Actions

Schizont Development: Difference between revisions

From haematologyetc.co.uk

(Created page with "---- '''Navigation'''</br> Go Back ---- {| class="wikitable" style="border-style: solid; border-width: 4px; color:black" |colspan="1" style = "font-size:100%; color:black; background: FFFAFA"|<span style="color:navy>'''How is red cell size and shape affected as malaria develops?'''</span> During parasite develop,emt each species alters the red cell that they occupy. These changes differ between species causing characteristic chan...")
 
No edit summary
 
(23 intermediate revisions by the same user not shown)
Line 6: Line 6:


{| class="wikitable" style="border-style: solid; border-width: 4px; color:black"
{| class="wikitable" style="border-style: solid; border-width: 4px; color:black"
|colspan="1" style = "font-size:100%; color:black; background: FFFAFA"|<span style="color:navy>'''How is red cell size and shape affected as malaria develops?'''</span>
|colspan="1" style = "font-size:100%; color:black; background: FFFAFA"|<span style="color:navy>'''How does schizont appearance change during their development?'''</span>




During parasite develop,emt each species alters the red cell that they occupy. These changes differ between species causing characteristic changes to.red. cell size and red cell shape. These changes occur from a relatively early stage of parasite development although the very earliest trophozoites may yet show these features. These changes in size are retained at schizont and gametocyte stages, though shape may be different (see each species description).
Schizonts formation involves successive cycles of asexual division that eventually result in the formation of multiple separate "merozoite" forms. Those merozoites are released as the red cell breaks down then go on to infect another red cell. Schizonts therefre look very different depending on which stage of development they represent. Below are images of schizonts at different developmental stages.
 


----
----


'''SMALL ROUND RED CELLS'''
'''THE INITIAL ASEXUAL DIVISION'''


''P.malariae''


The red cells in this species remain round and are often small in size
The first recognisable stage occurs when the schizonts first divide their chromatin to form two distinct masses. This first stage is the least distinctive and can be difficult to distinguish from a late trophozoite or gametocyte with a double chromatin dot. But often the appearance is clear.
 


<gallery mode="nolines" widths="200px" heights="220px" >
<gallery mode="nolines" widths="200px" heights="220px" >
File:1SizePMET.jpg|A|link={{filepath:1SizePMET.jpg}}
File:Schizontcartoon1.jpg|A|link={{filepath:Schizontcartoon1.jpg}}
File:2SizePMLT.jpg|B|link={{filepath:2SizePMLT.jpg}}
File:Schizontreal1.jpg|B|link={{filepath:Schizontreal1.jpg}}
</gallery>
</gallery>


The early (A) and late trophozoites (B) shown in this image each lie within round erythrocytes with reduced size.
The cartoon image (A) shows the division of chromatin into two distinct purple chromatin masses within the blue parasite cytoplasm (at this point the cytoplams is not divided so indiviual merozoites are not really distinguishable). A clinical image of a parasite at this developmental stage (''P.ovale'' with well shown James'dots) is shown in panel (B).




----
----


'''RED CELLS WITH UNCHANGED SIZE AND SHAPE'''
'''IMMATURE SCHIZONT APPEARANCES'''


''P.falciparum'' (and ''P.knowlesi'')


Red cell size and shape is generally unchanged although they may become crenated
As schizont development proceeds further cycles of division cause the appearance of mutiple separate areas chromatin that will eventually form the merozoies, although at this stage they still lie within a single cytoplasmic mass. The number of divisions varies between species, so in mature schizonts this can contribute to species identification (see schizont gallery). Note that as the parasites develop the haemoglobin is metabolised so the red cell becomes more pale, and the products of red cell breakdown (malaria pigment) become more prominent.
 


<gallery mode="nolines" widths="200px" heights="220px" >
<gallery mode="nolines" widths="200px" heights="220px" >
File:3SizePMET.jpg|A|link={{filepath:|3SizePMET.jpg}}
File:Schizontcartoon2.jpg|A|link={{filepath:Schizontcartoon2.jpg}}
File:4SizePFLT.jpg|B|link={{filepath:4SizePFLT.jpg}}
File:Schizontreal2.jpg|B|link={{filepath:Schizontreal2.jpg}}
</gallery>
</gallery>


The early (A) trophozoites lie within red cells that do not change size or shape, at later development (B) they may remain unchanged or acquire subtle crenation.  
The cartoon image (A) shows the further division of chromatin (Chr) into many discrete massed within the blue parasite cytoplasm (Cy). Indiviual merozoites are still not distinguishable but the malaria pigment is obvious (Pi). A clinical image of a parasite at this developmental stage (again from ''P.ovale'' with well shown James'dots and malaria pigment) is shown in panel (B).




----
----


'''ENLARGED AND DISTORTED RED CELLS'''
'''MATURE SCHIZONT APPEARANCES'''


For both ''P.ovale'' and ''P.vivax'' the red cells become progressively enlarged and distorted as the parasites develop. It may not be possible to distingish the species based on red cell appearances, but there are differences which should be looked for.
By this stage the individual merozoites can be distinguished, each with a chromatin dot and cytoplasm; they are now ready for release from the red cell.  




''P.ovale''
<gallery mode="nolines" widths="200px" heights="220px" >
File:Schizontcartoon3.jpg|A|link={{filepath:Schizontcartoon3.jpg}}
File:Schizontreal3.jpg|B|link={{filepath:Schizontreal3.jpg}}
</gallery>
 


Expect increased red cell size but this may not be marked; the typical shape is an ovoid shape (hence the name) and there may be characteristic finbriation of cytoplams (that may be limited to one pole of the cell).
The asexual division cycles are now complete cartoon image (A) shows the merozoites (M) as discrete chromatin with blue cytoplasm. Malaria pigment is present (P). The clinical image of a parasite at this developmental stage (again from ''P.ovale'' with well shown James'dots and malaria pigment) is shown in panel (B).


<gallery mode="nolines" widths="200px" heights="220px" >
File:5SizePOET.jpg|A|link={{filepath:|5SizePOET.jpg}}
File:6SizePOLT.jpg|B|link={{filepath:4SizePOLT.jpg}}
</gallery>


Early (A) and late (B) trophozoites o ''P.ovale''. In each case there is a tendency for red cells to have an ovoid shape and there is distortion of the cytoplasm with sharp projectiosn (fimbriation). These orregular and spiky projections differ from the rounded crenation that may be seen in ''P.falciparum''.
----




''P.vivax''
'''MEROZOITE RELEASE'''


This species tend to have the largest red cell size that becomes evident at quite and early stage; the typical shape is quite irregular fimbriation is not (generally) seen.
In the final stage the red cell membrane is broken down, swelling then separating to release the merozoites and any malaria pigment into the blood where each merozoite enters a red cell to form a new early trophozoite and increasing the infection load.


<gallery mode="nolines" widths="200px" heights="220px" >
<gallery mode="nolines" widths="200px" heights="220px" >
File:7SizePVET.jpg|A|link={{filepath:|7SizePVET.jpg}}
File:Schizontcartoon4.jpg|A|link={{filepath:Schizontcartoon4.jpg}}
File:8SizePVLT.jpg|B|link={{filepath:8SizePVLT.jpg}}
File:Schizontreal4.jpg|B|link={{filepath:Schizontreal4.jpg}}
</gallery>
</gallery>


Trophozoites of ''P.vivax'' cause increase in size and distortion of red cells as the parasites mature. Here, the the early trophozoite (A) is enlarged but still retains a relatively undistorted elongated shape (similar to ''P.ovale''); however the late form (B) is has a very irregular shape (note that unlike ''P.ovale'' the red cell is not fimbriated).
 
Merozoites cause the red cell membrane to be expanded then to break down; the merozoites (M) are now clearly separate and move apart, the pigment (P) is also released during this process (A); this is shown in the clinical image (B) although this brief stage is rarely seen in practice (''P.malariae'').

Latest revision as of 20:22, 27 March 2024


Navigation
Go Back



How does schizont appearance change during their development?


Schizonts formation involves successive cycles of asexual division that eventually result in the formation of multiple separate "merozoite" forms. Those merozoites are released as the red cell breaks down then go on to infect another red cell. Schizonts therefre look very different depending on which stage of development they represent. Below are images of schizonts at different developmental stages.



THE INITIAL ASEXUAL DIVISION


The first recognisable stage occurs when the schizonts first divide their chromatin to form two distinct masses. This first stage is the least distinctive and can be difficult to distinguish from a late trophozoite or gametocyte with a double chromatin dot. But often the appearance is clear.


The cartoon image (A) shows the division of chromatin into two distinct purple chromatin masses within the blue parasite cytoplasm (at this point the cytoplams is not divided so indiviual merozoites are not really distinguishable). A clinical image of a parasite at this developmental stage (P.ovale with well shown James'dots) is shown in panel (B).



IMMATURE SCHIZONT APPEARANCES


As schizont development proceeds further cycles of division cause the appearance of mutiple separate areas chromatin that will eventually form the merozoies, although at this stage they still lie within a single cytoplasmic mass. The number of divisions varies between species, so in mature schizonts this can contribute to species identification (see schizont gallery). Note that as the parasites develop the haemoglobin is metabolised so the red cell becomes more pale, and the products of red cell breakdown (malaria pigment) become more prominent.


The cartoon image (A) shows the further division of chromatin (Chr) into many discrete massed within the blue parasite cytoplasm (Cy). Indiviual merozoites are still not distinguishable but the malaria pigment is obvious (Pi). A clinical image of a parasite at this developmental stage (again from P.ovale with well shown James'dots and malaria pigment) is shown in panel (B).



MATURE SCHIZONT APPEARANCES

By this stage the individual merozoites can be distinguished, each with a chromatin dot and cytoplasm; they are now ready for release from the red cell.



The asexual division cycles are now complete cartoon image (A) shows the merozoites (M) as discrete chromatin with blue cytoplasm. Malaria pigment is present (P). The clinical image of a parasite at this developmental stage (again from P.ovale with well shown James'dots and malaria pigment) is shown in panel (B).




MEROZOITE RELEASE

In the final stage the red cell membrane is broken down, swelling then separating to release the merozoites and any malaria pigment into the blood where each merozoite enters a red cell to form a new early trophozoite and increasing the infection load.


Merozoites cause the red cell membrane to be expanded then to break down; the merozoites (M) are now clearly separate and move apart, the pigment (P) is also released during this process (A); this is shown in the clinical image (B) although this brief stage is rarely seen in practice (P.malariae).