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The group of receptors comprising phosphatidylserine (PS) receptors, scavenger receptors, and the low-density lipoprotein (LDL) receptor (including LRP1) on phagocytes constitutes the primary machinery for efferocytosis, the process of clearing apoptotic cells [1, 2]. PS receptors, such as the TAM family (Tyro3, Axl, MerTK) and TIM-4, recognize "eat-me" signals exposed on dying cells, either directly or via bridging molecules like Gas6 [1, 6]. Scavenger receptors (e.g., CD36, SR-A, LOX-1) and LDL-related receptors (e.g., LRP1/CD91) further facilitate the recognition and internalization of apoptotic debris and modified lipids [3, 6]. This system is crucial for maintaining tissue homeostasis, preventing secondary necrosis, and promoting an anti-inflammatory environment [2, 8]. Dysregulation of these receptors is linked to various pathologies, including atherosclerosis, where defective clearance leads to plaque instability, and cancer, where overactive efferocytosis can promote an immunosuppressive tumor microenvironment [3, 7]. Therapeutic strategies include inhibiting specific receptors like Axl or MerTK to enhance anti-tumor immunity or activating them to resolve chronic inflammation and autoimmunity [1, 8].
Modulation of the recognition and engulfment of apoptotic cells and lipids by phagocytes to regulate inflammatory responses, promote tissue repair, or enhance anti-tumor immunity.
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