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Phagocytosis is central to immunity however a rapid and standardized method is much needed for quantitative assessment of the phagocytic process. We describe a real‐time flow cytometric method to quantitate the phagocytosis of fluorescent latex beads by human monocytes in serum‐free conditions. Effects of buffer composition, temperature, pH, and bead surface on phagocytic rate are described. The innate phagocytic ability of human monocytes from single subjects measured by this method was relatively stable over many months although phagocytosis rate varied as much as two‐fold between individuals. Comparable results were obtained with a simplified method using several mL of whole blood which is suitable for routine clinical application. This method also allows two‐color flow cytometric measurement of cytosolic calcium levels during the phagocytic uptake of fluorescent beads. © 2013 International Society for Advancement of Cytometry.
I ntroduction Phagocytosis is a fundamental biological function of the immune system. While phagocytosis of IgG opsonized particles is an important component of acquired immunity, phagocytosis of non‐opsonized particles plays a key role in innate immunity. Recenziya na attestacionnuyu rabotu vracha obrazec.
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Both require recognition of foreign particles by one or more phagocytic receptors on the surface of phagocytes, including Fc receptors, complement receptors, various integrins and scavenger receptors as well as the recently identified P2X7‐non‐muscle myosin heavy chain IIA complex which recognizes a range of non‐opsonized particles including latex beads, and live and dead bacteria. Many studies have shown that failed or defective phagocytic ability is linked to pathogenic states of various age‐related diseases,, autoimmune diseases as well as infectious diseases. However, there are few studies which have quantitated the phagocytic ability of native or transfected cells to assess possible defects in innate immunity. For this purpose, peripheral blood monocytes and/or neutrophils are a superior model system. However, although phagocytosis of fluorescent latex beads by phagocytes have been studied for several decades -, there has not been a reliable quantitative method to measure phagocytic ability of peripheral blood leukocytes for clinical application. Technical advances in the assessment of phagocytosis have allowed rapid advances in our knowledge of molecular interactions associated with engulfment of particles by phagocytes. Fluorescent microscopy is the basis of traditional methods and has shown rapid rearrangements of the actin cytoskeleton during the phagocytic process.
Confocal microscopy has shown that internal membranes within the cell fuse with the plasma membrane during the course of particle ingestion, and that recycling endosomes and endoplasmic reticulum contribute to expansion of the surface membrane,. Flow cytometric assessment of particle engulfment has to some extent replaced microscopic observation particularly as the kinetics of uptake of fluorescent targets by phagocytes can be followed by instruments capable of real‐time measurements in a stirred cuvette at 37°C,. These assays of phagocytosis by flow cytometry usually include measurements of fluorescence particle uptake by cells pre‐incubated with cytochalasin D (CytD), an inhibitor of F‐actin polymerization and phagocytic cup formation which allows the assay to distinguish engulfment of particles from simple adhesion. Phagocytosis has been widely studied by monitoring the uptake of fluorescent beads or bacteria of 1.0–3.0 μm in diameter or length. However, to date, no published method quantifies particle uptake in real time which is necessary to fully assess the kinetics of phagocytosis.