An essential role for calcium flux in phagocytes for apoptotic cell engulfment and the anti-inflammatory response
Open accessAbstract
Cells undergo programmed cell death/apoptosis throughout the lifespan of an organism. The subsequent immunologically silent removal of apoptotic cells plays a role in the maintenance of tolerance; defects in corpse clearance have been associated with autoimmune disease. A number of receptors and signaling molecules involved in this process have been identified, but intracellular signaling downstream of corpse recognition is only now being defined. Calcium plays a key role as a second messenger in many cell types, leading to the activation of downstream molecules and eventual transcription of effector genes; however, the role of calcium signaling during apoptotic cell removal is unclear. Here, using studies in cell lines and in the context of a whole organism, we show that apoptotic cell recognition induces both an acute and sustained calcium flux within phagocytes and that the genes required for calcium flux are essential for engulfment. Furthermore, we provide evidence that both the release of calcium from the endoplasmic reticulum and the entry of extracellular calcium through CRAC channels into the phagocytes are important during engulfment. Moreover, knockdown in Caenorhabditis elegans of stim-1 and jph-1, two genes linked to the entry of extracellular calcium into cells, led to increased persistence of apoptotic cells in the nematode. Loss of these genes seemed to affect early signaling events, leading to a decreased enrichment of actin adjacent to the apoptotic cell during corpse removal. We also show that calcium is crucial for the secretion of TGF-beta by the phagocytes during the engulfment of apoptotic cells. Taken together, these data point to an earlier unappreciated and evolutionarily conserved role for calcium flux at two distinguishable steps: the formation of the phagocytic cup and the internalization of the apoptotic cell, and the anti-inflammatory signaling induced in phagocytes by contact with apoptotic cells.
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After engulfing apoptotic cells, macrophages secrete anti-inflammatory cytokines such as IL-10 and TGF-β to suppress immune responses.
“After engulfing ACs, macrophages secrete a range of anti-inflammatory cytokines, such as IL-10 and TGF-β, to suppress immune responses.24,25”
From Macrophage efferocytosis mediated by the TP63-RAC2 pathway promotes immunosuppressive remodeling in esophageal cancer (2026) · cites this paper as [24]
The Results (page unavailable) report that macrophages exposed to apoptotic cells secrete TGF-β, and the Introduction links this response to immunological tolerance. The paper does not identify IL-10 as one of the secreted cytokines. It also finds that recognition of apoptotic cells can induce TGF-β without physical engulfment, so engulfment is not required for the response described. (LLM, conf=0.88)
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References 41 · Cited by 92
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- Authors
- Gronski, M. A., Kinchen, J. M., Juncadella, I. J., Franc, N. C., & Ravichandran, K. S.
- Affiliations
- University of Virginia (US)
- Scripps Research Institute (US)
- Corresponding author
- Ravichandran, K S
- Venue
- Cell Death & Differentiation
- Published
- 2009-05-22
- Volume
- 16
- Issue
- 10
- Pages
- 1323-1331
- ISSN
- 1350-9047 (ISSN-L)
- 1476-5403
- PMC
- PMC2856475
- OpenAlex
- W2001695277
- Cited by
- 92
- References
- 41
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 6 · 2023: 8 · 2022: 6 · 2021: 12 · 2020: 7 · 2019: 5 · 2018: 3 · 2017: 7 · 2016: 3 · 2015: 4 · 2014: 3 · 2013: 4 · 2012: 4
- FWCI
- 1.36
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Cell Death and Differentiation (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Arthritis Foundation
- American Asthma Foundation
- National Institutes of Health
- Natural Sciences and Engineering Research Council of Canada
- National Institute of General Medical Sciences (R01GM069998, R01GM064709)
- National Institute of Allergy and Infectious Diseases
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK067629)
- 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
- Life Sciences › Neuroscience › Sensory Systems › Ion Channels and Receptors
- Keywords
- apoptotic cell engulfment, calcium signaling, phagocytes, endoplasmic reticulum calcium release, CRAC channels, TGF-beta secretion, anti-inflammatory response, Caenorhabditis elegans
- MeSH terms
- Stromal Interaction Molecule 1, ORAI1 Protein, Animals, Calcium, Cell Line, Humans, Membrane Proteins, Phagocytes, Phagocytosis, Calcium Channels, Transforming Growth Factor beta, Caenorhabditis elegans, Apoptosis, Jurkat Cells, Calcium Signaling, Caenorhabditis elegans Proteins, RNA, Small Interfering, Mice
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