Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.
Kidney Laboratory, Department of Nephrology, Austin Health, Heidelberg, Victoria, Australia.
Nat Metab. 2023 Mar;5(3):431-444. doi: 10.1038/s42255-023-00736-8. Epub 2023 Feb 16.
Resolving-type macrophages prevent chronic inflammation by clearing apoptotic cells through efferocytosis. These macrophages are thought to rely mainly on oxidative phosphorylation, but emerging evidence suggests a possible link between efferocytosis and glycolysis. To gain further insight into this issue, we investigated molecular-cellular mechanisms involved in efferocytosis-induced macrophage glycolysis and its consequences. We found that efferocytosis promotes a transient increase in macrophage glycolysis that is dependent on rapid activation of the enzyme 6-phosphofructo-2-kinase/fructose-2,6-bisphosphatase 2 (PFKFB2), which distinguishes this process from glycolysis in pro-inflammatory macrophages. Mice transplanted with activation-defective PFKFB2 bone marrow and then subjected to dexamethasone-induced thymocyte apoptosis exhibit impaired thymic efferocytosis, increased thymic necrosis, and lower expression of the efferocytosis receptors MerTK and LRP1 on thymic macrophages compared with wild-type control mice. In vitro mechanistic studies revealed that glycolysis stimulated by the uptake of a first apoptotic cell promotes continual efferocytosis through lactate-mediated upregulation of MerTK and LRP1. Thus, efferocytosis-induced macrophage glycolysis represents a unique metabolic process that sustains continual efferocytosis in a lactate-dependent manner. The differentiation of this process from inflammatory macrophage glycolysis raises the possibility that it could be therapeutically enhanced to promote efferocytosis and resolution in chronic inflammatory diseases.
吞噬作用型巨噬细胞通过清除凋亡细胞来防止慢性炎症。这些巨噬细胞主要依赖氧化磷酸化,但新出现的证据表明吞噬作用与糖酵解之间可能存在联系。为了更深入地了解这个问题,我们研究了吞噬作用诱导的巨噬细胞糖酵解及其后果涉及的分子细胞机制。我们发现,吞噬作用促进巨噬细胞糖酵解的短暂增加,这依赖于酶 6-磷酸果糖-2-激酶/果糖-2,6-二磷酸酶 2(PFKFB2)的快速激活,这将这个过程与炎症性巨噬细胞中的糖酵解区分开来。用激活缺陷型 PFKFB2 骨髓移植的小鼠,然后用地塞米松诱导胸腺细胞凋亡,与野生型对照小鼠相比,表现出胸腺吞噬作用受损、胸腺坏死增加以及胸腺巨噬细胞上的吞噬作用受体 MerTK 和 LRP1 的表达降低。体外机制研究表明,通过摄取第一个凋亡细胞刺激的糖酵解通过乳酸盐介导的 MerTK 和 LRP1 的上调促进持续的吞噬作用。因此,吞噬作用诱导的巨噬细胞糖酵解代表了一种独特的代谢过程,以依赖乳酸盐的方式维持持续的吞噬作用。这个过程与炎症性巨噬细胞糖酵解的分化提出了一种可能性,即可以通过治疗增强它来促进慢性炎症性疾病中的吞噬作用和解决。
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