# Efferocytosis: The Silent Guardian of Tissue Homeostasis and Cardiovascular Health

## TL;DR

Efferocytosis, the process of clearing dead cells, is crucial for tissue health and preventing cardiovascular diseases by reducing inflammation.

## Contribution

This review explores efferocytosis mechanisms and their link to cardiovascular diseases, highlighting potential therapeutic targets.

## Key findings

- Impaired efferocytosis contributes to chronic inflammation and worsens cardiovascular diseases.
- Efferocytosis prevents the release of toxic substances from dead cells, protecting surrounding tissues.
- Understanding efferocytosis pathways may lead to new treatments for heart-related conditions.

## Abstract

Rapid and effective clearance of apoptotic cells, known as efferocytosis, is essential for maintaining tissue homeostasis. Efferocytosis removes apoptotic cells before the occurrence of membrane rupture from which the cell contents, often inflammatory and toxic, are released into surrounding tissues. Through this way, efferocytosis protects the surrounding tissues from toxic enzymes and oxides inside the apoptotic cells as well as from cellular contents such as anti-proteinase and cystatins. Driven by the ongoing advancements in bioinformatics and molecular biology, many researchers have explored the mechanism of efferocytosis and its association with systemic diseases. Multiple studies have demonstrated that impaired efferocytosis mechanisms significantly contribute to the onset and progression of chronic inflammation. The presence of chronic inflammation significantly exacerbates the advancement of cardiovascular diseases, including atherosclerosis, myocardial infarction, heart failure subsequent to myocardial infarction, and even myocarditis. This review aims to provide a brief introduction to the mechanisms involved in cellular efferocytosis, followed by an examination of the molecular and pathway aspects of efferocytosis with the risk of cardiovascular diseases, contributing to the identification of potential therapeutic targets for related diseases.