Blood Histology General Information

Blood is a fluid connective tissue.  This means that blood contains specialized cells, proteins, and a ground substance.  However, unlike the other gelatinous and solid connective tissues, blood is a fluid connective tissue.  Therefore, the name that refers to its components is slightly modified.  Instead of specialized cells, we refer to the cellular components of blood as formed elements.  Formed elements contain white blood cells or leukocytes, red blood cells or erythrocytes, and platelets.  Leukocytes fit the definition of a cell.  Erythrocytes and their identity as a cell is largely debated.  Because erythrocytes do not contain organelles, their identity as a cell is questionable.  However, in their formation, they are derived from a developing cell that performed exocytosis of its organelles.  Similarly, platelets are derived from the explosion of a larger cell called a megakaryocyte.  The debated erythrocytes and platelets lead to the name of formed elements for the three, cellularly derived formed elements of blood.

A diagram titled "Composition of Blood" shows a test tube containing blood and breaks down the components of blood. The test tube shows blood separated into layers: Plasma makes up approximately 55% and contains water, proteins, and electrolytes. Platelets and peripheral blood mononuclear cells (PBMCs) comprise about 1% and include lymphocytes and monocytes. Red blood cells and polymorphonuclear cells make up roughly 45% and contain eosinophil and neutrophil.
Figure 1: Blood composition chart showing plasma (55%), platelets (1%), and red blood cells (45%) in a test tube, with cell details.

The ground substance for blood is water.  Blood is a suspension of solids in a fluid base.  That base is water.  Plasma is 99% water, however it contains important chemicals and substances such as glucose, lipids, hormones, transport proteins, and carbon dioxide (oxygen is carried in the erythrocytes).  Plasma contains proteins, the most abundant being albumin, the protein that gives both plasma and egg yolks their yellow color. Together, the water, dissolved chemicals, and proteins create the matrix of blood.  Of course, when histological slides of blood are made, no matrix is present as it evaporates in the drying process.  Only the formed elements are represented.

Erythrocytes or red blood cells (RBCs) are one of the three formed elements of blood.  Erythrocytes are specialized for carrying oxygen.  They have what is referred to as a bioconcave shape.  This shape maximizes the surface area-to-volume ratio for this shape.  Bigger is not better in this instance.  Only part of the job of an erythrocyte is to carry oxygen.  The other part is to quickly drop off and take on oxygen via diffusion.  Red blood cells are like a train that doesn’t slow down at the train station. As they pulse through capillaries in tissues oxygen must be able to quickly diffuse into or out of a red blood cell much like trying to get off a train that doesn’t slow down. The bioconcave shape ensures that, for the volume of oxygen that is being carried, there is sufficient surface area over which it can be exchanged.

Red blood cells have other specializations for carrying oxygen.  They are devoid of organelles, which makes them unable to repair themselves when damaged.  However, this lack of organelles also means that they have more room for the oxygen-binding proteins named hemoglobin.  

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