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Macrophages that have ingested apoptotic cells in vitro inhibit proinflammatory cytokine production through autocrine/paracrine mechanisms involving TGF-beta, PGE2, and PAF.
Open accessAbstract
Apoptosis in vivo is followed almost inevitably by rapid uptake into adjacent phagocytic cells, a critical process in tissue remodeling, regulation of the immune response, or resolution of inflammation. Phagocytosis of apoptotic cells by macrophages has been suggested to be a quiet process that does not lead to production of inflammatory mediators. Here we show that phagocytosis of apoptotic neutrophils (in contrast to immunoglobulin G-opsonized apoptotic cells) actively inhibited the production of interleukin (IL)-1beta, IL-8, IL-10, granulocyte macrophage colony-stimulating factor, and tumor necrosis factor-alpha, as well as leukotriene C4 and thromboxane B2, by human monocyte-derived macrophages. In contrast, production of transforming growth factor (TGF)-beta1, prostaglandin E2, and platelet-activating factor (PAF) was increased. The latter appeared to be involved in the inhibition of proinflammatory cytokine production because addition of exogenous TGF-beta1, prostaglandin E2, or PAF resulted in inhibition of lipopolysaccharide-stimulated cytokine production. Furthermore, anti-TGF-beta antibody, indomethacin, or PAF receptor antagonists restored cytokine production in lipopolysaccharide-stimulated macrophages that had phagocytosed apoptotic cells. These results suggest that binding and/or phagocytosis of apoptotic cells induces active antiinflammatory or suppressive properties in human macrophages. Therefore, it is likely that resolution of inflammation depends not only on the removal of apoptotic cells but on active suppression of inflammatory mediator production. Disorders in either could result in chronic inflammatory diseases.
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“Some of the more common cytokines used in biomaterial‐based research involves the proinflammatory IFN‐γ or IL‐4, which are important effectors in steering the macrophage phenotypes.[ 103 , 232 , 233 , 234 ]”
From Unraveling and Harnessing the Immune Response at the Cell–Biomaterial Interface for Tissue Engineering Purposes (2024) · cites this paper as [234]
In the citing paper
“Interestingly, phagocytosis of neutrophils is also a central element to induce the phenotype switch of macrophages from pro-inflammatory M1 to a reparative M2 phenotype [73].”
From Transition from inflammation to proliferation: a critical step during wound healing (2016) · cites this paper as [73]
In the citing paper
“2-AG increases the number of phagocytosing macrophages, which leads to increased production of anti-inflammatory cytokines, e.g., TGF-β1 and decreased output of pro-inflammatory cytokines, e.g., TNF-α by macrophages [73].”
From Transition from inflammation to proliferation: a critical step during wound healing (2016) · cites this paper as [73]
In the citing paper
“Their apoptosis and engulfment by macrophages (efferocytosis) provides a key signal to the local immune milieu, including macrophages, to transition to an anti-inflammatory, pro-repair state”
From Immunology of Wound Healing (2018) · cites this paper as [47]
In the citing paper
“In physiologic wound repair, neutrophils undergo apoptosis after carrying out their various functions at the site of injury. Local macrophage uptake of apoptotic neutrophils then triggers a transition out of inflammatory phase [47–49].”
From Immunology of Wound Healing (2018) · cites this paper as [47]
In the citing paper
“Macrophages in the wound site are responsible for phagocytosis of apoptotic neutrophils, a process known as efferocytosis [73••]. This action itself induces macrophages to transition from a pro-inflammatory phenotype, to an anti-inflammatory phenotype”
From Immunology of Wound Healing (2018) · cites this paper as [47]
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BackgroundThe Role of Efferocytosis in Autoimmune Diseases
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“In order to maintain tissue homeostasis and to prevent inflammation, phagocytes with engulfed dead cells can produce anti-inflammatory cytokines, including TGFβ and interleukin-10 (80).”
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“This observation is consistent with the theory that clearance of dead cells and debris by phagocytosis helps to minimize pro-inflammatory responses (145, 146).”
ResultMacrophage Surface Expression of Annexins I and II in the Phagocytosis of Apoptotic Lymphocytes
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“…cells results in an antiinflammatory response by inhibiting production of pro-inflammatory cytokines and induction of anti-inflammatory cytokines (Fadok et al, 1998), an impaired uptake and therefore inefficient removal of apoptotic cells by DCs from aged human may result in both inflammation…”
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“Phagocytosis of apoptotic cells by macrophages induces TGF-beta1 secretion, which would then act as a down-regulator of the pro-inflammatory cytokines (69).”
BackgroundModulation of Neutrophil Apoptosis and the Resolution of Inflammation through β2 Integrins
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“Because both IL-10 and TGFb signaling pathways have been demonstrated to be anti-inflammatory, in part through control of proinflammatory cytokines such as IFNc and TNFa [12–16], we hypothesized that genetic ablation of these two pathways would synergize to elicit more acute pathology than loss of either pathway alone.”
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Somersan, S., & Bhardwaj, N. (2001) · The Journal of Cell Biology · doi:10.1083/jcb.200110066 · Cited by 121
“Under noninflammatory conditions, uptake of ACs by macrophages is thought to suppress autoimmune responses through production of IL-10, TGF , PAF, and PGE 2 and inhibition of TNF , GM-CSF, IL-12, IL-1 , and IL-8 release (Voll et al., 1997; Fadok et al., 1998).”
BackgroundChapman, K. E., Coutinho, A. E., Zhang, Z., Kipari, T. M. J., Savill, J., & Seckl, J. R. (2013) · The Journal of Steroid Biochemistry and Molecular Biology · doi:10.1016/j.jsbmb.2013.02.002 · Cited by 125
Adiponectin in Cardiovascular Inflammation and Obesity
Aprahamian, T. R., & Sam, F. (2011) · International Journal of Inflammation · doi:10.4061/2011/376909 · Cited by 124
“Other functions of M2 macrophages include the ability to upregulate scavenger receptors, mannose receptors, and the IL-1 receptor antagonist [73–75].”
BackgroundThe Role of Macrophages in the Infarcted Myocardium: Orchestrators of ECM Remodeling
O’Rourke, S. A., Dunne, A., & Monaghan, M. G. (2019) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2019.00101 · Cited by 124
“M2c macrophages are induced by IL-10 and secrete high levels of transforming growth factor beta 1 (TGFβ1), and glucocorticoids.”
BackgroundInfluentialKosyreva, A. M., Dzhalilova, D. S., Lokhonina, А. V., Vishnyakova, P., & Fatkhudinov, T. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.682871 · Cited by 122
Reddy, N. M., Potteti, H. R., Mariani, T. J., Biswal, S. S., & Reddy, S. P. (2011) · American Journal of Respiratory Cell and Molecular Biology · doi:10.1165/rcmb.2011-0144oc · Cited by 120
“They are also essential for the clearance of apoptotic granulocytes and cell debris and the resolution of lung injury and inflammation (33, 34).”
Nakanishi, H., Zhang, J., Koike, M., Nishioku, T., Okamoto, Y., Kominami, E., FIGURA, K. V., Peters, C., Yamamoto, K., Säftig, P., et al. (2001) · Journal of Neuroscience · doi:10.1523/jneurosci.21-19-07526.2001 · Cited by 119
“On the other hand, phagocytosis of opsonized apoptotic cells via the complement receptor type 3 (CR3) has no significant effect on the secretion of pro- or anti-inflammatory cytokines (Fadok et al., 1998).”
BackgroundCD36 and TLR Interactions in Inflammation and Phagocytosis: Implications for Malaria
Erdman, L. K., Cosı́o, G., Helmers, A. J., Gowda, D. C., Grinstein, S., & Kain, K. C. (2009) · The Journal of Immunology · doi:10.4049/jimmunol.0901374 · Cited by 124
Neutrophil myeloperoxidase diminishes the toxic effects and mortality induced by lipopolysaccharide
Reber, L. L., Gillis, C. M., Starkl, P. M., Jönsson, F., Sibilano, R., Marichal, T., Gaudenzio, N., Berard, M., Rogalla, S., Contag, C. H., et al. (2017) · The Journal of Experimental Medicine · doi:10.1084/jem.20161238 · Cited by 125
“Neutrophil death is also thought to contribute importantly to the control and resolution of inflammation, and macrophage uptake of aging or apoptotic neutrophils can dampen the inflammatory responses of the macrophages themselves (Fadok et al., 1998; Poon et al., 2014).”
Li, L., Yang, S., Song, L., Zeng, Y., He, T., Wang, N., Yu, C., Yin, T., Liu, L., Wei, X., et al. (2017) · Theranostics · doi:10.7150/thno.19826 · Cited by 120
“This event is associated with the release of potent anti-inflammatory cytokines like transforming growth factor-β (TGF-β), prostaglandin E2 (PGE2), or platelet-activating factors as a mechanism to avoid immune activation [22-25].”
BackgroundBrain vulnerability and viability after ischaemia
Daniele, S. G., Trummer, G., Hossmann, K. A., Vrselja, Z., Benk, C., Gobeske, K. T., Damjanović, D., Andrijević, D., Pooth, J., Dellal, D., et al. (2021) · Nature reviews. Neuroscience · doi:10.1038/s41583-021-00488-y · Cited by 125
Leverrier, Y., Lorenzi, R., Blundell, M. P., Brickell, P. M., Kinnon, C., Ridley, A. J., & Thrasher, A. J. (2001) · The Journal of Immunology · doi:10.4049/jimmunol.166.8.4831 · Cited by 119
Svegliati‐Baroni, G., Minicis, S. D., & Marzioni, M. (2008) · Liver International · doi:10.1111/j.1478-3231.2008.01825.x · Cited by 119
Seaton, E. D., Szydlo, R., Kanfer, E., Apperley, J. F., & Russell‐Jones, R. (2003) · Blood · doi:10.1182/blood-2002-11-3351 · Cited by 120
A Critical Role for ABCG1 in Macrophage Inflammation and Lung Homeostasis
Wojcik, A. J., Skaflen, M. D., Srinivasan, S. R., et al. (2008) · The Journal of Immunology · doi:10.4049/jimmunol.180.6.4273 · Cited by 119
Matrix-bound nanovesicles recapitulate extracellular matrix effects on macrophage phenotype
Huleihel, L., Bartolacci, J. G., Dziki, J. L., Vorobyov, T., Arnold, B., Scarritt, M. E., Pineda Molina, C., LoPresti, S. T., Brown, B. N., Naranjo, J. D., et al. (2017) · Tissue Engineering Part A · doi:10.1089/ten.tea.2017.0102 · Cited by 116
Macrophage development and polarization in chronic inflammation
Motwani, M. P., & Gilroy, D. W. (2015) · Seminars in Immunology · doi:10.1016/j.smim.2015.07.002 · Cited by 119
Konduru, N. V., Tyurina, Y. Y., Feng, W., Basova, L., Belikova, N. A., Bayır, H., Clark, K., Rubin, M. A., Stolz, D. B., Vallhov, H., et al. (2009) · PLoS ONE · doi:10.1371/journal.pone.0004398 · Cited by 118
“This interaction triggers not only effective clearance of apoptotic cells but also suppression of the inflammatory response [14,15] or of adaptive immunity [16], thus limiting local tissue responses and normally leading to a quiet cell removal [13].”
BackgroundApoptotic Cells Induced Signaling for Immune Homeostasis in Macrophages and Dendritic Cells
Trahtemberg, U., & Mevorach, D. (2017) · Frontiers in Immunology · doi:10.3389/fimmu.2017.01356 · Cited by 125
“Apoptotic cells were shown to downregulate TLR signaling events by us and by other groups, with effects on LPS-TLR4, zymosan-TLR2, and possibly other events (9, 37, 49, 50, 58, 59).”
BackgroundUntargeted effects of ionizing radiation: Implications for radiation pathology
Wright, E. G., & Coates, P. J. (2006) · Mutation research. Fundamental and molecular mechanisms of mutagenesis · doi:10.1016/j.mrfmmm.2005.03.035 · Cited by 119
Correction of MFG-E8 Resolves Inflammation and Promotes Cutaneous Wound Healing in Diabetes
Das, A., Ghatak, S., Sinha, M., Chaffee, S. M., Ahmed, N. S., Parinandi, N. L., Wohleb, E. S., Sheridan, J. F., Sen, C. K., & Roy, S. (2016) · The Journal of Immunology · doi:10.4049/jimmunol.1502270 · Cited by 124
“Successful efferocytosis is known to suppress proinflammatory and upregulate anti-inflammatory genes (30, 45).”
Granuloma Encapsulation Is a Key Factor for Containing Tuberculosis Infection in Minipigs
Gil, O., Díaz, I., Vilaplana, C., Tapia, G., Dı́az, J., Fort, M., Cáceres, N., Pinto, S., Caylà, J. A., Corner, L. A. L., et al. (2010) · PLoS ONE · doi:10.1371/journal.pone.0010030 · Cited by 116
Role of Hyaluronic Acids and Potential as Regenerative Biomaterials in Wound Healing
Yang, H., Song, L., Zou, Y., Sun, D., Wang, L., Yu, Z., & Guo, J. (2020) · ACS Applied Bio Materials · doi:10.1021/acsabm.0c01364 · Cited by 124
Čoma, M., Fröhlichová, L., Urban, L., Zajíček, R., Urban, T., Szabó, P., Novak, S., Fetissov, V., Dvořánková, B., Smetana, K., et al. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22020897 · Cited by 124
Esmann, L., Idel, C., Sarkar, A., Hellberg, L., Behnen, M., Möller, S., van Zandbergen, G., Klinger, M. H. F., Köhl, J., Bussmeyer, U., et al. (2009) · The Journal of Immunology · doi:10.4049/jimmunol.0900564 · Cited by 121
“the presence of apoptotic neutrophils (17).”
Requirement for Transforming Growth Factor β1 in Controlling T Cell Apoptosis
Chen, W., Jin, W., Tian, H., Sicurello, P., Frank, M., Orenstein, J. M., & Wahl, S. M. (2001) · The Journal of Experimental Medicine · doi:10.1084/jem.194.4.439 · Cited by 117
“Resolution of this paradox may rely on a well-known fact that apoptosis and clearing of apoptotic cells are noninflammatory events, involving immunoregulatory cytokines such as TGF- produced by macrophages during their phagocytosis of apoptotic cells (58) to dampen inflammation.”
Alternative activation of macrophages in human peritoneum: implications for peritoneal fibrosis
Bellón, T., Martínez, V., Lucendo, B., del Peso, G., Castro, M. J., Aroeira, L. S., Rodríguez-Sanz, A., Ossorio, M., Sánchez-Villanueva, R., Selgas, R., et al. (2011) · Nephrology Dialysis Transplantation · doi:10.1093/ndt/gfq771 · Cited by 114
“CD14(1) purified peripheral blood monocytes were cultured for 96 h in RPMI plus 10% autologous serum at 37 C, 5% CO2 to induce Mu differentiation [6].”
Tsao, L.-C., Crosby, E. J., Trotter, T. N., Agarwal, P., Hwang, B.-J., Acharya, C. R., Shuptrine, C. W., Wang, T., Wei, J.-P., Yang, X. Y., et al. (2019) · JCI Insight · doi:10.1172/jci.insight.131882 · Cited by 120
“Indeed, several studies have 468 demonstrated that cellular phagocytosis over time influences macrophage phenotype, causing a 469 switch from pro-inflammatory to a growth promoting, reparative phenotype (44-46).”
BackgroundBiodistribution and clearance of instilled carbon nanotubes in rat lung
Elgrabli, D., Floriani, M., Abella-Gallart, S., Meunier, L., Gamez, C., Delalain, P., Rogerieux, F., Boczkowski, J., & Lacroix, G. (2008) · Particle and Fibre Toxicology · doi:10.1186/1743-8977-5-20 · Cited by 117
“This elimination was demonstrated to be in pair with the inhibition of IL10 and GM-CSF protein and absence of inflammation [21].”
Wang, Z., Larregina, A. T., Shufesky, W. J., Perone, M. J., Montecalvo, A., Zahorchak, A. F., Thomson, A. W., & Morelli, A. E. (2006) · American Journal of Transplantation · doi:10.1111/j.1600-6143.2006.01308.x · Cited by 116
“cells originated from stressed (33) or pathogen-infected cells (29,34) or (ii) IgG-opsonized apoptotic cells (35).”
BackgroundTransforming Growth Factor-β1-Mediated Neuroprotection against Excitotoxic Injury in Vivo
Boche, D., Cunningham, C. M., Gauldie, J., & Perry, V. H. (2003) · Journal of Cerebral Blood Flow & Metabolism · doi:10.1097/01.wcb.0000090080.64176.44 · Cited by 115
APOPTOSIS IN SYSTEMIC LUPUS ERYTHEMATOSUS
Andrade, F., Casciola-Rosen, L. A., & Rosen, A. (2000) · Rheumatic Disease Clinics of North America · doi:10.1016/s0889-857x(05)70136-8 · Cited by 115
Ward, C., Dransfield, I., Murray, J., Farrow, S. N., Haslett, C., & Rossi, A. G. (2002) · The Journal of Immunology · doi:10.4049/jimmunol.168.12.6232 · Cited by 115
Induction of Apoptosis and Subsequent Phagocytosis of Virus-Infected Cells As an Antiviral Mechanism
Nainu, F., Shiratsuchi, A., & Nakanishi, Y. (2017) · Frontiers in Immunology · doi:10.3389/fimmu.2017.01220 · Cited by 120
Metadata
- Authors
- Fadok, V. A., Bratton, D. L., Konowal, A., Freed, P. W., Westcott, J. Y., & Henson, P. M.
- Affiliations
- National Jewish Health (US)
- ORCID
- Henson, P M
- Venue
- Journal of Clinical Investigation
- Published
- 1998-02-15
- Volume
- 101
- Issue
- 4
- Pages
- 890-898
- ISSN
- 0021-9738 (ISSN-L)
- PMC
- PMC508637
- OpenAlex
- W2095537212
- Semantic Scholar
- 3e88d8a52759097d481b92ec0d06606afbadafab
- Cited by
- 3,166
- References
- 50
- Citations by year
- 2026: 60 · 2025: 74 · 2024: 91 · 2023: 82 · 2022: 91 · 2021: 129 · 2020: 114 · 2019: 125 · 2018: 106 · 2017: 113 · 2016: 117 · 2015: 109 · 2014: 116 · 2013: 130 · 2012: 133
- FWCI
- 29.16
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Investigation (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (HL34303, P01HL034303)
- National Institute of General Medical Sciences (GM48211, R01GM048211)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Phagocytosis and Immune Regulation
- Life Sciences › Immunology and Microbiology › Immunology › Immune Response and Inflammation
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Keywords
- phagocytosis of apoptotic cells, macrophages, inflammation resolution, anti-inflammatory macrophages, inflammatory cytokines, TGF-β1, prostaglandin E2, platelet-activating factor, autocrine and paracrine signaling, neutrophil apoptosis, monocyte-derived macrophages, indomethacin, PAF receptor antagonists
- MeSH terms
- Humans, Inflammation, Macrophages, Neutrophils, Phagocytosis, Platelet Activating Factor, Solubility, Thromboxane B2, Dinoprostone, Cytokines, Transforming Growth Factor beta, Apoptosis, Leukotriene C4, Jurkat Cells
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