Efferocytosis is defined as the clearance of apoptotic cells (ACs) in physiological and pathological states and is performed by efferocytes, such as macrophages. Efferocytosis can lead to the resolution of inflammation and restore tissue homoeostasis; however, the mechanisms of efferocytosis in determining inflammation resolution are still not completely understood, and the effects of efferocytosis on other proresolving properties need to be explored and explained. In this review, the process of efferocytosis will be summarized briefly, and then these mechanisms and effects will be thoroughly discussed. In addition, the association between mechanisms of efferocytosis in determining resolution of inflammation and cardiovascular diseases will also be reviewed, as an understanding of this association may provide information on novel treatment targets.
| INTRODUCTIONIn an adult human, billions of cells die and turn over every day. During this process, a large number of apoptotic cells (ACs) are produced and subsequently cleared by phagocytes, a process termed efferocytosis, which plays a critical role in the maintenance of tissue homeostasis in physiology (Doran et al., 2020). In addition, a large number of cells also die in pathological conditions, such as acute myocardial infarction (AMI), and appropriate efferocytosis is necessary. The failure of the process of efferocytosis leads to the accumulation of ACs, which in turn leads to the formation of a secondary necrotic core and the release of inflammatory cytokines and chemokines, thus contributing to the development of autoimmune diseases, inflammatory diseases and dampened restoration of repair (Elliott et al., 2017;Tajbakhsh et al., 2019).Mechanistically, efferocytosis is distinct from classic forms of phagocytosis. Professional (macrophages, dendritic cells) and nonprofessional phagocytes recognize AC-expressed ligands via specialized