Search tips
Search criteria 


Logo of capmcAbout manuscripts / A propos des manuscritsSubmit manuscript / soumettre un manuscrit
J Biol Chem. Author manuscript; available in PMC Nov 22, 2012.
Published in final edited form as:
PMCID: PMC3504611
Apoptotic Cells, at All Stages of the Death Process, Trigger Characteristic Signaling Events That Are Divergent from and Dominant over Those Triggered by Necrotic Cells
Vimal A. Patel, Angelika Longacre, Kevin Hsiao,§ Hanli Fan, Fanyong Meng, Justin E. Mitchell, Joyce Rauch,|| David S. Ucker, and Jerrold S. Levine1
Department of Medicine, Division of Nephrology, University of Illinois at Chicago, Chicago, Illinois 60612
§Promega Corporation, Madison, Wisconsin 53711
||Division of Rheumatology, Department of Medicine, Research Institute of the McGill University Health Centre, Montreal, Quebec H3G 1A4, Canada
Department of Immunology and Microbiology, University of Illinois at Chicago, Chicago, Illinois 60612
1To whom correspondence should be addressed: Dept. of Medicine/Division of Nephrology, MC793, 820 S. Wood St., University of Illinois at Chicago College of Medicine, Chicago, IL 60612. Tel.: 312-413-1178; Fax: 312-996-7378; jslevine/at/
Current models of autoimmunity suggest that delayed clearance of apoptotic cells leads to the presentation of apoptotic antigens in the context of inflammatory signals, with resultant autoimmunity. These models implicitly assume that, in contrast to early apoptotic cells (that retain membrane integrity), late apoptotic cells (with compromised membranes) act like necrotic cells (which also lack intact membranes), possibly because of the release of proinflammatory intracellular contents. We showed previously that early apoptotic and necrotic cells induce distinct mitogen-activated protein kinase modules in macrophages with which they interact. Exposure to apoptotic cells led to nearly complete inhibition of both basal and macrophage colony-stimulating factor-induced ERK1/2 by macrophages. In contrast, necrotic cells induced ERK1/2. We show here that apoptotic cells also strongly induced both c-Jun N-terminal kinase and p38, whereas necrotic cells had no detectable effect on c-Jun N-terminal kinase and p38. We also compared the signaling events induced in macrophages by exposure to early apoptotic cells, late apoptotic cells, and necrotic cells. The signaling events induced by late apoptotic cells were identical to and just as potent as those induced by early apoptotic cells. Thus, apoptotic cells are functionally equivalent throughout the cell death process, irrespective of membrane integrity. Moreover, the effects of both early and late apoptotic cells on signaling were dominant over those of necrotic cells. These data show that apoptotic cells do not become proinflammatory upon the loss of membrane integrity and are inconsistent with the notion that delayed clearance alone can lead to autoimmunity.