Neutrophils and Macrophages: Defenders of the Body
Defensive Properties of Neutrophils and Macrophages
- Mainly responsible for the destruction of bacteria, viruses, and pests.
- Neutrophils: Mature cells that destroy bacteria, even in the circulating blood.
- Macrophages: Initially monocytes in the blood that migrate to the tissues and develop into macrophages (growth and lysosomes).
Diapedesis and Movement of Neutrophils and Macrophages
- Neutrophils and macrophages enter the tissue spaces by diapedesis.
- They move through the tissues.
- Amoeboid movement: Tissues possess chemicals that attract neutrophils and macrophages.
Phagocytosis
- Ingestion: Cell phagocytosis of the attacking agent.
- Three processes for phagocytosis to occur: “Opsonization”
- Surface roughness increases phagocytosis probability.
- Dead tissue and foreign particles lack a protective protein coat.
- Antibodies bind to bacteria, making them susceptible to phagocytosis.
Neutrophil Phagocytosis
- Binds to the particle.
- Issues pseudopodia.
- Forms a closed chamber.
- Invaginates inwards.
- Appears from the outer cell membrane.
- Forms a phagocytic vesicle.
Macrophage Phagocytosis
- More powerful than neutrophils.
- Can phagocytose up to 100 bacteria (20-30 is typical).
- Phagocytose larger particles than bacteria.
- Longer shelf life.
- They have abundant lysosomes filled with proteolytic enzymes.
Types of Macrophages
- Tissue Macrophages (Histiocytes): Found in the skin and subcutaneous tissues; more macrophages are produced upon injury.
- Lymph Node Macrophages
- Alveolar Macrophages (Pulmonary)
- Sinusoidal Liver Macrophages (Kupffer cells)
- Bone Marrow and Spleen Macrophages
Inflammation and Function of Neutrophils and Macrophages
A. Inflammation
- Local vessel dilation (increased local blood flow).
- Increased capillary permeability (increased fluid into the interstitial spaces).
- Interstitial coagulation due to excessive amounts of fibrinogen.
- Migration of granulocytes and monocytes to the tissue.
- Swelling of the tissue cells. Response of macrophages and neutrophils to swelling.
Tissue Macrophages: (1st line of defense)
- Increased size of these fixed cells. Macrophages become mobile for the first time.
Invasion of Neutrophils into the Inflamed Area (2nd line of defense)
- Altered internal surface of the capillary endothelium: “Marginalization” increasing openings between endothelial cells (capillary-venular).
- Chemotaxis of neutrophils to injured tissues. Increased blood tissues: 4-5 thousand to 15-25 thousand… “Neutrophils”.
Second Invasion of Macrophages (3rd line)
- Monocytes in inflamed tissue. Increased tissue size; macrophages reach full capacity in tissue after 8 or more hours.
Increased Granulocyte Production by Bone Marrow and Macrophages (4th line of defense)
- Takes 3 to 4 days to reach the stage where they leave the bone marrow.
Mechanism of Platelet Plug
- Platelets adhere to the damaged vascular wall.
- Emit pseudopodia.
- Contractile proteins become active.
- Granules contract powerfully.
- Release factors that adhere to collagen and a tissue factor protein called von Willebrand factor.
- Secrete large amounts of enzymes, ADP, and Thromboxane A2.
- ADP + Thromboxane A2 attract and activate neighboring platelets.
- Fibrin strands form.
Glomerular Capillary Membrane
- Capillary endothelium (fenestrations)
- Basement Membrane
- Layer of epithelial cells (podocytes)
These three layers are called the filtration barrier.
Substances that Control Renal Circulation
- Epinephrine, Norepinephrine, and Endothelin: Constriction of afferent and efferent arterioles. Decrease in GFR and RBF.
- Angiotensin II: Potent vasoconstrictor; constricts the efferent arterioles. Increases hydrostatic pressure and decreases glomerular RBF.
- Nitric Oxide: Decreases endothelial renal vascular resistance and increases GFR.
- Prostaglandins and Bradykinin: Tend to increase GFR. Sodium chloride in the macula densa causes dilation of afferent arterioles and increased renin release (Juxtaglomerular cells).