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White Blood Cells (WBCs / Leukocytes) — Physiology, Types & Functions
WBCs are the mobile units of the body's protective system. They are formed in the bone marrow (granulocytes, monocytes, some lymphocytes) and lymphoid tissue (lymphocytes, plasma cells), then transported in blood to wherever they are needed. Their real value is that most are specifically transported to areas of infection and inflammation, providing rapid and potent defense.
Normal count: 4,000–11,000 WBCs/µL of blood in adults.
Genesis of WBCs (Leukopoiesis)
Two major lineages arise from the multipotential hematopoietic stem cell:
| Lineage | Precursor | Cells Produced |
|---|
| Myelocytic | Myeloblast → Promyelocyte | Neutrophils, Eosinophils, Basophils, Monocytes |
| Lymphocytic | Lymphoblast | T lymphocytes, B lymphocytes → Plasma cells, NK cells |
Classification & Normal Differential Count
| WBC Type | % in Blood | Absolute Count/µL |
|---|
| Neutrophils | 50–70% | 3,000–6,000 |
| Lymphocytes | 20–40% | 1,500–4,000 |
| Monocytes | 2–8% | 300–600 |
| Eosinophils | 1–4% | 150–300 |
| Basophils | 0.4% | 0–100 |
Group 1: Granulocytes (Polymorphonuclear Leukocytes / PMNs)
Contain prominent cytoplasmic granules (lysosomes + specific granules) and multi-lobed nuclei. All are terminally differentiated and short-lived.
1. 🔵 Neutrophils (62%)
Morphology: 3–5 lobed nucleus; faint/light pink granules; 10–12 µm diameter.
Physiology & Functions:
- First responders to bacterial infection — arrive at infection sites within minutes
- Perform phagocytosis: engulf and digest bacteria, fungi, debris
- Move by ameboid motion at up to 40 µm/min through tissue
- Exit blood vessels by diapedesis (extravasation) — squeezing through endothelial gaps
- Are guided to infection sites by chemotaxis — respond to chemical signals up to 100 µm away (bacterial toxins, complement fragments, tissue breakdown products)
- Contain myeloperoxidase, lactoferrin, defensins, and elastase in granules for killing pathogens
- Release neutrophil extracellular traps (NETs) — chromatin webs that trap/kill bacteria
- Lifespan: Only 1–4 days in tissues; billions die by apoptosis daily
2. 🔴 Eosinophils (2.3%)
Morphology: Bilobed nucleus; large, bright red/pink granules (contain major basic protein, eosinophil cationic protein).
Physiology & Functions:
- Primary defense against helminthic (worm) parasites — release toxic granule contents onto parasite surfaces
- Important in allergic reactions and asthma — migrate to sites of IgE-mediated reactions
- Modulate inflammation — produce prostaglandins, leukotrienes, cytokines
- Phagocytose antigen-antibody complexes
- Lifespan: 1–2 weeks in tissues
3. 🟣 Basophils (0.4%)
Morphology: Bilobed or S-shaped nucleus (often obscured by granules); large dark blue/purple granules.
Physiology & Functions:
- Release histamine → vasodilation and increased vascular permeability during allergic reactions
- Release heparin → prevents blood clotting locally and helps transport fat particles
- Release serotonin, leukotrienes (slow-reacting substances of anaphylaxis) → bronchoconstriction
- Bear IgE receptors on their surface → activated in Type I hypersensitivity (anaphylaxis, asthma)
- Functionally similar to mast cells in connective tissue
- Lifespan: 1–3 days
Group 2: Agranulocytes
No specific granules; only scattered azurophilic granules (lysosomes). Nuclei spherical or indented, not lobulated.
4. 🟤 Lymphocytes (30%)
Morphology: Large round nucleus; scant cytoplasm; 6–15 µm diameter.
Physiology & Functions:
The main cells of adaptive (specific) immunity. Three major subtypes:
| Subtype | Origin/Maturation | Key Functions |
|---|
| T cells | Thymus | Cell-mediated immunity; cytotoxic T cells kill infected/cancer cells; helper T cells regulate immune responses via cytokines |
| B cells | Bone marrow | Humoral immunity; differentiate into plasma cells that secrete antibodies (immunoglobulins) |
| NK cells | Bone marrow | Innate cytotoxicity — kill virus-infected and tumor cells without prior sensitization |
- Memory cells formed after first exposure → faster response on re-exposure (basis of vaccination)
- Lifespan: Hours to many years (memory cells survive decades)
5. 🟠 Monocytes (5.3%)
Morphology: Largest WBC (12–20 µm); kidney-shaped or C-shaped nucleus; abundant agranular cytoplasm.
Physiology & Functions:
- Circulate in blood for 10–20 hours, then enter tissues and differentiate into macrophages (diameter increases 5-fold to 60–80 µm)
- Macrophages are extremely potent phagocytes — the tissue-based second line of defense
Tissue-specific macrophage types:
| Location | Name | Function |
|---|
| Skin/connective tissue | Histiocytes | Local infection defense |
| Lymph nodes | Lymph node macrophages | Filter and destroy particles in lymph |
| Lungs | Alveolar macrophages | Phagocytose inhaled particles |
| Liver | Kupffer cells | Filter bacteria from portal blood (phagocytose a bacterium in <0.01 sec) |
| Brain | Microglia | CNS immune surveillance |
| Spleen/bone marrow | Splenic macrophages | Remove old RBCs and systemic pathogens |
Key Physiological Mechanisms
Diapedesis & Chemotaxis
- Margination — WBCs adhere to vessel endothelium near infection site (P-selectin/ligand interactions)
- Diapedesis — WBCs squeeze through endothelial gaps into tissue
- Chemotaxis — WBCs migrate toward infection guided by chemical gradients (bacterial toxins, complement products, cytokines like IL-1, TNF-α)
- Phagocytosis — engulf and destroy pathogens using reactive oxygen species, enzymes, and antimicrobial proteins
- Opsonization — antibodies (IgG) and complement (C3b) coat bacteria, making them easier to phagocytose
Lifespan of WBCs
| WBC | Blood Lifespan | Tissue Lifespan |
|---|
| Neutrophils | 6–8 hours | 1–4 days |
| Monocytes | 10–20 hours | Months–years (as macrophages) |
| Eosinophils | ~5 hours | 1–2 weeks |
| Basophils | Hours | 1–3 days |
| Lymphocytes | Hours | Hours–decades |
Clinical Significance
| Condition | WBC Change | Cause |
|---|
| Leukocytosis | Total WBC >11,000/µL | Infection, inflammation, stress |
| Leukopenia | Total WBC <4,000/µL | Bone marrow suppression, viral infection |
| Neutrophilia | ↑ Neutrophils | Bacterial infection, steroids |
| Eosinophilia | ↑ Eosinophils | Parasitic infection, allergy, asthma |
| Lymphocytosis | ↑ Lymphocytes | Viral infection (EBV, CMV) |
| Monocytosis | ↑ Monocytes | Chronic infection (TB), inflammatory disorders |
— Guyton and Hall Textbook of Medical Physiology; Ganong's Review of Medical Physiology, 26th Ed; Junqueira's Basic Histology, 17th Ed