КЛІТИННІ МЕХАНІЗМИ ЕРИТРОДІЕРЕЗУ
Анотація
У нормі еритродіерез перебуває в динамічній рівновазі з процесом еритропоезу, а отже, є одним із чинників, який забезпечує відносно постійну кількість еритроцитів у кров’яному руслі. Руйнування зазнають фізіологічно старі, пошкоджені та нежиттєздатні еритроцити, а також еритроцити, які утворилися під час стресового еритропоезу. Кліренс еритроцитів є селективним процесом. Із кровотоку насамперед вилучаються ті клітини, які втратили здатність до деформації. Здатність еритроцитів деформуватися залежить від форми клітин, в’язкості цитоплазми та механічних властивостей мембрани. Старі та змінені еритроцити є досить ригідними, а тому затримуються у вузьких капілярах і венозних синусах печінки й селезінки. Окрім того, макрофаги печінки та селезінки фагоцитують еритроцити, які на своїй поверхні експонують сигнальні молекули «з’їж мене». Експозиція фосфатидилсерину на зовнішній поверхні еритроцитів призводить до їхнього вилучення з кровотоку клітинами Купфера й іншими мононуклеарними фагоцитами. Під час ініціації еритрофагоцитозу фосфатидилсерин зовнішнього ліпідного шару плазматичної мембрани еритроцитів безпосередньо взаємодіє з рецепторами Stabilin-2, Tim-1, Tim-4 або CD300 макрофагів. Інтегрини макрофагів avb3 та avb5, а також рецептор Mer тирозинкінази опосередковано взаємодіють з фосфатидилсерином поверхні еритроцитів за допомогою розчинних протеїнів MFG-E8, Gas 6 і протеїну S. Кластеризація протеїну смуги 3 мембрани еритроцитів спричиняє зв’язування природних антитіл, а опсонізація еритроцитів за допомогою C3b підсилює цей процес і сприяє розпізнаванню таких клітин макрофагами червоної пульпи селезінки. У старіючих еритроцитах пригнічується утворення комплексу CD47-SIRPα (сигнал «не їж мене»), який гальмує їхній фагоцитоз, а відтак – з’являється додатковий стимул для захоплення еритроцитів макрофагами селезінки та печінки.
Мета огляду – описати механізми еритрофагоцитозу й молекулярні детермінанти старіння і загибелі еритроцитів, у тому числі ериптозу та неоцитолізу, висвітлити факти й суперечності, наявні на сучасному етапі вивчення цього питання.
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DOI: http://dx.doi.org/10.30970/vlubs.2020.82.02
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