Monocytes

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Microscopic image of stained blood cells on a light background. Erythrocytes (red blood cells) appear as uniformly stained pinkish-red biconcave discs. A monocyte is centrally located; it's larger with a light blue cytoplasm and large, lobulated dark purple/blue colored nucleus, typical kidney-shaped. Isolated dark purple specks also scattered through the image. The cells are densely packed.
Figure 1: Blood smear with a monocyte (large, kidney-shaped nucleus) surrounded by red blood cells.

Monocytes are a type of white blood cell (leukocyte). They play a critical role in the innate immune response. Monocytes serve as a precursor to tissue macrophages and dendritic cells

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Monocytes are relatively large cells with a distinct kidney-shaped or horseshoe-shaped nucleus that occupies much of the cell’s volume. The nucleus typically has a smooth or slightly irregular contour. It stains variably. It appears pale or lightly stained compared to the dense chromatin of lymphocytes. The cytoplasm of monocytes is abundant and typically appears as a thin rim surrounding the nucleus.

High-magnification light microscopy image of a Wright-Giemsa stained blood smear. Predominantly pink erythrocytes with central pallor. A singular large basophilic monocyte displays lobulated nucleus with lacy chromatin. The background is white. Scattered small blue platelets also noted.
Figure 2: Blood smear with monocyte amid red blood cells. Blue-purple staining highlights the immune cell’s irregular nucleus.

Nucleus

The nucleus of monocytes is typically kidney-shaped or horseshoe-shaped, although it may vary in shape and size. The chromatin within the nucleus is dispersed and stains lightly, giving the nucleus a pale appearance. Monocytes may contain one or more nucleoli, which are small, round structures involved in ribosome synthesis.

Cytoplasm

Monocytes have abundant cytoplasm that appears as a thin rim surrounding the nucleus. The cytoplasm may contain fine granules, vacuoles, and lysosomes, which are involved in phagocytosis and intracellular digestion. These granules may be more evident in activated or mature monocytes.

Function

Monocytes circulate in the bloodstream for a short period. Then, they migrate into tissues. In the tissues, they differentiate into tissue macrophages or dendritic cells.  Macrophages, literally meaning “big eater,” station themselves in tissues and consume unidentifiable pathogens.  Cells such as alveolar macrophages and Kupffer cells were once circulating monocytes. These monocytes finally settled down in the lungs and the liver (respectively).  Dendritic cells do pinocytosis as opposed to phagocytosis.  These cells drink the fluids in tissues.  Both macrophages and dendritic cells consume foreign particles. They present these particles to lymphocytes. This gives them the name of antigen-presenting cells (APCs).

Confused With

Monocytes can be easily confused with lymphocytes, another agranulocyte without granules in the cytoplasm.  However, monocytes have a reliably deep indentation compared to lymphocytes.  

All Figures: Slide 86X Human blood smear, Giemsa stain, 86X scan from hematopathology normals collection
All by University of Michigan Histology, licensed under CC BY-NC-SA 3.0.

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