Yurdagul Arif
Department of Molecular and Cellular Physiology, LSU Health Shreveport, Shreveport, LA, 71130, USA.
Immunometabolism. 2021;3(2). doi: 10.20900/immunometab20210017. Epub 2021 Mar 31.
Billions of cells undergo apoptosis daily and are swiftly removed by macrophages through an evolutionarily conserved program termed "efferocytosis". Consequently, macromolecules within an apoptotic cell significantly burden a phagocyte with nutrients, such as lipids, oligonucleotides, and amino acids. In response to this nutrient overload, metabolic reprogramming must occur for the process of efferocytosis to remain non-phlogistic and to execute successive rounds of efferocytosis. The inability to undergo metabolic reprogramming after efferocytosis drives inflammation and impairs its resolution, often promoting many chronic inflammatory diseases. This is particularly evident for atherosclerosis, as metabolic reprogramming alters macrophage function in every stage of atherosclerosis, from the early formation of benign lesions to the progression of clinically relevant atheromas and during atherosclerosis regression upon aggressive lipid-lowering. This Review focuses on the metabolic pathways utilized upon apoptotic cell ingestion, the consequences of these metabolic pathways in macrophage function thereafter, and the role of metabolic reprogramming during atherosclerosis. Due to the growing interest in this new field, I introduce a new term, "efferotabolism", as a means to define the process by which macrophages break down, metabolize, and respond to AC-derived macromolecules. Understanding these aspects of efferotabolism will shed light on novel strategies to combat atherosclerosis and compromised inflammation resolution.
每天有数十亿细胞经历凋亡,并通过一种被称为“胞葬作用”的进化保守程序被巨噬细胞迅速清除。因此,凋亡细胞内的大分子会给吞噬细胞带来大量营养物质负担,如脂质、寡核苷酸和氨基酸。为应对这种营养过载,胞葬作用过程必须发生代谢重编程,以使该过程保持非炎症状态并执行连续几轮的胞葬作用。胞葬作用后无法进行代谢重编程会引发炎症并损害炎症的消退,常常会促进许多慢性炎症性疾病的发生。这在动脉粥样硬化中尤为明显,因为代谢重编程会在动脉粥样硬化的每个阶段改变巨噬细胞功能,从良性病变的早期形成到临床相关动脉粥样瘤的进展,以及在积极降脂后动脉粥样硬化消退期间。本综述重点关注吞噬凋亡细胞时所利用的代谢途径、这些代谢途径随后对巨噬细胞功能的影响,以及代谢重编程在动脉粥样硬化中的作用。由于对这个新领域的兴趣日益浓厚,我引入了一个新术语“胞葬代谢”,作为定义巨噬细胞分解、代谢并对凋亡细胞衍生的大分子做出反应这一过程的一种方式。了解胞葬代谢的这些方面将为对抗动脉粥样硬化和受损炎症消退的新策略提供线索。