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Updated: Oct 13, 2025

Quantification of Efferocytosis by Single-cell Fluorescence Microscopy
Published on: August 18, 2018
Efferocytosis induces macrophage proliferation to help resolve tissue injury
Brennan D Gerlach1, Patrick B Ampomah1, Arif Yurdagul1
1Department of Medicine, Columbia University Irving Medical Center, New York, NY 10032, USA.
Abstract:
Apoptotic cell clearance by macrophages (efferocytosis) promotes resolution signaling pathways, which can be triggered by molecules derived from the phagolysosomal degradation of apoptotic cells. We show here that nucleotides derived from the hydrolysis of apoptotic cell DNA by phagolysosomal DNase2a activate a DNA-PKcs-mTORC2/Rictor pathway that increases Myc to promote non-inflammatory macrophage proliferation. Efferocytosis-induced proliferation expands the pool of resolving macrophages in vitro and in mice, including zymosan-induced peritonitis, dexamethasone-induced thymocyte apoptosis, and atherosclerosis regression. In the dexamethasone-thymus model, hematopoietic Rictor deletion blocked efferocytosing macrophage proliferation, apoptotic cell clearance, and tissue resolution. In atherosclerosis regression, silencing macrophage Rictor or DNase2a blocked efferocyte proliferation, apoptotic cell clearance, and plaque stabilization. In view of previous work showing that other types of apoptotic cell cargo can promote resolution in individual efferocytosing macrophages, the findings here suggest that signaling-triggered apoptotic cell-derived nucleotides can amplify this benefit by increasing the number of these macrophages.
Insights
Apoptotic cell DNA hydrolysis by DNase2a releases nucleotides that activate a pathway promoting macrophage proliferation. This increases the number of resolving macrophages, aiding tissue repair and disease regression.
Area of Science:
- Immunology
- Cell Biology
- Molecular Biology
Background:
- Macrophage efferocytosis of apoptotic cells is crucial for tissue repair.
- Signaling molecules from degraded apoptotic cells can promote resolution.
- The specific mechanisms amplifying efferocytosis benefits require further elucidation.
Purpose of the Study:
- To investigate the role of apoptotic cell DNA hydrolysis products in macrophage proliferation and resolution signaling.
- To identify the molecular pathways involved in efferocytosis-induced macrophage expansion.
- To determine the in vivo relevance of this pathway in models of inflammation and disease regression.
Main Methods:
- Utilized in vitro and in vivo models including zymosan-induced peritonitis, dexamethasone-induced thymocyte apoptosis, and atherosclerosis regression.
- Employed genetic manipulation (hematopoietic Rictor deletion, macrophage Rictor/DNase2a silencing) to probe pathway function.
- Analyzed macrophage proliferation, apoptotic cell clearance, and tissue resolution markers.
Main Results:
- Nucleotides from apoptotic cell DNA hydrolysis by DNase2a activate DNA-PKcs-mTORC2/Rictor, increasing Myc and promoting non-inflammatory macrophage proliferation.
- Efferocytosis-induced macrophage proliferation was observed in vitro and in multiple mouse models.
- Hematopoietic Rictor deletion or DNase2a silencing impaired macrophage proliferation, efferocytosis, and tissue resolution in disease models.
Conclusions:
- Apoptotic cell-derived nucleotides act as signaling molecules that amplify the resolution process by increasing the number of resolving macrophages.
- The DNase2a-DNA-PKcs-mTORC2/Rictor-Myc pathway is a key mechanism linking efferocytosis to macrophage proliferation and tissue repair.
- Targeting this pathway could offer novel therapeutic strategies for inflammatory diseases and promoting tissue regeneration.
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