Immunomodulatory effect of efferocytosis at the maternal–fetal interface

Abstract Efferocytosis is a mechanism by which phagocytes efficiently clear apoptotic cells, averting their secondary necrosis and the subsequent release of potentially immunogenic or cytotoxic substances that can trigger strong immune and inflammatory responses. During efferocytosis, the metabolic...

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Main Authors: Hui Tao, Ruilin Ma, Jianjian Cui, Zejun Yang, Wencong He, Yanan Li, Yin Zhao
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Cell Communication and Signaling
Subjects:
Online Access:https://doi.org/10.1186/s12964-025-02055-9
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author Hui Tao
Ruilin Ma
Jianjian Cui
Zejun Yang
Wencong He
Yanan Li
Yin Zhao
author_facet Hui Tao
Ruilin Ma
Jianjian Cui
Zejun Yang
Wencong He
Yanan Li
Yin Zhao
author_sort Hui Tao
collection DOAJ
description Abstract Efferocytosis is a mechanism by which phagocytes efficiently clear apoptotic cells, averting their secondary necrosis and the subsequent release of potentially immunogenic or cytotoxic substances that can trigger strong immune and inflammatory responses. During efferocytosis, the metabolic pathways of phagocytes are transformed, which, along with the catabolism of apoptotic cargo, can affect their function and inflammatory state. Extensive apoptosis occurs during placental development, and some studies reported the immunomodulatory effects of efferocytosis at the maternal–fetal interface. The dysregulation of efferocytosis is strongly linked to pregnancy complications such as preeclampsia and recurrent spontaneous abortion. In this review, we discuss the mechanisms of efferocytosis and its relationships with metabolism and inflammation. We also highlight the roles of professional and non-professional phagocytes in efferocytosis at the maternal–fetal interface and their impact on pregnancy outcomes and explore relevant regulatory factors. These insights are expected to guide future basic research and clinical strategies for identifying efferocytosis-related molecules as potential predictors or therapeutic targets in obstetric diseases.
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institution Kabale University
issn 1478-811X
language English
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series Cell Communication and Signaling
spelling doaj-art-cc5cadfdc5834a79a80856b5ed5723942025-02-02T12:34:26ZengBMCCell Communication and Signaling1478-811X2025-01-0123111410.1186/s12964-025-02055-9Immunomodulatory effect of efferocytosis at the maternal–fetal interfaceHui Tao0Ruilin Ma1Jianjian Cui2Zejun Yang3Wencong He4Yanan Li5Yin Zhao6Department of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyAbstract Efferocytosis is a mechanism by which phagocytes efficiently clear apoptotic cells, averting their secondary necrosis and the subsequent release of potentially immunogenic or cytotoxic substances that can trigger strong immune and inflammatory responses. During efferocytosis, the metabolic pathways of phagocytes are transformed, which, along with the catabolism of apoptotic cargo, can affect their function and inflammatory state. Extensive apoptosis occurs during placental development, and some studies reported the immunomodulatory effects of efferocytosis at the maternal–fetal interface. The dysregulation of efferocytosis is strongly linked to pregnancy complications such as preeclampsia and recurrent spontaneous abortion. In this review, we discuss the mechanisms of efferocytosis and its relationships with metabolism and inflammation. We also highlight the roles of professional and non-professional phagocytes in efferocytosis at the maternal–fetal interface and their impact on pregnancy outcomes and explore relevant regulatory factors. These insights are expected to guide future basic research and clinical strategies for identifying efferocytosis-related molecules as potential predictors or therapeutic targets in obstetric diseases.https://doi.org/10.1186/s12964-025-02055-9EfferocytosisImmuneMetabolismInflammationPreeclampsiaRecurrent spontaneous abortion
spellingShingle Hui Tao
Ruilin Ma
Jianjian Cui
Zejun Yang
Wencong He
Yanan Li
Yin Zhao
Immunomodulatory effect of efferocytosis at the maternal–fetal interface
Cell Communication and Signaling
Efferocytosis
Immune
Metabolism
Inflammation
Preeclampsia
Recurrent spontaneous abortion
title Immunomodulatory effect of efferocytosis at the maternal–fetal interface
title_full Immunomodulatory effect of efferocytosis at the maternal–fetal interface
title_fullStr Immunomodulatory effect of efferocytosis at the maternal–fetal interface
title_full_unstemmed Immunomodulatory effect of efferocytosis at the maternal–fetal interface
title_short Immunomodulatory effect of efferocytosis at the maternal–fetal interface
title_sort immunomodulatory effect of efferocytosis at the maternal fetal interface
topic Efferocytosis
Immune
Metabolism
Inflammation
Preeclampsia
Recurrent spontaneous abortion
url https://doi.org/10.1186/s12964-025-02055-9
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AT ruilinma immunomodulatoryeffectofefferocytosisatthematernalfetalinterface
AT jianjiancui immunomodulatoryeffectofefferocytosisatthematernalfetalinterface
AT zejunyang immunomodulatoryeffectofefferocytosisatthematernalfetalinterface
AT wenconghe immunomodulatoryeffectofefferocytosisatthematernalfetalinterface
AT yananli immunomodulatoryeffectofefferocytosisatthematernalfetalinterface
AT yinzhao immunomodulatoryeffectofefferocytosisatthematernalfetalinterface