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Principles o  Blood Collection and
                                                 9                        Leukocytes: Lymphocytes and


                  CHAPTER                                                 Plasma Cell
                                                                             Processings


















                            KEY TERMS





               absolute num ber                                                        INTERLEUKIN-1 (IL-1)                                                    natural killer (NK) lym phocytes

               antibodies                                                              INTERLEUKIN-2 (IL-2) T-cell growth                                      plasm a cells
               antigens                                                                    factor                                                              relative num ber

               B cells                                                                 lym phocyte                                                             Rieder’s cells
               B lym phocytes                                                          lym phocyte recirculation                                               sm udge cells

               bursa                                                                   lym phocytopenia                                                        T cells
               chem otactic factors                                                    lym phocytosis                                                          T lym phocytes

               cluster of differentiation                                              memory cells                                                            thym us
                am e cells                                                             migration inhibition factor (MIF)                                       variant lym phocytes

               hom eostatic proliferation                                              monoclonal antibody                                                     vacuolated lym phocytes
               im m unocom petent                                                      Mott cells








                            LEARNING OUTCOMES OBJECTIVES






               Lymphopoiesis: Anatomical origin and                                                                        Morphological characteristics of normal

               development of lymphocytes                                                                                  lymphocytes


               ■    Brie  y describe the role of lymphocytes and plasma cells in the body                                  ■    Compare the characteristics, such as chromatin patterns, of the

                   defense mechanism against disease.                                                                          three major developmental stages of lymphocyte maturation.

               ■    Name and locate the two primary and three secondary lymphoid                                           ■    Discuss the morphological abnormalities of speci  c variant (acti-

                   tissues.                                                                                                    vated or reactive) lymphocytes.

               ■    Identify the anatomical sites populated by T cells and B cells.                                          State at least three conditions associated with speci  c lymphocytic

                                                                                                                               abnormalities that may be seen in peripheral blood.
               Lymphocyte kinetics: Life span and


               proliferation                                                                                               Characteristics of lymphocytes


               ■    Compare the length of the life span of the T and B lymphocytes.                                        ■    Differentiate  the  functions  of  the  three  major  categories  of
                 Summarize what in  uences proliferation of T and B lymphocytes in                                             lymphocytes.

                   primary and secondary lymphoid tissues.                                                                   Compare the functional differences between various subtypes of

                 Explain homeostatic proliferation of lymphocytes.                                                             B cells.

                                                                                                                             Explain  the  antibody-independent  roles  for  B  cells  in  immune
               Lymphocyte kinetics: Recirculation of                                                                           responses.

               lymphocytes                                                                                                   Brie  y describe the production and laboratory application of mono-


               ■    Explain the process and importance of lymphocyte recirculation.                                            clonal antibodies.

                 Describe the migration of naive T cells from blood to tissue.
                                                                                                                           Major lymphocyte membrane characteristics

               Normal reference values                                                                                     and development


               ■    Compare absolute and relative numbers of lymphocytes.                                                  ■    Describe the production of monoclonal antibodies.

               ■    Calculate the absolute value of a lymphocyte example.                                                  ■    Brie  y describe membrane marker development in T cells.

               ■    Cite the percentage of T and B cells found in the peripheral circula-                                    Summarize major lymphocytic phenotypes and the molecular char-
                   tion of adults.                                                                                             acteristics used to differentiate lymphocyte subsets.


               ■    Compare the major types, normal reference value percentages, and                                       ■    Name four cytokines or chemokines produced by T cells and describe
                   quantities of lymphocytes at different ages ranging from birth to                                           their function.

                   adulthood.                                                                                              ■    Name several applications of lymphocyte subset testing.


               ■    De  ne the terms lymphocytopenia and lymphocytosis.                                                      Compare and contrast the immunologic features and major function
                 Classify conditions associated with an increase or decrease in                                                of T B, and natural killer (NK) cells.
                                                                                                                                     ,
                   the absolute number and relative values in the peripheral blood

                   circulation.




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