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The Journal of Immunology, 1998, 161: 6250-6257.
Copyright © 1998 by The American Association of Immunologists

CD36 Is Required for Phagocytosis of Apoptotic Cells by Human Macrophages That Use Either a Phosphatidylserine Receptor or the Vitronectin Receptor ({alpha}vß3)1

Valerie A. Fadok2,{dagger}, Mary L. Warner{ddagger}, Donna L. Bratton{dagger} and Peter M. Henson{dagger}

Departments of * Medicine and {dagger} Pediatrics, National Jewish Medical and Research Center, and {ddagger} Department of Medicine, University of Colorado Health Sciences Center, Denver, CO 80262

In vivo, apoptotic cells are efficiently removed by professional or nonprofessional phagocytes, a process thought to be essential for tissue remodeling and resolution of inflammation. Macrophages recognize apoptotic cells by several mechanisms, including recognition of exposed phosphatidylserine (PS); however, PS recognition on apoptotic cells has not been identified as a feature of human macrophages. The purpose of this study was to determine whether human monocyte-derived macrophages could be stimulated to recognize PS, defined as inhibition of phagocytosis by PS-containing liposomes. We also assessed the potential roles for scavenger receptors, CD14, and lectins. Uptake of apoptotic neutrophils into unstimulated macrophages was blocked about 50% by Arg-Gly-Asp-Ser and anti-{alpha}v, and up to 20% by oxidized low density lipoprotein and N-acetylglucosamine, implying a major role for integrin and minor roles for scavenger and lectin receptors. Uptake into macrophages stimulated with ß-1,3-glucan was blocked 50% by PS liposomes and 40% by oxidized low density lipoprotein, suggesting that the macrophages had switched from using integrin to recognition of PS. MEM-18 and 61D3 (anti-CD14 mAbs) were poor inhibitors of apoptotic neutrophil uptake, but good inhibitors of apoptotic lymphocyte uptake. The switch to PS recognition was accompanied by down-regulation of {alpha}vß3 expression and function. Anti-CD36 blocked uptake into unstimulated or stimulated macrophages, suggesting CD36 involvement not only with the {alpha}vß3 integrin mechanism (as previously reported) but also with PS recognition. A maximum of 70% inhibition was achieved by combining anti-CD36 with either anti-av or PS liposomes.




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J. Immunol.Home page
N. Platt, H. Suzuki, T. Kodama, and S. Gordon
Apoptotic Thymocyte Clearance in Scavenger Receptor Class A-Deficient Mice Is Apparently Normal
J. Immunol., May 1, 2000; 164(9): 4861 - 4867.
[Abstract] [Full Text] [PDF]


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Ann Rheum DisHome page
E. SELVI, S. MANGANELLI, R. DE STEFANO, E. FRATI, and R. MARCOLONGO
CD36 and CD14 immunoreactivity of Reiter cells in inflammatory synovial fluids
Ann Rheum Dis, May 1, 2000; 59(5): 399 - 400.
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J. Immunol.Home page
C. Godson, S. Mitchell, K. Harvey, N. A. Petasis, N. Hogg, and H. R. Brady
Cutting Edge: Lipoxins Rapidly Stimulate Nonphlogistic Phagocytosis of Apoptotic Neutrophils by Monocyte-Derived Macrophages
J. Immunol., February 15, 2000; 164(4): 1663 - 1667.
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Infect. Immun.Home page
L. Krishnan, C. J. Dicaire, G. B. Patel, and G. D. Sprott
Archaeosome Vaccine Adjuvants Induce Strong Humoral, Cell-Mediated, and Memory Responses: Comparison to Conventional Liposomes and Alum
Infect. Immun., January 1, 2000; 68(1): 54 - 63.
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Proc. Natl. Acad. Sci. USAHome page
M.-K. Chang, C. Bergmark, A. Laurila, S. Horkko, K.-H. Han, P. Friedman, E. A. Dennis, and J. L. Witztum
Monoclonal antibodies against oxidized low-density lipoprotein bind to apoptotic cells and inhibit their phagocytosis by elicited macrophages: Evidence that oxidation-specific epitopes mediate macrophage recognition
PNAS, May 25, 1999; 96(11): 6353 - 6358.
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J. Biol. Chem.Home page
S. C. Frasch, P. M. Henson, J. M. Kailey, D. A. Richter, M. S. Janes, V. A. Fadok, and D. L. Bratton
Regulation of Phospholipid Scramblase Activity during Apoptosis and Cell Activation by Protein Kinase Cdelta
J. Biol. Chem., July 21, 2000; 275(30): 23065 - 23073.
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J. Biol. Chem.Home page
V. A. Fadok, A. de Cathelineau, D. L. Daleke, P. M. Henson, and D. L. Bratton
Loss of Phospholipid Asymmetry and Surface Exposure of Phosphatidylserine Is Required for Phagocytosis of Apoptotic Cells by Macrophages and Fibroblasts
J. Biol. Chem., January 5, 2001; 276(2): 1071 - 1077.
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J. Biol. Chem.Home page
R. F. Thorne, J. F. Marshall, D. R. Shafren, P. G. Gibson, I. R. Hart, and G. F. Burns
The Integrins alpha 3beta 1 and alpha 6beta 1 Physically and Functionally Associate with CD36 in Human Melanoma Cells. REQUIREMENT FOR THE EXTRACELLULAR DOMAIN OF CD36
J. Biol. Chem., November 3, 2000; 275(45): 35264 - 35275.
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J. Biol. Chem.Home page
T. Miyahara, L. Schrum, R. Rippe, S. Xiong, H. F. Yee Jr., K. Motomura, F. A. Anania, T. M. Willson, and H. Tsukamoto
Peroxisome Proliferator-activated Receptors and Hepatic Stellate Cell Activation
J. Biol. Chem., November 10, 2000; 275(46): 35715 - 35722.
[Abstract] [Full Text] [PDF]




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