Rouleaux formation of white blood cells and platelets in leukemia


  • Hafeez Ullah The Islamia University of Bahawalpur
  • Khalid Naeem ahauddin Zakariya University
  • Munir Akhtar ahauddin Zakariya University
  • Fayyaz Hussain ahauddin Zakariya University
  • Mukhtar Ahmad Institute of Information Technology



White light microscopy, Complete blood count (CBC), Total leukocyte count (TLC), Red blood cell (RBC), White blood cell (WBC), Mean corpuscular hemoglobin (MCH), Mean corpuscular hemoglobin concentration (MCHC)


The objective of this study was to measure the effects of glucose and salt level on white blood cells, red blood cells and platelets (PLTs) in the blood of a leukemic patient by using a white light microscope. Different concentrations of glucose and salt in the range of 0 mM to 500 mM were admixed in the blood sample to prepare blood smear. We revealed that shape of erythrocytes, leukocytes and platelets changes and form aggregates. Increasing concentrations of glucose cause to increases aggregation process of white blood cells, red blood cells and platelets. And the increasing concentration of sodium chloride causes to increase rouleaux formation and aggregation of platelets but dehydration due to increased sodium chloride concentration causes to break the aggregation of white blood cells. Comparison of CBC reports of these samples with and without analytes shows that total leukocyte count (TLC) decreases gradually towards normal ranges of leukocytes which is favorable in the treatment of leukemia but at the same time decreasing level of hemoglobin HGB, mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC) and increasing level of red blood cell (RBCs) causes to reduce oxygen supply which is in favor of cancer growth and anemia. This work provides us the base for translation this in vitro study towards the in vivo case of blood microvasculature as a non-invasive methodology.


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How to Cite

ULLAH, H., NAEEM, K., AKHTAR, M., HUSSAIN, F. and AHMAD, M., 2018. Rouleaux formation of white blood cells and platelets in leukemia . Bioscience Journal [online], vol. 34, no. 2, pp. 410–422. [Accessed4 March 2024]. DOI 10.14393/BJ-v34n2a2018-36976. Available from:



Biological Sciences