NETs (Neutrophil Extracellular Traps)




- Purpose: "Plan B" for severe infections (phagocytosis insufficient).
- Mechanism:
- Neutrophils expel nuclear chromatin extracellularlyÂ
- traps kill bacteria/fungus.
- Not against viruses
- Amino Acid Needed:Â
- 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:Â
- Beneficial SuicideÂ
- (neutrophil suicide for body's benefit).
- Association:
- Autoimmune disorders like SLEÂ
- (extracellular nuclear material → anti-nuclear antibody).
- Sepsis
- Difference from Phagocytosis:
- NETs:Â Extracellular killing.
- Phagocytosis:Â Intracellular killing.
- No assosiation with mitochondria
Emperipolesis


- Definition:
- Cell sitting inside another cell
- no associated killing.
- Seen in: Mnemonic: Emperor → Marc → Lazy (cell sits inside a cell lazily)
- 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 Â
- Emperipolesis → presence of a living cell within another
- may or may not be destroyed.Â
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