WEBVTT 00:00:01.826 --> 00:00:05.110 Voiceover: All over our body we have blood vessels 00:00:05.110 --> 00:00:07.115 and in those blood vessels we've talked about 00:00:07.115 --> 00:00:10.610 how we have lots of different kind of blood cells. 00:00:10.610 --> 00:00:14.163 We have some red blood cells that I'm drawing here. 00:00:14.609 --> 00:00:16.297 But if you watched our immune system videos 00:00:16.297 --> 00:00:19.906 you'll also know that we have some T-Cells 00:00:19.906 --> 00:00:24.089 and some B-Cells and some macrophages 00:00:24.089 --> 00:00:27.022 and some platelets. 00:00:29.915 --> 00:00:32.450 And all in all actually there's pretty much 10 different 00:00:32.450 --> 00:00:36.829 kinds of blood cells that we have in our blood at all times. 00:00:36.829 --> 00:00:39.114 In this video I'd like to talk a little bit about where 00:00:39.114 --> 00:00:42.162 they're made, which you might already know. 00:00:42.162 --> 00:00:45.310 And also from what precursor cells they're made, 00:00:45.310 --> 00:00:47.026 because cells don't just come out of nowhere 00:00:47.026 --> 00:00:49.324 they come from precursor cells that divide 00:00:49.324 --> 00:00:51.130 and produce new ones. 00:00:51.130 --> 00:00:53.321 So do you know where all these cells come from? 00:00:53.321 --> 00:00:54.279 Where they're made? 00:00:54.279 --> 00:00:57.770 I'm going to draw the answer cartoonish as always 00:00:57.770 --> 00:00:59.970 and not to scale with this blood vessel. 00:00:59.970 --> 00:01:01.994 So here's a bone and the answer is that 00:01:01.994 --> 00:01:04.532 all these cells come from the bone marrow, 00:01:04.532 --> 00:01:06.954 which is inside the bone here. 00:01:06.954 --> 00:01:08.446 Voiceover: Now when I first heard this I thought 00:01:08.446 --> 00:01:10.714 to myself, "How is it possible that blood cells come 00:01:10.714 --> 00:01:13.370 "from inside the bone, get through the surface 00:01:13.370 --> 00:01:15.370 "of the bone and get into blood vessels?" 00:01:15.370 --> 00:01:17.394 Well you might be surprised to know that all 00:01:17.394 --> 00:01:20.114 these bones are actually profuse with blood vessels 00:01:20.114 --> 00:01:23.736 themselves, they're very small and difficult to see. 00:01:23.736 --> 00:01:26.290 So it's actually quite easy for cells to hop into 00:01:26.290 --> 00:01:29.611 these blood vessels and go into blood vessels 00:01:29.611 --> 00:01:31.162 of the body. 00:01:31.177 --> 00:01:34.258 But now let's talk about those precursor cells. 00:01:34.258 --> 00:01:36.139 So it turns out and this is something 00:01:36.139 --> 00:01:37.938 that we didn't know for a long time. 00:01:37.938 --> 00:01:41.499 But it turns out that there's one powerful stem cell 00:01:41.499 --> 00:01:44.882 in your bone morrow that can make all 10 kinds 00:01:44.882 --> 00:01:49.467 of blood cells and that one cell, that very powerful cell, 00:01:49.467 --> 00:01:52.658 has a bit of a complicated name which we'll write out here. 00:01:52.658 --> 00:01:54.867 It's called a pluripotent ... 00:01:54.867 --> 00:01:58.998 Pluripotent if you're good with your latin you know 00:01:58.998 --> 00:02:02.462 that this means, I guess, "Able to do a lot of things." 00:02:02.462 --> 00:02:04.755 That might be a poor translation but anyway. 00:02:04.755 --> 00:02:09.231 Pluripotent hematopoietic because hematopoiesis 00:02:09.231 --> 00:02:16.556 is the process of producing blood cells. 00:02:16.678 --> 00:02:21.331 So that's pluripotent hematopoietic stem cell. 00:02:21.331 --> 00:02:25.146 Because Stem Cells as you may know are cells 00:02:25.146 --> 00:02:28.645 that can divide into multiple different kinds of cells. 00:02:29.122 --> 00:02:31.695 And now I'd like to ask you a question which is, 00:02:31.695 --> 00:02:34.979 do you think that a macrophage which, 00:02:34.979 --> 00:02:36.724 if you watched the immunology video as you know, 00:02:36.724 --> 00:02:40.596 is a big phagocytic cell so it's like to swallow 00:02:40.596 --> 00:02:43.556 invaders or debris, do you think that the macrophage 00:02:43.556 --> 00:02:47.836 is more closely related to a B-Cell which 00:02:47.836 --> 00:02:51.267 as you know produces anti-bodies or a red-blood cell? 00:02:52.667 --> 00:02:54.123 You might be surprised by the answer. 00:02:54.123 --> 00:02:56.595 The answer is actually macrophage is more closely 00:02:56.595 --> 00:02:59.115 related to the red blood cell, which is kind of weird 00:02:59.115 --> 00:03:03.069 because macrophages and B-Cells are both immune cells. 00:03:03.069 --> 00:03:04.501 And red blood cells are not. 00:03:04.993 --> 00:03:08.348 This pluripotent hematopoietic stem cell gives rise 00:03:08.348 --> 00:03:11.732 to two main lineages and I'll draw them here. 00:03:12.146 --> 00:03:15.763 The first is the myeloid lineage ... 00:03:17.519 --> 00:03:23.100 And the other is the lymphoid lineage. 00:03:28.653 --> 00:03:32.489 So when this pluripotent cell here first divides, 00:03:32.489 --> 00:03:35.617 It can give rise to one of these or one of these. 00:03:35.617 --> 00:03:39.476 And these are also precursor cells to the 10 kinds 00:03:39.476 --> 00:03:41.950 of red blood cells that we actually find in our blood. 00:03:41.950 --> 00:03:43.693 So these are not the ones that are going to end up 00:03:43.693 --> 00:03:46.661 in our blood, these are guys who sit in the bone marrow 00:03:46.661 --> 00:03:49.790 and make the cells that end up in our blood. 00:03:50.237 --> 00:03:54.509 So now it turns out that this lymphoid progenitor cell 00:03:54.509 --> 00:03:58.149 can make actually three different kinds of immune cells 00:03:58.149 --> 00:04:00.387 in our body, it makes an NK cell ... 00:04:02.771 --> 00:04:05.443 It makes a B cell ... 00:04:05.827 --> 00:04:08.481 And it can make a T Cell. 00:04:16.559 --> 00:04:19.706 And this is three out of our ten blood cells 00:04:19.706 --> 00:04:22.299 that we talked about and so the other seven 00:04:22.299 --> 00:04:25.157 are going to be from the myeloid lineage. 00:04:25.157 --> 00:04:27.433 And one of those is, as you could've guessed ... 00:04:28.001 --> 00:04:30.385 The red blood cell. 00:04:33.109 --> 00:04:38.597 Another is the megakaryocyte which you may not 00:04:38.597 --> 00:04:41.397 remember what it does so I'll tell you in a moment 00:04:41.397 --> 00:04:43.370 but try to remember. 00:04:43.370 --> 00:04:47.669 The megakaryocyte is actually what makes platelets. 00:04:47.669 --> 00:04:51.821 So the megakaryocyte buds off little pieces 00:04:51.821 --> 00:04:55.565 of it's cytoplasm surrounded by membrane 00:04:55.565 --> 00:04:58.098 and these are platelets. 00:05:02.469 --> 00:05:04.741 But the myeloid lineage also makes a bunch of immune cells 00:05:04.741 --> 00:05:09.360 in addition to the red blood cells and the platelets. 00:05:11.109 --> 00:05:12.733 And you may not have heard of these, 00:05:12.733 --> 00:05:14.549 so I'll just list them here. 00:05:14.549 --> 00:05:16.925 One of them is the neutrophil, that one 00:05:16.925 --> 00:05:19.009 you're most likely to have heard of 00:05:20.470 --> 00:05:22.224 and there's two other cells 00:05:22.224 --> 00:05:23.749 which are very similar to the neutrophil, 00:05:23.749 --> 00:05:26.688 one is called the basophil ... 00:05:27.657 --> 00:05:30.396 And one is called the eosinophil. 00:05:31.272 --> 00:05:33.689 And don't feel too bad about not having heard 00:05:33.689 --> 00:05:35.176 about these because they're actually pretty rare 00:05:35.176 --> 00:05:36.804 in your blood, they are there, 00:05:36.804 --> 00:05:38.096 but there aren't many of them. 00:05:38.973 --> 00:05:40.949 And then there's also a monocyte which is fairly 00:05:40.949 --> 00:05:45.241 similar to these three above and the monocyte 00:05:45.241 --> 00:05:48.613 is actually what becomes a macrophage later on. 00:05:48.613 --> 00:05:50.229 You're probably familiar with macrophage, 00:05:50.229 --> 00:05:53.690 a monocyte is just a slightly less differentiated 00:05:53.690 --> 00:05:55.865 version of a macrophage. 00:05:56.389 --> 00:05:59.688 And finally, there's also mast cells. 00:06:00.581 --> 00:06:03.323 And mast cells are the ones that ... 00:06:05.893 --> 00:06:09.134 So these are our seven other cells ... 00:06:13.748 --> 00:06:16.750 and as you can see what we said in the very beginning 00:06:16.750 --> 00:06:18.545 is in fact true. 00:06:18.869 --> 00:06:21.997 The red blood cell is more closely related 00:06:21.997 --> 00:06:26.427 to the monocyte or the macrophage than is a B cell 00:06:26.427 --> 00:06:28.935 or a T cell or something like that. 00:06:32.533 --> 00:06:34.699 And now I'm adding an addendum to this video 00:06:34.699 --> 00:06:37.391 to mention one other kind of cell that we've talked 00:06:37.391 --> 00:06:40.231 about in the past videos but that I didn't put on this chart. 00:06:40.231 --> 00:06:42.940 And that kind of cell is the dendritic cell, 00:06:42.940 --> 00:06:45.625 it's one of the antigen presenting cells that we talked 00:06:45.625 --> 00:06:47.729 about and I want to ask you, do you think 00:06:47.729 --> 00:06:50.873 the dendritic cell comes from the myeloid lineage 00:06:50.873 --> 00:06:52.912 or the lymphoid lineage? 00:06:53.297 --> 00:06:54.697 And it's actually a trick question because 00:06:54.697 --> 00:06:57.185 the answer is it comes from both. 00:06:57.185 --> 00:06:59.846 So we have some dendritic cells that I'm drawing here, 00:06:59.846 --> 00:07:02.689 which come from the myeloid lineage. 00:07:02.689 --> 00:07:05.228 And some which I'm drawing right next to it 00:07:05.228 --> 00:07:08.493 which come from the lymphoid lineage. 00:07:08.493 --> 00:07:10.145 And it turns out that the ones that come from 00:07:10.145 --> 00:07:14.524 the myeloid lineage are created from monocytes 00:07:15.676 --> 00:07:17.961 whereas the ones that come from the lymphoid lineage 00:07:17.961 --> 00:07:20.937 are not really descendants of B or T cells, 00:07:20.937 --> 00:07:23.441 they come from some lymphoid precursor. 00:07:23.441 --> 00:07:25.617 So dendritic cells are kind of a weird exception 00:07:25.617 --> 00:07:28.553 they can be made from either line and I wanted to 00:07:28.553 --> 00:07:30.521 add yet another piece of information hopefully 00:07:30.521 --> 00:07:33.105 not overloading this too much just to remind you 00:07:33.105 --> 00:07:35.569 once again that monocytes in addition to 00:07:35.569 --> 00:07:40.137 becoming dendritic cells can also become macrophages. 00:07:40.137 --> 00:07:43.201 And macrophages we are certainly familiar with, 00:07:43.201 --> 00:07:45.197 At least we've talked about them in the other videos. 00:07:45.197 --> 00:07:47.561 So here's a macrophage, and macrophages 00:07:47.561 --> 00:07:49.641 if you remember are kind of like sentinels, 00:07:49.641 --> 00:07:52.984 they sit out in the tissues and watch for invaders 00:07:52.984 --> 00:07:55.697 and dendritic cells also behave like that. 00:07:55.697 --> 00:07:57.178 So what about this monocyte? 00:07:57.178 --> 00:07:58.181 Does he do the same thing? 00:07:58.181 --> 00:08:00.420 Well actually no, it turns out the monocyte 00:08:00.420 --> 00:08:04.145 is kind of like a circulating version of macrophages 00:08:04.145 --> 00:08:05.537 or dendritic cells. 00:08:05.537 --> 00:08:06.841 So what do I mean by circulating? 00:08:06.841 --> 00:08:08.842 I mean that it's actually in the blood. 00:08:08.842 --> 00:08:10.961 So monocytes move around in the blood 00:08:10.961 --> 00:08:13.689 and then when they go into the tissues to settle down 00:08:13.689 --> 00:08:16.385 and become sentinels, that's when they are turned 00:08:16.385 --> 23:59:59.999 into either macrophages or dendritic cells.