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what is efferocytosis (braod)
definition: phagocytotic removal of apoptotic cells
who does it: Professional phagocytes (macrophages, dendritic cells)
why it matters:
Apoptosis required in development
Turn over dead/damage cells
Prevents secondary necrosis + switches phagocyte to pro-resolving phenotype (limits inflammation / promotes healing)
defective efferocytosis: apoptotic cells accumulate + undergo secondary necrosis → raises inflammation
Can be cause, result, or part of feedback loop that worsens disease (ex: diabetes, atherosclerosis, cancer, autoimmune disease)
disease → defective efferocytosis → inflammation → more disease
explain diabetes, including type 1 vs type 2
definition: chronic disease where blood sugar stays too high
glucose/insulin background
Glucose gets into cells through transporters (GLUT 1-4)
GLUT4 moves glucose from blood into muscle/fat cells - insulin dependent (bind insulin to make conformational change)
type 1 vs type 2
Type 1: autoimmune attack on insulin-making cells of pancreas
body produces little to no insulin
Develops suddenly
Type 2: gradual, linked to lifestyle
1) Muscle + fat become insulin resistant
2) pancreas compensates with more insulin for a while (pre-diabetes)
3) pancreas eventually fails + glucose can no longer be controlled
how does efferocytosis relate to diabetes
Efferocytosis significantly impaired in uncontrolled diabetes (chronic hyperglycemia)
Consequences:
chronic non-healing wounds (diabetic foot ulcer)
accelerated atherosclerosis and heart disease
retinopathy (vision loss)
nephropathy (kidney disease)
explain macrophages (broadly)
→ versatile immune “clean-up crew” cells
Engulf pathogens (dead cells, damaged/cancerous cells, extracellular debris) + destroy them
Aid tissue repair
Secrete cytokines to signal other cells
Highly adaptable - signals they receive (mostly cytokines) tell them whether it is time to fight or time to clean up
explain M1 vs M2
M1 (inflammatory)
Function: killing pathogens (recruit immune cells) and clearing acute debris
persistent inflammation, phagocytosis, tissue degradation, bactericidal activity, degrading pathogens
Efferocytosis low
M2 (anti-inflammatory)
Function: clearing dying cells and repairing tissue/matrix
Function: immunoregulation, fibroblast proliferation, matrix deposition, angiogenesis, tissue repair
Efferocytosis high
what are the “find me” signals/receptors
LPC: phosphatidylcholine cleaved by a lipase activated by caspase-3
Recognized by G2A receptor
Fractalkine: found in membrane, released in membrane blebs
Recognized by Cx3Cr1 receptor
ATP/UTP: released thru Panx1 channel - caspase-3 and 7 cleave the C-terminal tail of Panx1 → changing its conformation and opening channel
Recognized by P2Y2 receptor
explain steps for 1) recruitment/find me
Apoptotic cells release chemoattractants (signals) the diffuse outward + form a concentration gradient
Chemoattractant receptors = GPCRs are evenly spread over macrophage surface —> more ligand binds on the side facing the highest concentration
Binding causes conformational change in GPCR → GDP exchanged for GTP on Gα subunit
Active G protein dissociates into Gα and Gβγ
Gβγ recruits GEFs to plasma membrane
ELMO/DOCK complex (key GEF) catalyze GDP→GTP on Rac (small GTPase) → converting it to active state
Happens mostly on leading edge → Rac stays localized, forming front
Active Rac1 activates Arp2/3 complex - builds new branched actin filaments → pushes out membrane as lamellipodium
CRAWLING
Lamellipodium protruding at leading edge anchors to surface through focal contacts (that contain integrins)
Rest of cell drags itself forward by traction on those anchor points
At trailing edge, contractile filaments (myosin II + actin) form → trailing end retracts → bulk of cell is pushed forward
what are “eat me” signals/receptors
SIGNALS
Phosphatidylserine (PS):
In living cells: PS sits on inner leaflet of plasma membrane - maintained by flippases
In apoptosis: flipasses are inactivated, scramlases are activated → exposing PS on outer surface
ICAM3
RECEPTORS
Direct: binds PS itself
Ex: Stabilin-2, Tim-4
Indirect: binds PS through bridging molecule (Gas6 or ProS)
Tyro3: uses Gas6 OR ProS
Axl: uses Gas6
Mertk: uses ProS
explain steps for 2) recognition/eat me
Apoptotic cells display eat me signals
Eat-me receptors bind PS → signal through CrkII (adaptor protein - if Mertk)→ DOCK/ELMO → Active Rac1
explain steps for 3) internalization
Activated Rac1 promotes actin polymerization → deforms plasma membrane into pseudopodia that forms phagocytic cup
Pseudopods grow like a zipper - receptors on pseudopod bind ligands on apoptotic cell step by step
Pseudopodia surround target - membrane contact + fuse - apoptotic cell is internalized
explain steps for 4) digestion
When apoptotic cell exposes PS - Tim-4 (receptor) on macrophage binds it → drives engulfment starts LC3-associated phagocytosis (LAP)
Tim-4 binding recruits PI3K complex to new phagosome: Beclin, UVRAG, VPS34, Rubicon
Rubicon:
Blocks canonical autophagy
Activates PI3k complex
Promotes production of PI(3)P (essential signaling lipid) on phagosome membrane
PI(3)P stabilizes NADPH oxidase complex → generates ROS
ROS leads to activation of autophagy-related proteins (ATGs) + cleavage/lipidation of LC3-I into LC3-II on phagosome membrane
LC3-associated phagosome = LAPosome
LC3-II promotes fusion of LAPosome with lysosome → forming phagolysosome
Low pH disrupts protein structure/apoptotic membrane + activates proteases/lipases
NADPH oxidase-derived ROS oxidize and damage lipids, DNA, proteins
transcription factor PPARγ turns on anti-inflammatory cytokines (IL-10, TGF-β) + turns off IL-12
what are possible genes to look at
Find-Me Receptors: P2Y2, G2A
Eat-Me Receptors: MerTK, Axl, Tyro3
Eat-Me Bridging Receptor: Gas6
Macrophage Movement: Rac1
LAPosome Formation: Rubicon
SPM Receptor: Fpr2
Matters if adding effectors (lipoxin/resolvin)
Pro-inflammatory Cytokines: TNF⍺
Triggered when cells sense DAMPS (damage molecules from healthy cells) or PAMPS (pathogen molecules) → produce signs of acute inflammation
Push towards M1
High in diabetic conditions
Anti-inflammatory Cytokines: TGFβ, IL-10, IL-4
Block pro-inflammatory cytokine action/release, push cells toward M2, act more directly on efferocytosis
Low in diabetic conditions
Protease that cleaves MerTK: ADAM9
High in diabetic conditions
ALL are better if more of it EXCEPT TNF⍺/ADAM9
what are possible proteins to look at
Find-Me Receptors: S1P-R1 (intracellular as second messenger or on the PM as receptor)
Receptor for find me protein S1P
Low plasma membrane expression / high intracellular pool (amount): trafficking defect - leaving macrophage “blind” to find-me gradients
Overall downregulation: severe impairment in find me step
Eat-Me Receptors: MerTK, Axl, Tyro3
Decreased total expression: macrophages have lost their primary receptors for recognizing dead cells, maintaining a pro-inflammatory phenotype
Could be cleaved by ADAM9
Macrophage Movement: Actin (Phalloidin)
Weak phallodin rings: mechanical engulfment failure - cytoskeleton lacks the plasticity to pull the target in
hyper-polymerized/rigid cytoskeleton: chronic metabolic inflammation, preventing the dynamic remodeling required for effective particle internalization
Transcription Factor: PPAR𝛾 - suppresses inflammation
High in cytoplasm / low in nucleus: represents failure of activation
High in nucleus → expect more IL-10 and TGF-β
SPM Receptor: FPR2
ALL are better if more of it
explain qPCR calculations
Housekeeping gene = GAPDH
CT: cycle at which fluorescence crosses threshold
Lower CT = more starting transcript
ΔCT (within one group) → ΔCT = CT (target gene) – CT (housekeeping gene)
Normalizes target gene to housekeeping/reference gene - corrects for differences in starting materials
Do it for treatment group and control for EACH target gene
ΔΔCT (across groups) -> ΔΔCT = ΔCT (treatment) - ΔCT (control)
Compares normalized expression in treatment group against control group
RQ (relative quantification) → RQ = 2^(-ΔΔCT)
Converts to a linear fold change that is easy to read
RQ=1: no change in target gene expression vs control
RQ >1: expression increased versus control
RQ<1: expression decreased versus control