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Publication : Efferocytosis fuels malignant pleural effusion through TIMP1.

First Author  Zhao L Year  2021
Journal  Sci Adv Volume  7
Issue  33 PubMed ID  34389533
Mgi Jnum  J:311632 Mgi Id  MGI:6766165
Doi  10.1126/sciadv.abd6734 Citation  Zhao L, et al. (2021) Efferocytosis fuels malignant pleural effusion through TIMP1. Sci Adv 7(33)
abstractText  Malignant pleural effusion (MPE) results from the capacity of several human cancers to metastasize to the pleural cavity. No effective treatments are currently available, reflecting our insufficient understanding of the basic mechanisms leading to MPE progression. Here, we found that efferocytosis through the receptor tyrosine kinases AXL and MERTK led to the production of interleukin-10 (IL-10) by four distinct pleural cavity macrophage (Mphi) subpopulations characterized by different metabolic states and cell chemotaxis properties. In turn, IL-10 acts on dendritic cells (DCs) inducing the production of tissue inhibitor of metalloproteinases 1 (TIMP1). Genetic ablation of Axl and Mertk in Mphis or IL-10 receptor in DCs or Timp1 substantially reduced MPE progression. Our results delineate an inflammatory cascade-from the clearance of apoptotic cells by Mphis, to production of IL-10, to induction of TIMP1 in DCs-that facilitates MPE progression. This inflammatory cascade offers a series of therapeutic targets for MPE.
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