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Updated: Feb 19, 2026

Fluorescence-Based Measurements of Phosphatidylserine/Phosphatidylinositol 4-Phosphate Exchange Between Membranes
Published on: March 14, 2021
Context-dependent compensation among phosphatidylserine-recognition receptors
Kristen K Penberthy1,2, Claudia Rival1,2,3, Laura S Shankman1,2
1Center for Cell Clearance, University of Virginia, Charlottesville, VA, USA.
Abstract:
Phagocytes express multiple phosphatidylserine (PtdSer) receptors that recognize apoptotic cells. It is unknown whether these receptors are interchangeable or if they play unique roles during cell clearance. Loss of the PtdSer receptor Mertk is associated with apoptotic corpse accumulation in the testes and degeneration of photoreceptors in the eye. Both phenotypes are linked to impaired phagocytosis by specialized phagocytes: Sertoli cells and the retinal pigmented epithelium (RPE). Here, we overexpressed the PtdSer receptor BAI1 in mice lacking MerTK (Mertk -/- Bai1 Tg ) to evaluate PtdSer receptor compensation in vivo. While Bai1 overexpression rescues clearance of apoptotic germ cells in the testes of Mertk -/- mice it fails to enhance RPE phagocytosis or prevent photoreceptor degeneration. To determine why MerTK is critical to RPE function, we examined visual cycle intermediates and performed unbiased RNAseq analysis of RPE from Mertk +/+ and Mertk -/- mice. Prior to the onset of photoreceptor degeneration, Mertk -/- mice had less accumulation of retinyl esters and dysregulation of a striking array of genes, including genes related to phagocytosis, metabolism, and retinal disease in humans. Collectively, these experiments establish that not all phagocytic receptors are functionally equal, and that compensation among specific engulfment receptors is context and tissue dependent.
Insights
Phosphatidylserine (PtdSer) receptors like MerTK are crucial for clearing apoptotic cells. Overexpressing BAI1 compensates for MerTK loss in testes but not the eye, showing context-dependent phagocytic receptor function.
Area of Science:
- Immunology
- Cell Biology
- Ophthalmology
Background:
- Phagocytes utilize multiple phosphatidylserine (PtdSer) receptors to recognize and clear apoptotic cells.
- The specific roles and interchangeability of these PtdSer receptors in vivo remain largely unknown.
- Loss of MerTK, a key PtdSer receptor, leads to apoptotic cell accumulation in testes and photoreceptor degeneration in the eye due to impaired phagocytosis.
Purpose of the Study:
- To investigate whether the PtdSer receptor BAI1 can compensate for the loss of MerTK in vivo.
- To determine the tissue-specific functional differences between MerTK and BAI1 in apoptotic cell clearance.
- To elucidate the molecular mechanisms underlying MerTK's critical role in retinal pigmented epithelium (RPE) function.
Main Methods:
- Overexpression of the PtdSer receptor BAI1 in MerTK-deficient (Mertk-/-) mice (Mertk-/- Bai1Tg).
- Assessment of apoptotic germ cell clearance in testes and photoreceptor degeneration in the eye.
- Analysis of visual cycle intermediates and unbiased RNA sequencing (RNAseq) of RPE from Mertk+/+ and Mertk-/- mice.
Main Results:
- BAI1 overexpression rescued the clearance of apoptotic germ cells in the testes of Mertk-/- mice.
- BAI1 overexpression failed to rescue RPE phagocytosis or prevent photoreceptor degeneration in Mertk-/- mice.
- Mertk-/- mice exhibited dysregulation of genes involved in phagocytosis, metabolism, and retinal disease, even before photoreceptor degeneration onset.
Conclusions:
- Phagocytic receptors are not functionally interchangeable; their compensatory roles are context- and tissue-dependent.
- MerTK plays a critical, non-redundant role in RPE phagocytosis and retinal health.
- Dysregulation of specific gene networks in MerTK-deficient RPE contributes to photoreceptor degeneration.
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