emperipolesis
Image:Emperipolesis - very high mag.jpg showing emperipolesis in a case of Rosai-Dorfman disease. H&E stain.]]
Emperipolesis is the presence of an intact cell within the cytoplasm of another cell.Emperipolesis. dictionary.com. URL: [http://dictionary.reference.com/browse/emperipolesis http://dictionary.reference.com/browse/emperipolesis]. Accessed on: 11 August 2010. It is derived from Greek (en is inside, peripoleomai is go round).Emperipolesis. Stedman's Medical Dictionary. 27th Ed. Emperipolesis is an uncommon biological process, and can be physiological or pathological.{{Cite journal|title=Emperipolesis – A Review|journal=Journal of Clinical and Diagnostic Research|author=Rastogi, Varun|author2=Sharma, Rachna|author3=Misra, Satya|author4=Yadav, Lalita|author5=Sharma, Vandana|doi=10.7860/jcdr/2014/10361.5299|year = 2014|volume = 8|issue = 12|pages = ZM01–ZM02|pmid = 25654060|pmc=4316366}}
It is related to peripolesis, which is the attachment of one cell to another.{{cite journal |vauthors=Lyons DJ, Gautam A, Clark J, etal |title=Lymphocyte macrophage interactions: peripolesis of human alveolar macrophages |journal=Eur. Respir. J. |volume=5 |issue=1 |pages=59–66 |date=January 1992 |pmid=1577151 }}
Emperipolesis is unlike phagocytosis, in which the engulfed cell is killed by the lysosomal enzymes of the macrophage. Instead, the engulfed cell remains viable within the other, and can exit at any time without causing structural or functional abnormalities in either cell.
Classification
Emperipolesis has been classified into two categories:
- Engulfment of hemapoietic cells by megakaryocytes such as in hematolymphoid disorders (Hodgkin's disease, leukemia, acute and chronic myeloid leukemia, non-Hodgkin's lymphoma, myeloproliferative disorders, myelodysplastic syndrome)
- Engulfment of inflammatory cells by histiocytes, which is a hallmark of Rosai-Dorfman disease{{cite journal |vauthors=Demicco EG, Rosenberg AE, Björnsson J, Rybak LD, Unni KK, Nielsen GP |title=Primary Rosai-Dorfman Disease of Bone: A Clinicopathologic Study of 15 Cases |journal=Am J Surg Pathol |volume= 34|issue= 9|pages= 1324–1333|date=July 2010 |pmid=20679880 |doi=10.1097/PAS.0b013e3181ea50b2 |s2cid=36359545 }}
Other associations
It is seen in various conditions including:
- Autoimmune hepatitis{{cite journal|vauthors=Covelli C, Sacchi D, Sarcognato S, Cazzagon N, Grillo F, Baciorri F, Fanni D, Cacciatore M, Maffeis V, Guido M|journal=Pathologica|title=Pathology of autoimmune hepatitis|volume=113|issue=3|pages=185-193|doi=10.32074/1591-951X-241|doi-access=free|pmid=34294936|pmc=8299324|year=2021}}
- Leukocyte migration from the blood stream to tissues through endothelial cells, in a process also known as transcellular migration and is akin to diapedesis (paracellular migration).
Additional images
Image:Emperipolesis - a band neutrophil inside a megakaryocyte.jpg | Emperipolesis: a band neutrophil inside a megakaryocyte (Wright-Giemsa, 100x, oil).
Image:Rosai-dorfman.jpg|Emperipolesis in Rosai-Dorfman disease highlighted by S-100 staining.
Image:Emperipolesis.jpg|Emperipolesis: Megakaryocyte containing a segmented neutrophil, stained with a May-Grünwald Giemsa stain.