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Blood, 1 September 2006, Vol. 108, No. 5, pp. 1635-1642.
Prepublished online as a Blood First Edition Paper on May 11, 2006; DOI 10.1182/blood-2006-04-014852.


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Submitted April 4, 2006
Accepted April 25, 2006

Apoptotic cells promote macrophage survival by releasing the anti-apoptotic mediator sphingosine-1-phosphate

Andreas Weigert, Axel M Johann, Andreas von Knethen, Helmut Schmidt, Gerd Geisslinger, and Bernhard Brune*

University of Frankfurt Medical School, Frankfurt, Germany
University of Frankfurt Medical School, Frankfurt Germany

* Corresponding author; email: bruene{at}zbc.kgu.de.

Programmed cell death is vital for a number of patho- physiological settings. Apoptotic cells are rapidly engulfed by phagocytes i.e. macrophages which in turn acquire an anti-inflammatory phenotype known as ‘ alternative activation’ or the M2-type. Here we show that interaction of apoptotic cells with macrophages attenuates cell death pathways in the latter ones. Protection of human macrophages required phosphoinositide 3-kinase (PI3K), extracellular signal- regulated kinase 1/2 (ERK1/2) and Ca2+ signaling, and correlated with Bcl-XL and Bcl-2 up-regulation as well as Ser136-Bad phosphorylation. Unexpectedly neither phagocytosis nor binding of apoptotic debris to the phagocyte was necessary to induce protection. Surprisingly, apoptotic cells released sphingosine-1- phosphate (S1P), mainly derived from sphingosine kinase 2, as a survival messenger. This points to an active role of apoptotic cells in preventing cell destruction in their neighborhood with implications for innate immunity and inflammation.


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