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Polymorphonuclear leukocytes: dedicated professional phagocytes.

B H Wade, G L Mandell

    The American Journal of Medicine
    |April 1, 1983
    PubMed
    Summary
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    Polymorphonuclear leukocytes, or PMNs, are key immune cells that engulf and destroy microbes. Understanding PMN function is crucial for diagnosing and treating recurrent infections caused by PMN defects.

    Area of Science:

    • Immunology
    • Cell Biology

    Background:

    • Polymorphonuclear leukocytes (PMNs) are essential immune cells, acting as professional phagocytes.
    • These cells originate in bone marrow and circulate to tissues, responding to microbial invasion.
    • Humoral factors and chemotactic substances guide PMNs to infection sites.

    Purpose of the Study:

    • To highlight the critical role of PMNs in host defense against microorganisms.
    • To explain the mechanisms by which PMNs identify, engulf, and kill pathogens.
    • To emphasize the clinical significance of PMN function in recurrent infections.

    Main Methods:

    • Review of established knowledge on PMN development and circulation.
    • Description of chemoattraction, opsonization (antibody and complement), and phagocytosis processes.

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  • Discussion of microbial killing mechanisms, including oxidative and nonoxidative pathways.
  • Main Results:

    • PMNs are specialized for seeking and destroying invading microorganisms.
    • Antibody and complement enhance PMN phagocytic capabilities.
    • Microbial killing involves both oxidative and nonoxidative intracellular systems.

    Conclusions:

    • Defects in PMN function can lead to severe or recurrent infections.
    • Evaluating PMN function is important in patients with persistent, unusual, or severe infections.
    • Understanding these cellular mechanisms aids in diagnosing and managing infectious diseases.