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[[Image:LH Monocyte Histology.jpg|right|thumb|150px|<p>'''Monocyte'''</p><sup>©RVC 2008</sup>]]
 
[[Image:LH Monocyte Histology.jpg|right|thumb|150px|<p>'''Monocyte'''</p><sup>©RVC 2008</sup>]]
<p>Monocytes are the largest [[Leukocytes - WikiBlood|leukocytes]]. They have a large indented nucleus, few granules and constitute about 5% of circulating [[Leukocytes - WikiBlood|leukocytes]]. Monocytes are precursors to a number of cells that make up the [[Lymphoreticular System - Anatomy & Physiology|mononuclear phagocytic system]]. Developing in the [[Bone Marrow - Anatomy & Physiology|bone marrow]], monocytes migrate into the circulation where, after approximately three days, they migrate into tissues and differentiate.</p>
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==Introduction==
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Monocytes are the largest [[Leukocytes|leukocytes]]. They have a large indented nucleus, few granules and constitute about 5% of circulating leukocytes. Monocytes are precursors to a number of cells that make up the [[Lymphoreticular System - Anatomy & Physiology|mononuclear phagocytic system]]. Developing in the [[Bone Marrow - Anatomy & Physiology|bone marrow]], monocytes migrate into the circulation where, after approximately three days, they migrate into tissues and differentiate.
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==Development==
 
==Development==
<p>Monocytes develop from the bi-potential [[Overview of Haematopoiesis - WikiBlood#Colony Forming Units|CFU-GM]] stem cell. Further details of this process ([[Leukopoiesis - WikiBlood|leukopoiesis]]) can be found [[Leukopoiesis - WikiBlood#Monocyte development|here]].</p>
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<p>Monocytes develop from the bi-potential [[Haematopoiesis - Overview#Colony Forming Units|CFU-GM]] stem cell during [[Leukopoiesis|leukopoiesis]].</p>
<p>When monocytes leave the blood stream they then differentiate into a number of cells (all are [[Macrophages|macrophages]]):
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<p>When monocytes leave the blood stream they then differentiate into a number of cells (all are classified as [[Macrophages|macrophages]]):
 
* Connective tissue histiocyte
 
* Connective tissue histiocyte
 
* [[Respiratory System General Introduction - Pathology#Alveolar macrophages|Alveolar macrophage]]
 
* [[Respiratory System General Introduction - Pathology#Alveolar macrophages|Alveolar macrophage]]
 
* Peritoneal macrophage
 
* Peritoneal macrophage
* Kupffer cell of [[Liver - Anatomy & Physiology|liver]]
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* Liver Kupffer cell  
 
* Melanophage of skin
 
* Melanophage of skin
 
* Lipophage
 
* Lipophage
 
* [[Bones - Anatomy & Physiology#Osteoclasts|Osteoclasts]] in bone
 
* [[Bones - Anatomy & Physiology#Osteoclasts|Osteoclasts]] in bone
* Microglial cell in bone & brain
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* [[Neurons_- Anatomy & Physiology#Microglial_Cells|Microglial cell]] in bone & brain
 
* Specialised histiocytes
 
* Specialised histiocytes
 
** Epithelioid cell
 
** Epithelioid cell
 
* Histiocytic giant cell
 
* Histiocytic giant cell
** Langhan’s cell
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** Langerhans cell
** Foreign body
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** Touton giant cell</p>
** Touton</p>
   
[[Image:Monocyte Picture.jpg|thumb|right|150px|Monocyte Picture - Copyright Prof Dirk Werling DrMedVet PhD MRCVS]]
 
[[Image:Monocyte Picture.jpg|thumb|right|150px|Monocyte Picture - Copyright Prof Dirk Werling DrMedVet PhD MRCVS]]
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<p>Monocytes can live for months to years in the circulation.</p>
 
<p>Monocytes can live for months to years in the circulation.</p>
 
<p>Monocytes are referred to as macrophages once they enter a tissue by '''diapedesis'''.</p>
 
<p>Monocytes are referred to as macrophages once they enter a tissue by '''diapedesis'''.</p>
<p>Monocytes/macrophages act as phagocytes, removing particular antigens. They also act as antigen presenting cells to take up, process and present antigen to [[Lymphocytes#T cells|T cells]].</p>
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<p>Monocytes/macrophages act as phagocytes, removing particular antigens. They also act as antigen presenting cells to take up, process and present antigen to [[T cells]].</p>
===In pathology===
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==Monocytosis==
*[[Changes in Inflammatory Cells Circulating in Blood - Pathology#Monocytosis|Monocytosis]]
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An increase in the number of monocytes (haematogenous macrophages) in the blood is known as a [[Monocytosis|monocytosis]]. It occurs in conjunction with other changes inidicative of a [[Stress Leucogram|stress leucogram]] or it may occur independently. Monocytes in the blood represent a brief transitional stage as they quickly move into tissues and differentiate further to tissue macrophages; they rarely perform any notable functions whilst in the bloodstream but they have been found to phagocytose red blood cells in cases of immune-mediated haemolytic anaemia. The major causes of monocytosis are:
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*Stress leucogram mediated by the production or administration of glucocorticoids (plus a neutrophilia, eosinopenia and lymphopenia).
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*Chronic inflammatory processes, including chronic bacterial infections and chronic inflammatory diseases of the liver (chronic hepatitis and cholangitis) and pancreas (chronic pancreatitis).
<center><b><sup>Blood cells: [[Erythrocytes - WikiBlood|Erythrocytes]] |
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*Granulomatous disease results in monocytosis as monocytes are recruited to contain certain types of bacteria (namely Mycobacteria spp., Nocardia spp., Actinomyces and Rhodococcus equi) or foreign bodies.
[[Basophils|Basophils]], [[Eosinophils|Eosinophils]], [[Lymphocytes|Lymphocytes]], [[Macrophages|Macrophages]], [[Mast Cells|Mast cells]], [[Monocytes|Monocytes]] & [[Neutrophils|Neutrophils]] |  [[Thrombocytes|Thrombocytes]] & [[Thrombopoiesis - WikiBlood#Megakaryocyte|Megakaryocytes]]</sup></b></center>
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*Certain types of monocytic or myelomonocytic chronic myeloid leukaemia may result in the presence of large numbers of monocytes in the blood.
 
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[[Category:WikiBlood]]
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[[Category:Blood_Cells]] [[Category:Kate English reviewing]]
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