2. After the age of 20 years:

Membranous bones like vertebra, sternum, ribs, scapula, iliac bones

and skull bones and from the ends of long bones.

After 20 years of age, the shaft of the long bones becomes yellow

bone marrow because of fat deposition and looses the erythropoietic

function.

Page 12: Haemopoisis and Histology of Bone Marrow

Dr RadhakrishnanWhat is Bone marrow & Where do you find it ???

Soft pulpy tissue found in marrow cavities of all bones

Page 13: Haemopoisis and Histology of Bone Marrow

Dr RadhakrishnanWhat is Bone marrow & Where do you find it ???

Yellow Marrow

•Presence of Adipocytes

Red marrow •Consists of Stroma, Hemopoitic cord, Sinusoidal capillaries

Page 14: Haemopoisis and Histology of Bone Marrow

Dr Radhakrishnan

Bone marrow ( Decalcified section)

Sinusoid StromaHaemopoetic cells

Page 15: Haemopoisis and Histology of Bone Marrow

OUR LIFE..... Cell

Tissues

Organs

Systems

Human Body

Stem cells ???

Page 16: Haemopoisis and Histology of Bone Marrow

Dr RadhakrishnanStem cells ???

Stem cells are pluripotential cells capable of self-renewal. Some of their daughter cells form specific, irreversibly

differentiated cell types, and other daughter cells remain stem cells.

Page 17: Haemopoisis and Histology of Bone Marrow

Dr Radhakrishnan

Two major cell lineages Myeloid stem cells

Lymphoid stem cells

PLURIPOTANT STEM CELL

PROGENITOR CELLS

PRECURSOR CELLS (Blast)

MATURE CELLS

After My School Studies

Doctor

Teacher / Surgeon / Paediatrician...Teacher

Page 18: Haemopoisis and Histology of Bone Marrow

Dr RadhakrishnanUncommitted pluripotent Hemopoitic stem cell

Committed pluripotent Hemopoitic stem cell

Lymphoid stem cell

Colony forming Blastocyte

Lymphocytes

RBC Neutrophil

Basophil Eosinophil

Monocyte

Platelet

Colony forming Unit-E

Colony forming Unit-GM

Colony forming Unit-M

Granulocytes

Lymphoid lineage Myeloid lineage

Page 19: Haemopoisis and Histology of Bone Marrow

Dr RadhakrishnanColony forming Unit-E (CFU-E) / Erythropoiesis

Proerythroblast / Megaloblast

Basophilic erythroblast / Early normoblast

Polychromatophilic erythroblast / Intermediate

Orthochromatophilic erythroblast / Late normoblast

Reticulocyte

Erythrocyte

5 DAYS

2 DAYS

Page 20: Haemopoisis and Histology of Bone Marrow

Dr Radhakrishnan

Page 21: Haemopoisis and Histology of Bone Marrow

Dr Radhakrishnan

Stages of Erythropoiesis

Important events

Proerythroblast Synthesis of Hb startsEarly Erythroblast Nuclei disappearIntermediate Erythroblast Hb starts appearingLate Erythroblast Nucleus disappearsReticulocyte Reticulum formed. Cells

enter into capillary from site of production

Mature RBC Reticulum disappears. Cell attain Biconcavity

Cells of CFU-E pass through different stages and finally become the matured RBCs.

During these stages four important changes are noticed.

1. Reduction in size of the cell (from the diameter of 25 to 7.2 µ)

2. Disappearance of nucleoli and nucleus

3. Appearance of hemoglobin

4. Change in the staining properties of the cytoplasm. �

CHANGES DURING ERYTHROPOIESIS

Page 22: Haemopoisis and Histology of Bone Marrow

Dr Radhakrishnan

Accounts for largest proportion of blood cells (99% of total number)

Each erythrocyte is a biconcave disc 7.2 um in diameter

Mature erythrocyte lack in nuclei Pale red in colour (paler in centre)

Life span of 120 days 450000 – 550000 per cubic micro litre of blood

Page 23: Haemopoisis and Histology of Bone Marrow

Dr RadhakrishnanColony forming Unit-GM / Granulopoisis

Azurophillic / primary Granule- lysosomes Specific Granule

Page 24: Haemopoisis and Histology of Bone Marrow

Dr RadhakrishnanColony forming Unit-GM / Granulopoisis

Myeloblast

Promyelocyte

Early Neutrophillic Myelocyte Early Eosinophillic Early Basophillic

Late Neutrophillic Myelocyte Late Eosinophillic Late Basophillic

Neutrophillic Metamyelocyte Eosinophillic Metamyelocyte

Mature Neutrophil Mature Eosinophil Mature Basophil

Page 25: Haemopoisis and Histology of Bone Marrow

Dr Radhakrishnan

Page 26: Haemopoisis and Histology of Bone Marrow

Dr Radhakrishnan

Page 27: Haemopoisis and Histology of Bone Marrow

Dr RadhakrishnanNeutrophil Eosinophil Basophil

Constitutes in WBC

60-70% 2- 4% 1%

Nucleus consisting of 2-5 lobes linked by

chromatin

Bilobed nucleus Irregular lobes

Cytoplasm Specific granules and Azurophillic

granulesWeekly stains

Large elongated refractile

specific granules stained by

Eosin

Granules contains Heparin,

Histamine.Stains

Metachomatically. Purple in

colourLife span 1-4 days 8-12 days Few hours to

days

Page 28: Haemopoisis and Histology of Bone Marrow

Dr RadhakrishnanColony forming Unit-M

Megakaryoblast

Megakaryocytes

Platelets

Anucleate cell fragments Also known as thrombocytes 20000-400000 per micro litre of

blood. Appears as clumps Peripheral light blue stain & central

purple stain

Page 29: Haemopoisis and Histology of Bone Marrow

Dr RadhakrishnanColony forming Unit-GM / Monocyte

Euchromatic nucleus Oval, Horeshoe, Kidney shaped. Eccentrically

placed Cytoplasm basophilic In electron microscope many Microvilli seen at the

cell surface

Page 30: Haemopoisis and Histology of Bone Marrow

Dr RadhakrishnanLymphoid colony forming cell

Nucleus is : Round Stains densely Surrounded by very narrow

rim of cytoplasm, basophilic.

Lymphoblast

Lymphocytes

T- Lymphocyte B- Lymphocyte

Page 31: Haemopoisis and Histology of Bone Marrow

Dr Radhakrishnan

Page 32: Haemopoisis and Histology of Bone Marrow

Dr RadhakrishnanRBC Neutrophil

Basophil MonocyteLymphocyte

Eosinophil

Page 33: Haemopoisis and Histology of Bone Marrow

Dr RadhakrishnanRBC

Platelets Eosinophil

Neutrophil

BasophilRBC

Platelets

Page 34: Haemopoisis and Histology of Bone Marrow

Dr Radhakrishnan

Page 35: Haemopoisis and Histology of Bone Marrow

Dr RadhakrishnanREFERENCE VALUE

Page 36: Haemopoisis and Histology of Bone Marrow

Dr Radhakrishnan

Mail : [email protected]

Face Book : Radha Krishnan ([email protected])

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