NETs and Emperipolesis😊

NETs (Neutrophil Extracellular Traps)

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  • Purpose: "Plan B" for severe infections (phagocytosis insufficient).
  • Mechanism:
    • Neutrophils expel nuclear chromatin extracellularly 
    • traps kill bacteria/fungus.
      • Not against viruses
  • Amino Acid Needed: 
    • Arginine
    • Mnemonic: Arginine → No (NO) net (NET)
    • Note: Arginine also produce NO
  • Other Enzymes
    • Arginine deaminase (ROS dependent)
    • Neutrophil elastase
    • Myeloperoxidase
    • Neutrophil get Urge (Arginine deaminase) to make Elastic (Neutrophil elastase) Net (NET) for becoming MP (MPO)
  • Other Name: 
    • Beneficial Suicide 
    • (neutrophil suicide for body's benefit).
  • Association:
    • Autoimmune disorders like SLE 
      • (extracellular nuclear material → anti-nuclear antibody).
    • Sepsis
  • Difference from Phagocytosis:
    • NETs: Extracellular killing.
    • Phagocytosis: Intracellular killing.
  • No assosiation with mitochondria

Emperipolesis

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  • Definition:
    • Cell sitting inside another cell
    • no associated killing.
  • Seen in: Mnemonic: Emperor → Marc → Lazy (cell sits inside a cell lazily)
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    • Myelodysplastic Syndrome
    • Myeloproliferative Neoplasms
    • Autoimmune Hepatitis
    • Rosai-Dorfman Disease
    • Chronic Lymphocytic Leukemia
  • Mnemonic:
    • Marc (MARC) rose (Rosai dorfman) ne Call (CLL) cheyth karalu (Autoimmune Hepatitis) anenn paranj.
    • Pinne My (MDS) my (MPN) nnu therim vilich

Entosis

  • Cell-in-cell appearance
  • Entosis → internalization f/b lysosomal degradation  
  • Emperipolesis → presence of a living cell within another
    • may or may not be destroyed. 
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