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2016 ; 57
(6
): 980-92
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Exocytosis of macrophage lysosomes leads to digestion of apoptotic adipocytes and
foam cell formation
#MMPMID27044658
Haka AS
; Barbosa-Lorenzi VC
; Lee HJ
; Falcone DJ
; Hudis CA
; Dannenberg AJ
; Maxfield FR
J Lipid Res
2016[Jun]; 57
(6
): 980-92
PMID27044658
show ga
Many types of apoptotic cells are phagocytosed and digested by macrophages.
Adipocytes can be hundreds of times larger than macrophages, so they are too
large to be digested by conventional phagocytic processes. The nature of the
interaction between macrophages and apoptotic adipocytes has not been studied in
detail. We describe a cellular process, termed exophagy, that is important for
macrophage clearance of dead adipocytes and adipose tissue homeostasis. Using
mouse models of obesity, human tissue, and a cell culture model, we show that
macrophages form hydrolytic extracellular compartments at points of contact with
dead adipocytes using local actin polymerization. These compartments are acidic
and contain lysosomal enzymes delivered by exocytosis. Uptake and complete
degradation of adipocyte fragments, which are released by extracellular
hydrolysis, leads to macrophage foam cell formation. Exophagy-mediated foam cell
formation is a highly efficient means by which macrophages internalize large
amounts of lipid, which may ultimately overwhelm the metabolic capacity of the
macrophage. This process provides a mechanism for degradation of objects, such as
dead adipocytes, that are too large to be phagocytosed by macrophages.