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Macrophages (abbreviated as Mφ, or MP) (Greek: large eaters, from Greek μακρός (makrós) = large, φαγεῖν (phagein) = to eat) are a type of white blood cell of the innate immune system that engulf and digest pathogens, such as cancer cells, microbes, cellular debris, and foreign substances, which do not have proteins that are specific to healthy body cells on their surface. This process is called phagocytosis, which acts to defend the host against infection and injury.[1]

Macrophages are found in essentially all tissues, where they patrol for potential pathogens by amoeboid movement. They take various forms (with various names) throughout the body (e.g., histiocytes, Kupffer cells, alveolar macrophages, microglia, and others), but all are part of the mononuclear phagocyte system. Besides phagocytosis, they play a critical role in nonspecific defense (innate immunity) and also help initiate specific defense mechanisms (adaptive immunity) by recruiting other immune cells such as lymphocytes. For example, they are important as antigen presenters to T cells. In humans, dysfunctional macrophages cause severe diseases such as chronic granulomatous disease that result in frequent infections.

Beyond increasing inflammation and stimulating the immune system, macrophages also play an important anti-inflammatory role and can decrease immune reactions through the release of cytokines. Macrophages that encourage inflammation are called M1 macrophages, whereas those that decrease inflammation and encourage tissue repair are called M2 macrophages. This difference is reflected in their metabolism; M1 macrophages have the unique ability to metabolize arginine to the "killer" molecule nitric oxide, whereas M2 macrophages have the unique ability to metabolize arginine to the "repair" molecule ornithine. However, this dichotomy has been recently questioned as further complexity has been discovered.

Human macrophages are about 21 micrometres (0.00083 in) in diameter and are produced by the differentiation of monocytes in tissues. They can be identified using flow cytometry or immunohistochemical staining by their specific expression of proteins such as CD14, CD40, CD11b, CD64, F4/80 (mice)/EMR1 (human), lysozyme M, MAC-1/MAC-3 and CD68.

Macrophages were first discovered and named by Élie Metchnikoff, a Russian Empire zoologist, in 1884.

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History

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Macrophages were first discovered late in the 19th century by Élie Metchnikoff. Élie Metchnikoff revolutionized the branch of macrophages by combining philosophical insights and the evolutionary study of life.[2] Later on, Van Furth during the 1960s proposed the idea that circulating blood monocytes in adults allowed for the origin of all tissue macrophages.[3] In recent years, publishing regarding macrophages has led people to believe that multiple resident tissue macrophages are independent of the blood monocytes as it is formed during the embryonic stage of development.[4]Within the 21st century, all the ideas concerning the origin of macrophages (present in tissues) are compiled together to suggest that physiologically complex organisms, form macrophages independently by mechanisms that don't have to depend on the blood monocytes.[5]

References

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  1. ^ Biswas, Subhra K.; Mantovani, Alberto, eds. (2014). "Macrophages: Biology and Role in the Pathology of Diseases". Macrophages: Biology and Role in the Pathology of Diseases. doi:10.1007/978-1-4939-1311-4.
  2. ^ Mass, Elvira; Lachmann, Nico (2021-09). "From macrophage biology to macrophage-based cellular immunotherapies". Gene Therapy. 28 (9): 473–476. doi:10.1038/s41434-021-00221-5. ISSN 0969-7128. PMC 8455330. PMID 33542457. {{cite journal}}: Check date values in: |date= (help)CS1 maint: PMC format (link)
  3. ^ Epelman, Slava; Lavine, Kory J.; Randolph, Gwendalyn J. (2014-07). "Origin and Functions of Tissue Macrophages". Immunity. 41 (1): 21–35. doi:10.1016/j.immuni.2014.06.013. PMC 4470379. PMID 25035951. {{cite journal}}: Check date values in: |date= (help); no-break space character in |first2= at position 5 (help); no-break space character in |first3= at position 10 (help)CS1 maint: PMC format (link)
  4. ^ Italiani, Paola; Boraschi, Diana (2015). "New Insights Into Tissue Macrophages: From Their Origin to the Development of Memory". Immune Network. 15 (4): 167. doi:10.4110/in.2015.15.4.167. ISSN 1598-2629.
  5. ^ Lazarov, Tomi; Juarez-Carreño, Sergio; Cox, Nehemiah; Geissmann, Frederic (2023-06). "Physiology and diseases of tissue-resident macrophages". Nature. 618 (7966): 698–707. doi:10.1038/s41586-023-06002-x. ISSN 1476-4687. PMC 10649266. PMID 37344646. {{cite journal}}: Check date values in: |date= (help)CS1 maint: PMC format (link)