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Updated: May 22, 2026

Comprehensive Analysis of Procoagulant Platelets Exhibiting Features of Necrosis, Apoptosis and Platelet Activation
Published on: May 23, 2025
Apoptotic cells contribute to melanoma progression and this effect is partially mediated by the platelet-activating
André Luis Lacerda Bachi1, Lívia Caires Dos Santos, Suely Nonogaki
1Microbiology, Immunology, and Parasitology Department, Federal University of São Paulo, 04023-900 São Paulo, SP, Brazil. abachi@unifesp.br
Abstract:
There is evidence that the platelet-activating factor receptor (PAFR) is involved in the clearance of apoptotic cells by macrophages, and that this is associated with anti-inflammatory phenotype. Our group has previously shown that coinjection of a large number of apoptotic cells can promote tumor growth from a subtumorigenic dose of melanoma cells. Here, we studied the involvement of the PAFR in the tumor growth promoting effect of apoptotic cells. A sub-tumorigenic dose of melanoma cells (Tm1) was coinjected with apoptotic Tm1 cells, subcutaneously in the flank of C57Bl/6 mice, and the volume was monitored for 30 days. Animals received the PAFR antagonists, WEB2170 or PCA4248 (5 mg/kg body weight) or vehicle, by peritumoral daily injection for 5 days. Results showed that PAFR antagonists significantly inhibited the tumor growth induced by the coinjection of a sub-tumorigenic dose of melanoma cells together with apoptotic cells. This was accompanied by inhibition of early neutrophil and macrophage infiltration. Addition of (platelet-activating factor) to this system has no significant effect. PAFR antagonists did not affect the promoting effect of carrageenan. We suggest that the recognition of apoptotic cells by phagocytes leads to activation of PAFR pathways, resulting in a microenvironment response favorable to melanoma growth.
Insights
Blocking the platelet-activating factor receptor (PAFR) with antagonists inhibited melanoma tumor growth. This suggests PAFR signaling promotes tumor progression by influencing the tumor microenvironment.
Area of Science:
- Immunology
- Oncology
- Cell Biology
Background:
- Platelet-activating factor receptor (PAFR) is implicated in apoptotic cell clearance by macrophages, promoting an anti-inflammatory phenotype.
- Previous research demonstrated that co-injecting apoptotic cells can enhance tumor growth from a low dose of melanoma cells.
Purpose of the Study:
- To investigate the role of PAFR in the tumor-promoting effects of apoptotic cells on melanoma growth.
Main Methods:
- Sub-tumorigenic melanoma cells (Tm1) were co-injected with apoptotic Tm1 cells into C57Bl/6 mice.
- Mice received daily peritumoral injections of PAFR antagonists (WEB2170 or PCA4248) or vehicle for 5 days.
- Tumor volume was monitored for 30 days, alongside assessments of immune cell infiltration.
Main Results:
- PAFR antagonists significantly inhibited tumor growth when co-injected with apoptotic cells.
- Inhibition of tumor growth was associated with reduced neutrophil and macrophage infiltration.
- Platelet-activating factor addition did not affect tumor promotion, and PAFR antagonists did not alter carrageenan-induced promotion.
Conclusions:
- PAFR activation by apoptotic cell recognition by phagocytes creates a pro-melanoma growth microenvironment.
- Targeting PAFR may represent a therapeutic strategy to inhibit melanoma progression driven by apoptotic cell interactions.
Related Concept Videos
The Intrinsic Apoptotic Pathway
The Extrinsic Apoptotic Pathway
Phagocytosis of Apoptotic Cells
Normal cells contain receptors that prevent them from being recognized by phagocytes.
Mitogens and the Cell Cycle
Regulation of Angiogenesis and Blood Supply
Abnormal Proliferation

