By: Tom Anthony A. Tonguia, RMT Objectives • Recall the concepts of a megakaryopoiesis and its different stages of maturation • Exemplify how does a megakaryocyte matures • Delineate the structure of a platelet • Explicate the different structures and components of a platelet Overview • Megakaryopoiesis proceeds initially through a phase characterized by mitotic division of a progenitor cell, followed by a wave of nuclear endoreduplication. Megakaryoblast • Earliest recognizable stage • Contains mitochondria and a primitive endoplasmic reticulum. • This cell displays blunt protrusions from its cytoplasmic membrane and contains a multitude of polyribosomes and clear vacuoles with diameters as large as 0.2 um. • Normally found only in the bone marrow (1 to 4 per 1000 nucleated cells). • Single, centrally located nucleus or multiple round and oval nuclei containing several nucleoli and distinct but fine, delicate chromatin strands. • The cytoplasm stains a diffuse blue, indicating absence of specific granules. • Has a diameter of 15 to 50 um. Promegakaryocyte • Cell size ranges from 20 to 80 um. • The cell membrane retains its characteristic blunt protrusions, and the cytoplasm is rich in polyribosomes. • The number of nuclear lobes begins to increase but there is only barely detectable margination of the chromatin around the nuclear membrane. • Demarcating membrane system (DMS) forms by invagination of the plasma membrane. Megakaryocyte • Represents the maturation stage. • This cell is round and is expanded in volume, with multiple nuclei and even, peripheral margins. • The abundant cytoplasm contains numerous small, rather uniformly distributed granules with a reddish- blue hue. • Chromatin pattern is linear and coarse, with distinct spaces between the strands. • It begins to contain all of structural constituents of a megakaryocyte. • It is the known stage that does not ordinarily produce platelets however megakaryocytes with at least four nuclei can produce platelets. Metamegakaryocyte • The fourth stage of maturation. • Very large cell, many time the size of the mature granulocyte, with a decreased nuclear-cytoplasmic ratio compared with the immature stages of developments. • Nucleus is multilobed and ploidy. • There is aggregation of granular material in the cytoplasm. • Platelets may be seen adhering to the cell memberane as they begin to break away from the metamegakaryocyte. • Contain predominantly polyribosomes with occasional mitochondria. Platelets
• Have an average diameter of 2 to 4 um, with
younger platelets being larger than older ones. • Has no nucleus • Cytoplasm is light blue, with evenly dispersed, fine red-purple granules. Platelet functions
• Adhesion- platelets roll and cling to
nonplatelet surfaces (reversible). • Aggregation- Platelets adhere to each other (irreversible) • Secretion- platelets discharge the contents of their granules Platelet Structure Platelet structure 1. Peripheral zone A. Glycocalyx- provides a distinct connection between the inside of the platelet and its surroundings. • provides surface to which some coagulation factors may adhere, including factors I, V, VIII, X, XI, XII, XIII. • Thickness ranging from 10 to 50 nm • Relatively smooth and contains porelike indentions that open communication channels into the platelet cytoplasm. B. Plasma membrane- serves as the physical and chemical barrier between the intracellular and extracellular constituents of the platelet. • Within this membrane is the sodium/potassium ATPase ionic Platelet structure 2. Submembrane area A. Microfilaments- contribute to the regulation of the normal platelet discoid shape. • act as a base for pseudopod formation. • Interact with other contractile proteins to modulate platelet adhesion and clot retraction after activation. B. Microtubule system Platelet structure 3. Sol-Gel zone- serves as a stable gel component to regulate the arrangement of the internal organelles and microtubular system within the resting platelet body. A. Microfilaments- provide the contractile force after activation that directs the organelles toward the center of the cell. • Platelet filaments are approximately 50nm in diameter. • contains two proteins ACTIN and MYOSIN. B. Microtubules- contributes significantly to the cytoskeletal support system. • Plays an important in the contractile response of platelets to stimulation. • Not required for contraction. Platelet structure 4. Organelle zone- constitutes the major protein of the platelet cytoplasm. • Includes electron-dense granules, alpha granules, peroxisomes, lysosomes, and mitochondria. A. ELECTRON-DENSE GRANULES- • 250 – 350nm in diameter and classified as such based on their appearance in electron microscope. • CONTAINS THE FOLLOWING: • ADP – initiates platelet aggregation • ATP • GDP • GTP • Calcium • Magnessium • Serotonin Platelet structure B. Alpha granules • Larger than dense granules and appear spherical, about 300 – 500nm in diameter. • Contains: • Beta-thromboglobulin and PF4 – inhibits heparin. • PDGF – increases smooth muscle cell proliferation • Fibrinogen – increases / induces coagulation, adhesion, and aggregation on platelets • FVa – increases prothrombinase COMPLEX C. Peroxisomes D. Lysosomes – digest cell debris at injury site and increases clot lysis. E. Mitochondria References • Steininger, Cheryl et al. CLINICAL HEMATOLOGY: PRINCIPLES, PROCEDURES, CORRELATIONS J.B. Lippincott, Philadelphia, USA • Turgeon, Mary Louise. CLINICAL HEMATOLOGY” 5TH ED. Little Brown & Co. Boston. 2013.