Efferocytosis of SARS-CoV-2-infected dying cells impairs macrophage anti-inflammatory functions and clearance of apoptotic cells

ACG Salina, D Dos-Santos, TS Rodrigues… - Elife, 2022 - elifesciences.org
Elife, 2022elifesciences.org
COVID-19 is a disease of dysfunctional immune responses, but the mechanisms triggering
immunopathogenesis are not established. The functional plasticity of macrophages allows
this cell type to promote pathogen elimination and inflammation or suppress inflammation
and promote tissue remodeling and injury repair. During an infection, the clearance of dead
and dying cells, a process named efferocytosis, can modulate the interplay between these
contrasting functions. Here, we show that engulfment of SARS-CoV-2-infected apoptotic …
Abstract
COVID-19 is a disease of dysfunctional immune responses, but the mechanisms triggering immunopathogenesis are not established. The functional plasticity of macrophages allows this cell type to promote pathogen elimination and inflammation or suppress inflammation and promote tissue remodeling and injury repair. During an infection, the clearance of dead and dying cells, a process named efferocytosis, can modulate the interplay between these contrasting functions. Here, we show that engulfment of SARS-CoV-2-infected apoptotic cells exacerbates inflammatory cytokine production, inhibits the expression of efferocytic receptors, and impairs continual efferocytosis by macrophages. We also provide evidence supporting that lung monocytes and macrophages from severe COVID-19 patients have compromised efferocytic capacity. Our findings reveal that dysfunctional efferocytosis of SARS-CoV-2-infected cell corpses suppresses macrophage
eLife