Restored clearance of senescent neutrophils by tissue-resident macrophages limits organ aging
Yuting Jessy Tan1, Travis E Conley1, Fuwen Yao1
1Department of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA, USA.
Abstract:
Aging disrupts tissue homeostasis across organ systems. Here, we identify tissue-resident macrophages (TRMs) as central coordinators of age-related organ decline through impaired clearance of senescent neutrophils, a process regulated by the immunomodulatory prostaglandin E2 (PGE2) receptor EP2. Reducing TRM EP2 signaling in aged mice preserved youthful mitochondrial fitness and prevented cognitive decline, frailty, sarcopenia, adiposity, cardiac impairment, and systemic inflammation. Plasma proteomics implicated the liver as a major source of age-associated immune change, in which reduced TRM EP2 signaling rescued neutrophil efferocytosis and prevented paracrine stress in neighboring cells. Elevated TRM EP2 expression and senescent neutrophils were also observed in aged and diseased human tissues. Pharmacologic EP2 inhibition restored youthful neutrophil clearance, establishing impaired TRM efferocytosis as a reversible driver of organ decline in aging.
Insights
Aging impairs tissue repair by affecting tissue-resident macrophages (TRMs). Targeting the EP2 receptor on TRMs can restore youthful function and prevent age-related organ decline.
Area of Science:
- Immunology
- Aging research
- Cellular biology
Background:
- Aging disrupts tissue homeostasis and organ function.
- Tissue-resident macrophages (TRMs) play a role in age-related decline.
- Impaired clearance of senescent neutrophils contributes to aging.
- Prostaglandin E2 (PGE2) receptor EP2 signaling is implicated in this process.
Purpose of the Study:
- To investigate the role of TRM EP2 signaling in age-related organ decline.
- To determine if modulating TRM EP2 signaling can reverse aging phenotypes.
Main Methods:
- Studied aged mice with reduced TRM EP2 signaling.
- Analyzed neutrophil efferocytosis and mitochondrial fitness.
- Utilized plasma proteomics to identify liver involvement.
- Examined aged and diseased human tissues for EP2 expression and senescent neutrophils.
- Tested pharmacologic EP2 inhibition.
Main Results:
- Reducing TRM EP2 signaling in aged mice preserved mitochondrial fitness and prevented multiple age-related conditions.
- This intervention improved neutrophil efferocytosis and reduced cellular stress in the liver.
- Elevated TRM EP2 expression and senescent neutrophils were found in aged human tissues.
- Pharmacologic EP2 inhibition restored youthful neutrophil clearance.
Conclusions:
- Impaired TRM efferocytosis of senescent neutrophils, driven by EP2 signaling, is a reversible cause of organ decline in aging.
- Targeting TRM EP2 signaling offers a potential therapeutic strategy for age-related diseases.
Related Concept Videos
Chronic Inflammation: Introduction
Inflammation
Inflammatory Response
Inflammation can be triggered by various stimuli, such as impact, abrasion, chemical irritation, infections, and extreme hot or cold temperatures. These can damage cells and connective tissue fibers,...
Phagocytosis of Apoptotic Cells
Normal cells contain receptors that prevent them from being recognized by phagocytes.


