학술논문

Efferocytosis-induced lactate enables the proliferation of pro-resolving macrophages to mediate tissue repair
Document Type
Original Paper
Source
Nature Metabolism. 5(12):2206-2219
Subject
Language
English
ISSN
2522-5812
Abstract
The clearance of apoptotic cells by macrophages (efferocytosis) prevents necrosis and inflammation and activates pro-resolving pathways, including continual efferocytosis. A key resolution process in vivo is efferocytosis-induced macrophage proliferation (EIMP), in which apoptotic cell-derived nucleotides trigger Myc-mediated proliferation of pro-resolving macrophages. Here we show that EIMP requires a second input that is integrated with cellular metabolism, notably efferocytosis-induced lactate production. Lactate signalling via GPR132 promotes Myc protein stabilization and subsequent macrophage proliferation. This mechanism is validated in vivo using a mouse model of dexamethasone-induced thymocyte apoptosis, which elevates apoptotic cell burden and requires efferocytosis to prevent inflammation and necrosis. Thus, EIMP, a key process in tissue resolution, requires inputs from two independent processes: a signalling pathway induced by apoptotic cell-derived nucleotides and a cellular metabolism pathway involving lactate production. These findings illustrate how seemingly distinct pathways in efferocytosing macrophages are integrated to carry out a key process in tissue resolution.
Efferocytosis-induced macrophage proliferation is supported by increased non-canonical upregulation of glycolysis. Ngai, Schilperoort and Tabas provide mechanistic insight to understand how glycolysis-derived lactate contributes to this process by stabilizing MYC via extracellular signalling.