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Immunology & Immunotechnology

(Biot-3111) Lecture -3

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2.8. Phagocytosis

• The engulfment of a particle or a microorganism by


leukocytes such as macrophages and neutrophils

• Phagocytosis is one types of endocytosis

• Endocytosis
• General term for the uptake by a cell of material from its
environment
• Phagocytosis
• Pinocytosis
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2.8. Phagocytosis …

• Most phagocytosis is conducted by specialized


cells called Phagocytes
• All phagocytes are types of WBCs or derivatives of
WBCs
• Blood monocytes
• Tissue macrophages
• Neutrophils
• Occasionally eosinophils

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2.8. Phagocytosis …

• Actions of phagocytic cells


• When an infection occurs:

• Both granulocytes (especially neutrophils, but also


eosinophils and dendritic cells) and monocytes migrate to the
infected area

• During this migration, monocytes leave the blood and migrate


into tissues, where they enlarge and develop into actively
phagocytic macrophages

• Some macrophages called fixed macrophages, or histiocytes


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2.8. Phagocytosis …

• Fixed Macrophages (Histiocytes) are found in:


• Liver (Kupffer’s cells)
• Lungs (alveolar macrophages)
• Nervous system (microglial cells)
• Bronchial tubes
• Spleen (splenic macrophages)
• Lymph nodes
• Red bone marrow (Osteoclasts)
• The peritoneal cavity surrounding abdominal organs
(peritoneal macrophages) 5
2.8. Phagocytosis …

• Other macrophages are motile and called free


(wandering) macrophages

• Which roam the tissues and gather at sites of infection or


inflammation

• Wandering macrophages

• Originate from monocytes that leave blood and enter


infected tissue, and develop into phagocytic cells
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2.8. Phagocytosis …

• During the course of an infection, a shift occurs in the type of


WBCs that predominates in the bloodstream

• During the initial phase of bacterial infection


• Neutrophils become dominant

• As the infection progresses


• The macrophages becomes dominant; they scavenge and
phagocytize remaining living bacteria and dead or dying bacteria

• Each dominance can be reflected in a differential WBC count


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2.8. Phagocytosis …

• Steps of phagocytosis
1) Chemotaxis and adherence
2) Ingestion/ Engulfment
3) Formation of phagosome
4) Formation of phagolysosome
5) Digestion of ingested microbes
6) Formation of residual body
7) Discharge of waste materials
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2.8. Phagocytosis …

1. Chemotaxis and adherence


• Chemotaxis
• Migration of cells along a concentration gradient of an
attractant

• Phagocytes recruited to site of infection / damage


• Chemical stimuli acts as chemo-attractants

• Products of microbes
• Phospholipids from damaged cells
• C5a 9
2.8. Phagocytosis …

• Adherence - Attachment
• Receptors on phagocytes can recognize and bind microbes
directly & indirectly
• Direct binding
• Receptors recognize pathogen associated molecular pattern
(PAMP) on microbes
• Indirect binding
• Particles first is opsonized  Increases phagocytes ability to
attach & engulf
• Opsinization
• Coating of a particle/ a bacterium with antibody and/or a
complement that lead to enhanced phagocytosis 10
2.8. Phagocytosis …

2. Ingestion/ Engulfment

• Once phagocytic cells in contact with a particle/microbe

• Pseudopods extend and surround the material being engulfed

• The pseudopods meet and fuse, surrounding the microbe with


a membrane-bound vacuole/sac called a phagosome or
phagocytic vesicle

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2.8. Phagocytosis …

3. Formation of phagosome
• The phagosome pinches off from the plasma membrane
and enters the cytoplasm

• Yet, the microbe does not destroy

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2.8. Phagocytosis …

4. Formation of phagolysosome
• Phagosome transported along cytoskeleton

• Within the cytoplasm

• Phagosome contacts lysosomes that contain digestive


enzymes (lysozyme & proteases) and bactericidal
substances

• The phagosome and lysosome membranes fuse to form a


single, larger sac called a phagolysosome
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2.8. Phagocytosis …

5. Digestion of ingested microbes

• In the phagolysosome
• O2 consumption increases
• Sugars metabolized via aerobic respiration

• Produces toxic oxygen products: superoxide radicals (O2–),


hydrogen peroxide (H2O2), singlet oxygen (1O2−), hydroxyl
radicals (OH), nitric oxide (NO)

• Metabolic pathway will switch to fermentation with production


of lactic acid (lowers pH)
• Kills microbes 14
2.8. Phagocytosis …

5. Digestion of ingested microbes …


• Hydrolytic enzyemes (lipases, proteases, ribonuclease and
deoxyribonuclease) of the lysosome:
• Degrade peptidoglycan & other cell components of the
ingested microbes

6. Formation of residual body


• Indigestible products of microbes packed in a vessicles
called residual body which is ready to be released outside
the phagocytes
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2.8. Phagocytosis …

7. Discharge of waste materials/ Exocytosis

• The residual body with the indigested material fuses with


the plasma membrane

•  Expels material to environment

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2.8. Phagocytosis …

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2.8. Phagocytosis …

Microbial evasion of phagocytosis

• The ability of a pathogen to cause disease is related to its


ability to evade phagocytosis

• Some bacteria have structures that inhibit adherence, such


as the M protein and capsules

• Other microbes may be ingested but not killed

• For example, Staphylococcus produces leukocidins that may


kill phagocytes
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2.8. Phagocytosis …

Microbial evasion of phagocytosis …


• A number of intracellular pathogens secrete pore-forming
toxins that lyse phagocyte cell membranes once inside the
phagocyte

• Still other microbes have the ability to survive inside


phagocytes

• Bacteria that are part of biofilms are much more resistant to


phagocytosis

• Because the phagocytes cannot detach bacteria from the biofilm


prior to phagocytosis 19
2.9. Inflammation

• A complex reaction of the innate immune system to


tissue injury or infection involving accumulation and
activation of leukocytes, plasma proteins and fluid at a
site of damage

• The tissue damage can be caused by:


• Microbial infection
• Physical agents such as:
• Heat, radiant energy, electricity or sharp objects
• Chemical agents such as:
• Acids, bases or gases
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2.9. Inflammation …

• Inflammation
• Swollen and reddened state
• Usually characterized by four cardinal signs:

• Redness
• Pain
• Heat
• Swelling
• Sometimes loss of function 21
2.9. Inflammation …

• Function of inflammation:

• To destroy the injurious agent and to remove it and its by-


products from the body if possible

• To limit the effects on the body by confining or walling


off the injurious agent and its by-products if destruction is
not possible

• To repair or replace tissue damaged by the injurious agent


or its by-products 22
2.9. Inflammation …

• Excess inflammatory responses may lead to


inflammatory disorders such as rheumatoid arthritis
and Crohn’s disease

• Events that initiate the inflammatory response:


• Microbial products

• Microbial cell surfaces

• Tissue damage
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2.9. Inflammation …

Microbial products
• LPS, flagellin, bacterial DNA trigger toll-like receptors
of macrophages

• Cause macrophages to produce pro-inflammatory cytokines


(IL-1, IL-6, TNF and interferons)

• TNF-alpha induces liver to synthesize acute-phase


proteins that facilitate phagocytosis & complement
activation
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2.9. Inflammation …

Microbial cell surfaces

• Trigger complement cascade

• Produces C3a & C5a  stimulate changes associated with


inflammation

• Also induce mast cells to release pro-inflammatory


cytokines (TNF-alpha), histamine, & others substance

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2.9. Inflammation …

Tissue damage
• Results in activation of 2 enzymatic cascades

• Coagulation cascade
• Result in blood clotting

• Other cascade
• Produces molecules like bradykinin – a vasoactive peptide
that is produced as a result of tissue damage and act as an
inflammatory mediator
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2.9. Inflammation …

• The process of inflammation has three stages:

1) Vasodilation

• Increased permeability of blood vessels

2) Phagocyte migration and phagocytosis

3) Tissue repair

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2.9. Inflammation …

1. Vasodilation
• Immediately following tissue damage:

• Blood vessels dilate in the area of damage and their


permeability increases

• Blood flow to the damaged area increases


• It is responsible for the redness (erythema) and heat associated
with inflammation

• Velocity of blood flow in capillaries decreases


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2.9. Inflammation …

1. Vasodilation …
• Permits defensive substances (transferrin, complement,
antibodies) and fluids normally retained in the blood to
pass through the walls of the blood vessels and enter the
injured area

• It is responsible for the edema (accumulation of fluid) of


inflammation

• Direct effect of chemicals and pressure created by fluids


on sensory nerve endings cause pain 29
2.9. Inflammation …

1. Vasodilation …
• Vasodilation and increase in permeability of blood vessels
are caused by a number of chemicals released by damaged
cells in response to injury, such as:

• Histamine
• A vasoactive amine stored in mast cells, causing dilation of local
blood vessels and smooth muscle contraction

• Kinins
• A polypeptide that causes dilation in blood vessels and contraction
of smooth muscle
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2.9. Inflammation …

1. Vasodilation …
• Prostaglandins
• Unsaturated fatty acid which control smooth muscle
contraction, blood pressure, inflammation, and body
temperature

• Cytokines
• Any protein secreted by lymph cells that affects cellular
activity and controls inflammation

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2.9. Inflammation …

1. Vasodilation …
• Vasodilation and the increased permeability of blood
vessels also help deliver clotting elements of blood into
the injured area

• The blood clots that form around the site of infection


prevent the microbe (or its toxins) from spreading to other
parts of the body

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2.9. Inflammation …

2. Phagocyte migration and phagocytosis

• As flow of blood gradually decreases, phagocytes stick to the inner


surface of the endothelium (lining) of blood vessels

• This sticking process in response to local cytokines is called


margination

• Then the collected phagocytes squeeze between the endothelial cells


of the blood vessel to reach the damaged area

• This migration, which resembles ameboid movement, is called


diapedesis
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2.9. Inflammation …

2. Phagocyte migration and phagocytosis …


• Then phagocytes are ready to destroy invading microbes by
phagocytosis

• Certain chemicals attract neutrophils to the site of injury (chemotaxis)

• These include chemicals produced by microbes and even other neutrophils

• Other chemicals are:


• kinins
• Leukotrienes
• Chemokines
• Components of the complement system
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2.9. Inflammation …

2. Phagocyte migration and phagocytosis …

• Chemokines are cytokines that are chemotactic for


phagocytes and T cells

• They stimulate both the inflammatory response and an


adaptive immune response

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2.9. Inflammation …

2. Phagocyte migration and phagocytosis …


• As the inflammatory response continues, monocytes
follow into the infected area

• In the tissue monocytes become free microphages

• Granulocytes predominate in the early stages of infection

• Macrophages predominate during a later stage of infection

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2.9. Inflammation …

2. Phagocyte migration and phagocytosis …


• Macrophages are more phagocytic than granulocytes

• After granulocytes or macrophages engulf large numbers


of microbes and damaged tissue, they themselves
eventually die

• As a result, pus forms = Dead cells + tissue debris

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2.9. Inflammation …

3. Tissue repair
• A process by which tissues replace dead or damaged cells

• A tissue is repaired when the stroma (supporting tissue) or


parenchyma (functioning tissue) produces new cells

• The ability of a tissue to regenerate, or repair itself, depends


on the type of tissue:

• Skin has a high capacity for regeneration

• Cardiac muscle tissue does not have a high capacity to


regenerate 38
2.9. Inflammation …

3. Tissue repair …
• Tissue repair by fibroblasts produces scar tissue by a
process called fibrosis

• Scar can interfere with normal tissue function

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2.9. Inflammation …

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2.9. Inflammation …
3. Tissue repair …

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