The principles and practice of modern surgeryPark, Roswell
Science
The principles and practice of modern surgery
Park, Roswell
Surgery
On the other hand, leukocytes may and do englobe virulent microbes.
In man the mononuclear forms do not take up either the streptococcus
of erysipelas or the gonococcus; whereas these two organisms are
readily attracted by the polynuclear neutrophile cells. The bacillus
of leprosy, on the other hand, is never attacked by the polynuclear
forms, but is speedily devoured by the mononuclear cells. This shows
that the various leukocytes may exercise a marked selective ability.
This inclusion of minute bodies within ameboid cells seems to be an
evidence of a peculiar tactile sensibility upon the part of the latter.
In fact, this is clearly established, and seems to be inseparable from
the peculiar attraction between leukocyte and bacterium, to which the
name _chemotaxis_ has been given, and which is described in an ensuing
chapter. If the included organism is, as is usually the case, killed,
it is disposed of by a true process of intracellular digestion in a
neutral or alkaline protoplasmic medium, and its inert portions are
again extruded. On the other hand, if the leukocyte is poisoned or die
in this phagocytic attempt, it presents usually as a so-called _pus
cell_ or _corpuscle_, and the solid part of pus is made up in large
measure of cells which have perished in this way. (See Inflammation and
Suppuration.)
_To regard phagocytosis as an affair mostly of certain tissue cells and
invading bacteria_ would be altogether too narrow a view to take of
it. It is really a process of the greatest importance and of constant
performance in our systems. By virtue of it disintegrated muscle
fibers and other tissue cells are disposed of, sloughs are separated,
certain absorbable foreign bodies (catgut, etc.) taken away--_i. e._,
absorbed--cellular tissue reduced in numerical strength (progressive
atrophy), and a great variety of changes, either normal, as those
pertaining to health and advancing years, or abnormal, like those
incident to many diseases, are actually the product of this kind of
phagocytic activity. The protective power, then, which the phagocytes
exert as against bacteria is only one part of their normal functions,
by virtue of which they become, in effect, perhaps the most important
cells within our bodies. Their powers are limited, however, as will be
seen when describing pus, for the so-called pus corpuscle is nothing
but a phagocyte which has perished in its self-assumed task. It is
known also that in certain instances phagocytes, which are incapable
of defence as against the mature bacterial organism, are nevertheless
capable of englobing its spores and preventing their development.
This is true, for instance, in case of anthrax in animals ordinarily
immune, as, for instance, the frog and fowl. If, however, in these very
animals the vitality of the phagocytes be affected--as by cooling in
fowls or heating in frogs--phagocytosis is so far interfered with that
the spores germinate within the enfeebled leukocytes and the entire
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