‘1. ..- I . I . -. . . . 1 , I... I. . . . 1 .. . ; . _ I- _ .. . .. .......,..:.t....... ......1... 13:13.4 . ... . . _. .- . I . .. .I .. . 1. '.. v. ...”!I .....o..- ...IT... 0 . .. I . 4.1.?“ . . ..: ...... .. .. ...... 1.. W . a .. n. . 4‘. I ....) u. ‘. ‘.. o . . . . .. ......b: . :. .f . . . I . . « a 1 . b. ’03.: v; . . on... #3 .— . .... :1... .. . ,. to a ¢ In .. o I .F . . J . J . I 4 . . .V.’ I . he... . . .. . . I . ”low I I . In . . \I .. .. .. ..... ... $. I .. ’ . ...“.Jr a .. , . . .. . waif: . . . I I ‘3'. 0 Q a . _ I . I . . . . I I. I o a.» w.-«. . g P o .- h . Ire. .10 u . . .. I. .. . a. I I . v I. I h ‘ ., _ . . . I. _ .n Q ‘ l J 0 J04 J.” 'A . . . . . -- .. . :3 _ . J c I In. A... y p I.. v. .' QM Q. OPDI‘ESIS MICE O .,. M M. S. SDI?! j T ' 'ILED it? 0 81' Q FUR THE-"DEGREE OF YOUNG F LEXED I Y M. And 1932 w I'F'-' v LIMINARY squnv .IIF HE . . . T . .. . «J- ’ y . I A I v in A PBE 0 ~o~.y ‘ I A _I. I . .. . I . . - Y . . ’ . . r 0 I . . I In I I . . . .... . . I I . I I I I1. . .0 u I . II. o . . O L IN“ v I I I .9 I34 .o 5o I . . . . p . .. I o I. I ... .... u . I A. . 1.! (sf. 3 «a r 1 ”III I.. I I I I a. I . I I INI ¢ 1c~c~ I II I . . I I I I b . ' I l I ‘1. . o. - . I . o I I I I (W I . . . 0 I4 I a II II ... I r! . i. I I ‘- A I . I . . . . . I .I I .. b J. . I I v I I II. I I I... . 5. .5 -.II I I I I Q ..I.II..OI.I.III‘ I.. ~. .. V I I .... .'bi . II. . .. . _ ..\..I'I .. .09.! . . . ' ay .. tr; LII III. .I . III.. II I . O I . I o I . . 4. ... rep! I I. I..“ . I.. I. I p . O ..‘olhlw.v4 4.1,? 1 I . I . . - . D u .- - . ‘ . \ JPI . I c I s.) IO 1 I . 0/0 - I . . _. I. I .. . . . . . O. I . 0 ‘ I: . I I . 5.. ov.’ .c ~ I I . ‘ . . . O . . o n u 3 I A I I - .tIoa J. .. u .d . D o . o. . V v 5‘. f c‘ .f I . . a - §I I ...I II o- . I‘II . O I u I I n I I o 0‘ . I. . . I. .n .- a I: A A 0 K. c A (I o 'l I . I I n .. s . . . . ... _ I I ..r. I . .0. I o c t. I r .I . .r.lo .l ... ...V a.” .‘ n.0,: s 7. or I ..I ’.... .I..I.‘H.In? I \ ¢ . I *7. I u. I. I. r. . I - . .. o I o . ... . a. I o I . . .. I . u I I .1. r . I. ” .... I 7. I I I I\ I .. I _ on m o I I r 4f . .I g . . .. ‘ .1 1 . .. A . agyi (/90 " [4100]“: w "I mm?) :1 ..fil‘i'\ ) V ' . E A. PRELIMINARY STUDY OF MOPOIASIS IN YOUNG FLEXED TAILED MICE. Thesis Suhittod to the Faculty of the Michigan State College in Partial Fulfillment of the Roquirenonta for the Degree of Master of Science. By Dorothy M. Andoroon May ’ 1933. THESIS ACKNOWLEDGEMENT 'me author wishee to «press her appreciation to all thoee tho vere or assistance in this iork. Gratitude in particularly extended to Dr. H. R. Hunt of the Zoology Department, at IhOIO auggeation and under I110” guidance this work was done; to Dr. E. T. Hellman of the Pathology Department, who rendered valuable technical assistance; and to ur. o. F. Edwards er the hoteriology Department, who took the mierophotographe unwed. 93804 TABLE OF CONTENTS Page I - The History of the Flexed Tailed Mutation...............1 II ’ The M086 of the PI‘esent St‘ldYoeooeeoeeeeeeeeeeeeeeeee III - Normal HGMOPOiOSiSeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee 1e Conflicting Theories of Hem0p019313eeeeeeeeeeeels IV'- Materials and Methods usedeeeeeeeeeeeeeeeeeeeeeeeeeeeezo 10 materialseoeeeeeeo.............................20 2e 3. 4e 5e KillingeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeZl Fixation , Dehydration, Rubedding , etc. . . . . . . . . .83 seetioningeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee25 Stainingeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee25 6.1M8th0d Of Obtaining the Dataeeeeeeeeeeeeeeeeeeezg '7. D1ff1°u1ti 33 or Cell Identification. . e e e e e e e e e .33 V ' Presentation 0: the Dataeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeesa VI ' Discussion Of the Dataeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee40 VII ' Canclusionseeee....eeeeeeeeee......e.................46 VIII - Tables 1e 2e 5. 4. 5e 6e '7. Table I - Course of the Lnamia..................47 Table II - Distribution of Sizes of the Different Cells of the Erythrocytio LineaheeAB Tables III to VII - Individual Counts of Nomal MicBeeeeeeeeeeeeeeeeeeeeeeeeeeeeeee49'55 Tables VIII to XII - Individual Counts of Anemia Mice...............................56-62 Table XIII - Summary of all Normal Counts......63 Table XIV - Summary of all Anemic Counts.......64 Table IV - Table of Differences Between Normal and Anam103eeeeeeeeeeeeeeeeeeeeeeeeeee65 Ix - BibliograpWOOOOCOOOOOOO.......OOOOOOOOOOO0.0.00.0000066 O-oeololcova II-IOOOOI ......OII ...... ...}... Gave-90.00.- OIOOIOIOOOOJ S epcsuvnvep-eneooseoe O Q0009~PIOIOIO osnoooleooIOOI-obesJ-es I puoeeanor-IsOIIOOOOIIOcOO N . O 5 e IODOIIIOOIOODOI‘OCOIOI - edIs-eoouoosOOIenoooolo' I 00.! I o OICI.IOOCCII..IC bOOsOuoOoOOl-OIOI oeo’ooiosusoelo0.00.00...so — 0' O ’ "' n . ._ a OsooosossoIo-ootooo -_ e OOOOOIDOQOIIQOIOII. _' e h e >- s onion-.0000. «I.....)OQLIDOOOIOO..I.UI..I TABLE OF CONTENTS (Continued) 3352 X - Plates 1. kplanation of Plates. ete...........o.........68 3. Key to Abbreviations used on Plates............69 3. Microphotographs: Plate I to IV - Liver of Normal Mouse at Birth...................i-ii Plates V to VII - Liver of Anemia Mouse at Birth.................iii-iv Plates VIII and II - Bone Marrow of Normal Mouse..................v Plate X - Spleen of Anemia Mouse...o.........vi Plate XI - Cross-section of Blood Vessel of Normal Lionse..............vi Plate XII - Liver of 17-day-old Mouse.......vii 4. Color Plates. Plate XIII - Normoblasts...................viii Plate XIV - Erythroblasts..u................ix Plate IV - Proerythroblaste...................x Plate XVI - Hemocytoblaste...................xi Plate XVII ’ A Megakaryocyte....u........uxii ...-IIOJOOIIO.JIOODCO» ones-etsoee. .....OIQOOIIIJIOIBO t'CDIIGOIDOIOOIOI ...-E‘OO‘OOO'..OUC eloIhOOOOOOOO ...-0.65.00... 0...... THE HISTORY OF THE FLEXED TLILED MUTATION The mutation in the mouse, Mus museulus, which has been named "flexed tail” was found in J'anuary. 1927, by Dr. H. R. Hunt in his albino stock. The gross appearance of the flexed tailed animal has been well described by Mixter who says of it: "In appearance it varies from a tail which is stiffened by the fusing of a few vertebrae to a stiff tail bent into several angles in different planes. Not only is the tail stiffened and bent but it may also be shorter than the normal length which is about the same as the length of the body.......At birth the flexed mouse is paler and smaller in size than a nonnal new born mouse".1 Breeding experiments by Hunt, Palmer. and Mixter have shown that the factor for flexed tailness is probably a simple MeaeIian reeessive, but that there seem to be modifying factors at work which somewhat affect the expression of this recessive gene. Work on this phase of the genetics of the animal is now in progress. Environmental conditions such as diet, tanperature, litter size. etc.. have not been shown, to date, to have any affect on the appearance of the flexed tail. Diet, caging. and temperature have been constant for all mice. Nor has the flexed condition been restricted to any particular color-type of mouse. but is found among albinos, agoutis, blacks, browns, and piebalds. It was noticed early in the study of flexed tailed animals that at birth they were not only smaller in size than their straight tailed litter mates (in F2 or backcross litters), but that they were markedly lighter in color. Mice are naked at birth, so the color of the skin and hence of the blood is easily seen. A normal -2- newbborn mouse is a vivid rosybred. whereas these flexed anhmals are a pale pink, this being especially noticeable on the top of head and around the thighs and shoulders where the skin is drawn closely over the skeleton. This pale color strongly suggested that an anemic condition was associated with the flexed tailed character. To determine if this supposition were true, Mr. Russell Mixter, in the research already referred to. carried on an extensive study of the circulating blood of these ananic animals. Erythrocytic and leucocytic counts were made. and the hemoglobin content of the blood determined at different age levels beginning at birth and continuing at regular intervals up to adulthood, i.e.. six months and on. The same determinations were made on a control group which was made up of two genetic types of normal animals: the heterozygous normal mice which were litter mates of the flexed animals studied, and hanosygous nomals, the offspring of normal I normal parents. For he reader's convenience I have sumnarized Mixter's data and included it herein.for reference. (See Table I). This table shows at a glance that the supposed anania at birth proves to be real. The flexed animals have an average red blood cell count that is less than that of the heterozygous straights by 1,560,000 11151.600 cells per cubiczmillhmeter. This difference is 10.29 times the magnitude of its probable error, so it is undoubtedly significant statistically. The count for the hanozygous straights exceeds that of the flexed by 600,00011;152,000. This difference is £.5 times the size of its probable error, not as marked a difference as the first one is; but it is statistically significant nevertheless. -3... The same is true of the hmoglobin content which Mixter expressed as the percentage of the normal hemoglobin content of hunan blood. The average hemoglobin content for the flexed at birth is 39.‘%, and that for the heterozygous straights is 60.7%. The difference is 81.3 it .93 which is 22.9 times the size of its probable error. so that the difference as between flexed and normal is even more marked in.hemoglobin content than is that between the erythrocytic counts of the two. As may be seen from the table the leucocytic count for flexed mice is normal at all ages. so no further consideration will be given it in this discussion. Incidentally it should perhaps be pointed out here that all three types of animals show a much lower erythrocytic count at. birth than at subsequent ages. There is a rapid rise in the number of erythrleytes and leucocytes during the first three postnatal weeks. This increase continues up to about eight weeks. but at a slower rate. Kindred and Coryz, in a series of studies of the blood of the fetal albino rat, have shown that the number of erythrocytes and leucocytes drops quite markedly just after birth, so that the blood count then is considerably lower than during the fiast prenatal period. Their work also shows that a rapid rise in the number of blood cells begins about three days after birth and continues in a rather spasmodic fashion up to six weeks. after which the rise continues slowly to 5% months when the counts are the same as in the adult. They attribute this decrease at birth to three possible causes: 1. Loss of the blood corpuscles circulating in the placenta. z. Hemorrhage via the umbilical vessels. 3. An increase in the percentage of earlier forms of blood cells at this period. .. .... 1.4%. 1 .n ..o o . INN» till. IUEQE‘F- .4- Tnis condition may then be considered as a so~called "secondary anenia'. i.e. an anemia characterized by a reduction in the umber of circulating red blood cells attributable to a fairly definite cause.3 This should not be confused with the mania associated with the flexed tail. which is entirely different. Since Hixter made no fetal blood counts we do not know definitely if this drop occurs in these mice at birth. but it is quite possible that conditions in the mouse are similar to those in the rat. one of the interesting features of this particular anemia is that the mice. if they live, recover from it rather rapidly after birth. it the age of one week the erythrocytic count for the flexed animals has practically risen to that for the heterozygous normals and has sanewhat surpassed that of the homozygous normals, showing that there is an intense hmopoietic activity in the flexed animal during its first week of postnatal life. it one week. the hemoglobin content of the flexed is still low. although it has improved since birth. it two weeks the hemoglobin cmtent is practically equal to, and at three weeks it surpasses that of the heterozygous straights. It may be said. then, that by three weeks of age all signs of the anemia have vanished. The animal is normal. Once the normal condition is reached. it appears to be mintained for the duration of life, for the comparative counts of the three types at an adult age show no very great differences. It is interesting to note in this connection that Mixter's data show that the red blood cell counts for the heterozygous straights are higher at all ages at which counts were made than for the hmosygous straights. 131s difference between the erythrocytic counts for these two types at birth is 870,000 1 159 .000. a difference which is 5.5 times --5- its probable error. This is not at all what one would expect to find. Any difference between these two types of'normals ought, logically. to be in favor of the homozygous straights since they are carrying none of the mutant genes. It has been suggested that the better condition of the heterozygous animals is due to their heterozygosity. This theory has not been tested out however. In summary then. we seem here to be dealing with two very closely associated genetic conditions. a bone ananly. and an anemia. These must be caused either by one recessive mutant gene or by two or more very closely linked genes. The present paper will be concerned with a study of this ancnia only. THE PURPOSE OF 1113 PRESEIT STUDY Anemia is defined as that condition characterized by a deficiency in the oxygen-carrying substance of the‘blood. hemoglobin. It may be manifested by (l) a diminution of the mnount of hemoglobin in each erythrocyte, or (8) a decrease in the number of red blood cells. inanias are camnonly classified as being of two general types: (1) primary - an intrinsic anemic condition of unknown cause. and (8) secondary - those produced by definite causes such as hemorrhage, acute infectious diseases. acute infections, tumors, etc.3 Evans4 has pointed out that such a classification is unsatisfactory since probably all enemies are secondary to some definite cause. if that cause could but be discovered. He suggests that although none of the several classifications of anemia in vogue are entirely satisfactory, perhaps the one by Morawits canes sanewhat closer to the root of the matter. Morawits divides enemies into those due to blood loss or increased destruction of red blood cells. and those due to decreased blood formation. but this does not complete the clinical picture as it does not include changes in hemoglobin content of individual red blood cells, i.e.. changes in the color index. These classifications must at best be sanewhat arbitrary for clinical use. It seemed.that further studies of this anemia would prove both valuable and interesting. It was hoped that a histological examination of the subject might render. if'not proof. at least valuable clues as to the actual causes of this anemia. It will be noticed that no definite diagnosis has been made concerning this anemia. It would be impossible to give it its clinical classification until sanething was known concerning its cause. If the cause or causes could be -7- discovered, we might also know more about how the flexed gene actually gets in its work. As will be shown later this anania is particularly interesting, since it differs in its characteristics fran any other anemia of mice known to date. Mr. Mixter established the fact of its existence. but his data fail to tell the whole story, for they do not show, for instance, whether this is the type of anemia caused by blood loss or destruction of red blood cells, or by decreased blood formation. So with a view to gaining information concerning the histological nature of this anemia. the investigation reported in this paper was begun in January 1951. and has been continued to the present time. It is to be regretted that more progress has not been made; however, the problem proved to be a genuine Pandora's box out of which sprang an unexpected host of surprising elements the moment the lid was raised. Most of these elements, as will be shown later, have been a hindrance rather than a help to the investigator in her attempt to find out Just what else was in the box. However, a start has been made, and it is hOped in the right direction. -3- iNORMAL HEMOPOIESIS Before the methods used in attacking this problem can be fully understood or the data obtained can be discussed, the salient facts concerning blood formation should be reviewed. Before studying the abnormal condition we must familiarize ourselves with the normal. At this point I shall digress at some length to describe the process of the manufacture of blood tissue. Blood is not the simple liquid.material it would seem to be to the casual observer. Canplexity - morphological, chanical, physiological, and genetic - is its most outstanding and constant characteristic. In brief, blood may be considered as a tissue, the constituents of which are several kinds of cellular elements (corpuscles) , sane anal]. irregular cell-like elements (the platelets), and a liquid.medium.lplasma). Or as one textbook of histology states it: ”It may be considered as a form.of connective tissue in which the cells have no fixed spatial relationships and the intercellular substance 18 a fluid”.5 The corpuscles are of two main types: the erythrocytes or red blood cells, and the leucocytes or white blood cells. As has been shown in the historical account of this anemia. this problem is apparently concerned only with the erythrocytic elements of the blood. Therefore, throughout this paper attention will be focused on the red blood cells practically to the exclusion of the white blood cells, which though of great importance to the organism.do not seem to have any direct bearing on the particular condition with which we are dealing. .9- As compared with the other tissues of the vertebrate body, the blood cells are very short lived. The exact life span of a human red blood corpuscle is not known exactly, but experimental work has furnished estimates varying from fifteen to forty or more dsys. Whatever this span may be, we do know that cells are constantly being worn out and destroyed and new ones manufactured to take their place, so that under normal conditions their number is kept at a constant level. This process of the manufacture of blood cells is called hanopoiesis, and the tissues in which it specifically occurs are designated as hemopoietic tissues and in the adult are located outside of the vascular system proper. The hanOpoietic tissues may be subdivided into two types not always sharply differentiated from.each other: the lymphoid tissue (lymph nodes, spleen, etc.) wherein the lymphocytes are produced, and the myeloid tissue wherein the erythrocytes and granular leucocytes are formed. In the normal adult mammal, the myeloid tissue is more diffuse and is found in several parts of the body, such as the yolk vessels, liver, spleen, and bone marrow. During foetal life, the first blood cells are formed from the endothelium of the walls of the yolk vessels. These blood cells are nucleated, basOphilic cells, and do not much resemble the erythrocyte as we know it. They are very temporary and are soon replaced by blood cells of a more differentiated nature produced within the body of the embryo itself. These new cells, although nucleated, elaborate henoglobin, and serve to carry oxygen to the tissues of the embryo. After the formation of the liver, the thin strands of:mesenohymal cells (which occupy the tiny interstices between the liver cords and their surrounding vascular plexi) begin to differentiate into blood-forming cells. -10. For the rest of the foetal life and for a very short period after birth, the liver is the center for much blood manufacture. The spleen may also be a center for red cell formation at this period. The bone marrow begins its hanopoietic function in the later stages of foetal life and as birth approaches it more and more takes over the blood-forming functions which are gradually being relinquished by the other organs mentioned. Thus at birth the animal is still in a transitional state showing some of the processes characteristic of the embryo, and some characteristic of the adult. ”The transition fran the embryonic to postnatal life is not marked by any sudden special changes in the blood or connective tissue. The processes of development and differentiation we have followed in the description .......continue without interruption".6 Regardless of the place where hcnopoiesis occurs. the cells involved are of the same type and the process is the same. One can scarcely enter any sort of a discussion of this process without at once becaning involved in the more or less conflicting theories and certainly confusing teminology of the hmtologists. I shall outline the most outstanding of these theories later on, but to present a relatively uncanplicatcd picture of this process, I shall at present follow Maximow's description.6'7 The red blood cell as fmmd in the circulating blood, is not produced directly from other cells like itself, but is the end product of a series of cell mitoses and accompanying metamorphoses. The first cell entering into the genetic lineage of the erythrocyte is a rather large, free. mboid, basophilic cell of mesenchymal origin, resembling the large Inphocytes of the adult, and was l O named ”bemocytoblast" which means "a cell producing blood cells". Ihen they were first observed by Maximow in 1907 he called them "large lymphocytes". and it is his belief that they are "the common stun cells of all the other blood elements in the anbryo and in the adult"?. These cells are large in size (up to léfbin humans), have a usually pale basOphilic cytoplasm which forms a broad ring around the nucleus. There may be vacuoles present in the cytopla-e The nucleus is large, sometimes kidney-shaped. and is characterized by clumps of chromatin scattered loosely about, giving it a so-called "basket weave" appearance. The nuclear manbrane is coarse and shows up quite conspicuously in stained specimens. The hemocytoblasts may undergo several successive mitoses producing daughter cells like themselves. Finally a significant change occurs.) Maximow describes it thus: ".....a peculiar unstable equilibrium of the cell develops at the knight of the mitotic process. All of the various potencies of development which are present in the cells are in a latent condition; one of them.is suddenly followed and both of the daughter cells which originate frcn such a mitosis at once show new properties. Their destimr apparently has been fixed during the mitotic processes and they have become either a pair of erythroblasts or a pair of myelocytes of one of the three types".§ The hanocytoblast is also the stem cell of another cell type, the megakaryocyte which will be referred to further on. The next several generations in the erythrocytic series are termed collectively erythroblasts. The youngest cell of this group, that is, the cell directly produced from the last henocytoblastic mitosis, Maximow calls the proerythroblast. The oroerythroblasts. or basonhil erythroblasts. differ frail .004. -12- the hanocytoblast in several ways. They have not its multipotencies. They can only form erythroblasts. They have lost the ameboid movanent of the hanocytoblast, and are fixed. The nucleus is regularly spherical and maller, and its chranatin shows a more even distribution than does that of the hemocytoblast. 'me cytoplasm is intensely basic and very homogeneous in appearance. They frequently have the shape of a triangle with well rounded corners. The next youngest generation of erythroblasts is sanetimes called the megaloblast. This cell is always larger than any of its descendants. Maximow does not give its exact dimensions but I assume from his figures6 that it is somewhat smaller than either the proerythroblast or the hemocytoblast. his rather conflicts with other descriptions of it, e.g., one group of hematologists say: ”This (the megaloblast)is representative of the largest red blood-cell we have observed in the erythropoietic series".8 It shows a more canpact nucleus than its predecessors, a less conspicuous nuclear manbrane, and cytoplasm containing a small amount of hanoglobin, which, however, may not show up in a stained cell. In cells stained with the Rananowsky mixture (eosin and methylene blue), the cytoplasm may give a polychromatic effect - that is, it may vary in color from purplish-blue, to lilac, to gray. The succeeding several generations of erythroblasts show progressive tendencies to increase the amount of hemoglobin in the cytOplasm, to condense the nucleus (and thus show a wider ring of cytoplasm around it), and to become somewhat smaller in total size. In contrast, in the earlier generations of this type -m- the nucleus shows a rather characteristic checkerboard distribution of the chranatin, and a thin ring of protoplamn around it. This means then that a considerable amount cf morphological variation is to be observed among the different cells of this group as a whole. The last generation of this erythroblastic series is scarcely to be distinguished from.the cells of the next stage, the normoblasts or nucleated erythrocytes. The normoblast is the smallest cell of the series, with the exception of the erythrocyte. It is either spherical or ovoid in shape and is characterized in a properly stained condition.by a clear pink cytoplasm.- due to an accumulation of a considerable amount of hemoglobin - and a small, very dense, deep purple nucleus in which scarcely any reticulation can be seen due to the chromatin particles being so closely packed together. This cell still retains the poser of undergoing mitosis, and may possibly produce another generation or two of cells like itself. Gradually, however, the nuclei of these cells become pyknotic and more and more hanoglobin collects in the cyt0plasm. Eventually the pyknotic nucleus is extruded from.the cell. The small, spherical, enucleated red cells then pass through the permeable msmbranes of the capillaries and are ready to begin.their oxygen-carrying function in the blood stream. Another derivative of the hemocytoblasts which will come under consideration in this paper is the megakaryocyte, or so-called giant cell. Concerning this cell, little was definitely known until rather recently. It is now coming into more praninence, and is believed to play an.important role in certain pathological 9 conditions . The theory has been held for some time and is still 10 14 accepted by some investigators ' , that these giant cells form '14- the blood platelets by freshentation of their cytoplasm, but Maximow questions the truth of this thea'y. He says that both the origin and the function of the platelets is mine—6. There scans to be no doubt, however, that the megakaryocytes are produced by the hanocytoblasts. In structure, these cells are very large, some of them having a diameter as great as 49min hmnans. They are formed from hanocytoblasts by the growing nucleus of the latter undergoing a hypertrophy, and then beccming constricted in several planes. Following this there are several peculiar mitoses which involve only the nucleus. In these mitoses the daughter nuclei fuse in the telophase stage forming a new larger nucleus. Eventually a polymorphous nucleus is formed, the individual lobes of which resenble the nucleus of the hanocytoblast, i.e., they show the 'basket-type‘ of reticulation due to the irregular grouping of chranatin granules, and the outline of the nuclear membrane is quite cmspicuous. The cytoplasm is clear, hmnogeneous, and faintly basic in its staining reaction. It is very irregular in outline, frequently showing pseudopod-like structures which make the cell sanewhat resanble an snoeba. According to Jordanm, megakaryocytes are found wherever hemopoiesis occurs. It is rather interesting to note that Jordan attributes to the megakaryocytes the potentiality of forming multiple erythroblasts, at least in the yolk-sac. He describes this transformation thus: "As polykaryocytes (multi-nucleated megakaryocytes) they differentiate erythrocytes intracellularly by a process involving the elaboration of hanoglobin about each nucleus. Each perinuclear halo of hsnoglobin-containing ls ’15-. erythrocyte thus differentiated comes to lie free in a vacuole. Subsequently, the giant-cell breaks up and liberates the several erythrocytes.......8uch a process of intracellular giant-cell 11 production of erythrocytes has been described also by Foa in 8 and Denys“ have described both bone-marrow. Pugliesel erythrocytes and leucocytes originating in these giant cells".10 I can find no reference whatever to such a theory in the work of the outstanding contanpcrary hanatologists, such as Sabin and Maximow, but that does not necessarily disprove it. If it is true that megakaryocytes are hemogenic cells, then they should merit our attention in a study of this kind. For this reason I have included than in m data. Conflicting Theories of Homepoiesisz Dr. Florence Sabin makes this statanent: "The history of the developnent of our knowledge of the blood centers around two opposing theories, and nowhere in medicine can there be made a more interesting analysis of the value of constructive theories, whether right or wrong, in the advance of science'.1‘ ‘ . The bones of contention over which the adherents of these two theories have Opposed each other are, (l) the immediate origin of the red blood stem cell, and (2) its relationship to the stun cells of the other types of blood cells. The process as I have described it above, showing a basophilic, lymphoid cell (the hanocytoblast) which is the potential source of all types of blood cells, red or white, is the explanation of events as offered by the so-called unitarian, or monophyletic theory or school. It is the most modern theory and much progress in the knowledge of blood has been made under its 0.00... -15- influence by such adherents as Dominici, Pappenheim, Weidenreich, Maximow, Danchakoff, and Ferrata. The opposing theory is called the dualistic, or to be more exact, the polyphyletic theory, and it is associated with the work of Ehrlich, Naegeli, Schridde, Morawitz, and others. It is based on the work of Ehrlich who is attributed with having laid the foundation of our knowledge of blood.M According to this theory there is no one cell type which serves as a canmon stun cell for all blood cells, but instead ”there are different stem cells for the red cells, for the leucocytes, and for the lymphocytes, and they are located in specific places in the 14' Ehrlich classified the adult blood-forming organs into adult". the two types already mentioned - the bone marrow or meloid tissue, giving rise to the erythrocytes and the myelocytes (forerunners of the granulocytes) , and the lymphoid tissue giving rise to the lymphocytes. The polyphyletic school claims, furthermore, that the potencies of the cone of one type of tissue are specific for their individual function, and are not inter- changeable with those of the other type of tissue. In other words, the lymphoid stem cells cannot produce red blood cells, nor can the red blood stun cells over produce lymphocytes. This belief is founded upon morphological differences observed by Ehrlich and others in fixed and stained cells. The dualists have interpreted these structural differences as being correlated with physiological and genetic differences in the cells; but the monOphyletic school in the work of Maximow and Danchakoff has been able to demonstrate equally well that these morphological differences are not intrinsic properties of the cells but are the -17- result of the type of technique used, and by means of newer staining methods and extremely intricate technique has shown an essential similarity between the cells of both tissues. Even these claims are being met by the equally modern technique of the modern adherents of the polyphyletic school. For instance, Dr. Sabin, who tends to support this older theory, shits that "the primitive stem cells of the different youps of blood cells cannot be separated in fixed specimens even with the most perfect technique", but she adds that, ".....these atoms can be analyzed with the method of vital staining".14 Thus the battle wages between two equally proficient groups of technicians. Perhaps the theories of each group are based upon facts which, though essentially the same, have lent thanselves to different interpretations. It would seem that the real point of contention is not so much concerned with the similarity between the early cells of the different types of blood cells, as it is with how long a demonstrable similarity exists. To develop this idea further: Both groups believe undifferentiated mesenchymal cells to be the ultimate source of all the blood cells, and recognize, therefore, that blood and connective tissue are very closely ellied, both embryologically and morphologically. According to the dualists, some of this mesenchyme early in the embryonic history of the individual, differentiates once and for all into groups of pro-blood cells, sometimes referred to as angioblasts. These angiollasts are of extraembryonic origin (in birds). They proliferate outside the embryo, but later invade it as a consequence of the increase in the cell masses which they form. In the body of the embryo they becane the endothelium of the blood vessels, and the erythroblasts; or, erythroblasts may develop fran the C 9 O O C ~18- endothelium of the blood vessels. So the line of development is: mssenchyme, angioblast, erythroblast; or mesenchyme, angioblast, endothelium of vessels, erythroblast, thus eliminating the hamocytoblasts and proerythroblasts from the picture entirely. The cells derived from.this angioblast would then be of two sorts: one, the endothelium.and erythroblasts, the other, cells which renain like the undifferentiated cells of the angioblast. This latter group continues, by proliferation, into the postnatal life, and eventually becomes localized in specific places, particularly in the bone marrow. It may then becane transformed into erythroblasts in answer to the body's continual need for new erythrocytes, but always a group of undifferentiated cells are held in readiness so that only part of each generation of cells becomes erythroblasts, the other part remaining unchanged for future use. While this school recognizes the presence of immature, undifferentiated cells in the hematopoietic tissues of the adult, yet they would assign to such cells the power to develop along but a single line predestined from the embryonic period. These cells, then,:morphologically indistinguishable from each other, are potentially wide apart".16 The monOphyletic school likewise names the mesenchyms as the first ancestor of the blood-forming cells, but it postulates that the so-called angioblast and its products are but the temporary blood-forming structures of the early embryo, and are soon superceded by the hemocytoblasts which arise everywhere in the anbryonic connective tissues by transformation of the small, undifferentiated, fixed mesenchymal cells. These cells in the adult, although found in the fixed connective tissues throughout the body and believed to be able, theoretically at least, to transform if necessary into hanocytoblasts, tend to centralize their hmnopoietic functions within the red marrow of the bones where they transform into hemoblasts as needed. So, according to this theory, the immediate ancestors of the erythroblast are but recently differentiated mesenchymal cells whose embryonic multipotentialities have been maintained into and through adult live. Thus, according to one school, the similarity in the adult between the stem cells of red and white blood cells is only morphological, the physiological equality having been lost during embryonic life; and according to the other school, the similarity between then is continued into the adult life and is both morphological and physiological. Al.jall.v. . .. 1,: w ‘ (I,||.l. MATERIAIS AND METHODS USED Although a wealth of literature is available on blood histogenesis and morphology, and on the many pathological conditions of blood, there is a paucity of material in print which has any direct bearing upon this particular anemic condition or on the proper technique to use in studying it. The only other hereditary anemia so far reported in mice is that in Little's dominant whites. This anemia has been studied and reported by deAberlem. Although anemia in these dominant whites is entirely different frcxn that associated with flexed tail, in that it is a severe aplastic anemia which is invariably fatal, Dr. deAberle's work was the primary source of information concerning the method of approach to this problmn. Even this source was of quite limited value, however, since her approach to her problan was of an essentially different nature from mine; so from the first, the methods used were a matter of trial and error in equal prOportions. Materials: It was decided that the first thing to do was to study the general histological picture of the normal animal at birth and to compare this with enemies of the same age. Sane time was devoted to raising a group of mice to be used for this work. Homozygous normal females (2 to 6 months of age) were crossed with flexed males. The F1 fanale offspring from these crosses were then backcrossed with flexed males. These females were isolated, one to a cage, as soon as pregnancy could be observed, and were then examined daily until the young were born, after whdnh the mother was returned to her mate and bred again. Part of the animals in each litter were selected for this work and the rest discarded. In order to get as much individual variation as possible only two or four (8 normals and a anemics) were used from a litter. Selection of the new-born young to be used was based entirely on a clear-cut differentiation between anemic (flexed) young, and normal (straight) young. There are undoubtedly borderline cases, both as to amount of tail flexure and as to the enmia, which are hard to differentiate frm the normal. In order to avoid errors in classification, only those animals were used which, on the one hand, hhowed the pale pink color of the anmics and a pronounced grade of tail flexure and, on the other hand, those which had the ruddy color, straight tail and larger size of the normals. Since in all cases (with one possible exception) the pregnant mother had been examined daily, none of the mice used could have been over 84 hours old when they were killed for sectioning. They were, in all cases, old enough to have had at least one feeding, for the stomachs were distended with milk which can be seen clearly through the semi-transparent skin. The exact age in hours was not determined. Killing: Since it was thought that etherization might have sme physiological effect on the blood cells before death occurred and since hemorrhage was to be avoided as far as possible, it was decided to kill these animals by strangulation. A piece of ordinary cotton twine was tied about the neck and suddenly pulled taut. In a very few seconds the body became a purplish-blue and bow motions almost ceased. As soon as unconsciousness was assured, a longitudinal incision was made '22- in the skin about half way between the mid-ventral line and the left side in onch a way as to avoid severing the internal memory arteries and veins which course down the ventral body wall as far as the end of the sternun and on either side of it. All other main vessels were also carefully avoided. This incision extended frm the posterior boundary of the abdmen forward to the clavicle, and was ordinarily supplemented by a transverse incision in the region of the axillae. men, using fine scissors, the underlying muscles, peritoneum, and the ribs were out along the line of the skin incision. The diaphragn was severed frm the ventral body wall with a sharp pointed knife. Thus both the abdminal and thoracic cavities were laid well Open, and with practically no loss of blood. The animal was then quickly transferred to a small paraffin-lined dish where it was pinned out (with wooden pins) ventral side up, in such a way that the viscera were thoroughly exposed. Up to this point the heart was still beating. The fixative to be used was squirted into all parts of the body cavities with a small pipette, and the dish was then filled with the fixative, so that the animal was entirely submerged. In this way the fixative was quickly applied to all of the living tissues - a factor greatly to be desired in histological technique. Each fixed animal was assigned a number by which it was designated throughout the entire process which followed. to "A" following a number indicates an anmic animal in all cases, the nonnals being designated with numbers without letters. ,Illl. Ill] -33.. Fixation, Dehydration, EnbeddingL etc. McClung's ”Microscopical Technique'la was used quite extensively as a source for histological technique, formulae, etc. The fixative particularly recmmended therein for blood work is Holly's Fluid or Zenker-formol, the formula for which is: Potassium bichrmate 25 an. Sodium sulphate 10 gm. later 100 c.c. Mercuric chloride 50 an. Formalin (added when ready for use)50 0.0. This was the first fixative used. It was found that the mice should be left in this solution for about 20 hours to obtain complete fixation. Specimens were left pinned to the dish with wooden pegs throughout fixation. They were then washed in running water for 24 hours, after which they were put in 35% alcohol, to which had been added a few drops of iodine, for 6 to 12 hours. Then they were moved into 50% alcohol plus iodine until all signs of crystalized sublimate produced by the fixative had been completely removed; this was usually accdplished in 12 hours, during which time there were two or three changes of the alcohol - iodine solution. The head was cut off to reduce the size of the animal to be sectioned. Dehydration was completed in the higher alcohols, the animals rmaining in each for four to eight hours. Frm absolute alcohol they were put into cedar oil for clearing (usually three to four hours) and frm this into paraffin oil for 12 to 24 hours, after which they were transferred to paraffin with a melting point of 54°- 58° for 4 to 6 hours, then blocked in paraffin. -24— Several animals were given this treatment but of these only'mouse No.12 and mouse NO.13 were used in the final study made. This method did not prove very satisfactory. In the first place, the crystalized sublimate formed by Holly's Fluid is extremely difficult to remove and dangerous to the microtane knife if not entirely dissolved. In the second place, considerable distortion of cells was noticed in some parts of the tissues, especially in the blood cells. In the third place, the tissues were so brittle that it was almost impossible to obtain thin sections that were fit to use. It was decided to use another fixative and a different embedding method. The second method used was as follows: 1. Killing:- same as above. 2. Fixation in Allen's Fluid, P.F.A.3 - 24 hours. Formula: Picric acid (sat.aqueous sol.) 150 c.c. Formalin 30 c.c. Glacial acetic acid 20 c.c. Urea crystals 2 gm. 3. wash in running tap water - 24 hours. 4. Dehydration: a. 50% alcohol (60 6.0.) plus 20 drops of lithium carbonate - 4 hours. b. 70% alcohol - 4 hours. 0. 80% alcohol - 4 hours. d. 95% alcohol - 4 tea hours. e. Abs. alcohol - 4'to 8 hours. 5. Infiltration and embedding. a. Solution of 1.5 gm. celloidin in 100 c.c. methyl benzoate - until clear, 10 to 12 hours. (til .9 .1 . -25- b. Pure benzine - 3 changes of 3 hours each - total 12 hours. 0. Solution equal parts benzine and 46°- 48° paraffin at 50°C - 12 hours. d. Pure paraffin (460-4801 - 4 to 6 hours. 6. Block in paraffin. This method proved quite satisfactory, so was used for all of the other animals killed. Sectionigg: The animals were sectioned in a sagittal plane, as various trials showed that this was most satisfactory because so much of the general.morphology can then be viewed in any one sedtion. Sections were cut Siothick, and three to five were mounted on each glass slip. Each slide was then numbered with the number of the mouse from.which sedtions were taken and a number for the slide series. Stainigg: Of all the difficulties encountered, perhaps those concerned with the staining technique were the most serious and the most baffling. Some preliminary attempts were made to determine whether wright's stain for blood smears could be used successfully as a tissue stain. The results were very unsatisfactory. The tissues took the stain beautifully but in the process of dehydrating and clearing (a procedure unnecessary in smears) the delicate stain was so washed out that the resulting slide was useless. This technique was abandoned. A few slides were stained by the ordinary hematoxylin-eosin laboratory method. This is a good process but does not give the delicate differentiation between different blood cell types necessary for this work. t '2‘“ k' -26- It was decided that perhaps one of the best stains for blood work ofithis kind would be the hematoxylin-eosin-azure stain, as used by Maximow, and by deAberle in some of her work. The procedure followed was that given by McClung, with certain variations which I found necessary to suit this material. I should add here that all of the directions given in the various sources for blood histological technique are for smears (either for bone marrow, spleen.material, or fresh blood) or for living tissue cultures. Nowhere have I found any instructions for the differential staining of blood in sections, except those given by deAberle who studied the general.merphology of her animals in this way, so I have had to adapt these other methods to this work as best I could. The method used for this hematoxylin-eosin-azure stain is as follows: 1. Iylol #1 - 10 minutes 3. Xylol #2 - 10 minutes 3. Alcohol 95% - 10 minutes 4. Alcohol 82% - 10 minutes 5. Alcohol 50% - 10 minutes 6. Water (tap) - 10 minutes 7. water (distilled) - 10 minutes 8. Delafield's Hematoxylin - 24 hours (5 draps to 60 c.c. distilled water) 9. Water (tap) - 15 minutes 10. Water (distilled) - 24 hours 11. Eosin-azure stain (as follows) - 2.4 hours -37- Stock solution A Eoein, water soluble yellowish 0.5 gm Pure distilled water 500 c.c. 5'0 °~°o Stock solution 3 Pure distilled water 500 c.c. } 4 to 4’5 °'°’ Pure distilled water 50.0 c.c. 12. Alcohol 95% f 5 to 20 minutes 13. Alcohol, absolute - 5 to 10 minutes 14. Xylol - 5 to 10 minutes 15. Mounted in Damar Balsam. This staining method proved to be relatively satisfactory. It gave nicely differentiated cytological structure which was of utmost importance. The main difficulty encountered, and one which was never very successfully surmounted was that of getting the normoblasts, as well as the erythrocytes to show their customary eosin staining reaction. Attanpts to renedy this by increasing the amount of eosin in pr0portion to the azure were not successful. Resilts were the same as with the weaker solution. A fewcells showed the acidic reaction but most of them remained definitely basic. Furthermore, the use of more eosin than indicated above did not give as satisfactory differentiations between the other types of cells. The actual staining results obtained will be discussed more fully later. However, one other type of stain was used in an attanpt to reveal the relatively high affinity of nomoblast cytoplasm and of erythrocytes for eosin. It was decided to try an acid eosin-hematoxylin stain which is used in the pathological I all ehla ~28- laboratories at the University of Missouri. The method for treating the sections is as follows. 1. Stqs from xylol down to distilled water same as above. 3. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. l3. l4. Stain in Harris' Hematoxylin - 5 minutes (50 c.c. Harris' Hematoxylin plus 2 c.c. glacial acetic acid) Wash in tap water. Decolorize in acid alcohol (50 c.c. of 70% alcohol plus 0.5 c.c. H01.) Neutralize in weak ammonia solution (three or four drops amonia to 50 c.c. water) Wash in tap water - 3 to 5 minutes. Stain in a 1% alcoholic solution of eosin (1 gr. alcohol- soluble eosin to 100 c.c. 70% alcohol), acidulated in the proportion of 5 drops of a 2% solution of acetic acid to 45 c.c. of the eosin solution - 4% minutes. Wash in tap water - 5 minutes. 82% alcohol ~ 5 to 10 minutes. 95% alcohol - 5 to 1.0 minutes. Abs. alcohol - 5 minutes. Xylol #1 - 2 to 3 minutes. Iylol #2 - 2. to 5 minutes. Mount in Damar Balsam. This method served to bring out the acid staining reactions of the erythrocytes and of the cytoplasm in sane normoblasts, but it was not very effective for the differentiation of types of blood cells other than normoblasts. Only mouse No.12, Mouse No.13, ...? to g and some of the sections of mouse No.26 were treated with this stain. All the rest of the slides used were stained with hematoxylin-sosin-azure except three slides of No.18A. (one of which entered into this study) which were stained in hematoxylin and eosin only. From one-half to two dozen slides were made from.each animal. If satisfactory results were gained in the first half dozen slides, no more were made. or these, the most satisfactory slide was selected for making cell counts. method of Obtaining_the Data; As has been said the first step was to make a survey of the general morphology of the animal at birth. This preliminary examination revealed no very noticeable differences in the histological morphology between the enemies and normals except in the liver. It was seen at once that the liver was still actively functioning as a hemopoietic organ, for in both normals and enemies its peculiar adult morphology, i.e., the cords of parenchymatous cells arranged in radial fashion around central veins, was almost obscured in nmmerous areas by masses of cells which filled the interstices. (See Plates I to VII and compare with Plate XII). These cells were identified as blood-forming cells of the different types. The first two animals studied, one an anemic and one a normal, showed quite an obvious difference in the relative numbers of the different types of cells in the erythropoietic series. There seemed to be in the normal animal a great many more normoblasts than any other cell of the series, whereas in the anemics, although there were many normoblasts present, they -30- appeared to be fewer in number than the erythroblasts, the predecessors of the normoblasts. It was decided to make a quantitative analysis of these pre-blood cells in the liver and see whether this difference was Just a chance occurrence in these animals or a characteristic and constant difference between the two types of mice at birth. Before doing this, however, the bone marrow was studied to see whether the same picture was presented here. No conclusions could be drawn, however, due to two factors. The first was a technical difficulty. The blood cells in the bone marrow were not clearly stained but appeared undifferentiated dark blue masses of various sizes. Also, these cells seemed to be considerably distorted, often presenting rather geometrical designs. (Plate VIII shows a little of this) The red blood cells present in the capillaries of the marrow were also, as a rule, quite distorted. It was evident that the technique used was not adequate for bone marrow. Probably this distortion was due to poor fixation. It had not been deemed necessary to subject these animals to a decalcification process as the bones seemed very soft and cartilagenous. However, it is quite possible that the dense cartilage prevented the fixative from.penetrating thoroughly into the marrow, and poor fixation there resulted. A few slides were obtained later in.which staining reactions were more satisfactory (Plate II shows one of these), but at best the cells were not nearly as well differentiated as in the liver. It was obvious that if any study of the marrow were to be made, a special technique should be used. The secand difficulty -31- encountered in the search for hemopoietic cells in the marrow is the fact that at this stage extensive bone histogenesis is in progress and groups of osteoblasts are present which so complicate the picture that it is difficult to differentiate all of the various bone and blood elements present. For these reasons, it was decided not to attempt a quantitative study of the blood cells in the marrow. An examination was:made of the spleen also to see what possibilities it presented for this study. .Although primarily a lymphoid organ later on, it is capable of some red blood cell fomation at this early age. Plate I shows why the spleen was not used in this study. It was so densely packed with lymphocytes among which were scattered a few cells of the red cell line, that a quantitative study was next to impossible. .Attention was then centered on the liver. The method of making a quantitative study of the hemopoietic cells of this organ was quite simple. A.suitable area was located with the _low power of the microsc0pe. This area was sketched roughly on paper and its position noted by means of the scale on the mechanical stage of the microscope. I then counted the hemopoietic cdlls in sixteen, non-overlapping, high power fields from the liver of each of four normal mice. The same thing was done for each of four enemies. The number of cells belonging to each type in the erythrocytic genetic lineage was observed and recorded for every field. The totals for the sixteen fields constituted the cell count for the animal. Even more accurate information as to the cell counts was desired. So 48 high power 35...}! -5 3- fields were counted in an additional normal mouse. These 4.8 fields counted were not all on the same slide. Sixteen high power fields were counted on one slide. men sixteen fields were counted on another slide which had been made from tissue some distance away from that on the first slide. The count of the last sixteen fields of the 48 was made from a third slide made from a still different region of the animal. Thus these 48 counts represented three widely separated sleas within the same liver. This same procedure was followed in making 48 counts of an additional normal mouse. Altogether then, counts were made of 5 normal and 5 anemic animals. Two or three different low power areas (indicated in the tables by Ranannumerals I, II, III) were necessary to give these sixteen non-overlapping fields. For my own convenience in keeping the data, each field was numbered and is so designated in the tables of the individual counts. (Tables III to III inclusive - left hand column). The cells were classified according to their resemblance to Maximow's four types of cells in the erythrOpoietic series: hemocytoblasts, proerythroblasts, erythroblasts, and normoblasts. Megakaryocytes also were counted. Identification was based upon a comparison with Maximow's color plates? and descriptive text. I was unable to find in the literature any measurements of the hemopoietic cells in mice, so it was decided to determine the average diameter of each type. This was done with a Zeiss eye-piece micraneter which had been calibrated with a stage micrometer. These measurements are tabiisted in Table II. ~35- A certain amount of overlapping in the size ranges of the different types is to be noticed, a factor which contributed to the difficulty in differentiating one type from.another. Frequently, however, these measurements were an aid in identification. Difficulties in 0611 Identification: Before presenting and discussing the data obtained, there is much to be said regarding the principle difficulties encountered in identifying these cells. Reference has already been made in the section on staining to the fact that the cytoplasm of the erythrocytes and normoblasts had a tendency to take a basic rather than an acid stain, or not to stain at all. This unusual condition could be seen very well in sections of blood vessels. As a rule cut vessels showed a mottled appearance. Some erythrocytes were deeply pink, as they should be. Some were very faintly pink and many were but clear, transparent cells only the outlines of which could be seen. These cells resembled blood cells that had been laked. Plate II shows this condition very well. The ‘ unstained cells show in the picture as thin gray circles, whereas the stained cells are dark. No reason could be found for this reaction, but it must have been due to faulty technique “nowhere in the process, for some sections, especially those which received the acid eosin treatment, showed much less of this condition than the rest. As to the normoblasts, very few of them, except those stained in acid eosin, showed any sign of pink in the cytoplasm. .A great number of the cells classed as normoblasts were only extruded normoblast nuclei, but these were counted on the ~34- grounds that such nuclei showed where a normoblast had but recently been formed and transformed into a circulating erythrocyte. When cytoplasm was present it usually showed only as a clear, sometimes faintly bluish halo around the nucleus. This halo was usually hard to see unless the light was greatly reduced and then it was frequently obscured by other cells being packed in close to the normoblsst, or partly superimposed on it. Color plate XIII gives fairly accurate representations ogyyarious groups of normoblasts. In the microphotcgraphs (Plates I to VII) the cytoplasm of the normoblasts, if present and in focus, appears either as a white or slightly gray halo. Nermoblasts designated on these plates as *nbl‘) are examples of this. .A few normoblasts showed a very faint pinkish tint in the cytoplasm, but identification had to be based largely on the size, shape, and staining reaction of the nuclei. However, none of these factors were constant. The size was subject to variation, due to the pyknotic condition of the normoblast nuclei that are about to be extruded, or have been extruded. A "young" normoblast, that is one but recently formed from an erythroblast, would be expected to have an almost spherical, relatively large and.somewhat:mottled nucleus, whereas in an older normoblast this nucleus has undergone pyknosis which both shrinks and distorts it, and no mottling is visible due to its compactness. Therefore, a certain range had to be allowed in the size of the nucleus. These differences also may be observed in color plate XIII. The normoblasts measured were ~55- those in which the limits of the cytoplasm, whether stained or unstained, could be definitely determined. These measurements showed the cell diameter to be quite constant. (See Table II) No difference was observed in the staining reaction of any of these cell types as between.normal and anemic animals, so I do not believe there is any correlation between affinity for stains and the anemia. ' Perhaps the most difficult cell of all to identify was the erythroblast. As has already been mentioned in this general description of cells, a relatively large amount of variation is to be observed in the cells of this group even when the staining technique is excellent. To this is to be added the technical difficulties already described, so it is evident that the identification of this cell type constituted a real problem. According to Maximow's color chart, the earliest erythroblasts should be easily differentiated from the proerythroblasts by their noticeably smaller size and lighter cytoplasm. Reference to Table II shows that so far as could be determined there is no sharp line of demarkation between them as to size. Cells which I identified (on the basis of cytological structure plus staining) as proerythroblasts, were frequently as small as 8.§/¢in diameter, whereas erythroblasts were frequently as large as 8f~in diameter. The color of the cytoplasm was no sure criterion because the cells were sometimes in closely packed clusters and superimposed on each other. Erythroblasts at the other end of the series should, theoretically, be easily differentiated from.normoblasts by the greatly increased amount of eosin in the cytOplams of the -3 6— latter. Since this increased affinity for eosin was usually not evident, and since here too, the size limits are not sharply marked off, there was only the nucleus to rely upon. Ordinarily the nucleus of the erythroblast showed a marked, if dense, reticulation with blotches of massed chromatin scattered through this reticulation. I have already referred to it as being of a mottled appearance. Such cells were easily identified. Occasionally cells were feund in which the nucleus had begun to condense and therefore to stain more deeply and.more homogeneously. In such a borderline case it was a choice between calling the cell an erythroblast or a normoblast and some guesswork was inevitable. Color plate XIV shows the different types of erythroblasts observed. Errors in identification were probably about as frequent in the counts of the normal.mice as in those for the anenics, so that the distribution of cell types in one kind of mouse can be compared with the distribution for the other. The smaller proerythroblasts were semetrmes hard to tell from.erythroblasts, due to similarity in size and in nuclear structure, but ordinarily this type was not hard to identify. (See Plate XV) Hemocytoblasts were the least numerous of all the cell types. In fact they were rare. According to Maximow they should be unlike any of these other cells. IMany hemocytoblasts were observed, however, having an irregular cytoplasmic outline similar to that of the megakaryocytes. See Plate XVII. Hemocytoblasts can be confused with small:mononucleated.megakaryocytes, but on the basis of the fact that most of the megakaryocytes have multilobed nuclei and are of a.muoh larger size ordinarily, all cells of this type having but a single nucleus and being under about 14 in diameter were classed as hemocytoblasts. In summary then, it may be said thatzas to diameter there is a continuous series of types which blend into each other, from the normoblasts up to the megakaryocytes; as to staining reactions, all of these cells did not react in a typical fashion and do not clearly demonstrate the progressive changes from the intensely basic hemocytoblasts to the intensely acidic erythrocytes; and as to structure,:msny deviations from the type descriptions were observed. -38- PRESENTATION OF THE DATA The counts for the five normal animals studied are shown in Tables III, IV, Va, Vb, Vc, VI, and VII. Each horizontal column in these tables represents the count in one high power field, and shows the numbers of the five types of cells classified. Fer example; reference to Table III will show that field No.1 within low power area I contained 66 normoblasts, 46 erythroblasts, 5 proerythroblasts, no hemocytoblasts, and l megakaryocyte - a total of 116 hanopoietic cells. Reading the totals at the bottom.of each vertical column, we see that the sixteen fields counted in mouse No.18 yielded 802 normoblasts, 575 erythroblasts, dl proerythroblasts, 5 hemocytoblasts, and 27 megakaryocytes, or a total of 1450 cells. The last horizontal column shows that of these 1450 cells, 55.31% were normoblasts, 59.65% were erythroblasts, 2.82% were proerythroblasts, 0.34% were hanocytoblasts, and 1.86% were megakaryocytes. The counts of normal animals are summarized in Table XIII. It will be recalled that sixteen fields were used for four of these animals, but that fortybeight fields were counted for mouse No.20. To make the cell numbers for No.20 comparable with those of the other mice, the totals for the forty-eight fields were divided by three and incorporated in Table XIII. The percentage which eadh class of cells comprised of the total normal count was obtained and its probable error computed. (See last vertical column.) Tables VIII, IXa, IXb, IXc, X, XI and XII present in exactly the same way the counts made of anemic mice. Table XIV summarizes these counts for the enemies and is comparable to Table XIII. -39- -Table XV shows the differences in the percentages of each type of cell for normals and enemies. The probable error of these differences was computed, and its statistical significance is indicated. (See the last vertical column) Tables I and II have already been explained. -40- DISCUSSION or THE DATA Table XV shows the final results of this study. The first thing which attracts one's attention is the difference in the relative number of normoblasts present in the enemies and the normals. The normoblasts of the normals comprised 52.51 .t .425% of the total hemopoietic cell content, whereas in the enemies they comprised only 42.371.4l8%. The difference is 10.141 .6%. This difference is seventeen times the size of its probable error, which shows that so far as these data go it is not due to chance and is certainly significant. It is interesting to note further that there is also a significant difference observable in the relative proportions of erythroblasts. This type comprises only 40.89 1.418% of the total in the normal and 50.31I.425% in the enemies. The difference is 9.421,6%, which is'sixteen times its probable error. This difference is also unquestionably significant so far as these data go. The difference between the relative proportions of proerythroblasts is not so great. There are 1.15% more proerythroblasts present in anenics than in normals. The difference is 4.2 times its probable error in this case, which is probably significant, yet the difference here is not nearly as marked as it is between the first two cell types. As to the proportions of hemocytoblasts and megakaryocytes, there was no significant difference as between normals and enemies. The differences between them are probably due to chance. The hemocytoblasts comprised less than 1% and the -4l- megakaryocytes only slightly more than 1% of either the normal or anemic totals. It would seem then that the deficiency of normoblasts and the excess of erythroblasts and proerythroblasts in these anemic animals at birth are the most significant facts that these data present. Two possible explanations of the lack of normoblasts in the enemies at once present themselves. first: it might be due to some factor which was destroying the normoblasts in the anemic animals with the result that fewer erythrocytes were formed; or, second: it might be that the development of the blood was retarded in the enemies so that they were born in a more immature condition than the normals, and hence have a lower blood count. How do the facts support or discredit these theories? were the normoblasts undergoing destruction? I am inclined to think they were not. In the first place there was no visible evidence of any destructive processes in the liver,- no degenerative changes, pyknosis, or dissolution of tissue. If these cells, manufactured in the liver, were destroyed, it would probably be within the same organ, as very few normoblasts were found in the circulating blood. Most of them become mature erythrocytes before even entering the blood stream. They are incapable of locomotion by themselves, so they remain in the liver sinusoids until carried away as erythrocytes. Furthermore, it is quite possible that any destructive agent would have some effect on other cells in the vicinity, but nothing of this kind was observable histologically, nor was there any statistical evidence of it, for the total of all cells was about the same for enemies as for normals (6296 to 6240). It might be suggested that the destruction occurred Just after the erythrocytes enter the blood stream, which would then account for the anemia found by Mixter in his work. In that case the hemOpoietic centers would contain a full quota of normoblasts and a study of liver tissue only would not show any difference between normals and enemies - only erythrocytic counts would detect the anemia. Such is not the case. The _blood showed a deficiency of erythrocytes, and the liver a lack of normoblasts. Let us consider the second theory. Were these two types of animals equally developed at birth? The greater body size of the new-born normals would indicate a difference in prenatal growth-rate. This theory is supported by the contemporary work being done by A. A. Andrews. If we may postulate a differential growth-rate, then, it would be quite logical to interpret“"if;(Emiliamon the result of retarded blood development. Blood is a tissue. Growth in blood tissue would be expressed in terms of the numerical increase in its cells, and would have to be initiated by factors operating on the hemopoietic organs. Let us see what the evidence is in support of this theory. In the first place we know that ordinarily the hemopoietic function of the liver is lost shortly after birth and this role is assumed by the bone marrow. The [cunts of the normal animals would seem to indicate that hemopoiesis is in process of being concluded, because in these animals the cells of the generations preceding the normoblasts are in a minority. Although a.great many -43- normmblasts are still present, their source (the erythroblasts) is becoming exhausted and no new supply of the earlier stem cells is being proliferated to take their place. If the normal animals contained just as many erythroblasts and proerythroblasts as did the enemies per unit area, then we might be justified in supposing the deficiency of normoblasts in the anemics to be due to destruction. Since, however, the normals have fewer erythroblasts and proerythroblasts as well as more normoblasts, it seems logical to conclude that a.majority of the erythroblasts in these normals has but recently transformed into normoblasts, and the number of erythroblasts is depleted due to their production having practically ceased. If it is proved that development is retarded in these flexed-tailed animals, then the deficiency of normoblasts could very well be interpreted as meaning that the proliferation and differentiation of homepoietic cells in the liver has not yet reached its postnatal climax in these retarded flexed-tailed animals but is still in the ascendancy. In normals of the same age, on the other hand, the process (due to more rapid growth) has reached its climax and is on a descendency leading eventually to complete cessation. If this is the case then the so-called anemia with which we are dealing is not a pathological anemia, i.e., it is not a condition due either to loss of red blood cells or to an inability of the animal to ‘manufacture them. These animals would then be anemic in the sense that a sixteen day embryo would be "anemic" - i.e., have less blood cells and less hemoglobin - if compared with a twenty -44- day embryo in which blood volumn and hemoglobin perdentage has greatly increased. One more fact of interest should be brought out. Mr. Mixter found (see Table I) that the erythrocytic count in enemies at birth (5,520,000) is approximately 70% of the erythrocytic count in normals at the same age (4,880,000). In other words, there is a deficiency of about 50%k I have shown that according to these data the normoblast count in the anemic's liver at birth (2668) is approximately 80% of the normoblast count in normals (5277) - or is about 20% deficient. This indicates that some relationship undoubtedly exists between the production of normoblasts and the anemia. Perhaps the 50% deficiency he noted would be entirely accounted for were my work based upon counts cf'more individuals. The data seem to support our second theory. However, the theory can?:: accepted as definitely proved on the basis of these findings alone. Studies should be made of both the normals and enemies at different age levels preceding and succeeding the one I have used. This investigation could be carried out in the manner described in this paper by making quantitative studies of hemopoietic cells in the liver, beginning with the embryonic period at which this process is initiated and continuing into postnatal life as long as any signs of hemopoiesis are visible in the liver. The only step in this direction which I have taken is the examination of a seventeeneday-old anemic animal. As may be seen from Plate XII, hemopoiesis in the liver has stopped. -45- Mixter's data also (Table I) show that the anemia has disappeared by that time. This fragmentary evidence, inadequate as it is, supports our theory that hemopoiesis in enemies is merely retarded, but that it runs its course eventually as in normal animals. However, it must be admitted that the weakest part of this work is the insufficiency in the number of animals studied. A study of Tables Va, Vb, and Vc (normals) and of IXa, IXb, 110 (enemies) shows how'much variation.may be found in the widely separated areas of the same liver. Also, much variation was encountered among different mice of the same type. Some of this variation is admittedly due to inaccurate classification of some of the cells, but much of it is undoubtedly attributed to intrinsic difference in the animals. Greater accuracy might have been attained had.more cells been counted in each animal, as was done in two of the cases. This should have been done to several.more animals of each type. Although these data offer clear-cut points of difference between flexed and normal animals, the possibility still exists, due to the small number of animals used, that these differences are due to a chance selection of animals. Furthermore, fixed sections of tissues, although valuable in any histological study, do not always give a true picture of the cytology of the tissues being studied. Wbrk of this type should undoubtedly be supplemented by observations on the living cells, using the methods of supravital staining and tissue cultures. Such methods might enable one to identify cells of the hemoPoietic series with greater certainty. LI?! . a1. 3.1.1., .t -45- CON CLUS IONS l. Hemopoiesis occurs in the liver of’mics less than a day old. 8. Although fixed and stained sections of tissue may be used for such a study, other methods (such as supravital and intravital staining, and tissue cultures) should be used to supplement this one. 3. The livers of anemic animals contain only 80% as‘many normoblasts as do the livers of normals. 4. The livers of normal animals contain only'80% as many erythroblasts and proerythroblasts as do the livers of the anemics. 5. This difference in the percentages of normoblasts, erythroblasts and proerythroblasts in these two types at birth is interpreted as indicating that hemopoiesis is being concluded in the normals but is delayed in the anemics. 6. These data are significant as far as they go, but they are insufficient. Mere animals should be studied and a more complete analysis of the condition.made of the animals at birth, and at preceding and succeeding ages. -47- .ocma one: «pesos esp camp on» as uses» 03» pmoaHe on mmpsoa Nae _Bouu ewe ma defineb use munch mmonolxoen on» yo mpmonmm emu one: ones you: evades mead .0ooap amass daemon as venom efinoawoaen Ho omspsoonog one we commoamxo ma sfipoawosen no eofipenpsoenoo ages 000.3 000.0 000.3 $.00 $0.3 $.00 000.0090 000. 000.3 8068.3 Andes 000:... «00.0 000.0 $0.3 moss $.00 000.02.; 086$; 000.036 use»: n 000.0 $10 80.0 «0.00 $.00 $8.00 000.0006 000.036 000.0006 38: m 000.0 Sis 31¢ $.00 emit. more 000.0010 80.0.8.0 000.036 soon a 000. n 03. a ENJ $0.00 atom 93.8 000. 0H0. a 000. 000$ 000. 03. n spasm .upm . .npu . coHlo . .npm Mr .npm . eoxoah my .npm .oaom . .npm .Nvomm, vomoaw, . oofiom . .mpom . .0803 . .Nuom . I. . . . assoc opheoosumwmwdnnmww. tmlsfiDoHMOEmm owssob4. assoc osmoosnvhhm owsnobd . ewd - o '(r A38 «Lanna use.“ 3:053 .eemdpnoeuom manoawosmm was seasons 38 00on 32: use com 3 spasm ms fihm sons 385 2: Ho 0280 H manna ~48- Table II Distribution of Sizes of the Different Cells of the Erythrocytic Genetic Lineage Based Upon Absolute Measurements. Diameter of cell (in.micra) 4.5 - 5.0 - 5.5 - 6.0 - 6.5 " 8.5 9.5 '- 4.9 5.4 5.9 6.4 7.4 8.4 9.4 10.4 10.5 - 11.4 11.5 - 1204 1305 " 13.4 13.5 - 14.4 14.5 - 15.4 15.5 - 2004 20.5 - 25.5 30.5 5595 " 25.4 30.4 35.4 40.4 No. Nbl 3 10 50 6 l of No. of No. of No. of No. of Ebl Pbl Hbl iMQg 35 so 15* 25* 18 21 18 5 30 52 10 Total No. of Cells Measured. 50 5*“ “/5 80 80 25 80 *All'but one of these 88 proerythroblasts measured 8.4u'which was practically the:minimum.size of this type. NOne of the erythroblasts measured over 8;». be in the table. This overlapping is not as large as it seems to -49- Table III Count of Blood Cells in Mouse No.12 (Normal) Field Nb1 Ebl Pbl Bbl Meg Total No! I 1 66 46 3 O 1 116 2 57 38 3 0 0 98 3 6'7 52 2 0 1 122 4 35 28 2 0 3 68 5 64 48 1 0 0 113 6 32 20 0 0 2 54 7 34 33 3 1 2 '73 8 51 45 4 2 1 103 II 9 6'7 39 4 2 2 114 10 45 45 2 0 1 93 11 42 43 3 0 0 88 12 68 36 1 0 3 108 13 50 38 4 0 1 93 14 46 27 4 O 4 81 15 40 20 3 0 4 67 16 38 17 2 0 2 59 m 16 802 575 41 5 27 1450 fof total W m I'Key to abbreviations used in Tables III to IV inclusive: Nbl - normoblasts; Ebl - erythroblasts; Pbl - proerythroblasts; Hbl - hemcytoblasts; Meg - megakaryocytes. Table IV Count of Blood Cells in Mouse No.13 (Normal) Field Nbl Ebl Pbl Hbl Meg Total 2 59 4o 5 o 5 as 5 57 57 7 o 1 102 4 35 52 s o 5_ 75 5 14 32 1 1 1 49 6 4o 26 2 o 1 59 7 so 55 5 o o 68 e 67 45 2 o o 114 II 9 48 53 5 o 2 as 10 54 20 ‘ o o 1 55 11 50 25 5 o 1 so 12 28 44 7 o o 79 15 51 59 5 o o 75 14 36 34 2 o 1 75 15 40 55 5 o 0 so 15 27 22 5 o o 54 W 16 598 532 56 2 17 1205 ifbr total *” count 49 o 62% 4.4. 14% 4o 64% 0. 16% 1.41% -51- Table Va Count of Blood Cells in Mouse No.20 (Normal) 11 old Nbl Eb]. Pbl Hbl Meg Total Hm I 1 51 17 4 O O 72 8 48 15 5 l 1 70 3 27 26 11 1 0 65 4 50 55 7 O 2 114 5 46 25 5 2 3 81 6 28 51 3 O 0 82 7 58 36 8 0 5 107 II 8 51 30 4 1 1 .7 9 34 23 4 0 0 61 10 63 53 5 0 1 122 11 35 4O 7 0 6 88 13 44 2.6 4 O l 75 13 30 25 0 1 1 57 14 36 40 2 0 3 81 III 15 50 13 0 1 0 64 16 38 11 2 0 O 45 m 16 683 486 71 7 84 1271 fl 2 of total 0011115 53. 73% as.“ 5.50% 0.55% 1.88% -52- Table Vb Count of Blood Cells in Mouse No.20 (Con't.) Field Nbl Ebl Pbl Hbl Meg Total I 1 50 38 7 0 0 95 2 43 34 4 0 0 81 3 60 45 5 0 0 110 4 65 48 3 0 1 117 5 3O 45 3 0 1 79 6 40 47 7 O 0 94 7 14 26 6 0 1 47 8 65 46 13 0 0 114 9 34 36 3 2 0 75 10 25 34 3 0 1 63 II 11 36 36 5 0 1 78 12 37 32 3 0 1 73 13 58 41 1 0 2 102 14 68 35 8 0 2 113 15 72 4O 3 1 1 117 16 50 5O 4 0 1 105 W 16 747 633 78 3 12 1473 f of total A I ‘5 count 50. 71% 42.97% 5. 29% 00% 0.81% Table Vb Count of Blood Cells in Mouse No.20 (Con't.) r1614 Nbl 5:51 Pbl Hbl Meg Total I 1 50 38 7 o o 95 2 43 34 4 o o 81 3 6o 45 5 o o 110 4 65 4s 3 o 1 117 5 so 45 3 o 1 79 6 4o 47 7 o o 94 7 14 26 6 o 1 47 s 65 46 13 o o 114 9 34 36 3 2 o 75 10 25 34 3 o 1 63 II 11 36 36 5 o 1 7s 12 37 32 3 o 1 73 13 58 41 1 o 2 102 14 68 35 s o 2 113 15 72 4o 3 1 1 117 16 50 50 4 o 1 105 W 16 747 633 78 3 12 1473 i 0:: total I count 50.71% 42.97% 5.29% 0.20% 0.81% -53.. Table Vc Count of Blood Cells in Mouse No.20 (Con'd.) Field Nbl Ebl Pbl Hbl Meg Total =h;-°.-.’==: 1 L ha: ~~~ ‘ I 1 60 41 5 O l 107 2 62 34 l l l 99 3 12 24 3 O 0 39 4 47 41 7 O 2 97 5 42 48 7 0 l 98 6 43 48 3 O l 89 7 48 6O 10 2 2 122 8 73 72 9 0 3 157 II 9 24 40 9 O 2 75 10 56 38 4 1 1 100 11 26 4O 8 l O 75 12 21 45 5 O 0 71 13 49 53 6 0 O 108 III 14 38 14 1 0 0 53 13 27 13 O O 0 40 16 11 10 1 O O 22 W 16 639 615 79 5 14 1352 f of total 1 count 47.26% 45.48% 5.84% 0.36% 1.03% Table VI Count of Blood Cells in Mouse No.23 (Nomal) F1011 Nb1 Ebl Pbl ‘Hbl II!‘ Total I 1 64 45 5 0 3 117 2 57 52 4 0 1 114 3 35 26 3 0 O 64 4 56 43 7 1 1 108 5 50 23 4 0 2 79 6 57 36 3 0 3 101 7 57 44 7 0 1 109 II 8 56 42 2 0 O 100 9 29 32 2 O 3 66 10 11 16 2 0 O 29 11 41 35 3 0 0 79 12 3O 37 3 2 O 72 13 32 4O 4 0 3 79 III 14 3O 31 5 0 0 66 15 37 11 2 0 1 51 16 52 34 4 0 1 91 [mull .i , . 16 694 5" 62 3 19 1325 T{fo‘ftotel I W I 001313 53.37% 41. 28% ‘0 68% 0e 22% 1.43% _l 1‘ -55- Table VII Count of Blood Cells 1n.Mbuse No.26 (NOrmal) rield Nbl Eb]. Pbl Hbl Meg Total NO. I 1 36 22 6 2 O 66 2 31 29 3 O 2 65 3 35 24 2 1 0 62 4 28 15 8 1 O 52 5 4O 11 4 O O 55 6 32 3O 9 1 1 73 7 15 14 3 0 2 34 II 8 37 19 4 O 0 6O 9 25 20 6 1 0 52 10 27 17 8 O O 52 11 28 32 3 O O 63 12 39 27 4 0 O 70 13 33 15 5 0 O 53 14 26 18 2 0 1 47 III 15 42 15 1 0 O 58 16 19 12 1 0 0 32 W 16 493 320 69 6 6 894 $50: total ~56- Table VIII Counts of Blood Cells in Mouse No.17A (Ananio) Held Nb1 Ebl Pbl Hbl 1163 Total 332:» 1 I I 1 21 35 5 O O 61 2 35 45 9 O 2 89 3 7O 42 7 0 O 119 4 20 42 7 O 0 69 5 49 47 8 0 0 104 6 52 47 5 1 O 105 7 38 45 8 0 0 91 8 39 46 9 O 1 95 9 27 36 7 0 2 72 10 32 43 5 0 0 80 11 51 36 4 0 3 94 II 12 28 59 8 0 0 95 13 32 37 3 0 1 73 14 29 5O 3 O 0 82 15 63 6O 8 0 0 131 16 37 46 4 O 0 87 W 16 623 714 100 1 9 1447 % or total count 43.05% 49.34% 6.91% 0.07% 0.62% wu.~—- .1”.- . ~ I . ‘ ." -.. . -57- Table IKE Count of Blood Cells of’Mouse No.18A. (Anemic) Yield Nbl Ebl Pbl Hbl Meg Total No. I 1 14 29 3 0 0 46 2 44 26 6 0 l 77 3 27 40 4 0 O 71 4 11 8 3 0 0 22 5 8 12 3 0 2 25 6 6 20 0 0 0 26 7 47 16 0 0 0 63 II 8 27 30 3 O 2 62 9 11 37 2 1 2 53 10 28 32 3 0 1 64 11 24 37 1 0 2 64 18 36 14 5 0 0 55 13 21 39 3 0 l 64 14 21 33 3 0 1 58 III 15 35 43 l 0 4 83 16 30 34 6 1 l 72 16 390 450 46 2 17 905 %'of total count 43.09% 49.72% 5.08% 0.22% 1.87% Table IXb Count of Blood Cells of Mouse No.18A. (Con't.) Field Nbl Ebl Pbl Hbl Meg Tbtal 2 28 27 7 0 2 64 3 19 37 8 0 0 64 4 15 42 6 0 2 65 5 35 56 4 o 1 96 6 23 40 8 0 1 72 7 31 38 9 1 0 79 II 8 21 23 5 0 o 49 9 25 26 3 0 1 55 10 40 37 5 1 1 84 11 17 55 9 0 1 82 12 30 67 7 0 0 104 13 15 40 6 0 1 62 14 16 38 3 0 2 59 15 29 25 4 0 0 58 III 16 33 35 5 0 o 73 WY * :=====:===== 16 421 630 94 3 12 1160 %“62 total 5‘ 5 count 36.29% 54.31% 8.1% 0. 25% 1.03% “‘7’: F "in ~58- Table IXb Count of Blood Cells of Mouse No.18A (Con't.) Field Ebl Pbl Hbl Meg Tbtal 2 28 27 7 0 2 64 3 19 37 8 0 0 64 4 15 42 6 O 2 65 5 35 56 4 0 1 96 6 23 40 8 0 1 72 7 31 38 9 1 0 79 II 8 21 23 5 0 0 49 9 25 26 3 0 1 55 10 4O 37 5 1 1 84 11 17 55 9 0 1 82 12 30 67 7 0 0 104 13 15 4O 6 0 1 62 14 16 38 3 0 2 59 15 29 25 4 0 0 58 III 16 33 35 5 0 0 73 :======================================51 —~ :============= 16 421 630 94 3 12 1160 % of total count 36.29% 54.31% 8.1% 0.25% 1.03% 3L.“ ‘1: H‘ Table 1X0 Count of Blood 06118 of Mouse no.181 (Con'd.) Field Hbl Ebl Pbl Hbl Meg Total 2 16 23 6 0 1 46 3 23 33 4 1 0 61 4 50 40 4 0 0 94 5 30 35 3 0 1 69 6 55 35 l 0 2 93 7 52 47 5 0 0 104 8 60 55 4 0 4 123 II 9 43 46 6 0 0 95 10 46 58 8 0 0 112 11 42 47 4 0 l 94 12 31 44 5 0 2 82 13 49 33 1 1 1 85 14 32 27 6 0 0 65 15 23 25 3 0 3 54 16 34 44 5 0 0 83 16 626 625 69 3 15 1338 {of Yam "‘ ‘ I count 46.78% 46.71% 5.15% 0.22% 1.12% ”w. o‘ “a“. sane ~60- Tablo I Count of Blood Cells of Mouse No.214 (Anemic) Field Nbl Ebl Pbl .Hbl LMeg Total No: . - I 1 50 45 O O 1 96 2 33 38 1 O 3 75 3 82 46 O 0 1 129 4 43 27 2 0 1 73 5 33 41 3 1 1 79 6 42 34 2 0 0 78 II 7 18 41 3 0 0 62 8 19 47 2 O 1 69 9 28 43 4 O 0 75 10 34 4O 3 O 1 78 11 39 34 3 O 1 77 12 28 33 4 0 0 65 13 35 22 2 1 4 64 14 38 37 3 O 3 81 15 25 46 1 O O 72 16 19 32 3 O 0 54 W .16 566 606 36 2 17 1227 76 of total _1 V count 460 12% 49.38% 809336 0.16% 1.38% -61. Table II Count of Blood Cells of Mouse 22A (Ananic) 11614 Nbl n1 Pbl Hbl Meg Total I 1 26 43 6 0 1 76 2 36 32 8 1 0 77 3 35 48 6 0 1 90 4 29 37 5 0 1 72 5 30 40 2 0 o 72 6 35 37 7 0 3 82 7 51 30 4 0 1 86 II 8 12 42 7 0 2 63 9 27 40 8 0 1 76 10 26 48 6 0 4 84 11 36 35 5 o 1 77 12 45 49 7 0 2 103 13 28 40 6 0 1 75 14 22 37 5 I 0 65 15 38 42 6 0 0 86 16 57 49 5 0 0 111 mfifi? WfiU—fi 1- 1 J “L 16 533 649 93 2 18 1295 %TBI total ' " '55“ “5 "* count 41.15% 50.11% 7.18% 0.15% 1.38% -52- Table.III Count of Blood 0811. of Mouse No.24A (In-010) Field Nbl 351 Pbl Hbl Meg Total No! I 1 25 29 3 0 1 58 2 56 32 3 0 0 71 3 22 48 6 0 0 76 4 31 34 5 0 0 70 5 28 43 8 0 2 81 6 23 46 5 0 1 75 7 31 29 9 0 0 69 8 33 42 3 0 0 78 9 44 50 4 o 0 98 II 10 35 52 5 0 0 92 11 31 36 6 0 0 73 12 9 29 5 0 0 43 13 19 36 3 1 0 59 14 54 42 7 0 0 103 15 26 35 5 1 3 70 16 20 47 3 1 5 76 16 467 630 80 3 12 1192 % 6:261:11“ ‘ 5'5 A 5' count 39.17% 52.85% 60 71% O. 25% 1.01% 3.66 :3 88 83 83 8.: .989 «8. H 45.." $36 49A moo...” $.34 mom; a no 2 oo o 3 S S 3 62 «8. H 436 $36 «$6 $3.0 «36 «3.0 n 2m .3 o n o a o .62 mod. H 45.4 42.4. 38.4 «36 43.4 «no.» 4 Sm eon 8 no 2. on .9 162 h 1 7 r . halfiuIIIa .22. “no.2 43.3” «8.3 48.6 moo.» 523 «o m 2838 l 7 86.833 43. H 48.3 *2. .3 48.3 13.3 43.3 528 4 Sn «no» 8» 33 2.5 m2 3... .oz *3. H 42.8 43.8 45.5 4.3 .8 33.3 «78.8 4 22 to... no. «3 as moo mom .2 -..... no. im. , 4-934 .24 its oak 7 8m .84 3.. 7 wash 12: HP .. HHH 822. no g. 38:64 16oz no 338 :3 .3. «o g HHHR 0.3.5. oomo nod 32 4.2.4 on: $3 .932. 48. H 4.644 484 424 “on; 4.84 486 u we: .2 fl 3 3 3 o 62 «no. H 456 «no.6 «36 mode 486 «.36 x 2m .3 a a a .... a .33 «on. H $86 4.2.6 “3.4. «8.: $36 «.36 m .34 an 8 no on 2. 82 .oz - t #3 3 .32 43.2. 48.3 48.5 43..» 43.4. 486 «o u 825.5 F hon-3.36! *3. H 43.8 48.5 43.8 43.3 $3.8 43.3 a :5 58 8o 3o 23 moo. «2. 62 «no. H 45.3 $5.3 $3.3 43.3 48.3 30.9 a 32 83 So an ooo 2... 93 .oz 72: a .. HE .522. no 2.356.. 3955 35:4 «o 358 on» in no g B 0.3g ll .ufl. I! Table 1! Difference Between Total Percentages of the Different Cell Types for Nomsls and Anemics (Sumnary of Tables XIII and XIV) Cell 76 of Total % of Total Difference No. of times Type Normal Count Ananic Count between difference . Percents-es exceeds P.E Nbl 52.51% 1: .43% 42.37% 45.42% 10.14% 1.60% 17.0 E’bl 40.89% 1.42% 50.31% :.43% 9.42% 11.60% 16.0 Pbl 4.87% 1.18% 6.02% :.20% 1.15% 1.27% 4.3 Hbl 0.33% I .05% 0.17% 15.03% 0.16% 1.06% 2.6 Meg 1.37% t .09% 1.12% 32.09% 0.25% 1.13% 2.0 -66- BIBLIOGRAPHY l. Minter, Russell, ”The Blood of the Flexed Tailed Mouse with Some Observations on the Effects of Inbreeding on the Flexed Tailed Strain.” Thesis for the Degree of“Master of Science. Michigan State College, 1930. 2. Kindred and Corey, ”Studies On the Blood of the Fetal Albino Rat.” Anatomdcal Record, 761.47, Nov.,1930, pp. 21.3 & ff. 3. Karsner, Howard T., ”Human Pathology”. Chapter XIV, pp.485~524. "The Hematopoietit System." J.B.Lippencott &.Co., 1929. 4. Evans, Frank A., "Pernicious Anemia". Williams and Williams Company, 1926. 5. Strong, 0.8. and Elwyn, A., "Bailey's Text Book of Histology." Seventh Edition. Chapter IV, pp.125-l43. William.Wbod & Company, 1928. 6. Maximow, Alexander 3., "Relation of Blood Cells to Connective Tissues and Endothelium." Physiological Review. V01. IV, October , 1924 , Pp0535-5630 7. mathow, A. and Bloom, William, "A Text-Boot of Histology." Chapter III, pp.48-71, Chapter V, PP.99-l50, W.B.Saunders 00., 1930. 8. now, 00A... Cunningham, R.S., and 8813111, FOR.’ "Experimental Studies on the Origin and'Maturation of Avian and.Mammalian Red Blood Cells." Contributions to Embryology No.83, pp.l65-226. Carnegie Institute of washington, January, 1925. 9. IMedlar, "An Interpretation of the Nature of Hodgkin's Disease.” American Journal of Pathology, 701.7II, pp.499 & ff., September, 1931. 10. Jordan, 3.3., "varieties and the Significance of Giant Cells." Anatomical Record. Vol.30-3l, September, 1925, PP . 51-65 0 ll. Foa, P., 1899, Ziegler's Beitrage zur Path. Anat., Bd. 25, S. '76. 12. Pugliese, A. 1897. 'Uber die physiologieche Rollo der Riesenzellen.” Fortschr. der Med., Bd.15, 8.729. 13. Denys, J. 1866, "La cytodierese des cellules geantes et des petite cellules incolores de la moelle des as." La Cellule. T.2, p.245. BIBIIOGRAPHY (Continued) 14. Sabin, Florence R., "On The Origin of the Cells of the Blood.” Physiological Review, Vbl.II, No.1, Jaiuary 1922, pp. 38-69 0 15. Arey, leslie 3., "Developmental Anatomy." Chapter II, ppo253-259, Second Edition, W.B.Saunders Co., 1931. 16. Bunting, C.H., "The Leucocytes" Physiological Revhews, VOleII’ No.4, OCtOber, 1922’ pp.505-520. l7. deAberle, S. B., ”A Study of the Hereditary Anemia of.Mice." American lburnal of Anatomy, vo1.4o, Nevember 1927, pp.219-247. 18. McClung, C. I.. "Handbook of Microscopical Technique." Pan]. Be Hoeber’ 1110., 1929. EXPLANATION OF THE FOLLOWING PLATES The first twelve plates are microphotographs of various tissues and organs of the normal and anemic animals at birth (except Plate III which is the liver of a l7-day old anemic mouse). These photographs were taken with a Leitz microphotcgraph camera. JMsgnification in all cases was x450. Plate 711 is an enlargement of the picture used for Plate V, and is intended to bring out the details of cell structure. Plates 1111 to XVI inclusive are free-hand illustrations done with colored drawing pencil by the author. They are drawn approximately to scale (11.9ptto the inch). IMagnification was in all cases 1600. These plates are to show the various staining reactions observed in the five groups of hemopoietic cells. KEY '10 ABBREVIATIONS USED IN PLATE I TO XII INC. 0 - cartilage c.v. - a central vein ebl - erythroblasts ebl' - erythroblasts in mitosos ecy - erythrofiytes ecy” - unstained or faintly stained erythrocytes hbl - hemocytoblasts L - cord of liver cells lcy - lymphocytes lcy' - lymphocytes in mitosis L.n. - nucleus of a liver cell meg - megakaryocyte nbl - normoblast nbl" - normoblast with unstained or faintly stained cytoplasm obl - osteoblasts pbl - proerythroblasts P. 1. - polymorphous leucocytes v-vein ebl nbl nbl C e 'e pbl obl Liver of send me (No.18) at birth. Note the predeninenee of amounts. (Aeid eosin-h-etomu stein) Plate 11 Same as above but ensuing e different eree. Note the difference in eiee of ”noblest nuclei. -11- hbl Plate III Liver of e send me (3.”) at birth. late the elutere of eel-oblate. (anemia-mime etein) ebl obl / nbl.“ ebl pbl nbl Plat. IV fine as above but a different eree. Note the We of erythrobleete. mere with Pietee 1.11.111" Lieu: of en we we (loan) at birth. ”marked predninenee of Wee ever W. ampere eith Phtee I end 11. (antenna-eosin etein) P13“ 71 S-euebovebntedifferentfield. ebl Plate '11 Liver of en ell-1e we (1mm) at birth. (is Wt of Plate 7) late the mrphelea of the liver at this ego. mete VIII hemmtheMefeeenelleue (lea?) late the dieterted mhreeytee inter edudllneteeyiin—uin-eme). M11 haemfrcribefemel-eeee (Item). lete the intneeiy eteined nor-oblate end errthretleete. (Hamlin-“meme stein) Plate! nineteen-ulna (hum) et birth. “themattheeelh.theirdueeetehiu.ud hemlitetie rim. (_Wil lid!) Plate 11 x-eeetieeefebieedveeeeiefeeeneineuee(le.w)etbirth. letetheeteinedeedeeeteined erythrocytee. (kWh-ewe). L.n. .e'e mum Liver of en ell-it nee (1mm) 17 due old. Note the ehereeterietie wee of the liver eerde. end the ebeeeeeefh-epeietieeene. Oqeretheeppeereeeeefthie liver with theee at birth. (Pietee I - m ine.) (Acid eosin-humus stein) - viii - AW A U is. "i’éf' 2 l C ,ia *r t. .1 ”I”? 'L' “a as U} W .5, £3 33 U _ Err} D E #33 e a} a; {3%, _. -$;;~.<é* 1 Plate XIII I‘IOR‘IIOBLASTS Groups A, B, C, and D: Cells stained with hematoxylin-eosin-azure. Group A: Cells of average size showing the faintly basic-staining cytoplasm, and dense, homogeneous nuclei. No.1 - in mitosis. No.2 - shows a faint trace of pink in the cytoplasm. Group B: Large sized younger normoblasts; somewhat mottled nuclei. Group C: Extruded nuclei. Group D: Cells with unstained cytOplasm. Group E: Cells stained with acid eosin-hematoxylin. No.1 - shows the nucleus being extruded. I get 1' FA. 4. - ix - . «i A ‘ /fi " I; fTs I" “ 1" L"; ' ~91 w t H " t fwy" ’23" 1 _._... 4 ‘r 9"”. I," .1 '7‘ Wall :_ I". .fizs’ffi ‘ ‘H‘ B '., _J’ ' v" . - > J 3 . 5 J -'\ {/1 .r f'"-'i- " Jff ffiq‘," ~ 2 :1? r _.' x B 1 5 £33— a :- .35"? R' 1 gm '( e. f V' ‘ a.“ 1,. '3 “I?" Lg)? ., :2 31’ 3 u ‘6‘. ’ , I r 6' z Plate XIV ERYTHROBLASTS Nos. 1,2, and 3 - Group.A: Stained with hematoxylin-eosin-azure. No. 3 - shows a pinkish tint in average sized erythroblasts. No.4 - small sized erythroblast; compare this the cytoplasm. with normoblasts (Plate XIII). No.5 - large erythroblast. Compare No.1 and Yo. Group B: Stained with acid eosin-hematoxylin. 2 with normoblasts. '1‘ ill . TIIJ ll|.l.i f”:- 11... {1" _; ~. K“P£?" :1 ,: . i k I 1 ,H‘. Q-xjw. s £ 1&4“; ‘ stiff"; '3”. 3' i .‘ .. .... , 5" f“: 2 .s35 ' s% I" J" 453 3 PlateiXV PROERYTHROBLASTS No. 1 -.Average sized proerythroblast. No.2 and No. 3 - Large proerythroblasts. No.3 - In.mitosis. Hematoxylin-eosin-azure stain. “ _... _.— Plate m HIEMOCY‘I'OBIASTS A pair of average sized hemocytoblasts. Note the irregular extensions of the cytoplasm. Hematozylin-eosin—azure stain. Plate m HDJOC'YTOBIASTS A pair of average sized hemocytoblasts. Note the irregular extensions of the cytoplamm. Hematoxylin-eosin-azure stain. Os. V—f— - ._..-..-, an- . v -xii - Plate XVII A MEMKARYOCYTE An average sized cell ( about 25/uin diameter ). Note the multi-lobed nucleus. Hanatoxylin-eosin-azure stain. "hm-w urn-s. vat- " {“C- c ‘lg.-- -I". - w'flsfu-“rr. O?) “a- x n. ‘ ...“ tin) . .4}. ‘06....3" v\. .1? iNTER — L133 ARY LOAN c, 93 0.”. «Fl. b e C: “TIT ifififlfiufiflfifli! Mtg mm H; W