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The Journal of Immunology, 2001, 166: 4743-4750.
Copyright © 2001 by The American Association of Immunologists

Nonphlogistic Clearance of Late Apoptotic Neutrophils by Macrophages: Efficient Phagocytosis Independent of {beta}2 Integrins1

Yi Ren*, Lynda Stuart*, Frederik P. Lindberg{dagger}, Alexander R. Rosenkranz{ddagger}, Yongmei Chen{dagger}, Tanya N. Mayadas{ddagger} and John Savill2,*

* Center for Inflammation Research, Department of Clinical and Surgical Sciences (Internal Medicine), Royal Infirmary, Edinburgh, Scotland; {dagger} Infectious Diseases Division, Washington University School of Medicine, St Louis, MO 63110; and {ddagger} Department of Pathology, Harvard Medical School, Brigham and Women’s Hospital, Boston, MA 02115

Neutrophils undergo constitutive death by apoptosis, leading to safe nonphlogistic phagocytosis and clearance by macrophages. Recent work has shown that before secondary necrosis, neutrophils exhibiting classical features of apoptosis can progress to a morphologically defined late apoptotic state. However, whether such neutrophils could be safely cleared was unknown. We now report that human late apoptotic neutrophils could be purified from cultured neutrophil populations undergoing constitutive death and were subsequently ingested by human monocyte-derived macrophages by serum-independent mechanisms that did not trigger the release of IL-8 or TNF-{alpha}. Such ingestion was specifically inhibited by Abs to thrombospondin-1 and the {alpha}v{beta}3 vitronectin receptor. Murine bone marrow-derived macrophage phagocytosis of late and early apoptotic neutrophils occurred by similar mechanisms, proceeding with the same efficiency as that observed for wild-type controls when macrophages from {alpha}m-/- or {beta}2-/- mice were used. We conclude that specific nonphlogistic, {beta}2 integrin-independent mechanisms involving thrombospondin-1 and {alpha}v{beta}3 allow macrophages to ingest late apoptotic neutrophils without eliciting inflammatory cytokine secretion.




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