Rapid, noninflammatory and PS-dependent phagocytic clearance of necrotic cells

U A Hirt1, M Leist

  • 1Faculty of Biology, University of Konstanz, X911, D-78457 Konstanz, Germany.

Insights

This study reveals that necrotic cells, unlike heat-killed cells, are efficiently cleared by phagocytes. Surface phosphatidylserine on these necrotic cells is crucial for their uptake by macrophages and microglia.

Area of Science:

  • Cell Biology
  • Immunology
  • Pathology

Background:

  • Understanding non-apoptotic cell death pathways is crucial in pathological conditions.
  • Information regarding the clearance and function of non-apoptotic cell corpses is limited.

Purpose of the Study:

  • To model and compare two distinct cell death modes: apoptosis and programmed cell death with necrotic morphology (necPCD).
  • To investigate the phagocytosis of these cell corpses by macrophages and microglia.
  • To identify the molecular mechanisms underlying the uptake of necrotic cells.

Main Methods:

  • Induction of apoptosis and necPCD in human Jurkat T cells.
  • Co-culture of cell corpses with primary macrophages and microglia.
  • Assessment of cytokine release (TNF) from phagocytes.
  • Development of a novel assay to detect surface phosphatidylserine.
  • Investigation of calcium signaling's role in phosphatidylserine translocation.

Main Results:

  • Both apoptotic and necPCD cells reduced TNF release from macrophages, unlike heat-killed cells.
  • Macrophages and microglia efficiently engulfed necPCD cells.
  • Macrophages preferentially phagocytosed necPCD cells over apoptotic cells when offered together.
  • Phosphatidylserine translocation to the surface of necPCD cells was observed, independent of calcium signals.
  • Surface phosphatidylserine was essential for the phagocytosis of necrotic cells by macrophages and microglia.

Conclusions:

  • Necrotic cell death pathways generate phagocytosis-competent corpses.
  • Surface phosphatidylserine acts as a key 'eat-me' signal for the clearance of necrotic cells by myeloid phagocytes.
  • This study provides insights into the clearance mechanisms of non-apoptotic cell death, relevant to inflammatory and autoimmune diseases.

Related Concept Videos

Phagocytosis of Apoptotic Cells01:17

Phagocytosis of Apoptotic Cells

Cells undergoing apoptosis form apoptotic bodies that must be removed immediately to prevent inflammation, autoimmune diseases, and necrosis. Phagocytosis is carried out by professional phagocytes such as macrophages or  immature dendritic cells. Non-professional phagocytes such as  epithelial cells and fibroblasts also take part in this process; however, they are not as effective as professional phagocytes. 
Normal cells contain receptors that prevent them from being recognized by phagocytes.
Immune Surveillance by NK Cells and Phagocytes01:25

Immune Surveillance by NK Cells and Phagocytes

Immune surveillance is an integral part of the innate immune system, involving the continuous monitoring of peripheral tissues to detect and respond to pathogens, infected cells, or cancerous cells. This surveillance is conducted primarily by natural killer (NK) cells and phagocytes, which employ distinct but complementary mechanisms to identify and eliminate threats.
Natural Killer Cells: The Fast Responders
NK cells are large granular lymphocytes found in the blood and lymphatic system. These...
Necrosis01:16

Necrosis

Necrosis is considered as an “accidental” or unexpected form of cell death that ends in cell lysis. The first noticeable mention of “necrosis” was in 1859 when Rudolf Virchow used this term to describe advanced tissue breakdown in his compilation titled “Cell Pathology”.
Morphological Manifestations of Necrosis
Necrotic cells show different types of morphological appearance depending on the type of tissue and infection. In coagulative necrosis, cells become anucleated and die, but their...
Cells of the Innate Immune Response01:28

Cells of the Innate Immune Response

The innate immune response is an immediate and non-specific response against pathogens, acting swiftly to prevent the spread of infections. The primary cells involved in this response are phagocytes and natural killer (NK) cells.
Phagocytes
Phagocytes police the peripheral tissues by removing cellular debris and responding to the invasion of foreign substances or pathogens. Many phagocytes attack and remove microorganisms even before lymphocytes detect them. The human body has two general...
Cellular Injury IV: Necrosis01:16

Cellular Injury IV: Necrosis

Necrosis is a form of irreversible cell death caused by severe injury such as ischemia, toxins, or trauma. Unlike programmed cell death, it is an uncontrolled, pathological process that typically provokes inflammation in surrounding tissues.Pathophysiologic ChangesNecrosis begins when cells sustain critical damage, leading to swelling of organelles, particularly mitochondria, and rapid ATP depletion. As energy levels decline, membrane ion pumps fail, leading to calcium influx and eventually,...
Inflammation01:38

Inflammation

Overview