Emperipolesis

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Micrograph showing emperipolesis in a case of Rosai-Dorfman disease. H&E stain. Emperipolesis - very high mag.jpg
Micrograph showing emperipolesis in a case of Rosai-Dorfman disease. H&E stain.

Emperipolesis is the presence of an intact cell within the cytoplasm of another cell. [1] It is derived from Greek (en is inside, peripoleomai is go round). [2] Emperipolesis is an uncommon biological process, and can be physiological or pathological. [3]

Contents

It is related to peripolesis , which is the attachment of one cell to another. [4]

Emperipolesis is unlike phagocytosis, in which the engulfed cell is killed by the lysosomal enzymes of the macrophage. Instead, the engulfed cell remains viable within the other, and can exit at any time without causing structural or functional abnormalities in either cell. [3]

Classification

Emperipolesis has been classified into two categories: [3]

  1. Engulfment of hemapoietic cells by megakaryocytes such as in hematolymphoid disorders (Hodgkin's disease, leukemia, acute and chronic myeloid leukemia, non-Hodgkin's lymphoma, myeloproliferative disorders, myelodysplastic syndrome)
  2. Engulfment of inflammatory cells by histiocytes, which is a hallmark of Rosai-Dorfman disease [5]

Other associations

It is seen in various conditions including:

Additional images

See also

Related Research Articles

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<span class="mw-page-title-main">Myelodysplastic syndrome</span> Diverse collection of blood-related cancers

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<span class="mw-page-title-main">Phagocytosis</span> Process by which a cell uses its plasma membrane to engulf a large particle

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<span class="mw-page-title-main">Phagocyte</span> Cells that ingest harmful matter within the body

Phagocytes are cells that protect the body by ingesting harmful foreign particles, bacteria, and dead or dying cells. Their name comes from the Greek phagein, "to eat" or "devour", and "-cyte", the suffix in biology denoting "cell", from the Greek kutos, "hollow vessel". They are essential for fighting infections and for subsequent immunity. Phagocytes are important throughout the animal kingdom and are highly developed within vertebrates. One litre of human blood contains about six billion phagocytes. They were discovered in 1882 by Ilya Ilyich Mechnikov while he was studying starfish larvae. Mechnikov was awarded the 1908 Nobel Prize in Physiology or Medicine for his discovery. Phagocytes occur in many species; some amoebae behave like macrophage phagocytes, which suggests that phagocytes appeared early in the evolution of life.

<span class="mw-page-title-main">Granulocyte</span> Category of white blood cells

Granulocytes are cells in the innate immune system characterized by the presence of specific granules in their cytoplasm. Such granules distinguish them from the various agranulocytes. All myeloblastic granulocytes are polymorphonuclear. They have varying shapes (morphology) of the nucleus ; and are referred to as polymorphonuclear leukocytes. In common terms, polymorphonuclear granulocyte refers specifically to "neutrophil granulocytes", the most abundant of the granulocytes; the other types have varying morphology. Granulocytes are produced via granulopoiesis in the bone marrow.

<span class="mw-page-title-main">Autoimmune hepatitis</span> Chronic, autoimmune disease of the liver

Autoimmune hepatitis, formerly known as lupoid hepatitis, plasma cell hepatitis, or autoimmune chronic active hepatitis, is a chronic, autoimmune disease of the liver that occurs when the body's immune system attacks liver cells, causing the liver to be inflamed. Common initial symptoms may include fatigue, nausea, muscle aches, or weight loss or signs of acute liver inflammation including fever, jaundice, and right upper quadrant abdominal pain. Individuals with autoimmune hepatitis often have no initial symptoms and the disease may be detected by abnormal liver function tests and increased protein levels during routine bloodwork or the observation of an abnormal-looking liver during abdominal surgery.

<span class="mw-page-title-main">Pulmonary alveolar proteinosis</span> Medical condition

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<span class="mw-page-title-main">Cryoglobulinemia</span> Medical condition

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<span class="mw-page-title-main">C3b</span>

C3b is the larger of two elements formed by the cleavage of complement component 3, and is considered an important part of the innate immune system. C3b is potent in opsonization: tagging pathogens, immune complexes (antigen-antibody), and apoptotic cells for phagocytosis. Additionally, C3b plays a role in forming a C3 convertase when bound to Factor B, or a C5 convertase when bound to C4b and C2b or when an additional C3b molecule binds to the C3bBb complex.

Macrophage-1 antigen is a complement receptor ("CR3") consisting of CD11b and CD18.

<span class="mw-page-title-main">Rosai–Dorfman disease</span> Medical condition

Rosai–Dorfman disease, also known as sinus histiocytosis with massive lymphadenopathy or sometimes as Destombes–Rosai–Dorfman disease, is a rare disorder of unknown cause that is characterized by abundant histiocytes in the lymph nodes or other locations throughout the body.

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<span class="mw-page-title-main">Critical green inclusion</span> Abnormal white blood cell inclusion

Critical green inclusions, also known as green neutrophilic inclusions and informally, death crystals or crystals of death, are amorphous blue-green cytoplasmic inclusions found in neutrophils and occasionally in monocytes. They appear brightly coloured and refractile when stained with Wright-Giemsa stain. These inclusions are most commonly found in critically ill patients, particularly those with liver disease, and their presence on the peripheral blood smear is associated with a high short-term mortality rate.

References

  1. Emperipolesis. dictionary.com. URL: http://dictionary.reference.com/browse/emperipolesis. Accessed on: 11 August 2010.
  2. Emperipolesis. Stedman's Medical Dictionary. 27th Ed.
  3. 1 2 3 Rastogi, Varun; Sharma, Rachna; Misra, Satya; Yadav, Lalita; Sharma, Vandana (2014). "Emperipolesis – A Review". Journal of Clinical and Diagnostic Research. 8 (12): ZM01–ZM02. doi:10.7860/jcdr/2014/10361.5299. PMC   4316366 . PMID   25654060.
  4. Lyons DJ, Gautam A, Clark J, et al. (January 1992). "Lymphocyte macrophage interactions: peripolesis of human alveolar macrophages". Eur. Respir. J. 5 (1): 59–66. PMID   1577151.
  5. Demicco EG, Rosenberg AE, Björnsson J, Rybak LD, Unni KK, Nielsen GP (July 2010). "Primary Rosai-Dorfman Disease of Bone: A Clinicopathologic Study of 15 Cases". Am J Surg Pathol. 34 (9): 1324–1333. doi:10.1097/PAS.0b013e3181ea50b2. PMID   20679880. S2CID   36359545.
  6. Covelli C, Sacchi D, Sarcognato S, Cazzagon N, Grillo F, Baciorri F, Fanni D, Cacciatore M, Maffeis V, Guido M (2021). "Pathology of autoimmune hepatitis". Pathologica. 113 (3): 185–193. doi: 10.32074/1591-951X-241 . PMC   8299324 . PMID   34294936.