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928  Part VII:  Neutrophils, Eosinophils, Basophils, and Mast Cells  Chapter 60:  Structure and Composition of Neutrophils, Eosinophils, and Basophils  929










































                                                                        Figure 60–6.  Mature neutrophil from normal human marrow reacted
                                                                        for peroxidase. The cytoplasm is filled with granules of the two basic
                                                                        types: (1) the smaller, pale, peroxidase-negative granules (p−) and (2)
                                                                        the large, dense, peroxidase-positive granules (p+). The nucleus is con-
                                                                        densed and lobulated (n –n ), the Golgi region (G) is small and without
                                                                                             4
                                                                                          1
                  Figure 60–5.  Myelocyte from rabbit marrow in the late stage of mito-  any forming granules, the endoplasmic reticulum is scant, and mito-
                  sis. This myelocyte is in telophase. Note that the granules are relatively   chondria (m) are few (×21,000).
                  equally distributed to the daughter cells (×15,000).

                  are  the  largest,  0.5  to  0.8  µm in diameter, and contain much of   7 to 10 percent of total eosinophil protein. 62,63  The ultrastructural
                  the granular protein. The proteins packaged in these granules are   localization of this protein is in a large, crystal-free granule and
                  highly basic proteins, with the crystalline core being mostly major   supports the presence of a distinct primary granule population in
                  basic protein (MBP). 60,61  The granule matrix contains eosinophil   mature eosinophils. 4,63,64  MBP consists of two homologues and is
                  peroxidase, eosinophil cationic protein (ECP), and eosinophil-   an abundant granular protein, 5 to 10 pg per cell. Mature eosino-
                  derived neurotoxin (EDN). The primary granules contain Charcot-  phils can no longer express this protein so all MBP is stored during
                                                                                   65
                  Leyden crystals. Charcot-Leyden crystals are bipyramidal crystals   development.  Eosinophil peroxidase is an abundant heme-con-
                  observed in fluids in association with eosinophilic inflammatory   taining protein (approximately 15 pg per cell) that catalyzes the
                  reactions. They possess lysophospholipase activity and compose   peroxidation of halides together with hydrogen peroxide forming
















                           A                            B                             C
                  Figure 60–7.  Images of granulocytes in blood films. A. Image shows two neutrophils, two eosinophils with bilobed nuclei, and a single neutrophil.
                  B and C. The images are of basophils showing densely stained metachromatic cytoplasmic granules. (Reproduced with permission from Lichtman’s
                  Atlas of Hematology. www.accessmedicine.com.)






          Kaushansky_chapter 60_p0923-0938.indd   929                                                                   9/18/15   10:34 PM
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