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Monocytes are a group of heterogeneous cells that migrate into tissues to differentiate into macrophages. They are part of the phagocytic cell family including dendritic cells and polymorphonuclear neutrophils.

Haematopoiesis / cytology

haematopoiesis-cytology

Monocytes

Monocytes represent 5 to 10% of circulating leukocytes. They are large rounded cells whose nucleus most often has a bean-shaped appearance with a notch, a flaky gray cytoplasm with fine granulations and sometimes visible cytoplasmic vacuoles.

Macrophages

Monocytes that pass into tissues are called macrophages. Their cytoplasm grows, and the nucleus becomes eccentric within the cytoplasm which contains more numerous vacuoles. The precise morphology and naming then depend on the tissue where they have penetrated (for example in the bone = osteoclasts, in the central nervous system = microglial cells, in the lungs = alveolar macrophages, etc.).

We can distinguish two types of macrophages:

  • Residents: they have functions of regulation, repair, and regeneration of the tissue.
  • Inflammatory: they participate in the innate immune response through phagocytosis and antigen presentation.

There are also subcategories of monocytes that are not detailed here.

Functions

Phagocytosis

This is the main function of macrophages. The latter can be facilitated by opsonization, that is to say, the recognition of immunoglobulins or C3b fragments of the complement system fixed on the antigen or on the cell to be phagocytized (in particular foreign cell) by receptors expressed on the surface of the macrophage, respectively the receptors for constant fragments of immunoglobulins and the C3b receptors.

Antigen presentation

Macrophages possess the necessary mechanisms for antigen presentation of endogenous peptides peptides in the same way as all nucleated cells and platelets. They have the particularity – shared with all so-called professional antigen-presenting cells – of also possessing Class II HLA molecules allowing the presentation of exogenous antigens.
Unlike dendritic cells, however, they are not capable of cross-presentation (no cross-presentation).

Cytokine synthesis

Monocytes and macrophages secrete numerous cytokines , particularly pro-inflammatory ones (IL-1, IL-6 and TNF-α).

Homeostatic functions

Macrophages often have a role in the regeneration and renewal of the tissue in which they reside.

What should be remembered

Monocytes are circulating cells, some of which will establish themselves in tissues to become macrophages specialised in phagocytosis and antigen presentation. Their morphology and their name depend on the tissue of residence. They are professional antigen-presenting cells because they express Class II HLA molecules for the presentation of exogenous peptides. However, they are not capable of ensuring cross-presentation, which is reserved for dendritic cells.