After apoptosis or necrosis, macrophages clear dead cells by phagocytosis. Although this process is efficient, circulating nucleosomes can occur in certain diseases, presumably reflecting either increased production or impaired clearance. To investigate the generation of blood nucleosomes, graded numbers of apoptotic and necrotic cells were administered to healthy mice, and levels of blood nucleosomes and DNA were determined. Using Jurkat cells as a model, nucleosomes and DNA were detected in the blood after the administration of 10 8 apoptotic or necrotic cells per mouse by the intraperitoneal route. The kinetics of the response were similar for both types of cells. The role of macrophages was assessed by eliminating these cells with clodronate liposomes or silica. Although clodronate treatment alone produced a peak level of blood DNA, the subsequent administration of dead cells caused no change in DNA levels. In contrast, silica treatment alone did not elicit a blood DNA response, though this treatment limited the rise in DNA from administered cells. Molecular studies showed that the blood DNA following the administration of apoptotic or necrotic cells arose from the mouse and the Jurkat cells, and its size distribution was consistent with apoptosis. Together, these findings suggest that the generation of blood nucleosomes depends on macrophages, with apoptosis a concomitant of a high burden of dead and dying cells.
IntroductionCell death is integral to the biology of the mammalian organism and varies in form and mechanism. Two types of cell death have been broadly defined. Apoptotic or programmed cell death is a regulated and orderly process mediated by a cascade of enzymes that rearrange and degrade cell constituents. Apoptosis occurs in physiologic and pathologic settings and can be triggered by a variety of stimuli that initiate a stereotyped death program. In contrast, necrotic or accidental cell death results from cell injury and is frequently a concomitant of inflammation, whether induced by physical or chemical means. [1][2][3][4] Death by necrosis does not involve the regulated action of enzymes and leads to cellular changes that differ in phenotype and structure from apoptotic death. Although this dichotomy may be an oversimplification, 5,6 it is nevertheless useful in assessing the impact of dead and dying cells on the organism.In addition to their structure and phenotype, apoptotic cells and necrotic cells may differ in their interaction with the immune system. As shown in in vitro studies, apoptotic cells are rapidly engulfed by mononuclear phagocytes that bind an array of cell surface molecules, including phosphatidylserine. Phosphatidylserine appears on the surface of the apoptotic cell with the loss of membrane symmetry. [7][8][9][10][11][12] In addition to signaling uptake by phagocytosis, phosphatidylserine binding may induce an antiinflammatory state because of the production of mediators such as transforming growth factor- (TGF-). [13][14][15] Like apoptotic cells, necrotic cells are eng...