Megakaryocyte emperipolesis: a new frontier in cell-in-cell interaction
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Updated: Jan 3, 2026

In Situ Exploration of Murine Megakaryopoiesis using Transmission Electron Microscopy
Published on: September 8, 2021
Pierre Cunin1, Peter A Nigrovic1,2
1Department of Medicine, Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Harvard Medical School , Boston, MA, USA.
Abstract:
Histology of bone marrow routinely identifies megakaryocytes that enclose neutrophils and other hematopoietic cells, a phenomenon termed emperipolesis. Preserved across mammalian species and enhanced with systemic inflammation and platelet demand, the nature and significance of emperipolesis remain largely unexplored. Recent advances demonstrate that emperipolesis is in fact a distinct form of cell-in-cell interaction. Following integrin-mediated attachment, megakaryocytes and neutrophils both actively drive entry via cytoskeletal rearrangement. Neutrophils enter a vacuole termed the emperisome which then releases them directly into the megakaryocyte cytoplasm. From this surprising location, neutrophils fuse with the demarcation membrane system to pass membrane to circulating platelets, enhancing the efficiency of thrombocytogenesis. Neutrophils then egress intact, carrying megakaryocyte membrane and potentially other cell components along with them. In this review, we summarize what is known about this intriguing cell-in-cell interaction and discuss potential roles for emperipolesis in megakaryocyte, platelet and neutrophil biology.
Insights
Emperipolesis, a cell-in-cell interaction where megakaryocytes engulf neutrophils, actively enhances platelet production. This process involves neutrophils transferring membrane to platelets and then exiting intact.
Area of Science:
- Hematology
- Cell Biology
- Immunology
Background:
- Emperipolesis is a poorly understood phenomenon where megakaryocytes (platelet-producing cells) engulf hematopoietic cells, particularly neutrophils.
- This interaction is conserved across mammals and increases during inflammation and high platelet demand.
- Recent research reveals emperipolesis as a unique cell-in-cell interaction with active participation from both cell types.
Purpose of the Study:
- To review current knowledge on emperipolesis.
- To explore the mechanisms and significance of this cell-in-cell interaction.
- To discuss the potential roles of emperipolesis in megakaryocyte, platelet, and neutrophil biology.
Main Methods:
- Histological examination of bone marrow.
- Analysis of cell-in-cell interaction dynamics.
- Review of recent scientific literature.
Main Results:
- Emperipolesis involves integrin-mediated attachment and active cytoskeletal rearrangement for cell entry.
- Neutrophils enter an 'emperisome' within megakaryocytes, fuse with the demarcation membrane system, and transfer membrane to developing platelets.
- Neutrophils egress intact, potentially carrying megakaryocyte components.
Conclusions:
- Emperipolesis is a sophisticated mechanism enhancing thrombocytogenesis (platelet formation).
- This process involves active membrane transfer from neutrophils to platelets via megakaryocytes.
- Further research is needed to fully elucidate the roles of emperipolesis in hematopoiesis and immune function.
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