USMLE (Fach) / Hematology and Oncology (Lektion)
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Macrophages
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- Phagocytoses bacteria, cellular debris, and senescent RBCs.- Long life in tissues.- Name differs in each tissue type (eg, Kupffer cells in liver, histiocytes in connective tissue, Langerhans cells in skin, osteoclasts in bone, microglial cells in brain).
- Differentiate from circulating blood monocytes.- Activated by γ-interferon (from Th1 cells).
- Can function as antigen-presenting cell via MHC II.
- Important component of granuloma formation (TB, sarcoidosis).
- Lipid A from bacterial LPS binds CD14 on macrophages to initiate septic shock.
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