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Publication : Chimeric efferocytic receptors improve apoptotic cell clearance and alleviate inflammation.

First Author  Morioka S Year  2022
Journal  Cell Volume  185
Issue  26 Pages  4887-4903.e17
PubMed ID  36563662 Mgi Jnum  J:350819
Mgi Id  MGI:7424660 Doi  10.1016/j.cell.2022.11.029
Citation  Morioka S, et al. (2022) Chimeric efferocytic receptors improve apoptotic cell clearance and alleviate inflammation. Cell 185(26):4887-4903.e17
abstractText  Our bodies turn over billions of cells daily via apoptosis and are in turn cleared by phagocytes via the process of "efferocytosis." Defects in efferocytosis are now linked to various inflammatory diseases. Here, we designed a strategy to boost efferocytosis, denoted "chimeric receptor for efferocytosis" (CHEF). We fused a specific signaling domain within the cytoplasmic adapter protein ELMO1 to the extracellular phosphatidylserine recognition domains of the efferocytic receptors BAI1 or TIM4, generating BELMO and TELMO, respectively. CHEF-expressing phagocytes display a striking increase in efferocytosis. In mouse models of inflammation, BELMO expression attenuates colitis, hepatotoxicity, and nephrotoxicity. In mechanistic studies, BELMO increases ER-resident enzymes and chaperones to overcome protein-folding-associated toxicity, which was further validated in a model of ER-stress-induced renal ischemia-reperfusion injury. Finally, TELMO introduction after onset of kidney injury significantly reduced fibrosis. Collectively, these data advance a concept of chimeric efferocytic receptors to boost efferocytosis and dampen inflammation.
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