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In Vivo Assessment of Alveolar Macrophage Efferocytosis Following Ozone Exposure
Published on: October 22, 2019
Sphingolipid-mediated inhibition of apoptotic cell clearance by alveolar macrophages
Daniela N Petrusca1, Yuan Gu, Jeremy J Adamowicz
1Department of Medicine, Indiana University, Indianapolis, Indiana 46202, USA.
Abstract:
A decreased clearance of apoptotic cells (efferocytosis) by alveolar macrophages (AM) may contribute to inflammation in emphysema. The up-regulation of ceramides in response to cigarette smoking (CS) has been linked to AM accumulation and increased detection of apoptotic alveolar epithelial and endothelial cells in lung parenchyma. We hypothesized that ceramides inhibit the AM phagocytosis of apoptotic cells. Release of endogenous ceramides via sphingomyelinase or exogenous ceramide treatments dose-dependently impaired apoptotic Jurkat cell phagocytosis by primary rat or human AM, irrespective of the molecular species of ceramide. Similarly, in vivo augmentation of lung ceramides via intratracheal instillation in rats significantly decreased the engulfment of instilled target apoptotic thymocytes by resident AM. The mechanism of ceramide-induced efferocytosis impairment was dependent on generation of sphingosine via ceramidase. Sphingosine treatment recapitulated the effects of ceramide, dose-dependently inhibiting apoptotic cell clearance. The effect of ceramide on efferocytosis was associated with decreased membrane ruffle formation and attenuated Rac1 plasma membrane recruitment. Constitutively active Rac1 overexpression rescued AM efferocytosis against the effects of ceramide. CS exposure significantly increased AM ceramides and recapitulated the effect of ceramides on Rac1 membrane recruitment in a sphingosine-dependent manner. Importantly, CS profoundly inhibited AM efferocytosis via ceramide-dependent sphingosine production. These results suggest that excessive lung ceramides may amplify lung injury in emphysema by causing both apoptosis of structural cells and inhibition of their clearance by AM.
Insights
High ceramide levels in the lungs impair the ability of alveolar macrophages to clear apoptotic cells, a process crucial for preventing emphysema inflammation. This ceramide-induced defect is linked to cigarette smoke exposure and involves sphingosine production.
Area of Science:
- Pulmonary Medicine
- Cell Biology
- Biochemistry
Background:
- Decreased clearance of apoptotic cells (efferocytosis) by alveolar macrophages (AM) is implicated in emphysema pathogenesis.
- Cigarette smoking (CS) increases lung ceramides, potentially contributing to AM dysfunction and cell death accumulation.
Purpose of the Study:
- To investigate the hypothesis that ceramides inhibit AM efferocytosis.
- To elucidate the mechanism by which ceramides impair efferocytosis and its relevance to CS-induced lung injury.
Main Methods:
- Primary rat and human AM were treated with endogenous or exogenous ceramides to assess phagocytosis of apoptotic Jurkat cells.
- In vivo studies involved intratracheal ceramide instillation in rats to evaluate efferocytosis of apoptotic thymocytes.
- Mechanistic studies examined the role of sphingosine and Rac1 signaling in ceramide-mediated efferocytosis impairment.
Main Results:
- Ceramide treatment, regardless of molecular species, dose-dependently impaired AM efferocytosis.
- In vivo ceramide elevation significantly reduced apoptotic cell clearance by resident AM.
- Ceramide-induced efferocytosis inhibition was dependent on sphingosine generation and impaired Rac1 recruitment, which could be rescued by Rac1 activation.
- CS exposure increased AM ceramides, inhibited Rac1 recruitment, and profoundly impaired AM efferocytosis via sphingosine production.
Conclusions:
- Excessive lung ceramides, exacerbated by CS, impair AM efferocytosis through sphingosine generation and disruption of Rac1 signaling.
- This impaired efferocytosis may amplify lung injury in emphysema by promoting cell apoptosis and hindering clearance.
- Targeting ceramide metabolism could be a therapeutic strategy for emphysema.
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