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Updated: Apr 11, 2026

Quantification of Efferocytosis by Single-cell Fluorescence Microscopy
Published on: August 18, 2018
Co-receptors are dispensable for tethering receptor-mediated phagocytosis of apoptotic cells
11] School of Life Sciences and Bio Imaging Research Center, Gwangju Institute of Science and Technology, Gwangju 500-712, Korea [2] Research Center for Cellular Homeostasis, Ewha Womans University, Seoul 120-750, Korea.
Abstract:
During efferocytosis, phagocytic cells recognize dying cells by receptors binding to ligands specifically exposed on apoptotic cells. Multiple phagocytic receptors and some of their signaling pathways have been identified. However, the downstream pathways of tethering receptors that secure apoptotic cells remain elusive. It is generally assumed that tethering receptors induce signaling to mediate engulfment via interacting with co-receptors or other engulfment receptors located nearby. However, it is poorly understood whether co-receptors for tethering receptors exist during efferocytosis, and, if they do, whether they are indispensable for this process. Here, we address this issue using glycophosphatidylinositol (GPI)-anchored annexin A5 (Anxa5-GPI), an artificial tethering receptor without a putative co-receptor. Phagocytes expressing Anxa5-GPI exhibited enhanced binding of apoptotic cells, resulting in promoted ingestion of apoptotic cells in a phosphatidylserine-dependent manner. Anxa5-GPI-induced phagocytosis of apoptotic cells relied on the known cytoskeletal engulfment machinery but partially depended on the Elmo-Dock-Rac module or the integrin pathway. In addition, Anxa5-GPI-mediated efferocytosis provoked anti-inflammatory responses. Taken together, our work suggests that co-receptors are dispensable for tethering receptor-induced efferocytosis and that tethering receptors mediate the engulfment of apoptotic cells through multiple engulfment signaling pathways.
Insights
Co-receptors are not essential for tethering receptors to engulf dying cells during efferocytosis. This study demonstrates that tethering receptors promote cell clearance and anti-inflammatory responses independently.
Area of Science:
- Immunology
- Cell Biology
- Biochemistry
Background:
- Efferocytosis, the process of clearing apoptotic cells, involves phagocytic receptors binding to ligands on dying cells.
- While many phagocytic receptors and signaling pathways are known, downstream pathways for tethering receptors remain unclear.
- The role and necessity of co-receptors for tethering receptors in efferocytosis are poorly understood.
Purpose of the Study:
- To investigate whether co-receptors are indispensable for tethering receptor-mediated efferocytosis.
- To elucidate the downstream signaling pathways involved in efferocytosis mediated by tethering receptors.
- To examine the inflammatory consequences of efferocytosis induced by tethering receptors.
Main Methods:
- Utilized glycophosphatidylinositol (GPI)-anchored annexin A5 (Anxa5-GPI), an artificial tethering receptor lacking a co-receptor.
- Assessed phagocyte binding and ingestion of apoptotic cells mediated by Anxa5-GPI.
- Investigated the dependence of Anxa5-GPI-induced phagocytosis on cytoskeletal machinery, Elmo-Dock-Rac module, and integrin pathways.
- Monitored anti-inflammatory responses following Anxa5-GPI-mediated efferocytosis.
Main Results:
- Phagocytes expressing Anxa5-GPI showed enhanced binding and promoted ingestion of apoptotic cells in a phosphatidylserine-dependent manner.
- Anxa5-GPI-induced phagocytosis utilized known cytoskeletal machinery but partially depended on the Elmo-Dock-Rac module or integrin pathway.
- Anxa5-GPI-mediated efferocytosis elicited anti-inflammatory responses.
Conclusions:
- Co-receptors are dispensable for tethering receptor-induced efferocytosis.
- Tethering receptors can mediate the engulfment of apoptotic cells through multiple signaling pathways.
- Efferocytosis induced by tethering receptors contributes to anti-inflammatory effects.
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