Macrophage efferocytosis in health and disease

Shokufeh Razi1, Javad Yaghmoorian Khojini2, Fateme Kargarijam3

  • 1Department of Genetics, Faculty of Basic Sciences, Central Tehran Branch, Islamic Azad University, Tehran, Iran.

Insights

Cellular homeostasis relies on efferocytosis to clear apoptotic cells and prevent inflammation. This review explores how macrophage polarization impacts efferocytosis, crucial for preventing diseases linked to impaired cell clearance.

Area of Science:

  • Immunology
  • Cell Biology
  • Pathology

Background:

  • Cellular homeostasis is maintained by clearing apoptotic cells (ACs) via efferocytosis to prevent inflammation and autoimmunity.
  • Defective efferocytosis, often due to issues with phagocytic receptors or signaling pathways, leads to AC accumulation and disease.
  • Macrophages are key phagocytic cells, and their efferocytosis function is critical for health.

Purpose of the Study:

  • To review mechanisms of macrophage polarization under physiological and pathological conditions.
  • To elucidate the interaction between macrophage polarization and efferocytosis.
  • To highlight the role of macrophage efferocytosis in disease prevention and treatment.

Main Methods:

  • Literature review of studies on macrophage polarization and efferocytosis.
  • Analysis of mechanisms underlying defective efferocytosis.
  • Synthesis of information on the link between macrophage function and disease.

Main Results:

  • Macrophage polarization significantly influences efferocytosis efficiency.
  • Impaired efferocytosis by macrophages contributes to various diseases, including neurodegenerative disorders, kidney diseases, cancer, and asthma.
  • Understanding macrophage polarization is vital for developing therapeutic strategies.

Conclusions:

  • Macrophage polarization is a critical regulator of efferocytosis.
  • Dysfunctional efferocytosis by macrophages underlies numerous pathological conditions.
  • Targeting macrophage polarization offers potential therapeutic avenues for diseases associated with impaired cell clearance.

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