Macrophages

Macrophage

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Macrophages are large, round cells that contain a central round nucleus and have abundant clear, often vacuolated, cytoplasm. Macrophages acts as sentinel cells, have a role in destroying bacteria, protozoa and tumour cells, and release substances that act upon other immune cells. Macrophages are phagocytic, long lived and are found throughout the body.

Development

Macrophages are either derived from blood borne monocytes which have migrated into tissue and differentiated, or from dividing macrophages within the tissue.

Locations

Macrophages are present throughout the body with large numbers in the lymph nodes, bone marrow and spleen. In connective tissue macrophages are fixed and referred to as tissue histocytes. Sentinel macrophages in the lung are called alveolar macrophages, while in the liver they are called Kupffer cells. In the brain they are microglia with long cytoplasmic processes.

Variations

Epithelioid cells

• Look like squamous epithelial cells with a pink (eosinophilic) cytoplasm and indistinct borders.
• May be binucleate.
• Tend to remain in the lesion.
• It is thought by some people that they may not phagocytose, but secrete substances directed against the agent.

Giant cells

Many macrophages may fuse together to form giant cells (Langhan’s cells), which with their greater cytoplasmic volume and number of lysosomes are able to engulf and deal with large foreign particles/bodies. They are thought to form when two or more macrophages attempt to engulf the same organism and are multinucleated (with two to several hundred per cell).

The nuclei can be scattered throughout the cytoplasm, clumped in the centre in foreign body granulomas or appear in a horseshoe shape at the periphery of the cytoplasm at one end in tuberculosis and some other granulomas. In the past, the morphology of these giant cells was correlated with the agent responsible for inflammation, although the distinction is not absolute.

Actions

Macrophages are phagocytic and take up particles and cell debris by endocytosis, as well has engulfing pathogens like bacteria. These are then present in the macrophage inside phagosomes. Lysosomes present in the cytoplasm then bind with the phagosome and release their contents which degrade/digest its contents.

Macrophages also act as antigen presenting cells taking antigens to lymph nodes to present to T cells. MHC II (major histocompatibility complex II) proteins on their surface allow them to interact with helper T cells (CD4). Short peptide segments from foreign cells are presented with MHC II which activates the T cell.

To migrate through connective tissue they release proteases and glycoaminoglycanases.

Role in pathology

Macrophages are seen in both acute and chronic inflammation.

If large numbers of macrophages are found in chronic inflammatory processes, it implies the inability to eliminate the causal organism e.g. Tuberculosis, Actinobacilllus, fungi, parasites and foreign bodies.

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^{Blood cells: Erythrocytes | Basophils, Eosinophils, Lymphocytes, Macrophages, Mast cells, Monocytes & Neutrophils | Thrombocytes & Megakaryocytes}