Clearance of apoptotic cells by neutrophils in inflammation and cancer

Abstract When a cell dies of apoptosis, it is eliminated either by neighbouring cells or by attracted professional phagocytes. Although it was generally believed that neutrophils also have the ability to perform efferocytosis, their contribution to the clearance of apoptotic cells was considered les...

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Main Authors: Cristiano Ramos, Rudolf Oehler
Format: Article
Language:English
Published: Nature Publishing Group 2024-01-01
Series:Cell Death Discovery
Online Access:https://doi.org/10.1038/s41420-024-01809-7
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author Cristiano Ramos
Rudolf Oehler
author_facet Cristiano Ramos
Rudolf Oehler
author_sort Cristiano Ramos
collection DOAJ
description Abstract When a cell dies of apoptosis, it is eliminated either by neighbouring cells or by attracted professional phagocytes. Although it was generally believed that neutrophils also have the ability to perform efferocytosis, their contribution to the clearance of apoptotic cells was considered less important compared with macrophages. Therefore, this ability of neutrophils remained unexplored for a long time. Over the past decade, it has been shown that during inflammation, neutrophils contribute significantly to the clearance of apoptotic neutrophils that accumulate in large numbers at the site of tissue damage. This “neutrophil cannibalism” is accompanied by inhibition of pro-inflammatory activities of these cells, such as respiratory burst and formation of neutrophil extracellular traps (NETs). Furthermore, efferocytosing neutrophils secrete anti-inflammatory mediators and mitogens including hepatocyte growth factor (HGF), fibroblast growth factor 2 (FGF2), vascular endothelial growth factors (VEGF), and transforming growth factor beta (TGFβ). Thus, efferocytosis by neutrophils is involved in resolution of inflammation. Recent research indicates that it plays also a role in cancer. Many different solid tumours contain aggregates of dead tumour cells that have undergone spontaneous apoptosis. Their extent correlates with poor clinical outcome in most cancer types. These clusters of apoptotic tumour cells are strongly infiltrated by tumour-associated neutrophils (TANs) that acquired an anti-inflammatory and pro-resolving polarization state. This review summarizes the potential consequences discussed in the current literature. Although the picture of the role of efferocytosis by neutrophils in inflammation and cancer is becoming clearer, many questions are still unexplored.
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spelling doaj.art-ed09ef0a8d1f400c9094935f7e1458e22024-01-14T12:12:05ZengNature Publishing GroupCell Death Discovery2058-77162024-01-011011810.1038/s41420-024-01809-7Clearance of apoptotic cells by neutrophils in inflammation and cancerCristiano Ramos0Rudolf Oehler1Department of General Surgery, Division of Visceral Surgery, Medical University of ViennaDepartment of General Surgery, Division of Visceral Surgery, Medical University of ViennaAbstract When a cell dies of apoptosis, it is eliminated either by neighbouring cells or by attracted professional phagocytes. Although it was generally believed that neutrophils also have the ability to perform efferocytosis, their contribution to the clearance of apoptotic cells was considered less important compared with macrophages. Therefore, this ability of neutrophils remained unexplored for a long time. Over the past decade, it has been shown that during inflammation, neutrophils contribute significantly to the clearance of apoptotic neutrophils that accumulate in large numbers at the site of tissue damage. This “neutrophil cannibalism” is accompanied by inhibition of pro-inflammatory activities of these cells, such as respiratory burst and formation of neutrophil extracellular traps (NETs). Furthermore, efferocytosing neutrophils secrete anti-inflammatory mediators and mitogens including hepatocyte growth factor (HGF), fibroblast growth factor 2 (FGF2), vascular endothelial growth factors (VEGF), and transforming growth factor beta (TGFβ). Thus, efferocytosis by neutrophils is involved in resolution of inflammation. Recent research indicates that it plays also a role in cancer. Many different solid tumours contain aggregates of dead tumour cells that have undergone spontaneous apoptosis. Their extent correlates with poor clinical outcome in most cancer types. These clusters of apoptotic tumour cells are strongly infiltrated by tumour-associated neutrophils (TANs) that acquired an anti-inflammatory and pro-resolving polarization state. This review summarizes the potential consequences discussed in the current literature. Although the picture of the role of efferocytosis by neutrophils in inflammation and cancer is becoming clearer, many questions are still unexplored.https://doi.org/10.1038/s41420-024-01809-7
spellingShingle Cristiano Ramos
Rudolf Oehler
Clearance of apoptotic cells by neutrophils in inflammation and cancer
Cell Death Discovery
title Clearance of apoptotic cells by neutrophils in inflammation and cancer
title_full Clearance of apoptotic cells by neutrophils in inflammation and cancer
title_fullStr Clearance of apoptotic cells by neutrophils in inflammation and cancer
title_full_unstemmed Clearance of apoptotic cells by neutrophils in inflammation and cancer
title_short Clearance of apoptotic cells by neutrophils in inflammation and cancer
title_sort clearance of apoptotic cells by neutrophils in inflammation and cancer
url https://doi.org/10.1038/s41420-024-01809-7
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