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Updated: Aug 20, 2026

Investigating the Phagocytosis of Leishmania using Confocal Microscopy
Published on: July 29, 2021
Cutting edge: neutrophil granulocyte serves as a vector for Leishmania entry into macrophages
Ger van Zandbergen1, Matthias Klinger, Antje Mueller
1Institute for Medical Microbiology and Hygiene, University of Lübeck, Lübeck, Germany. Zandbergen@hygiene.ukl.mu-luebeck.de
Abstract:
Macrophages (MF) are the final host cells for multiplication of the intracellular parasite Leishmania major (L. major). However, polymorphonuclear neutrophil granulocytes (PMN), not MF, are the first leukocytes that migrate to the site of infection and encounter the parasites. Our previous studies indicated that PMN phagocytose but do not kill L. major. Upon infection with Leishmania, apoptosis of human PMN is delayed and takes 2 days to occur. Infected PMN were found to secrete high levels of the chemokine MIP-1beta, which attracts MF. In this study, we investigated whether MF can ingest parasite-infected PMN. We observed that MF readily phagocytosed infected apoptotic PMN. Leishmania internalized by this indirect way survived and multiplied in MF. Moreover, ingestion of apoptotic infected PMN resulted in release of the anti-inflammatory cytokine TGF-beta by MF. These data indicate that Leishmania can misuse granulocytes as a "Trojan horse" to enter their final host cells "silently" and unrecognized.
Insights
Leishmania parasites infect neutrophils (PMN), delaying their death and causing them to attract macrophages (MF). Macrophages then ingest these infected neutrophils, allowing Leishmania to enter and multiply within them.
Area of Science:
- Immunology
- Parasitology
- Cell Biology
Background:
- Macrophages (MF) are the primary host cells for Leishmania major (L. major) replication.
- Polymorphonuclear neutrophil granulocytes (PMN) are the initial leukocytes at infection sites, encountering L. major before MF.
- Previous research showed PMN phagocytose but do not eliminate L. major, with infected PMN apoptosis delayed for 2 days.
Purpose of the Study:
- To investigate if macrophages can ingest Leishmania-infected neutrophils.
- To understand the mechanism by which Leishmania utilizes PMN for host cell entry.
Main Methods:
- Co-culture of Leishmania-infected neutrophils with macrophages.
- Observation of phagocytosis of infected neutrophils by macrophages.
- Analysis of Leishmania survival and multiplication within macrophages.
- Measurement of cytokine release (TGF-beta) from macrophages post-phagocytosis.
Main Results:
- Macrophages readily phagocytosed Leishmania-infected apoptotic neutrophils.
- Leishmania survived and multiplied within macrophages after indirect internalization via neutrophils.
- Ingestion of infected neutrophils by macrophages induced the release of the anti-inflammatory cytokine TGF-beta.
Conclusions:
- Leishmania major exploits neutrophils as a "Trojan horse" to facilitate entry into macrophages.
- This mechanism allows Leishmania to enter its final host cells undetected.
- The process involves delayed neutrophil apoptosis, chemokine secretion, and subsequent macrophage phagocytosis.
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