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Untitled - D Ank Unlimited

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phagocytosis 570 phagocytosis<br />

polymerization of actin, invagination of plasma membranes,<br />

and sequestration of the particle into an intracellular vesicle<br />

called a phagosome. Microbes taken up in this manner<br />

are killed by reactive oxygen intermediates and reactive<br />

nitrogen intermediate species inside the phagosome, which<br />

joins the endocytic processing pathway where it matures<br />

incrementally to generate a phagolysosome. An important<br />

clearance mechanism for the removal and disposition of<br />

foreign agents and particles or damaged cells. Macrophages,<br />

monocytes, and polymorphonuclear cells are phagocytic. In<br />

special circumstances, other cells such as fibroblasts may<br />

show phagocytic properties; these are called facultative<br />

C3b<br />

(1)<br />

Adherence<br />

IgG<br />

Emigration<br />

Chemotaxis<br />

Phagocytosis<br />

Azurophilic (primary)<br />

granule<br />

PMN Plasma membrane<br />

Phagocytosis<br />

(2)<br />

Bacterium<br />

IgG receptor<br />

C3b receptor<br />

Specific (secondary)<br />

granule<br />

Phagocytosis.<br />

phagocytes. Phagocytosis may involve nonimmunologic or<br />

immunologic mechanisms. Nonimmunologic phagocytosis<br />

refers to the ingestion of inert particles such as latex or other<br />

materials modified by chemical treatment or coated with<br />

protein. Damaged cells are also phagocytized by nonimmunologic<br />

mechanisms. They may become coated with immunoglobulin<br />

or other proteins that facilitate their recognition.<br />

Phagocytosis of microorganisms involves several steps:<br />

attachment, internalization, and digestion. After attachment,<br />

the particle is engulfed within a membrane fragment and a<br />

phagocytic vacuole is formed. The vacuole fuses with the<br />

primary lysosome to form the phagolysosome, in which the<br />

lysosomal enzymes are discharged and the enclosed material<br />

is digested. Remnants of indigestible material can be recognized<br />

subsequently as residual bodies. Polymorphonuclear<br />

neutrophils (PMNs), eosinophils, and macrophages play<br />

an important role in defending the host against microbial<br />

infection. PMNs and occasional eosinophils appear<br />

first in response to acute inflammation, followed later by<br />

macrophages. Chemotactic factors are released by actively<br />

multiplying microbes. These factors are powerful attractants<br />

for phagocytic cells that have specific membrane receptors<br />

for them. Certain pyogenic bacteria may be destroyed soon<br />

after phagocytosis as a result of oxidative reactions; however,<br />

certain intracellular microorganisms such as Mycobacteria<br />

or Listeria are not killed merely by ingestion and may remain<br />

viable unless adequate cell-mediated immunity is induced<br />

by interferon-γ activation of macrophages. Phagocytic<br />

dysfunction may be due to extrinsic or intrinsic defects. The<br />

extrinsic variety encompasses opsonin deficiencies secondary<br />

to antibody or complement factor deficiencies, suppression<br />

of phagocytic cell numbers by immunosuppressive<br />

agents, corticosteroid-induced interference with phagocytic<br />

Fused granule<br />

(azurophil) membrane<br />

Cationic microbial<br />

proteins<br />

(3)<br />

Acidic phagolysosome<br />

contains short-chain<br />

fatty acids<br />

Fused granule<br />

(specific) membrane<br />

Lactoferrin<br />

lysozyme collagenase<br />

vitamin B–binding protein

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