USMLE (Fach) / Hematology and Oncology (Lektion)
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Neutrophils
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Acute inflammatory response cells. Numbers ↑ in bacterial infections. Phagocytic. Multilobed nucleus.
- Specific granules contain leukocyte alkaline phosphatase (LAP), collagenase, lysozyme, and lactoferrin. - Azurophilic granules (lysosomes) contain proteinases, acid phosphatase, myeloperoxidase, and β-glucuronidase.
- Hypersegmented neutrophils (6+ lobes) are seen in vitamin B12/folate deficiency.- ↑ band cells (immature neutrophils) reflect states of ↑ myeloid proliferation (bacterial infections, CML).- Important neutrophil chemotactic agents: C5a, IL-8, LTB4, kallikrein, platelet-activating factor.
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