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How does the Human Body Eliminate Dead Cells?

Michael Pollick
Updated Mar 03, 2024
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The human body is a complicated system which operates much like a self-contained city. Some organs produce new cells, others use cells to perform their jobs, and eventually certain scavenger cells arrive to remove dead cells from the system. In the case of the human body, these scavengers are specialized white blood cells called macrophages. Macrophages remove the cells essentially by eating them, which helps to explain why the word macrophage means "big eater" in Greek.

When external skin cells die, there are a number of mechanical and chemical methods used to slough them off. Exfoliants and scrub brushes are often employed to remove dead cells and encourage new cell turnover. But cells that have died within the human body are not so easily removed. They go through a much more complicated elimination process, which is not always as efficient or thorough as one might hope.

Living cells die through two different processes. Many body cells are programmed to die at a prescribed time, through a process called apoptosis. Red blood cells, for example, are programmed to die after 120 days of service. Other cells, such as white blood cells, may be programmed to die an apoptotic death after only a few days. These dead cells may continue to flow through the body's bloodstream or collect in various organs, but they are clearly no longer contributing to the system.

The other process of cells dying is called necrosis. Necrotic cell death usually occurs after a trauma or infection or other shock to the system. When cells become necrotic, they may be removed through surgery or other medical intervention, but often they enter the bloodstream in the same way as apoptic cells. The body cannot function well with an overabundance of dead cells, so macrophages take on the mission of breaking down the excess.

A macrophage cell can literally detect cells that have died through smell, much like a scavenger bird detects dead animals. Whenever dead cells reach the part of the bloodstream patrolled by a macrophage, the macrophages surround them and convert them into easily removed components. At the same time, the macrophage covers the dead cells with a substance known as an antigen. This action tags the cells for further attack from other types of cells in the body's immune system. Ideally, the macrophages and killer T-cells should render both dead cells and foreign invaders harmless enough to re-enter the bloodstream for elimination.

When macrophages become overwhelmed, however, they may allow some cells that have died to pass through unprocessed. The DNA from those cells may trigger an inflammatory reaction as the cells combine with other substances. This process is the basis for many autoimmune diseases such as Crohn's disease or lupus. Bolstering the body's macrophages is often a course of treatment recommended for autoimmune diseases and even some forms of cancer.

The dead cells are eventually eliminated in a number of ways. Macrophages and other immune system components have essentially digested the body's cells, parts of which may be reused. Material from these cells also makes up part of the solid waste we call fecal matter.

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Michael Pollick
By Michael Pollick
As a frequent contributor to The Health Board, Michael Pollick uses his passion for research and writing to cover a wide range of topics. His curiosity drives him to study subjects in-depth, resulting in informative and engaging articles. Prior to becoming a professional writer, Michael honed his skills as an English tutor, poet, voice-over artist, and DJ.
Discussion Comments
By anon1005048 — On Jun 08, 2021

How do the necrotic cells in the liver, after a microwave ablation, clear the body? How long does that process take?

By anon997338 — On Dec 18, 2016

The lymphatic system is our "sewer system". That is how our bodies remove dead cells and our bowel, bladder and skin eliminate them. Simple. Given some time and effort on our part, our bodies will heal themselves. Herbs do help as well. So simple, that big pharma would be put out of business. There are some occasions that pharma is needed, but not on the scale that it is used today. Fresh fruits and vegetables are the best medicine. Think about it.

By anon344695 — On Aug 11, 2013

@anon21282: When cancer passes into the bloodstream, it is the main form of what is called "metastasis," or spreading of tumor cells from the primary tumor site to other sites via the bloodstream. It is thought that, most of the time, metastatic tumor cells actively break down barriers to the blood vessels in order to enter the bloodstream.

Blood vessels are tubes made of endothelial cells, which are like flat tiles comprising the vessel wall; the tubes are surrounded by pericytes -- cells which wrap around the vessel and increase structural integrity -- as well as, often, muscle, and a fibrous matrix. The matrix and the proteinaceous junctions between all of these cell types need to be chemically broken down by cancer cells in order for them to invade. However, vessels in tumor are often abnormal. They can lack some of these protections, and even have gaps that allow blood to leak into the tumor. So, invasion may be easier via tumor-grown vessels.

By anon303051 — On Nov 13, 2012

@razmi: In cancer, certain genes are either activated or deactivated that cause the cell to be "immortal" so to speak. Normal cells apoptose at a certain point--cancer cells do not.

By anon302216 — On Nov 08, 2012

If a cell has a lifetime and is removed, why aren't cancer cells replaced and removed? --razmi

By anon268844 — On May 15, 2012

What is the process to replace dead cells?

By anon257961 — On Mar 29, 2012

What organ breaks up or gets rid of dead red blood cells?

By anon175818 — On May 13, 2011

Almost all of the stem cells (not regular mature cells) in the body undergo mitosis,in normal conditions, to replace any worn out cells. Even the brain and the heart under go this process but they do it so slow that any brain or myocardial damage is irreversible. However, the GI track replaces its lumen every two or three days. the rate differs for every organ system.

Stem cells never stop dividing throughout our entire life. with age what happens is that some stem cells either do not reproduce at the rate they used to or some may fail to reproduce properly. Years of free radicals and damage, e.g., sun, fumes, stress, lack of or over sleeping, overdosing on vitamins and antioxidants thinking it will prevent this also puts stress on your body. Eventually your cells get tired of all of this. The more you damage and stress your cells, the faster mitosis has to happen which will lead to errors, just like in the occurrence of cancer.

One organ being worn out may start a chain reaction and the recipe for aging. Avoiding stress and eating right, not drinking or smoking may let you feel and look younger for longer even live to be a healthy 100 year old, but it will all catch up eventually. The circle of life.

As for kids growing, kids have certain hormones and so to speak, Fed ex messengers that tell the body to undergo mitosis more often until they reach the blueprint their DNA set for them. Once fully grown, most of these hormones calm down and just maintain the grown adult.

By anon165534 — On Apr 05, 2011

'How does cancer "pass into the bloodstream"?'

Cancerous cells pass into your bloodstream because of the blood flow through tissues.

By anon151051 — On Feb 09, 2011

why would a unicellular organism survive on its own if a human wouldn't when removing a cell?

By anon124525 — On Nov 06, 2010

I have a scar on my forehead that is raised. i pushed it until the skin broke and clear fluid drained from it and it flattened out. It has since healed over and it is raised again. The chemist told me that i have probably dead white skin cells under the skin and surgery is needed. any help much appreciated. thanks. --chris

By anon83623 — On May 11, 2010

thank you! really mind fulfilling, and knowledgeable. thanks.

By anon60221 — On Jan 12, 2010

we were talking about cells in my science class and I asked my science teacher where dead cells went and this answered my question and now I can tell this to him. -thanks

By anon44346 — On Sep 07, 2009

This is exactly the information that I was looking for, explained clearly and succinctly. Thank you! Too many of us don't know to ask this question, let alone find the answer. Understanding this process and exploring alternatives can be literally lifesaving.

By anon21282 — On Nov 13, 2008

How does cancer "pass into the bloodstream"?

By sgbfishman — On May 26, 2008

Very interesting article? I've wondered about this, but, not having a biology background, really had little clue. A set of questions that might be related to this one, and maybe someone can answer is...1) Do body cells reproduce by mitosis, as we learned in first-year biology class? 2) If so, does that account in part for the growth in size of children to adulthood? 3) and again, if so, why don't we keep on growing in size throughout our lives...do the cells stop dividing? Or does one out of each pair of new cells die? Or do only half of the cells of any given tissue reproduce, so as to replace a non-reproducing cell that dies? Or something else I hadn't even thought of?

Michael Pollick
Michael Pollick
As a frequent contributor to The Health Board, Michael Pollick uses his passion for research and writing to cover a wide...
Learn more
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