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Ingested apoptotic cells are localized to the phagolysosome. (A-D) Transmission electron microscopy after the co-culture of Ca9-22 cells with apoptotic Ca9-22 cells for 16 h. Scale bars, 5 μm (A and C) and 1 μm (B and D). AC, apoptotic cells; L, lysosomes, P, phagosome; F, filopodia. Arrowhead in panel C indicates bundles of actin filaments. Arrow in panel D indicates lysosomes fused with the phagosome.

Ingested apoptotic cells are localized to the phagolysosome. (A-D) Transmission electron microscopy after the co-culture of Ca9-22 cells with apoptotic Ca9-22 cells for 16 h. Scale bars, 5 μm (A and C) and 1 μm (B and D). AC, apoptotic cells; L, lysosomes, P, phagosome; F, filopodia. Arrowhead in panel C indicates bundles of actin filaments. Arrow in panel D indicates lysosomes fused with the phagosome.

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Apoptotic cell death frequently occurs in human cancer tissues including oral squamous cell carcinoma (SCC), wherein apoptotic tumor cells are phagocytosed not only by macrophages but also by neighboring tumor cells. We previously reported that the engulfment of apoptotic SCC cells by neighboring SCC cells frequently occurs at the invading front. T...

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... (Fig. 2G, arrow), indicating that they were incorporated into phagolysosomes, in which acidification occurs to degrade the contents. Electron microscopy also revealed that apoptotic cells were incorporated into the phagosomes of the phagocytosing cells, which showed extended filopodia and an increased number of lysosomes within their cytoplasm ( Fig. 3A and B). Meanwhile, the incorporated apoptotic cells had already begun to exhibit a state of secondary necrosis because their cell membranes had collapsed. Actin filaments were assembled in bundles around the phagosomes containing apoptotic cells (Fig. 3C, arrowhead) and lysosomes appeared to be fused with the phagosomes (Fig. 3D, ...
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... which showed extended filopodia and an increased number of lysosomes within their cytoplasm ( Fig. 3A and B). Meanwhile, the incorporated apoptotic cells had already begun to exhibit a state of secondary necrosis because their cell membranes had collapsed. Actin filaments were assembled in bundles around the phagosomes containing apoptotic cells (Fig. 3C, arrowhead) and lysosomes appeared to be fused with the phagosomes (Fig. 3D, ...
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... their cytoplasm ( Fig. 3A and B). Meanwhile, the incorporated apoptotic cells had already begun to exhibit a state of secondary necrosis because their cell membranes had collapsed. Actin filaments were assembled in bundles around the phagosomes containing apoptotic cells (Fig. 3C, arrowhead) and lysosomes appeared to be fused with the phagosomes (Fig. 3D, ...
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... addition, we performed an in vitro phagocytosis assay using cells transiently transfected with pcDNA3-EGFP-Rac1-T17N. The expression of the EGFP-tagged dominant-negative Rac1 mutant (Rac1T17N) was confirmed by fluorescence microscopy and western blotting ( Supplementary Fig. 3A and B). The EGFP-Rac1T17N was mainly detected along the cell membrane, which was similar to wild-type Rac1, although the transfection efficiency was less than 30%. ...
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... EGFP-Rac1T17N was mainly detected along the cell membrane, which was similar to wild-type Rac1, although the transfection efficiency was less than 30%. The cells expressing EGFP-Rac1T17N showed a decrease in apoptotic cell phagocytosis, compared to the control cells expressing GFP ( Supplementary Fig. 3C and Fig. 4E), although this was to a lesser extent than NSC23766. ...

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... Cultivation on type I collagen led to RAC1 activation in Ca9-19 and KO cells but not in SCCKN or ZA cells. Although it has already been shown that integrin-mediated cell adhesion results in tyrosine phosphorylation of intracellular proteins and subsequent activation of mitogen-activated protein kinase, phosphatidylinositol-4,5-bisphosphate 3-kinase, and G protein of the low-molecular-weight RHO family, there are few reports of type I collagen-induced RAC1 activation in oral SCC cells (39,40). Furthermore, no activation of RAC1 was observed in SCCKN and ZA cells, and the reasons for this are unclear and require further investigation. ...
... Furthermore, milk fat globuleepidermal growth factor-factor VIII-induced activation of RAC1 involved in phagocytosis of apoptotic cells was shown to occur in an integrin αvβ5-dependent manner (45,46). A recent report showed that oral SCC cells phagocytose apoptotic oral SCC cells in a RAC1dependent manner and that phagocytosis promotes SCC cell migration (39). However, as far as we are aware, there have been no reports of integrin β8 being involved in type I collagen-induced activation of RAC1 in oral SCC cells, hence the results of this study are novel. ...
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Background/aim: The interaction of integrin αvβ8 with type I collagen was shown to promote oral squamous cell carcinoma (SCC) cell proliferation via the mitogen-activated protein kinase/extracellular signal-regulated kinase pathway. However, the role of integrin αvβ8 in SCC progression remains poorly understood. In this study, the role of integrin αvβ8 in oral SCC progression was therefore investigated. Materials and methods: Integrin αv and β8 protein expression in oral SCC cells was examined by western blotting. Oral SCC cell motility was investigated using modified Boyden chamber assays. Behavior of oral SCC cells was examined in three-dimensional culture using type I collagen gel. Ras homolog family member A (RHOA), Ras-related C3 botulinum toxin substrate 1 (RAC1), and cell division control protein 42 homolog (CDC42) activity of oral SCC cells was analyzed by pull-down assays. Results: SCC cells with high integrin αvβ8 expression levels had a high ability to migrate on type I collagen and exhibited enhanced invasion into type I collagen gel. In SCC cells with high integrin αvβ8 expression level, cultivation on type I collagen induced RAC1 activation. Treatment with RAC1 inhibitor reduced type I collagen-induced motility of SCC cells. Down-regulation of integrin β8 by specific antisense oligonucleotide reduced type I collagen-induced RAC1 activation and suppressed cell motility and invasion into type I collagen gel. Conclusion: The interaction of integrin αvβ8 with type I collagen facilitates SCC cell motility and invasion via RAC1 activation. Therefore, integrin αvβ8 and RAC1 may represent new targets for inhibiting metastasis and invasion in patients with oral SCC.
... In BC, the degradation and scavenging stage of PCD can be disrupted by various mechanisms such as the overexpression of anti-phagocytic signals or defects in the clearance of apoptotic cells. Understanding the dysregulation of PCD in BC is crucial for developing new therapeutic strategies that can selectively target cancer cells while sparing healthy cells [79,80]. ...
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... In cancerous tissues, apoptotic cells are commonly cleared by the professional phagocytes expressing TAM receptors, namely dendritic cells and macrophages. However, nonprofessional phagocytes, such as tumour cells, can also engulf and ingest both dying [43,44] and living cells [45]. TAM receptors seem to participate in the non-professional clearance of apoptotic cells in cancer. ...
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... These tumors also upregulate the expression of several Rho GTPase network components such as Rac2, Rhoh, Rhoj, Vav1, Dock2 and Elmo1 [71]. Apart from these processes, RAC1 contributes to the engulfment of apoptotic SCC cancer cells by epithelial nonprofessional phagocytes [72]. Inhibition of RAC1 also improves the sensitivity of head and neck SCCs to ionizing radiation and cisplatin treatment [73,74]. ...
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... Furthermore, recently, a relationship between the cell-in-cell phenomenon and malignancy has been shown; for example, cell-in-cell formation by entosis causes aneuploidy in human breast tumors [11]. We previously demonstrated that the phagocytosis of apoptotic oral SCC cells by neighboring SCC cells is mediated by activation of Rasrelated C3 botulinum toxin substrate 1 (Rac1) and promotes cell migration [12]. ...
... The phagocytosis of neutrophils by tumor cells is not a well-understood phenomenon; its biological significance and underlying mechanisms remain unclear. Malignant tumor cells have been shown to possess phagocytic activity against neighboring tumor cells [5,12] as well as other types of cells, including neutrophils [7][8][9]. To date, phagocytized neutrophils have been observed in gastric adenocarcinoma [7,20], salivary duct carcinoma of the parotid gland [21], and even in cytological specimens from diverse malignant tumors, including laryngeal SCC [22]. ...
... Spindle cell components are considered a result of EMT [13], which is induced by the Rac1 pathway [23]. Therefore, Rac1 activation may be an underlying mechanism of neutrophil phagocytosis, as well as of apoptotic cell phagocytosis by tumor cells [12]. In addition, the frequency of phagocytosis by tumor cells is higher in moderately differentiated oral SCC than well-differentiated ones [24], and unlike primary melanoma cells, metastatic melanoma cells have a phagocytic ability [8]. ...
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... However, several other studies report that MFG-E8 is a multifunctional molecule shown to be released by a variety of cell types such as macrophages, immature dendrocytes, myoepithelial, endothelial, retinal, intestinal epithelial cells (Ceriani et al., 1983;Raymond et al., 2009;Zhou et al., 2018;Chopra et al., 2020). It was also found to be expressed at high levels in many tumor types (Carmon et al., 2002;Neutzner et al., 2007;Ko et al., 2020;Yamazaki et al., 2020). Hitherto, the most critical described function of MFG-E8 is to regulate immune homeostasis through the phagocytosis of apoptotic cells by signaling through α v β 3−5 integrins linking phosphatidylserine at the surface of membrane vesicles (Oshima et al., 2002) of apoptotic cells (Hanayama et al., 2002;Lotfan et al., 2018;Peterman et al., 2019). ...
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... Previous studies have demonstrated that RAC1 is involved in the cell migration and survival in oral cancers [34][35][36]. Our observations have reported that resveratrol inhibited cell proliferation and induced apoptosis in CAL-27 cells by suppressing the expression of RAC1. ...
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... Yamazaki et al. demonstrate in oral squamous cell carcinoma that RAC1 mediates the phagocytosis of neighboring apoptotic cells via the actin cytoskeleton lamellipodia formation, promoting tumor progression and therapeutic resistance. The authors note that MFG-E8 accumulates near apoptotic cells and activates RAC1 through an integrin αvβ5-dependent mechanism [50]. In a similar light, Liu et al. implicate RAC1 as a mediator of endocytosis for IDH1-mutated glioma cells. ...
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