Differentiation of macrophages in the presence of anaphylatoxin C3a: effect on efferocytosis
- Authors: Dmitrieva A.A.1, Ivanova A.A.1, Burnusuz A.V.1, Orlov S.V.1
-
Affiliations:
- Institute of Experimental Medicine
- Issue: Vol 25, No 2 (2025)
- Pages: 47-54
- Section: Original research
- Published: 17.06.2025
- URL: https://journals.eco-vector.com/MAJ/article/view/631340
- DOI: https://doi.org/10.17816/MAJ631340
- EDN: https://elibrary.ru/AJCFME
- ID: 631340
Cite item
Abstract
BACKGROUND: Macrophages are unique professional phagocytes involved in both innate and adaptive immune responses. This is made possible by their functional plasticity—the ability to acquire different phenotypes. Switching between subtypes during interactions with other immune system components is referred to as polarization. Anaphylatoxin C3a has been shown to influence macrophage polarization. Depending on the polarization state, macrophages exhibit different phagocytic activities. Given the contradictory evidence regarding C3a’s effects on macrophages, determining its impact on phagocytosis in general and on efferocytosis in particular is of special interest.
AIM: The work aimed to investigate the effect of anaphylatoxin C3a on efferocytosis by M0 and M2 macrophages.
METHODS: The experiments were conducted using human peripheral blood mononuclear cells. Macrophages were differentiated in the presence of C3a, and M2 polarization was induced with interleukin-4. Efferocytosis was assessed using confocal microscopy, whereas phagocytosis was evaluated via flow cytometry. Real-time reverse transcription polymerase chain reaction was used to measure expression of the efferocytosis receptor genes mertk, axl, and tyro3.
RESULTS: M2 macrophages demonstrated greater efferocytic capacity compared to M0 macrophages. Anaphylatoxin C3a did not affect the phagocytosis of dead Escherichia coli bacteria but inhibited the phagocytosis of apoptotic cells in both unpolarized M0 and alternatively activated M2 macrophages. It was also shown that C3a reduces the expression of the Tyro3 receptor gene in both M0 and M2 macrophages.
CONCLUSION: Anaphylatoxin C3a exerts a suppressive effect on efferocytosis, likely through modulation of apoptotic cell recognition processes.
Full Text

About the authors
Aleksandra A. Dmitrieva
Institute of Experimental Medicine
Author for correspondence.
Email: aleksandra-2001@mail.ru
ORCID iD: 0000-0003-2680-4069
SPIN-code: 3009-2698
Russian Federation, Saint Petersburg
Anna A. Ivanova
Institute of Experimental Medicine
Email: anna.ivantcova@gmail.com
ORCID iD: 0000-0002-8673-9628
SPIN-code: 5306-1995
Russian Federation, Saint Petersburg
Alexandra V. Burnusuz
Institute of Experimental Medicine
Email: alexandraburnusuz@gmail.com
ORCID iD: 0000-0002-2281-5548
Russian Federation, Saint Petersburg
Sergey V. Orlov
Institute of Experimental Medicine
Email: serge@iem.spb.ru
ORCID iD: 0000-0002-3134-1989
SPIN-code: 1690-8110
Cand. Sci. (Biology)
Russian Federation, Saint PetersburgReferences
- Green DR, Oguin TH, Martinez J. The clearance of dying cells: table for two. Cell Death Differ. 2016;23:915–926. doi: 10.1038/cdd.2015.172
- Guan X, Wang Y, Li W, et al. The role of macrophage efferocytosis in the pathogenesis of apical periodontitis. Int J Mol Sci. 2024;25(7):3854. doi: 10.3390/ ijms25073854
- Yunna C, Mengru H, Lei W, Weidong C. Macrophage M1/M2 polarization. Eur J Pharmacol. 2020;877:173090. doi: 10.1016/j.ejphar.2020.173090
- Perez S, Rius-Perez S. Macrophage polarization and reprogramming in acute inflammation: a redox perspective. Antioxidants (Basel). 2022;11(7):1394. doi: 10.3390/antiox11071394
- Hanna J, Ah-Pine F, Boina C, et al. Deciphering the role of the anaphylatoxin C3a: a key function in modulating the tumor microenvironment. Cancers (Basel). 2023;15(11):2986. doi: 10.3390/cancers15112986
- Reid RC, Yau M-K, Singh R, et al. Downsizing a human inflammatory protein to a small molecule with equal potency and functionality. Nat Commun. 2013;4:1–9. doi: 10.1038/ncomms3802
- Strainic MG, Liu J, Huang D, et al. Locally produced complement fragments C5a and C3a provide both costimulatory and survival signals to naive CD4+ T cells. Immunity. 2008;28(3):425–435. doi: 10.1016/j.immuni.2008.02.001
- Coulthard LG, Woodruff TM. Is the complement activation product C3a a proinflammatory molecule? Re-evaluating the evidence and the myth. J Immunol. 2013;194(8):3542–3548. doi: 10.4049/jimmunol.1403068
- Mogilenko DA, Danko K, Larionova EE, et al. Differentiation of human macrophages with anaphylatoxin C3a impairs alternative M2 polarization and decreases lipopolysaccharide-induced cytokine secretion. Immunol Cell Biol. 2022;100(3):186–204. doi: 10.1111/imcb.12534
- Evans AL, Blackburn JW, Yin C, Heit B. Quantitative efferocytosis assays. Methods Mol Biol. 2017;1519:25–41. doi: 10.1007/978-1-4939-6581-6_3
- Taruc K, Yin C, Wootton DG, Heit B. Quantification of efferocytosis by single-cell fluorescence microscopy. J Vis Exp. 2018;(138):58149. doi: 10.3791/58149
- Mogilenko DA, Kudriavtsev IV, Shavva VS, et al. Peroxisome proliferator-activated receptor alpha positively regulates complement C3 expression but inhibits tumor necrosis factor α mediated activation of C3 gene in mammalian hepatic derived cells. J Biol Chem. 2013;288(3):1726–1738. doi: 10.1074/jbc.M112.437525
- Toobian D, Ghosh P, Katkar GD. Parsing the role of PPARs in macrophage processes. Front Immunol. 2021;12:783780. doi: 10.3389/fimmu.2021.783780
- Roszer T, Menendez-Gutierrez MP, Lefterova MI, et al. Autoimmune kidney disease and impaired engulfment of apoptotic cells in mice with macrophage peroxisome proliferator-activated receptor γ or retinoid X receptor α deficiency. J Immunol. 2011;186(1):621–631. doi: 10.4049/jimmunol.1002230
- Mukundan L, Odegaard JI, Morel CR, et al. PPAR-δ senses and orchestrates clearance of apoptotic cells to promote tolerance. Nat Med. 2009;15(11):1266–1272. doi: 10.1038/nm.2048
- A-Gonzalez N, Bensinger SJ, Hong C, et al. Apoptotic cells promote their own clearance and immune tolerance through activation of LXR. Immunity. 2009;31(2):245–258. doi: 10.1016/j.immuni.2009.06.018
- Pastore M, Grimaudo S, Pipitone RM, et al. Role of myeloid-epithelial-reproductive tyrosine kinase and macrophage polarization in the progression of atherosclerotic lesions associated with nonalcoholic fatty liver disease. Front Pharmacol. 2019;10:604. doi: 10.3389/fphar.2019.00604
- Chinetti-Gbaguidi G, Baron M, Bouhlel MA, et al. Human atherosclerotic plaque alternative macrophages display low cholesterol handling but high phagocytosis because of distinct activities of the PPARγ and LXRα pathways. Circ Res. 2011;108(8):985–995. doi: 10.1161/CIRCRESAHA.110.233775
- Myers KV, Amend SR, Pienta KJ. Targeting Tyro3, Axl and MerTK (TAM receptors): implications for macrophages in the tumor microenvironment. Mol Cancer. 2019;18(1):94. doi: 10.1186/s12943-019-1022-2
Supplementary files
