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Updated: Jul 8, 2026

Visualizing the Early Stages of Phagocytosis
Published on: February 3, 2017
[Phagocytosis by neutrophils and monocytes in children with recurrent infections]
Insights
Neutrophil phagocytosis, crucial for fighting infections, was impaired in children with severe, recurrent infections due to opsonization issues. Monocyte phagocytosis remained unaffected in these pediatric patients.
Area of Science:
- Immunology
- Pediatric Infectious Diseases
Background:
- Recurrent infections in children can indicate underlying immune system dysfunction.
- Phagocytosis by neutrophils and monocytes is a key innate immune defense mechanism.
Purpose of the Study:
- To investigate phagocytosis function in neutrophils and monocytes of children with recurrent infections.
- To correlate phagocytic capacity with infection severity, frequency, age, and localization.
Main Methods:
- Assessed neutrophil and monocyte phagocytosis in 152 children with recurrent infections and 50 healthy controls.
- Utilized modified Miller opsonization test and Vujanovitsh monocyte phagocytosis test.
- Categorized patients by infection severity (A/B), age groups, and infection site.
Main Results:
- Significantly decreased neutrophil phagocytosis observed in children with severe/frequent infections (Group B), older children (>2 years), and those with upper respiratory or multifocal infections.
- Opsonization defects were the primary cause of reduced neutrophil phagocytosis in most affected children.
- No significant differences in monocyte phagocytosis were found between patients and controls.
Conclusions:
- Neutrophil phagocytosis, particularly opsonization, is compromised in children experiencing severe and recurrent infections.
- Monocyte phagocytosis appears to be preserved, suggesting a specific neutrophil dysfunction.
- Phagocytic disorders were identified in a small subset of patients, often transient, but sometimes permanent due to primary opsonization issues.
Abstract:
Phagocytosis by neutrophils and monocytes in 152 children suffering from recurrent infections, mean age 3 7/12 years, was investigated. The patients were divided in several groups according to severity and frequency of infections (A and B), age (<1 year, >1-2 years, >2 years) and a localization of infection (upper and low respiratory tract, otitis/otoantritis, multifocal). Healthy control (n=50) were of the same age as patients. The modification of opsonization test by Miller and the test of monocyte phagocytosis by Vujanovitsh were applied. Phagocytosis by neutrophils, due to disorder of opsonization, was significantly decreased in children with most frequent and severe infections (group B; p<0,05), in children older then 2 years, with less frequent and severe infections (p<0,05) and in those with upper resp. tract (p<0,01) and multifocal infections (P<0,05). Phagocytosis disorder was found in 10 (6,5%) patients (decreased opsonization in 8 and ingestion in 2). Phagocytosis was transient in 7/10 patients and permanent, due to primary opsonization disorder in 3/10. There was no significant difference in phagocytosis by monocytes Detween patients and controle. The short report of 10 patients with phagocytosis has been done.
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