Main Stages of the Process
The dynamics of this defense mechanism include 4 sequential stages:
- Approached/Chemotaxis — active movement of the phagocyte toward the foreign object.
- Recognition and Adhesion — identification of the structure via receptors and firm attachment to its surface.
- Ingestion — engulfment of the material into the cell forming a phagosome, which approaches and fuses with lysosomes to form a phagolysosome.
- Destruction — intracellular digestion of the engulfed object.
Mechanisms of Intracellular Destruction
To destroy the engulfed material, the cell utilizes two major mechanisms:
- Oxygen-dependent mechanism (or respiratory burst) — plays a key role in destruction, accompanied by a sharp metabolic spike with the active participation of oxygen.
- Oxygen-independent cytotoxicity — triggered at the moment of contact between the opsonized foreign agent and the phagocyte membrane.
Recognition Stage, Adhesion, and Opsonization
The interaction between a leukocyte and its target follows a precise sequence of events:
- Recognition of the object by receptors.
- Opsonization — a special "tagging" of the object that facilitates its subsequent engulfment.
- Direct contact involving the leukocyte's $Fc\gamma$-receptor.
- Activation of intracellular processes: a metabolic spike, degranulation, as well as enhanced expression of adhesion molecules and major histocompatibility complex (MHC) proteins.
Incomplete Phagocytosis and Its Causes
Sometimes engulfed bacteria are not destroyed by lysosomal enzymes, but continue to survive inside the defense cell. Microorganisms protect themselves using dense hydrophobic cell walls, capsules, enzymatic resistance, or the ability to block phagosome-lysosome fusion.
Main etiological causes of impairment:
- Lysosomal pathology: membranopathies or enzymopathies of organelles.
- Defective opsonization and low tagging efficiency.
- Enzyme deficiencies (e.g., myeloperoxidase deficiency reduces bactericidal potential).
- Impaired adhesive properties and a deficit of adhesion molecules.
- Hormonal imbalance disrupting process regulation.