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Macrophage phagocytic function is a complex biological process rather than a single molecular target. It involves the recognition, engulfment, and subsequent digestion of cellular debris, pathogens, and malignant cells by specialized myeloid cells. This process is regulated by a delicate balance of pro-phagocytic ("eat me") signals, such as calreticulin and phosphatidylserine, and anti-phagocytic ("don't eat me") signals, most notably the CD47-SIRPα axis. In the context of oncology, many tumors overexpress CD47 to evade immune surveillance, leading to the development of therapeutic agents designed to block this interaction and restore macrophage-mediated clearance of cancer cells. Beyond cancer, the modulation of phagocytic activity is critical in treating chronic infections and neurodegenerative diseases where the clearance of protein aggregates or pathogens is impaired. Because this entry describes a cellular phenotype or physiological process involving numerous receptors and signaling pathways, it is not classified as a single canonical molecular target.
Drugs targeting this function typically act by blocking "don't eat me" signals (e.g., CD47-SIRPα axis) or enhancing "eat me" signals and pro-phagocytic Fc receptor signaling to promote the engulfment of pathogens or tumor cells.
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