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Getting to the Outer Leaflet: Physiology of Phosphatidylserine Exposure at the Plasma Membrane
Abstract
Phosphatidylserine (PS) is a major component of membrane bilayers whose change in distribution between inner and outer leaflets is an important physiological signal. Normally, members of the type IV P-type ATPases spend metabolic energy to create an asymmetric distribution of phospholipids between the two leaflets, with PS confined to the cytoplasmic membrane leaflet. On occasion, membrane enzymes, known as scramblases, are activated to facilitate transbilayer migration of lipids, including PS. Recently, two proteins required for such randomization have been identified: TMEM16F, a scramblase regulated by elevated intracellular Ca 2+, and XKR8, a caspase-sensitive protein required for PS exposure in apoptotic cells. Once exposed at the cell surface, PS regulates biochemical reactions involved in blood coagulation, and bone mineralization, and also regulates a variety of cell-cell interactions. Exposed on the surface of apoptotic cells, PS controls their recognition and engulfment by other cells. This process is exploited by parasites to invade their host, and in specialized form is used to maintain photoreceptors in the eye and modify synaptic connections in the brain. This review discusses what is known about the mechanism of PS exposure at the surface of the plasma membrane of cells, how actors in the extracellular milieu sense surface exposed PS, and how this recognition is translated to downstream consequences of PS exposure.
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Takar, M., Huang, Y., & Graham, T. R. (2019) · Journal of Lipid Research · doi:10.1194/jlr.m093526 · Cited by 12
Structure and function of the human apoptotic scramblase Xkr4
Chakraborty, S., Feng, Z., Lee, S., Alvarenga, O. E., Panda, A., Zhang, S., Bruni, R., Khelashvili, G., Gupta, K., & Accardi, A. (2025) · Nature Communications · doi:10.1038/s41467-025-62739-1 · Cited by 5
Metadata
- Authors
- Bevers, E. M., & Williamson, P. L.
- Venue
- Physiological Reviews
- Publisher
- American Physiological Society
- Published
- 2016-04
- Volume
- 96
- Issue
- 2
- Pages
- 605-645
- ISSN
- 0031-9333 (ISSN-L)
- 1522-1210
- OpenAlex
- W2291071386
- Cited by
- 447
- References
- 297
- FWCI
- 2.67
- Type
- journal article
- Language
- en
- Open access
- closed
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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Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.