2015
DOI: 10.1016/j.celrep.2015.10.065
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Multinucleated Giant Cells Are Specialized for Complement-Mediated Phagocytosis and Large Target Destruction

Abstract: SummaryMultinucleated giant cells (MGCs) form by fusion of macrophages and are presumed to contribute to the removal of debris from tissues. In a systematic in vitro analysis, we show that IL-4-induced MGCs phagocytosed large and complement-opsonized materials more effectively than their unfused M2 macrophage precursors. MGC expression of complement receptor 4 (CR4) was increased, but it functioned primarily as an adhesion integrin. In contrast, although expression of CR3 was not increased, it became functiona… Show more

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Cited by 128 publications
(137 citation statements)
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“…Intriguingly, recent studies detected an extensive system of actin-rich Mac-1ebearing ruffles on the surface of Phorbol 12-myristate 13-acetateeactivated macrophages and MGCs, with latter cells involved in Mac1emediated phagocytosis of large targets. 39 Further studies may help to define the relation between Mac-1emediated adhesion/spreading and formation of actin-based membrane protrusions in macrophage fusion. Consistent with the role of Mac-1 in macrophage fusion, RAW264.7 cells sorted to express the increased density of integrin fused more frequently in the presence of IL-4 than unsorted cells (Figure 4).…”
Section: Discussionmentioning
confidence: 99%
“…Intriguingly, recent studies detected an extensive system of actin-rich Mac-1ebearing ruffles on the surface of Phorbol 12-myristate 13-acetateeactivated macrophages and MGCs, with latter cells involved in Mac1emediated phagocytosis of large targets. 39 Further studies may help to define the relation between Mac-1emediated adhesion/spreading and formation of actin-based membrane protrusions in macrophage fusion. Consistent with the role of Mac-1 in macrophage fusion, RAW264.7 cells sorted to express the increased density of integrin fused more frequently in the presence of IL-4 than unsorted cells (Figure 4).…”
Section: Discussionmentioning
confidence: 99%
“…37 It is possible that a strategy that allows a brief period of inflammation to occur prior to its inhibition would aid in biomaterial integration, like it aids chronic wound healing, 34,38 but this strategy has not been explored. Other drug delivery strategies that have been shown to inhibit the foreign body response to biomaterials include the delivery of a blocking antibody to interleukin-4 (IL4), a cytokine that mediates macrophage fusion into foreign body giant cells in vitro and in vivo, 39,40 although it is important to note that the role of IL4 in the foreign body response remains controversial. 41 Other drug delivery strategies include the delivery of nitric oxide, which promotes angiogenesis and inhibits collagen deposition during wound healing.…”
Section: Temporally Controlled Delivery Of Anti-inflammatory Drugsmentioning
confidence: 99%
“…As part of the foreign body response to an implanted biomaterial, macrophages exhibiting characteristics of both M1 and M2a phenotypes fuse together to form multinucleated giant cells that promote fibrous capsule formation around the implant. 12,13 As a result, the implant is isolated from the rest of the body, thus leading to a lack of biointegration and ultimately failure. 14 Therefore, it is essential to strategically engineer biomaterials that promote or inhibit specific phenotypes of macrophages to restore a balance in their behaviour.…”
Section: Introductionmentioning
confidence: 99%