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LEARNING OBJECTIVES EMBRYOLOGICAL DEVELOPMENT OF BLOOD ELEMENTS ‘ HEMATOGENESIS Learning Objectives: At the end of lecture the student should be able to understand : 1. Define haemangioblasts, and the processes of vasculogenesis and angiogenesis 2. Factors and hormones involved in prolifaration and maturation of blood cells 3. Differentiate between Primitive Versus Definitive Hematopoiesis 4. Organs involved in the process of hematopoiesis at various stages of development 5. Describe the following: a. Yolk Sac Hematopoiesis b. Fetal Liver Hematopoiesis c. The Bone Marrow Hematopoiesis 6. B and T cell development processes 7. Development and maturation process of various cellular components of blood LECTURE OUTLINE EMBRYOLOGICAL DEVELOPMENT OF BLOOD ELEMENTS ‘ HEMATOGENESIS ’ BLOOD: Blood is a specialized connective tissue because it comprises of cells and intercellular matrix which is fluid rather than gel in nature. It is an opaque turbid fluid which looks bright scarlet in systemic arteries and dark red in systemic veins. OR It is a heterogeneous fluid consisting of a clear liquid (plasma) and formed elements (cells / corpuscles). It is a vehicle which maintains a vast chemical traffic through body moving hormones, oxygen, nutrients, antibodies, catecholamines, cells as well as infestents and toxic compounds. Quantity in normal adults 4.5 to 5.5 litres. BLOOD CORPUSCLES / CELLS: 1. Erythrocytes / Red Blood Cells (R.B.C) 2. Leukocytes / White Blood Cells (W.B.C) 3. Thrombocytes / Platelets Each with structure, quantity, function and abnormalities. Remarks to physiology of blood 1. Main functions of blood Transport of various substances (O2,CO2, nutrients, metabolites, minerals, ......) Transport of heat (heating, cooling) Signal transmission (hormons,...) Carrier proteins – e.g. albumin Buffering and defence systems (antibodies, white blood cells, oxidants-antioxidants, buffer systems) Remove products of metabolism Body homeostasis-temperature, water, electrolytes 2. Composition of blood Blood cells (RBC, WBC, platelets) Plasma(electrolytes,nutrients,metabolites,proteins,fat, carbohydrates, vitamins, gases....) Development of blood cells Hematopoietic tissues red bone morrow (in adult) spleen, liver, other organs (pathologic conditions). Pluripotent stem cells myeloid, erytroid, lymphoid precursor cells hematopoietic growth factors Myeloid precursor cells myelopoiesis monocytes tissue macrophages (in bone morrow) mast cells, maturation eosinophils, neutrophils, basophils. Lymphoid precursor cells lymphopoiesis LymphocyteT, Lymphocyte B (in spleen and lymph nodes) Maturation. Factors and hormones involved in prolifaration and maturation of blood cells Erytropoietin (EPO) proliferation and maturation of ER (from kidney) Thrombopoietin prolifaration and maturation of (from kydney) megacaryocytes platelets Paracrine factors: - colony stimulating factors (CSF) (in bone morrow) - stem cells factor release CSF and IL 3, 6, 11, 12 Androgens, Thyroid hormons CSF and IL formation are inhibited by TGF beta and by TNF alfa • Early human (before 16 days gestation) do not have blood. • Instead the embryo obtains all the required nutrients and oxygen from simple diffusion. Waste products also diffuse out of the embryo into the mother’s circulation. Once the embryo reaches a certain size, simple diffusion is not sufficient to bring nutrients or remove waste products necessitating the development of a circulatory system. Various Blood Cell Types Found in the Adult: Cells/liter in human blood 1 X 109 2 X 109 1 X 108 4 X 108 5 X 109 2 X 108 4 X 107 3 X 1011 Development of Blood Vessels : 5 X 1012 Blood vessels are formed in two ways: i. Vasculogenesis in which vessels arise from determined groups of mesodermal cells (islets of haemangioblasts). ii. Angiogenesis in which vessels arise (sprout) from preexisting vessels. Blood vessels first arise from extrra embryonic mesoderm of yolk sac, body stalk and chorion ; while 2 days later on they develop in intraembryonic mesoderm. Haemangioblasts are determined mesodermal cells which differentiate into angioblasts (blood vessel forming cells) and haematopoietic cells (blood forming cells). Primitive Versus Definitive Hematopoiesis: Primitive Erythropoiesis: Red Blood cells have nuclei Few white blood cells produced. Definitive Erythropoiesis: Red Blood cells do not have nuclei. Many types of white blood cells produced. Lateral Plate Mesoderm: The lateral plate mesoderm is a source of the progenitors for the first blood cells in the embryo. Gives rise to blood and to parts of the body wall and outside of the gut. The Hemangioblast: Certain studies have demonstrated that there are cells in the early embryo that have the potential to develop into both blood cells and vascular endothelial cells. These cells are termed hemangioblasts and are derived from the lateral plate mesoderm. Hemangioblasts are likely to be involved in both primitive and definitive hematopoiesis as well as blood vessel formation (vasculogenesis). Where do Blood Cells Arise From in the Embryo? 1. Cells in Lateral Plate Mesoderm migrate to regions that will form the blood. 2. Hemangioblasts in the “blood islands” of the embryonic yolk sac give rise to primitive hematopoiesis. 3. Hemangioblasts derived from the Aorta-Gonad-Mesonephros (AGM) region surrounding the dorsal aorta are contribute to definitive fetal liver and bone marrow hematopoiesis. Clusters of hematopoietic cells are found attached to the ventral side of the aorta. Stem Cells: All the blood cell lineages are derived from a single multi-potential hematopoietic stem cell. The stem cell can self-renew and can also give rise to more committed progeny whose developmental fate is more restricted along one or more differentiation pathways. Blood Cell Development: In mammals, blood cell development takes place in Three Main Organs : Yolk Sac, Fetal Liver And Bone Marrow And Two Discrete Stages Primitive And Definitive. 1. Yolk sac hematopoiesis Occurs in the embryonic yolk sac from about day 7.5-11 of mouse development and week 3-6 of human development. Primitive nucleated erythrocytes. Some granulocytes and macrophages. Lymphoid lineages absent. 2. Fetal liver hematopoiesis Occurs in the mouse fetal liver from about 9 days of gestation till soon after birth and in the human fetal liver between 6 and 22 weeks of gestation. Definitive enucleated erythrocytes. Both myeloid and lymphoid lineages are present. 3. Bone marrow hematopoiesis Occurs in the bone marrow from late in gestation (day 17-18 untilbirth in mice, week 22-birth in humans) throughout the animal’s life. Definitive blood cells of all lineages. T cells develop in the thymus. Two possible models of changes in hematopoietic site for blood formation: Model #1: Yolk sac progenitors do not contribute to adult hematopoiesis. Model #2: Yolk sac progenitors do contribute to adult hematopoiesis. Yolk Sac Hematopoiesis (blood islands): In the yolk sac, the first place of hematopoiesis mesenchymal cells differentiate to clusters of hemangioblast cells. The hemangioblasts further differentiate into endothelial cells and primitive blood cells. This is the first “blood vessel” like structure in the embryo. Fetal Liver Hematopoiesis: Colonized by definitive hematopoietic stem cells derived from the AGM and possibly also from the yolk sac blood islands. All blood cell types (except T cells) can differentiate in the fetal liver. The Bone Marrow Hematopoiesis: Colonized late in embryogenesis by definitive hematopoietic stem cells derived from the fetal liver. All blood cell types (except T cells) can differentiate in the bone marrow. B Cell Development (Definitive Hematopoiesis: Hematopoietic stem cells give rise to a lymphoid progenitor cell, which is thought to be able to differentiate into both B cells and T cells as well as NK cells. This lymphoid progenitor can migrate to the thymus and initiate T cell development or remain in the bone marrow to initiate B cell development. Bone marrow B cell development can be subdivided into various stages: pro-B, pre-B, immature B and mature B cells. B Cell Development is Dependent on Several Factors: A.) The presence of bone marrow stromal cells providing cell-mediated contacts. B.) The presence of the cytokine IL-7 secreted mainly by the bone marrow stromal cells. C.) The productive rearrangement of the immunoglobulin genes.In the common lymphoid progenitor both the immunoglobulin heavy and light chains are in their germ-line configuration and must be rearranged to generate an in-frame protein for B cell development to progress. EFFECTOR CELLS : Th- Helper Cell: • B Cell • Macrophage • Neutrophil (alternative path) • Mast Cell • Platelets. Tc Cytotoxic Cell: • Dendritic Cell • Neutrophil • Eosinophil • Basophil • Erythrocyte T - helper cell pathway: Pluripotent Stem Cell: This is the undifferentiated precursor to all of the blood cells, red and white, and other immune effector cells, and platelets. Lymphoid Stem Cell: Daughter cell of the Pluripotent Stem Cell, this cell will divide to produce progenitors to either B cell or T cell lines. T cell progenitor leaves the bone marrow and settles in the thymus; will produce Thymocyte cells in the thymus which can, in turn differentiate into T helper cells, T killer cells, or T memory cells. The Thymocyte: The Thymocyte is located in the thymus and divides to produce mature T effector cells….. Th (helper)Tc (cytotoxic-killer) or Tm (memory). Th (helper) cell: When activated by an Antigen Presenting Cell like a macrophage with antigen, the Th cell will induce rapid growth of white blood cells which help fight infection. Tc (cytotoxic/”killer”) cell pathway: Pluripotent Stem Cell: This is the undifferentiated precursor to all of the blood cells, red and white, and other immune effector cells, and platelets. Lymphoid Stem Cell: Daughter cell of the Pluripotent Stem Cell, this cell will divide to produce progenitors to either B cell or T cell lines. The Thymocyte: The Thymocyte is located in the thymus and divides to produce mature T effector cells….. Th (helper)Tc (cytotoxic-killer) or Tm (memory). Tc (cytotoxic or “killer”) Cells… Sometimes called CTLs (cytotoxic T lymphocytes, these may recognize infected “self” cells and destroy them. B cell pathway Pluripotent Stem Cell: This is the undifferentiated precursor to all of the blood cells, red and white, and other immune effector cells, and platelets. Lymphoid Stem Cell: Daughter cell of the Pluripotent Stem Cell, this cell will divide to produce progenitors to either B cell or T cell lines. B Cell progenitor: B Cell progenitor found in the bone marrow of higher vertebrates and the Bursa of Fabricius in birds, these cells will produce antibody producing B cells. B Cell: These are found in the blood and , when activated will produce antibodies against particular antigens. Each cell produces antigen specific antibodies of only one type. Dendritic cell pathway: Pluripotent Stem Cell: This is the undifferentiated precursor to all of the blood cells, red and white, and other immune effector cells, and platelets. Myeloid Stem Cells: Daughters of the Pluripotent Stem Cells, these are the progenitors of a host of specialized white blood cells (WBCs), red blood cells (RBCs) and the blood platelets which are crucial to blood clotting. Granulocyte -Monocyte Progenitor cells can differentiate into monocytes or neutrophils. Monocytes… act as antigen presenting cells (APCs), as AntibodyDependent Cytotoxic Cells (ADCC) , and promote inflammation. Dendritic Cell… like the macrophage, this cell is phagocytic it inhabits the tissues looking for foreign intruders to devour. Macrophage pathway: Pluripotent Stem Cell: This is the undifferentiated precursor to all of the blood cells, red and white, and other immune effector cells, and platelets. Myeloid Stem Cells… daughters of the Pluripotent Stem Cells, these are the progenitors of a host of specialized white blood cells (WBCs), red blood cells (RBCs) and the blood platelets which are crucial to blood clotting. Granulocyte -Monocyte Progenitor cells can differentiate into monocytes or neutrophils. Monocytes… act as antigen presenting cells (APCs), as AntibodyDependent Cytotoxic Cells (ADCC) , and promote inflammation. Macrophage…functions as antigen presenting cell (APC), in inflammation, and in ADCC (antibody-dependent cell-mediated cytotoxicity. Neutrophil Pathway: Pluripotent Stem Cell: This is the undifferentiated precursor to all of the blood cells, red and white, and other immune effector cells, and platelets. Myeloid Stem Cells… daughters of the Pluripotent Stem Cells, these are the progenitors of a host of specialized white blood cells (WBCs), red blood cells (RBCs) and the blood platelets which are crucial to blood clotting. Granulocyte -Monocyte Progenitor cells can differentiate into monocytes or neutrophils. Monocytes… act as antigen presenting cells (APCs), as AntibodyDependent Cytotoxic Cells (ADCC) , and promote inflammation. Myeloid Stem Cells… daughters of the Pluripotent Stem Cells, these are the progenitors of a host of specialized white blood cells (WBCs), red blood cells (RBCs) and the blood platelets which are crucial to blood clotting. Granulocyte -Monocyte Progenitor cells can differentiate into monocytes or neutrophils. Neutrophils…function in antimicrobial activity, inflammation response, and antibody-dependent, cell-mediated cytotoxicity (ADCC). Basophil pathway Pluripotent Stem Cell: This is the undifferentiated precursor to all of the blood cells, red and white, and other immune effector cells, and platelets. Myeloid Stem Cells… daughters of the Pluripotent Stem Cells, these are the progenitors of a host of specialized white blood cells (WBCs), red blood cells (RBCs) and the blood platelets which are crucial to blood clotting. Basophil Progenitor… a product of the specialization of Myeloid stem cells, this cell will produce either Mast Cells or Basophils. Basophil…this IgE responsive cell is characterized by cytoplasmic granules which, when released, function in destruction of parasites and also in allergic reactions. The cell releases histamine and platelet activator and other chemical signals. Platelet pathway Pluripotent Stem Cell: This is the undifferentiated precursor to all of the blood cells, red and white, and other immune effector cells, and platelets. Myeloid Stem Cells… daughters of the Pluripotent Stem Cells, these are the progenitors of a host of specialized white blood cells (WBCs), red blood cells (RBCs) and the blood platelets which are crucial to blood clotting. Megakaryocyte…fragments into subcellular pieces called platelets. Platelets…are blood elements without nuclei that circulate and are involved in blood clotting and inflammation. Erythrocyte Pathway Pluripotent Stem Cell This is the undifferentiated precursor to all of the blood cells, red and white, and other immune effector cells, and platelets. Myeloid Stem Cells… daughters of the Pluripotent Stem Cells, these are the progenitors of a host of specialized white blood cells (WBCs), red blood cells (RBCs) and the blood platelets which are crucial to blood clotting. Erythroid Progenitor…derived from a myeloid stem cell, this is destined to produce the most common blood cell, the erythrocyte. Erythrocytes…or red blood cells (RBCs)are enucleated cells that travel throughout the Circulatory System and carry Oxygen to all parts of the body via the abundant hemoglobin found within them. REFRENCES Thanks are due to many books and internet sources. Especially followings: • “Hematopoiesis from pluripotent stem cells to mature, differentiated,cellular effectors of immunity and more BY Richard A. Poirier for HHMI/Harvard Immunology Summer Project 2004 • Lineages and Stem Cells:B-cell Development • Pathophysiology of red and white blood cells, disturbances of hemostasis and coagulation BY Prof. J. Hanacek, MD, PhD.