Chinese Medical Journal (Dec 2024)

Efferocytosis: A new therapeutic target for stroke

  • Li Gao,
  • Anatol Manaenko,
  • Feng Zeng,
  • Jingchen Li,
  • Lele Liu,
  • Ruichuan Xie,
  • Xiaohua Zhang,
  • John H. Zhang,
  • Qiyong Mei,
  • Jiping Tang,
  • Qin Hu,
  • Ting Gao

DOI
https://doi.org/10.1097/CM9.0000000000003363
Journal volume & issue
Vol. 137, no. 23
pp. 2843 – 2850

Abstract

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Abstract. Efferocytosis refers to the process that phagocytes recognize and remove the apoptotic cells, which is essential for maintaining tissue homeostasis both in physiological and pathological conditions. Numerous studies have demonstrated that efferocytosis can prevent secondary necrosis and proinflammatory factor release, leading to the resolution of inflammation and tissue immunological tolerance in numerous diseases such as stroke. Stroke is a leading cause of death and morbidity for adults worldwide. Persistent inflammation triggered by the dead cells or cell debris is a major contributor to post-stroke brain damage. Effective efferocytosis might be an efficient strategy to minimize inflammation and restore brain homeostasis for neuronal regeneration and function recovery. In this review, we will discuss the phagocytes in the brain, the molecular mechanisms underlying efferocytosis, the role of efferocytosis in inflammation resolution, and the potential therapeutic applications targeting efferocytosis in stroke.