Macrophage Metabolism of Apoptotic Cell-Derived Arginine Promotes Continual Efferocytosis and Resolution of Injury
Open accessAbstract
Continual efferocytic clearance of apoptotic cells (ACs) by macrophages prevents necrosis and promotes injury resolution. How continual efferocytosis is promoted is not clear. Here, we show that the process is optimized by linking the metabolism of engulfed cargo from initial efferocytic events to subsequent rounds. We found that continual efferocytosis is enhanced by the metabolism of AC-derived arginine and ornithine to putrescine by macrophage arginase 1 (Arg1) and ornithine decarboxylase (ODC). Putrescine augments HuR-mediated stabilization of the mRNA encoding the GTP-exchange factor Dbl, which activates actin-regulating Rac1 to facilitate subsequent rounds of AC internalization. Inhibition of any step along this pathway after first-AC uptake suppresses second-AC internalization, whereas putrescine addition rescues this defect. Mice lacking myeloid Arg1 or ODC have defects in efferocytosis in vivo and in atherosclerosis regression, while treatment with putrescine promotes atherosclerosis resolution. Thus, macrophage metabolism of AC-derived metabolites allows for optimal continual efferocytosis and resolution of injury.
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A conserved metabolic circuit essential for high efferocytic activity of reparative macrophages involves conversion of apoptotic cell-derived arginine and ornithine into putrescine via Arg1 and ODC.
“Earlier studies identified a conserved metabolic circuit essential for the high efferocytic activity of reparative macrophages. This pathway involves the conversion of apoptotic cell-derived arginine and ornithine into putrescine via arginase 1 (Arg1) and ornithine decarboxylase (ODC).”
From Macrophage duality in liver diseases: heterogeneity, plasticity, and the quest for precision therapeutics (2026) · cites this paper as [51]
The Results section reports that apoptotic cell-derived arginine is converted to ornithine and putrescine in mouse macrophages, and that the Arg1–ODC–putrescine pathway promotes continual efferocytosis in resolving-type macrophages. The Limitation of Study section qualifies the claim that this entire circuit is conserved: cultured human macrophages lack appreciable Arg1 and can instead use apoptotic cell-derived ornithine directly to produce putrescine via ODC. Page numbers are unavailable in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredMetabolic processing of one apoptotic cell augments the capacity to clear the next, providing a fundamental mechanism for injury resolution.
“Thus, metabolic processing of one apoptotic cell augments the capacity to clear the next, providing a fundamental mechanism for injury resolution.”
From Macrophage duality in liver diseases: heterogeneity, plasticity, and the quest for precision therapeutics (2026) · cites this paper as [51]
Putrescine fuels a self-reinforcing cycle that promotes continual efferocytosis by enhancing Rac1-dependent phagosome internalization.
“Putrescine, in turn, fuels a self-reinforcing cycle that promotes continual efferocytosis—the sequential clearance of apoptotic corpses—by enhancing Rac1-dependent phagosome internalization (51).”
From Macrophage duality in liver diseases: heterogeneity, plasticity, and the quest for precision therapeutics (2026) · cites this paper as [51]
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- Authors
- Yurdagul, A., Subramanian, M., Wang, X., Crown, S. B., Ilkayeva, O. R., Darville, L., Kolluru, G. K., Rymond, C. C., Gerlach, B. D., Zheng, Z., Kuriakose, G., Kevil, C. G., Koomen, J. M., Cleveland, J. L., Muoio, D. M., & Tabas, I.
- Affiliations
- Columbia University Irving Medical Center (US)
- Institute of Genomics and Integrative Biology (IN)
- Columbia University (US)
- Duke University (US)
- Moffitt Cancer Center (US)
- Louisiana State University Health Sciences Center Shreveport (US)
- Corresponding author
- Yurdagul, Arif
- Tabas, Ira
- ORCID
- Venue
- Cell Metabolism
- Publisher
- Elsevier BV
- Published
- 2020-03
- Volume
- 31
- Issue
- 3
- Pages
- 518-533.e10
- ISSN
- 1550-4131 (ISSN-L)
- PMC
- PMC7173557
- OpenAlex
- W3004079464
- Cited by
- 525
- References
- 70
- Citations by year
- 2026: 112 · 2025: 101 · 2024: 97 · 2023: 76 · 2022: 61 · 2021: 57 · 2020: 21
- FWCI
- 18.48
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cell Metabolism (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Phagocytosis and Immune Regulation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cell death mechanisms and regulation
- Health Sciences › Medicine › Epidemiology › Autophagy in Disease and Therapy
- Keywords
- efferocytosis, macrophage metabolism, arginine metabolism, ornithine, putrescine, arginase-1, ornithine decarboxylase, Rac1, actin cytoskeleton, atherosclerosis regression
- MeSH terms
- ELAV-Like Protein 1, Animals, Arginase, Arginine, Humans, Macrophages, Male, Mice, Inbred C57BL, Ornithine Decarboxylase, Phagocytosis, Putrescine, RNA, Messenger, Apoptosis, Gene Deletion, Jurkat Cells, Guanine Nucleotide Exchange Factors, rac1 GTP-Binding Protein, RNA Stability, Myeloid Cells
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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