Marshall,

I think that in the case of accumulation of the particles in the Kupffer
cell, accumulation is equivalent to elimination. The Kupffer cell is a
specialized macrophage located only in the liver. It's primary purpose
is to eliminate old blood cells, particulate materials and microbes from
circulation. 

See http://biology.about.com/library/organs/bldigestliver2.htm 
 "The liver is host to a very important part of the phagocytic system.
Lurking in the sinusoids are large numbers of a type of tissue
macrophage known as the Kupffer cell. Kuppfer cells are actively
phagocytic and represent the main cellular system for removal of
particulate materials and microbes from the circulation. Their location
just downstream from the portal vein allows Kupffer cells to efficiently
scavenge bacteria that get into portal venous blood through breaks in
the intestinal epithelium, thus preventing invasion of the systemic
circulation."

Now, if you look at the following description on microphages, the second
illustration shows how a microphage, such as a Kupffer cell, reaches out
and captures a particle or pathogen with it's "arm". The microphage
envelops the particle or pathogen and works to break down the ingested
material. As shown, the macrophage has a separate path for outputting
the waste material.
See http://en.wikipedia.org/wiki/Macrophage

In the case of the Kupffer cell, the output for the waste passes through
the wall of the blood vessel and into an area called the Space of Disse
as shown in the following:
http://www.drugdevelopment-technology.com/projects/boceprevir/boceprevir
1.html
Where it is then passed by the Hepatocyte into the bilary canal. And
through the bilary canal into the small intestine. 

So, I would say that once a particle has entered a Kupffer cell it's
only way out is through the feces.

 - Steve


-----Original Message-----
From: Marshall Dudley [mailto:[email protected]] 
Sent: Wednesday, August 26, 2009 7:42 AM
To: [email protected]
Subject: Re: CS>Silver/Autism/Safety

But can accumulation be linked to elimination?  For instance can the
kidneys eliminate the particles, just not accumulate them, and the liver
accumulate but not eliminate them.  I am not sure that accumulation is a
good indicator of elimination.  For instance the spleen is listed as
accumulating them, but it would not eliminate them.  There simply seems
to be a big gap in good research on this.

Marshall


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