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Method Article

Fixed Cell Efferocytosis Assay: A Method to Study Efferocytic Uptake of Apoptotic Cells by Macrophages Using Fluorescence Microscopy

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July 8th, 2025

In This Article

Abstract

Source: Taruc, K., et al. Quantification of Efferocytosis by Single-cell Fluorescence Microscopy. J. Vis. Exp. (2018).

In this video, we demonstrate the efferocytosis assay to study the clearance of apoptotic cells using confocal microscopy. Efferocytosis is a multi-step process where apoptotic cells are engulfed by phagocytes and degraded within vesicles called efferosomes. This protocol provides a method to visualize internalized and non-internalized portions of individual apoptotic cells and quantify efferocytosis.

Protocol

All procedures involving human participants have been performed in compliance with the institutional, national, and international guidelines for human welfare and have been reviewed by the local institutional review board.

1. Culture and Preparation of the THP-1 Monocyte Cell Line

  1. Culture THP-1 monocytes as a suspension culture in T25 flasks at 37 °C + 5% CO2. Cells should be grown in 5 mL of Roswell Park Memorial Institute 1640 (RPMI 1640) + 10% Fetal Bovine Serum (FBS).
  2. Each day, suspend cells evenly throughout the growth media by gently shaking the flask, then immediately count cells with a hemocytom....

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Disclosures

No conflicts of interest declared.

Materials

List of materials used in this article
NameCompanyCatalog NumberComments
RPMI 1640 MediaWisent3500-000-EL
DMEM MediaWisent319-005-CL
Fetal Bovine Serum (FBS)Wisent080-150
PBSWisent311-010-CL
18 mm circular glass coverslips #1.5 thicknessElectron Microscopy Sciences72290-08Size and shape of coverslip is not critical, but 18 mm fit into the wells of a standard 12-well plate which simplifies cell culture
StaurosporineCayman Chemical81590Dissolve in DMSO at 1 mM (1,000x stock solution)
Annexin V-Alexa 488ThermoFisherR37174
EZ-Link NHS-BiotinThermoFisher20217Store in a dessicator. Do not prepare a stock solution.
DMSOSigma-AldrichD2650
CellTrace FarRedThermoFisherC34572
CellTrace OrangeThermoFisherC34851
Hoescht 33342ThermoFisher62249
FITC-StreptavadinThermoFisherSA1001
Lympholyte-poly cell sepration mediumCedarlane LabsCL5071
Recombinant Human M-CSFPeprotech200-04
Recombinant Human IL-4Peprotech300-25
J774.2 Macrophage Cell LineSigma-Aldrich85011428-1VL
THP-1 Human Monocyte Cell LineATCCTIB-202
Jurkat T Cell LineATCCTIB-152

Tags

Confocal MicroscopyBiotin LabelingCell TrackingStreptavidin BindingEferosome FormationPhagocytosis Quantification