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    MONONUCLEAR

    PHAGOCYTIC

    SYSTEM

    BYTathagata Bhattacharjee

    2nd year P.G. student

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    On December 11 1908, Elie Metchnikoff and Paul

    Ehrlich were jointly awarded the Nobel Prize in

    recognition of their pioneering work on

    immunity.

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    DEFINITION

    The mononuclear phagocyte system (MPS) isdefined as a population of cells derived fromprogenitor cells in the bone marrow, whichdifferentiate to form blood monocytes,circulate in the blood, and then enter tissuesto become resident tissue macrophages.

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    DIFFERENT NAMES

    Reticuloendothelial system

    Tissue macrophage system

    Mononuclear phagocytic system

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    CELLS OF MPS

    Monocyte of blood-

    Histiocytes of connective tissue-

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    CELLS OF MPS

    Littoralcells-

    Microglial cells-

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    CELLS OF MPS

    Macrophages in pleura-

    Dendritic cells of epidermis-

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    MONOCYTE MACROPHAGE LINEAGE

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    ORIGIN OF

    MONOCYTES/MACROPHAGES

    THREE-MODEL

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    HIERARCHICAL MODEL

    Hematopoietic stem cells

    Common myeloid precursor common lymphoid precursor

    Precursors of megakaryocytes, precursors for T & B cells & NK cells

    erythrocytes,granulocytes &

    monocytes/macrophages

    monoblast promonocyte monocyte

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    STOCHASTIC MODEL

    Hematopoietic precursors is stochastic, inthat it can occur at any time.

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    SEQUENTIAL MODEL

    Hematopoietic stem cells progressivelyexpress the potential for megakaryocyte,erethrocyte, granulocyte,monocyte,B cell, Tcell, NK cell development.

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    GENETIC CONTROL

    Differentiation of MPS is controlled by-

    specific growth factor CSF-1,it binds to its

    cell surface receptor CSF-1R,that isencoded by csf1r gene or c-fms proto

    oncogene for cell receptor.

    Expression of csf1r gene is dependent on theexpression of PU.1 transcription factor.

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    MACROPHAGES

    End stage product of monocytes that enterthe tissue from the blood.

    Activated by immune system.

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    DISTRIBUTION

    Endothelial lining of vascular & lymphchannel.

    Connective tissue & some organs.

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    CLASSIFICATION

    Fixed reticuloendothelial cells.

    Wandering reticuloendothelial cells.

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    FIXED RETICULOENDOTHELIALCELLS- TISSUE MACROPHAGES

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    FIXED MACROPHAGES OF CONNECTIVE TISSUE

    Reticuloendothelial cells of connective tissue& in serous membranes like pleura, omentum& mesentery.

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    ENDOTHELIUM OF BLOOD SINUSOIDS

    The endothelium of the blood sinusoid,bonemarrow,liver,spleen,lymphnodes,adrenal glands & pituitary glands. eg.Kupffers cells.

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    RETICULUM

    Reticulum of spleen, lymphnode & bonemarrow.

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    CENTRAL NERVOUS SYSTEM

    Meningiocytes of meninges and microglia.

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    LUNG

    Tissue macrophages are present in the alveoliof lungs.

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    SUBCUTANEOUS TISSUE

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    WANDERING

    RETICULOENDOTHELIAL CELLS

    -FREE HISTIOCYTES

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    FREE HISTIOCYTES OF BLOOD

    Monocytes,which become macrophages &

    migrate to the site of injury or infection.

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    FREE HISTIOCYTES OF SOLID TISSUE

    During emergency,the fixed histiocytes fromconnective tissue & other organs becomewandering cells & enter the circulation

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    FUNCTIONS

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    PHAGOCYTIC FUNCTION

    Macrophages

    The antigens liberated by macrophages

    activate the B lymphocytes & helper Tlymphocytes.

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    SECRETION OF TUMORNECROSIS FACTOR

    Secrete TNF -alpha ,TNF beta.

    TNF-alpha----necrosis of tumor & activateimmune system.

    TNF-beta-----stimulate immune system &vascular response in addition.

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    SECRETION OF PDGF

    PDGF accelerates repair of damaged bloodvessel & wound healing.

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    REMOVAL OF CARBON PARTICLE &

    SILICONE

    Macrophages ingest the substances.

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    DESTRUCTION OF SENILE RBC

    Reticuloendothelial cells those in spleen.

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    DESTRUCTION OF HEMOGLOBIN

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    HEMOPOIETIC FUNCTION

    Anti hematopoietic related antibody-ERHR3

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    IMMUNO BIOLOGIC FUNCTION OF

    MACROPHAGES Locomotion and chemotaxis

    Ingestion and killing of microorganisms andclearance of cellular debris

    Antitumor activity

    Control of granulopoiesis

    Immune reactions

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    ROLE IN IMMUNE REACTION

    Antigen presentation to T cells

    Intermediate role in the passage of signals toand from

    lymphocyte subclasses

    Interactions with B cells

    Secretion of soluble factors Maintenance of lymphocyte viability and

    differentiation

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    ROLE IN IMMUNE REACTION

    Recruitment into inflammatory

    reaction of delayed

    hypersensitivity Secretion of soluble factors

    Phagocytic and biochemicalreactions as a consequence ofactivation

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    DISEASE STATES-

    MONOCYTE-MACROPHAGE CELL LINE

    mild blood monocytosis-Infectious,inflammatoryor collagen vascular diseases.

    neoplastic proliferation of histiocytes monocytic leukemia, malignant histiocytosis.

    histiocytic proliferation of unknown origin -sarcoidosis, granulomatous vasculites and

    Wegener granulomatosis.

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    reactive proliferation secondary to infection-(tuberculosis), or chemical exposure(beryllium and zirconium salts)

    DISEASE STATES-

    MONOCYTE-MACROPHAGE CELL LINE

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    MONOCYTE MACROPHAGE DYSFUNCTION

    SYNDROME

    Neoplasia - Chemotaxis

    Chediak-Higashi syndrome -Abnormal degranulation

    Chronic granulomatous disease -Abnormal oxygen metabolism

    Hodgkin disease-

    Neoplastic proliferation of macrophages

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    MONOCYTE MACROPHAGE DYSFUNCTION

    SYNDROME

    Miliary tuberculosis- Suppressor monocytes

    Lepromatous leprosy- Suppressor monocytes

    Disseminated fungal infection-

    Chemotaxis, Suppressor monocytes

    Glucocorticoid treatment-

    Chemotaxis,Microbialkilling

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    IMMUNE MEDIATED THROMBOCYTOPENIA

    Mechanism- antibody/complement coatedplatelet can also be removed bymononuclear phagocytic system.

    Storage disorders

    monogenetic defects of lysosomallipoprotein metabolism are associated withcomplex alterations of mononuclearphagocyte differentiation and extravasation.

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    MPS DISORDER IN AIDS

    Impaired in vivo Fc receptor-specificclearance.

    The in vivo function of macrophage C3receptors was also found to be abnormal.

    The antibody-dependent cell-mediatedcytotoxicity of circulating mononuclear cellswas significantly lower in AIDS patients thanin healthy controls.

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    MPS DISORDER IN CARDIOVASCULAR

    DISEASE

    Pleckstrin is an intriguing signaling protein thatis only found in haematopoietic cells of lymphoidand myeloid origins where it is expressed at high

    levels.

    Defects in pleckstrin phosphorylation have been

    directly linked to cardiovascular disease

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    MPS DISORDER IN DIABETES

    the level of pleckstrin phosphorylation inmononuclear phagocytes of poorly controlleddiabetics is greatly elevated.

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    MPS DISORDER IN ALZIMER DISEASEInteraction of CCL2, with its receptor CCR2 regulates

    mononuclear phagocyte accumulation . ( CCL2- A majormonocyte chemokine)

    Monocytes accumulate at sites of Abeta deposition in

    an initial attempt to clear these deposits and stop ordelay their neurotoxic effects.

    CCR2 deficiency leads to lower mononuclear

    phagocyte accumulation .

    Higher brain Abeta levels

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    MPS DISORDER IN MALIGNANCY

    Cell maturation- closed packed surfacemicrovilli is less in hodgkins & non hodgkinslymphoma.

    Migration & chemotaxis-

    disseminated carcinoma localised carcinoma

    fewer macrophages increased monocyte

    mobilisation

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    MPS DISORDER IN MALIGNANCY

    Phagocytosis,cytotoxicity-

    Increased phagocytic activity inmonocyte/macrophages--- untreatedhodgkins disease.

    decreased phagocytic activity---stage iii &iv

    hodgkins disease

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    MPS DISORDER IN MALIGNANCY

    Disorder in lysozyme secretion-

    raised serum lysozymeneoplastic disorder.

    enhanced lysozyme secretionfavourableclinical condition.

    depressed lysozyme secretion--- poorerprognosis.

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    MPS DISORDER IN MALIGNANCY

    Macrophages within malignant tumor---

    Presence of macrophages

    more- less-

    non metastasizing Metastasizing tumortumor.

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    RECENT STUDY

    separate embryonic phagocyte lineage-useof F4/80 markers.

    No influence of acute alcoholism in thephagocytic function in the liver, spleen andlungs .

    Possible Failure of the MononuclearPhagocyte System after Total Splenectomyin rats.

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    RECENT STUDY

    Colloidal thorium dioxide is used to block thereticulo endothelial system.

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    BIBLIOGRAPHY

    www.abcam.com Textbook of medical physiology-Gyton &hall

    11th edition.

    Essential of medical physiology-k.sembulingam 3rd edition

    Textbook of human histology-Inderbir Singh

    4th

    edition. www.britannica.com

    www.bookrags.com

    http://www.abcam.com/http://www.britannica.com/http://www.bookrags.com/http://www.bookrags.com/http://www.britannica.com/http://www.abcam.com/
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    BIBLIOGRAPHY

    Influence of acute alcoholism in thephagocyticfunction of the mononuclear phagocytesystemin an experimental model--- Kelly Renata

    Sabino, Adriana Nunes Machado, Andy Petroianu,Luiz Ronaldo Alberti, Carlos Jorge Rodrigues Simal.

    Evaluation of Possible Failure of the

    MononuclearPhagocyte System after TotalSplenectomy in Rats--Ruy Garcia Marques, AndyPetroianu, Mrcia Betnia Nunes de Oliveira,MrioBernardo-Filho and Margareth CrisstomoPortela.

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    BIBLIOGRAPHY

    Recent development of the mononuclearphagocyte system: in memory of Metchnikoffand Ehrlich on the 100th Anniversary of the

    1908 Nobel Prize in Physiology or Medicine--Zong-Liang Chang.

    Ultrastructural Localization of Thorotrast in

    the Reticuloendothelial System--Trond Klugeand Torstein Hovig.

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    BIBLIOGRAPHY

    Mononuclear Phagocytes:ImmunologicalFunctions and Disease Implications.

    Blood Monocytes:Development,

    Heterogeneity,and Relationship withDendritic Cells--Cedric Auffray, Michael H.Sieweke,and Frederic Geissmann.

    The mononuclear phagocyte system revisited

    David A. Hume, Ian L. Ross, S. Roy Himes, R.Tedjo Sasmono, Christine A. Wells andTimothy Ravasi.

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    THANK YOU