RN Nursing · Pathophysiology · Practice question
Platelets are typically phagocytized by which cells after about 10 days?
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Erythrocytes
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Lymphocytes
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✓
Macrophages
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Neutrophils
Answer & explanation
Correct: Macrophages
Platelets are anucleate cell fragments derived from megakaryocytes and have a circulating lifespan of approximately 8 to 10 days. After this time, aged or damaged platelets are recognized and removed from circulation through phagocytosis by macrophages, which are the primary phagocytic cells of the mononuclear phagocyte system. Macrophages located predominantly in the spleen and liver (Kupffer cells) engulf senescent platelets and recycle their components. This is analogous to how macrophages also remove aged erythrocytes. Erythrocytes are red blood cells that transport oxygen and do not perform phagocytosis; they are themselves broken down by macrophages, not the other way around. Lymphocytes are immune cells involved in adaptive immunity, specifically antibody production and cell-mediated responses, and do not typically perform phagocytosis of platelets. Neutrophils are granulocytes that perform phagocytosis primarily during acute infection and inflammatory responses, targeting pathogens rather than routinely clearing senescent blood cells. Understanding the platelet lifecycle is important for grasping conditions like thrombocytopenia, where platelet destruction by macrophages (as in immune thrombocytopenic purpura) can be pathologically accelerated, reducing platelet counts below normal ranges.
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