lipid signaling and the modulation of surface charge during phagocytosis
TRANSCRIPT
Tony Yeung
Sergio Grinstein
Authors’ address
Tony Yeung, Sergio Grinstein
Cell Biology Program, Hospital for Sick Children,
Toronto, Ontario, Canada.
Correspondence to:
Sergio Grinstein
Cell Biology Program
Hospital for Sick Children
555 University Avenue
Toronto, Ontario, Canada M5G 1X8
Tel.: (416)813-5727
Fax: (416)813-5028
E-mail: [email protected]
Immunological Reviews 2007
Vol. 219: 17–36
Printed in Singapore. All rights reserved
ª 2007 The AuthorsJournal compilation ª 2007 Blackwell Munksgaard
Immunological Reviews0105-2896
Lipid signaling and themodulation of
surface charge during phagocytosis
Summary: Phagocytosis is an important component of innate andadaptive immunity. The formation of phagosomes and the subsequentmaturation that capacitates them for pathogen elimination and antigenpresentation are complex processes that involve signal transduction,cytoskeletal reorganization, and membrane remodeling. Lipids areincreasingly appreciated to play a crucial role in these events. Sphingoli-pids, cholesterol, and glycerophospholipids, notably the phosphoinosi-tides, are required for the segregation of signaling microdomains and forthe generation of second messengers. They are also instrumental in theremodeling of the actin cytoskeleton and in directing membrane traffic.They accomplish these feats by congregating into liquid-ordered domains,by generating active metabolites that activate receptors, and by recruitingand anchoring specific protein ligands to the membrane, often alteringtheir conformation and catalytic activity. A less appreciated role of acidicphospholipids is their contribution to the negative surface charge of theinner leaflet of the plasmalemma. The unique negativity of the inner aspectof the plasma membrane serves to attract and anchor key signaling andeffector molecules that are required to initiate phagosome formation.Conversely, the loss of charge that accompanies phospholipid metabolismas phagosomes seal facilitates the dissociation of proteins and thetermination of signaling and cytoskeleton assembly. In this manner, lipidsprovide a binary electrostatic switch to control phagocytosis.
Keywords: phagocytosis, phospholipid, phosphoinositide, surface charge, phagosomematuration
Introduction
Phagocytosis is a critical event in the elimination of invading
microorganisms and other foreign particles and in the sub-
sequent presentation of antigens for the development of
acquired immunity. The process can be conceptually divided
into two major steps: phagosome formation and maturation.
The former refers to the engulfment process, whereby the target
particles are initially recognized and subsequently internalized
by the phagocytic cell and enclosed within a membrane-bound
vacuole or phagosome. Maturation refers to the gradual
conversion of the phagosome from a comparatively inert
vacuole to an effective microbicidal and degradative compart-
ment capable of antigen presentation. Note that the nascent
17
phagosome is derived originally from the plasma membrane
and contains, in addition to its prey, a sampling of the
extracellular fluid. Over the course of the next hour, the
phagosome transforms to eventually resemble a lysosome; its
lumen becomes markedly acidic and rich in hydrolases and in
a variety of anti-microbial agents. Mature phagosomes also
acquire the ability to present antigens (1, 2).
Phagocytosis has been studied extensively because of its
paramount importance to the innate immune response and to
its interface with acquired immunity. Both phagosome
formation and maturation are complex sequences of events
requiring signaling, transduction of information, and engage-
ment of the cytoskeleton and of membrane fusion and fission
machinery. A myriad of different proteins are anticipated to be
required for such a sophisticated process, and their identifica-
tion is well underway, thanks to the advent of proteomic
technology and the availability of short-interfering RNA
(siRNA) libraries. Several hundred proteins have been identified
on (one stage of) the phagosomal membrane (3), and many
others have been linked physically, functionally, or genetically
to the phagocytic process (4–6).
By comparison, the role of lipids in phagosome formation
and maturation has been neglected. Our understanding of the
lipids present in the phagosomal membrane and of their role in
signaling and cytoskeletal and membrane remodeling is rather
primitive, lagging sorely behind the proteomic studies. The
intent of this review is to briefly summarize the state of our
knowledge of lipid involvement in phagocytosis while
highlighting the large gaps in understanding. In the spirit of
this series of reviews, recent work from our own laboratory is
emphasized and the role of lipids in dictating the surface charge
of biological membranes featured prominently. It is also
noteworthy that although phagocytosis can be triggered by
a wide variety of receptors that most likely differ in the mode
and eventual outcome of their signaling, most of our
knowledge to date stems from studies of Fcg receptors and,
less frequently, of complement receptors. The vast majority of
the results discussed subsequently were obtained using cells
activated by the former pathway. Although they provide a useful
guideline, data obtained from Fcg-receptor-mediated phago-
cytosis may not be applicable to other forms of phagocytosis.
Glycerophospholipids
Phosphatidylcholine and phosphatidic acid
Phosphatidylcholine (PC) is the most abundant lipid in
mammalian cells, comprising approximately 45–55% of the
total lipids (7). It can be synthesized from choline through the
Kennedy pathway and also in the liver by methylation of the
head group of phosphatidylethanolamine (PE) (8). PC is
prominent in the plasma membrane, where it is distributed
nearly equally on both leaflets, contributing about one-third of
the total lipid on either side (9).
PC can be hydrolyzed by phospholipase D (PLD) to generate
the metabolically active phosphatidic acid (PA). Two isoforms
of PLD have been identified: PLD1 and PLD2. In macrophages,
PLD1 is localized primarily in the late endosomal and lyso-
somal compartments, whereas PLD2 is found on the plasma
membrane (10). Themolecular determinants of this differential
targeting are not entirely defined, but mutations that rendered
PLD1 catalytically inactive or prevented its palmitoylation
resulted in its redistribution to the cytosol (11). Both iso-
forms of PLD require phosphatidylinositol 4,5-bisphosphate
[PI(4,5)P2] for optimal activity, but they differ in their
requirement for other cofactors. At least under some circum-
stances, PLD1 depends on small guanosine triphosphatases
(GTPases) like Rho, Ral, and Arf and/or on protein kinase
C (PKC) to become significantly active, whereas PLD2
is measurably active even in the absence of protein cofactors
(10, 11).
The involvement of PLD in phagocytosis has been studied in
some detail. Kusner et al. (12) showed by biochemical means
that macrophages produce PA on exposure to the quintessential
Fcg receptor target, immunoglobulin G (IgG)-opsonized
erythrocytes. More recently, local production of PA was
observed both at the phagocytic cup and on the nascent
phagosomes using a PA-specific fluorescent probe (10). PLD2
itself was observed at the phagocytic cup and on the extending
pseudopods, whereas PLD1-containing membrane vesicles
were recruited to the vicinity of the forming phagosome
(10), suggesting that these enzymes are the source of the PA
(Figs 1 and 2). The involvement of PLD was confirmed by
stimulating the cells in the presence of 0.5% ethanol. Under
these conditions, instead of PA, the cells generated phos-
phatidylethanol, a specific product of PLD-catalyzed trans-
phosphatidylation (12).
Dominant-negative alleles and RNA interference have been
used to assess the function of PLD in phagocytosis. Catalytically
inactive mutants of both PLD1 and PLD2 caused partial
inhibition of phagosome formation, and similar results were
obtained when the corresponding genes were silenced with
short hairpin RNA (10, 13). These findings strongly suggest
that both isoforms are involved in the early steps of
phagocytosis, namely in particle engulfment. Much less is
known about their role in later stages of the process. PLD2 is
promptly lost from the phagosome on sealing and is therefore
Yeung & Grinstein � Phospholipids and phagocytosis
18 Immunological Reviews 219/2007
unlikely to be of consequence (10). In contrast, vesicles bearing
PLD1 continue to be delivered to the (proximity of) early
phagosomes, suggesting that this isoform may contribute to
maturation.
In all likelihood, the effects of PLD on phagocytosis are
mediated by the localized accumulation of PA, which in resting
cells is a minor but significant species (about 1–2% of the total
lipids) (14). In addition to PLD-mediated hydrolysis of PC, PA
can be formed de novo through the acylation of glycerol-3-
phosphate, by phosphorylation of diacylglycerol (DAG) by
DAG kinase, or by acylation of lysophosphatidic acid (LPA) by
LPA acyltransferase (15–17). Although specific mechanisms
remain to be identified, PA could conceivably participate in
phagocytosis by direct and indirect means. Because the cross-
sectional area of its negatively charged head group is very small
compared with that of its acyl chains, PA is a cone-shaped (type
II) lipid and can therefore induce negative (concave) curvature
on membranes (18). Because of this bilayer-curving property,
PA has been suggested to promote membrane fission. In this
context, the LPA acyltransferase CtBP/BARS is thought to cause
fission of Golgi tubules by generating PA from LPA and acyl-
CoA (19). Similarly, the invagination and detachment of
synaptic vesicles from the plasma membrane may be promoted
by PA formed by endophilin I, which displays LPA acyltransfer-
ase activity (20). In an analogous manner, PA could facilitate
phagosome sealing and fission from the membrane, pre-
sumably by accumulating at the highly curved tips of advancing
pseudopods. Vesicular budding during phagosome maturation
may also depend on PA accumulation. These hypothetical
notions remain to be tested experimentally.
In addition to this direct role on membrane curvature, PA
could also contribute indirectly to phagocytosis by locally
activating signaling molecules. PA has been shown to stimulate
phosphatidylinositol-4-phosphate 5-kinase (PI4P5K) and to
favor recruitment of sphingosine kinase (SK)1 to themembrane
Fig. 2. Time course of lipid metabolism during phagocytosis.Generation of PI(4,5)P2 de novo occurs early during phagocytic cupformation, followed shortly after by its hydrolysis and the formation ofDAG, which persists on the sealed phagosomal membrane for manyseconds to a few minutes. PI(3,4,5)P3 is formed soon after receptorengagement and is still observable after fusion of the pseudopods,lasting approximately 1 min after sealing. PA is observed at thephagosome membrane during the uptake process and is thereafter likelyconverted to other lipids such as DAG.
Fig. 1. Localized lipid metabolism duringphagocytosis. Fcg receptor ligation results inthe activation of PI4P5K (PIPK) and de novosynthesis of PI(4,5)P2. As the macrophageproceeds to internalize the opsonized particle,PI(4,5)P2 is hydrolyzed by PLCg to generateIP3 and DAG, first at the base of the phagocyticcup and then along the pseudopods. The lossof PI(4,5)P2 can also be attributed to itsconversion to PI(3,4,5)P3 by the class I PI3Kp110 subunit, recruited to the formingphagosome by the p85 regulatory subunit.Changes in glycerophospholipids also occurconcurrently with phosphoinositide metabo-lism. PC is hydrolyzed by PLD to form PA,a cone-shaped lipid that promotes membranefission events. The level of PS may also bemodulated by metabolism, membrane dilu-tion, or transbilayer redistribution throughadenosine triphosphate-dependent transport-ers such as ABC1.
Yeung & Grinstein � Phospholipids and phagocytosis
Immunological Reviews 219/2007 19
(11, 21). Both of these enzymes and their products are thought
to be important in phagocytosis, as discussed in more detail
subsequently. Last, PA can contribute to phagocytosis when
converted to DAG, another metabolically active lipid, by PA
phosphohydrolase (22).
Phosphatidylserine
Phosphatidylserine (PS) contributes 2–10% of the total cellular
lipids, depending on the cell type (14). It is well established,
however, that PS is preferentially enriched in the plasma
membrane, particularly in its inner leaflet, where it constitutes
15% (14, 23). PS is synthesized in a specialized region of the
endoplasmic reticulum (ER), known as the mitochondria-
associated membranes, by two enzymes: phosphatidylserine
synthase 1 (PSS1) and phosphatidylserine synthase 2 (PSS2).
PSS1 catalyzes a base-exchange reaction that replaces the
choline head group of PC with serine to yield PS (24). By
contrast, PSS2 uses PE as a substrate and exchanges the
ethanolamine head group for serine (14). This reaction is
counterbalanced by the conversion of PS to PE bymitochondrial
decarboxylases (14).
The distribution of PS in the various cellular compartments
can in principle be studied by different means. Annexin V binds
with high affinity to PS and has been used extensively to
monitor its appearance on the outer leaflet of the plasma
membrane, for example when cells are undergoing apoptosis.
However, the interaction of annexin with PS requires the
presence of millimolar calcium, which precludes its use as
a probe of intracellular PS. An alternative approach is the use of
fluorescently labeled PS analogs. One such probe, NBD [6-(7-
nitrobenz-2-oxa-1,3-diazol-4-yl)aminocaproyl]-PS, has been
used extensively. It can be readily loaded into mammalian cells,
where it distributes in a variety of endomembrane compart-
ments. It is not entirely clear, however, whether this result is
a faithful representation of the distribution of native PS in the
cell. The NBDmoiety attached to one of the fatty acyl chains has
been suggested to loop back to the membrane–water interface,
distorting the normal structure of the lipid and likely altering its
partition properties (25, 26). Just as worrisome, metabolism of
the probe by lipases or decarboxylases can result in the
progressive appearance of fluorescent species that are not
distinguishable from the original NBD-PS. This finding may
explain why shortly after loading, NBD-PS stained primarily the
ER and the Golgi apparatus, whereas at longer times (>2 h),
NBD staining was observed in the mitochondria (27).
PS is important to the biology of both phagocytes and their
prey. In apoptotic cells, which are cleared by phagocytosis, PS is
externalized to the outer leaflet of the plasma membrane by
a calcium-induced scrambling mechanism (28). The external-
ized PS serves as a major recognition signal for phagocytosis by
engaging one or more PS receptors on macrophages. Curiously,
it has been reported that the macrophages themselves also
externalize PS during the internalization of apoptotic cells (29)
(Fig. 1). The adenosine triphosphate-binding cassette trans-
porter 1 (ABC1) is thought to be important for the transbilayer
redistribution of PS during phagocytosis (30); macrophages
deficient in ABC1 or treated with the ABC1 blocker glyburide
failed to externalize PS (29, 30) (Fig. 1). They were also unable
to ingest apoptotic cells, implying that mobilization of PS is an
essential step in the phagocytic sequence. Where and how PS
functions to promote particle engulfment is obscure at present.
The distribution of PS between the two leaflets of the plasma
membrane has also been studied during Fcg-receptor-mediated
phagocytosis. In this system, the phagocytic cupwas not stained
by annexin V (31). Externalization may not occur following
engagement of Fcg receptors; but it is also possible that PS
externalized locally at the cup diffuses laterally, becoming dilute
and undetectable (Fig. 1). Lipid rearrangement may have also
occurred during the fixation that preceded labeling in these
studies.
Because suitable probes to monitor the distribution and
dynamics of PS inside cells are not currently available, much less
is known about intracellular PS in phagocytosis. However,
possible roles can be anticipated based on the known PS
dependence of enzymes that become activated during phag-
osome formation. Together with DAG, which is released by
phospholipase C (PLC) (see subsequently), PS likely contributes
to the recruitment of PKC isoforms to the membrane. In
addition to the C1 domains that recognize DAG, classical and
novel isoforms of PKC contain a C2 domain that associates with
anionic phospholipids, notably PS (32). Macrophages express
PKCa, bI, d, e, and z (33), and PKC isoforms were shown to be
involved in phagosome formation (33, 34) and nicotinamide
adenine dinucleotide phosphate (NADPH) oxidase activation
(35, 36). PKC and possibly PSmay also play a role at later stages,
during phagosome maturation.
Although numerous examples exist showing the role of PKCs
in phagocytic signaling, there are various other signaling
molecules containing C2 domains that may play a role in
phagocytosis in a PS-dependent manner. Such candidates
include PLC, cytosolic phospholipase A2 (cPLA2), phosphati-
dylinositol 3-kinase (PI3K), synaptotagmin, and PTEN (phos-
phatase and tensin homolog deleted on chromosome 10) (32).
In addition, PS likely contributes to the negative surface charge
of the inner leaflet of the plasma membrane and thereby may
help recruit signaling molecules such as K-Ras, Rac1, and c-Src,
Yeung & Grinstein � Phospholipids and phagocytosis
20 Immunological Reviews 219/2007
which contain polycationic motifs (37). The relationship
between anionic lipids, surface charge, and cell signaling is
discussed in more detail subsequently.
LPA and lysobisphosphatidic acid
LPA is abundant in serum but is a relatively minor constituent of
cells. It is best known for its effects on cell proliferation,
migration, and survival. Extracellular LPA binds to cognate cell
surface receptors that are coupled to heterotrimeric G-proteins
that signal through the Ras/mitogen-associated protein kinase
(MAPK) pathway and also through Rho family GTPases that
control cytoskeletal structure. Monocytic cells can be activ-
ated by LPA through G-protein-coupled receptors (GPCRs),
resulting in an increase in intracellular calcium level (38). In
addition, LPA treatment has been shown to enhance the anti-
mycobacterial activity of macrophages through a PLD-mediated
mechanism (39).
LPA is generated in the ER from glycerol-3-phosphate and
acyl-CoA (15). Much less is known about the function of
intracellular LPA, at least in part because it is short lived,
becoming rapidly acylated to form PA. Unlike PA, which is
a conical or type II lipid, LPA is a type 1 lipid shaped like an
inverted cone that induces a positive (convex) curvature to
membranes. As such, it could promote budding of vesicles from
the phagosomal vacuole. Vesiculation would be directed
outward, if LPA accumulates in the cytosolic monolayer, or
inward [as in the case of multivesicular bodies (MVBs)], if
accumulation occurs on the luminal membrane.
Lysobisphosphatidic acid (LBPA), also known as bis(mo-
noacylglycero)phosphate, is a minor lipid (<1% of total lipids)
formed from the degradation of phosphatidylglycerol and
cardiolipin (40, 41). LBPA is found mostly in late endosomes,
where it accounts for about 15% of the total lipids (42). Late
endosomes are typically multivesicular structures, and immu-
nofluorescence studies found LBPA to be particularly concen-
trated in the luminal vesicles of these complex organelles.
Indeed, in vitro experiments suggest that LBPA may be
instrumental in the inward budding that leads to the formation
of such internal vesicles. Matsuo et al. (42) found that pure lipid
liposomes spontaneously became multivesicular when a pH
gradient mimicking that found across the membrane of late
endosomes was imposed, but only when LBPA was present. It is
conceivable that protonation of luminal LBPA facilitates its
transbilayer redistribution (flipping) to the outer leaflet, where
it would reacquire charge and be retained following deproto-
nation. The progressive asymmetric accumulation of LBPA on
the outer (cystolic) leaflet could deform the bilayer, forcing
inward vesiculation.
Although LBPA induces the formation of multivesicular
liposomes in pure lipid model systems, proteins alsomost likely
contribute to MVB formation in the cell. A protein that interacts
selectively with LBPA, called Alix (interacting partner of ALG-2
and the ESCRT proteins), was identified by Matsuo et al. (42).
Alix is likely to be involved in MVB formation because
downregulation of its expression using siRNA reduced the
number of multivesicular and multilamellar late endosomes.
How this is accomplished is less clear because, paradoxically,
addition of Alix inhibited the formation of multivesicular
liposomes in vitro driven by LBPA and pH (42).
Not all the vesicles that bud into the lumen of MVB are
degraded in the lysosomes. Some fuse back with the limiting
membrane, ostensibly to recycle resident endosomal proteins. It
is interesting that downregulation of Alix prevented not only
the inward budding that gives rise to vesicles but also possibly
the back-fusion of preexisting luminal vesicles (42), suggesting
a wider role in vesicular traffic. LBPA may also be involved in
this back-fusion because occlusion of its head group with
antibodies resulted in the development of cholesterol-rich,
multilamellar endosomes reminiscent of those seen in patients
with Niemann-Pick type C disease(43).
Both LBPA (44, 45) and Alix (3) have been detected on the
phagosomalmembrane (Fig. 3). In fact, LBPA is perhaps the best
if not the sole marker that unambiguously identifies the ‘late
phagosome’ stage that precedes phagolysosome formation
(Fig. 4). Remarkably, there is almost no information addressing
the multivesicular nature of phagosomes, and the possibility of
inward budding at the late stages of maturation has been
explored in only one report. Lee et al. (45) detected delivery of
a cytosolic epitope from the limiting membrane of phagosomes
to their acidic interior and were able to visualize intra-
phagosomal vesicles by electron microscopy (Fig. 3). Whether
LBPA and Alix underlie these events has not been investigated.
Arachidonic acid
Arachidonic acid is generated from the hydrolysis of glycer-
ophospholipids at the sn-2 position by phospholipase A2 (PLA2)
(46). The PLA2 superfamily currently consists of 15 groups and
subgroups and includes five distinct types of enzymes, namely
the secreted, cytosolic, calcium-independent, and lysosomal
PLA2 isoforms and the platelet-activating factor acetylhydrolases
(47). The cPLA2, which may be the most important isoform in
phagocytosis, contains a calcium-dependent C2 domain that
binds to PC-richmembranes (48, 49). Its activity is regulated by
phosphorylation at serine residues by kinases including MAPK,
calcium/calmodulin-dependent protein kinase II, and MAPK-
interacting kinase I (48). Not only is calcium elevated but also
Yeung & Grinstein � Phospholipids and phagocytosis
Immunological Reviews 219/2007 21
(at least some of) these kinases are stimulated early in
phagocytosis, suggesting that cPLA2 may become activated.
Indeed, direct measurements have confirmed that arachidonate
is generated on engagement of phagocytic receptors (50, 51).
Arachidonic acid is important in various physiological and
pathological processes, including inflammation and asthma,
because it is metabolized to leukotrienes and prostaglandins,
which are potent proinflammatory mediators (46). However,
arachidonate itself is very important in the early stages of
phagocyte activation. Formation of arachidonate at the plasma
membrane was postulated to play a role in both the trans-
location and the activation of subunits of the NADPH oxidase.
Arachidonate is a potent activator of the oxidase in vitro, and
downregulation of cPLA2 using anti-sense technology inhibited
superoxide production (52). Zhao et al. (53) later attributed this
finding to the failure of the p47 and p67 subunits of the oxidase
to translocate from the cytosol to the membrane. However,
Shmelzer et al. (54) suggested that the sequence of events is the
opposite, that is the assembled oxidase recruits cPLA2 to the
membrane, which in turn generates arachidonate necessary for
allosteric activation. The inability of cPLA2 to translocate in cells
deficient in the gp91 subunit of the NADPH oxidase supports
this model (54). Arachidonate was proposed to bind to the
oxidase complex in the vicinity of the flavocytochrome b,
increasing its affinity for oxygen (55, 56).
Despite these seemingly compelling data, macrophages from
cPLA2�/� mice did not manifest any defects in superoxide
production when stimulated by soluble or particulate stimuli
(57). The reasons for these conflicting results are not clear; but
redundant or compensatory effects from other PLA2 isoforms
may have confounded the observations (56).
The hydrolysis reaction that produces arachidonic acid
simultaneously generates a lysophospholipid that, because of
its altered shape, can distort the membrane bilayer. Lysophos-
pholipids are inverted cone-shaped (type I) lipids that impose
membrane curvature in the convex direction and could thereby
promote fusion events. Indeed, exogenous addition of PLA2in vitro promotes fusion of liposomes, and in mast cells, PLA2activity promotes fusion of secretory granules with the
plasma membrane (58). It remains to be examined whether
Fig. 3. Lipid metabolism during phagosome mat-uration. PI(3)P is formed immediately after particleinternalization and lingers on the early phagosomalmembrane for approximately 10 min. It is generatedby the recruitment and activation of the class III PI3KVps34, which associates with a myristoylated p150subunit for membrane anchoring. As maturationprogresses, membrane fusion and fission events occurat the phagosome, resulting in both the delivery andthe selective removal of signaling and other mole-cules. The Fcg receptor, which becomes ubiquity-lated, is recognized by Hrs, which has a ubiquitin-interacting motif and also interacts with the ESCRTcomplex to facilitate inward membrane budding. Asthe phagosome fuses with the late endosomes, LBPAis acquired and possibly distributed on both thecytosolic and the luminal leaflets of the phagosomemembrane. Alix, through its interaction with LBPA,may promote multivesiculation of the phagosome,generating LBPA-positive internal vesicles. As thephagosome transitions into the late phagosome stage,PI(3)P can potentially be converted by PIKfyve toform PI(3,5)P2 or by the 3#-phosphatase myotubu-larin to form PI, although both of these proposedmechanisms remain to be shown experimentally.
Fig. 4. Time course of lipid metabolism during phagosomematuration. PI(3)P is synthesized immediately after particle internal-ization and persists on the phagosomal membrane for approximately10 min. It can be dephosphorylated to PI or potentially be converted toPI(3,5)P2 during the later stage of maturation and subsequently bedephosphorylated to PI(5)P by the 3#-phosphatase myotubularin. LBPAis also observed at the late phagosome stage and presumably disappearswhen phagolysosomes are formed.
Yeung & Grinstein � Phospholipids and phagocytosis
22 Immunological Reviews 219/2007
arachidonic acid generated at the time of phagocytosis plays any
role in fusion and membrane remodeling.
Cholesterol
Much of the cellular cholesterol is from an exogenous origin.
Dietary cholesterol in the esterified form is taken up by cells
through the receptor-mediated internalization of lipoprotein
complexes like the low-density lipoprotein particles. The
receptors deliver the lipoproteins to the endocytic pathway,
where the cholesterol esters are hydrolyzed (59). The
cholesterol freed within the endolysosomal compartments is
then redistributed to the plasma membrane and to compart-
ments of the secretory pathway, particularly to the ER where it
can be reesterified and packaged for storage in lipid droplets
(59). The Niemann-Pick type C1 and C2 proteins are involved
in this redistribution step. From the plasma membrane,
cholesterol can be extruded from the cell by the ABCA1
transporter to bind to the lipid-poor apoA-I and generate high-
density lipoprotein (60).
Cholesterol can also be synthesized de novo from acetate in
a series of approximately 30 steps, most of which occur in the
ER. During this process, several important biomolecules are also
generated, including precursors for isopentenyl transfer RNA,
dolichol, farnesyl and geranylgeranyl moieties, and ubiquinone
(59). Althoughmost of the enzymatic reactions take place in the
ER, the majority of unesterified cholesterol is delivered to the
plasma membrane by a combination of both vesicular and non-
vesicular mechanisms.
Cholesterol is a planar, rigid molecule that inserts into
bilayers, where it interacts preferentially with sphingolipids
(59). It can pack between the long, saturated acyl chain and the
sphingosine backbone of sphingolipids, stabilized by van der
Waals interactions, whereas hydrogen bonding maintains the
interaction between the lipid head groups (59). The specialized
microdomains that are formed as a result of this interaction and
their possible role in phagosome formation are discussed in
detail subsequently.
In addition to the plasmamembrane, unesterified cholesterol
is also abundant in organelles of the endocytic pathway and is
present in phagosomes (59, 61, 62). What role, if any,
cholesterol plays in phagosome maturation remains to be
studied. One possible mode of action involves the targeting and
retention of Rab-family GTPases, which are geranylgeranylated
(63). In this regard, cholesterol accumulation in the endocytic
pathway induced by the drugU18666A increases the amount of
membrane-associated Rab7 and Rab9 (64, 65). Excess cho-
lesterol is thought to reduce the ability of Rab guanidine
nucleotide dissociation inhibitor (GDI) to extract from the
membrane the guanosine diphosphate (GDP)-bound form of
these Rab GTPases (64, 65). From these pharmacological
observations, it is tempting to speculate that the physiological
levels of cholesterol also influence the partition of Rab isoforms
in phagosomes and other endocytic organelles.
Sphingolipids
Sphingolipids comprise a large class of about 400 different
compounds (66). The typical sphingolipid contains a long
chain (18–20) carbon backbone known as the sphingoid base
that varies in length, hydroxylation, saturation, and branching
(67). Sphingosine and sphinganine are among the most
common sphingoid bases, to which long, saturated fatty acids
can be attached through an amide linkage to form ceramides
(67). Sphingolipids containing the ceramide backbone can be
further modified to sphingomyelin (SM) by the addition of
a phosphocholine head group or to glycosphingolipids by the
stepwise addition of various sugars (67).
Sphingoid bases are formed initially from L-serine and
palmitoyl CoA on the cytosolic side of the ER, where they also
become acylated subsequently to form ceramides (67).
Ceramides are then delivered by both vesicular and non-
vesicular mechanisms to the Golgi apparatus for glycosylation
by glucosyltransferases to form glucoyslceramides (67, 68).
Glucosylceramides then translocate to the lumen of the Golgi to
be further modified by luminal enzymes to yield lactosylcer-
amide and more complex glycosphingolipids (67). The newly
formed glycosphingolipids are delivered to the plasma
membrane and eventually internalized through the endocytic
pathway to the lumen of the lysosomes for degradation (67).
SM is generated in the Golgi by the transfer of phosphocho-
line from PC to ceramide (69). It contributes 5–10% of the total
lipids in the cell (14). Because it is synthesized in the lumen of
the secretory pathway, 80–90% of the plasmalemmal SM is
localized on the outer leaflet (14, 70). SM acts as a reservoir of
lipid signalingmolecules as it can be converted back to ceramide
by both neutral and acidic sphingomyelinases (69). Of note, the
activity of an acidic sphingomyelinase is enhanced when
phagocytic receptors are activated (70, 71).
Sphingolipid- and cholesterol-enriched lipid microdomains
(rafts)
Glycosphingolipids, SM, and their precursor, ceramide, contain
two long, saturated, hydrophobic chains that pack tightly,
conferring rigidity to the lipid bilayer. The straight chains and
the head group spacing of complex sphingolipids also favor
Yeung & Grinstein � Phospholipids and phagocytosis
Immunological Reviews 219/2007 23
intercalation of unesterified cholesterol, which further increases
the lipid-packing density. These strong interactions promote
the segregation of cholesterol and sphingolipid-rich liquid-
ordered microdomains on the plasma membrane, often called
‘rafts’. Although lipid microdomains are clearly discernible in
model systems, their size, composition, and even their existence
in biological membranes remain subjects of controversy.
Cellular lipid rafts are sometimes equated to the fraction of
detergent-resistant membrane (insoluble in 1% cold Triton-X-
100); but this definition has shortcomings and is not universally
accepted. Indeed, extraction with Triton-X-100 was itself
reported to force the coalescence of otherwise separate
microdomains (72). A more accurate description was derived
from less invasive biophysical methods that suggested, unlike
the originally proposed long-lived and micron-sized moving
platforms, that plasmalemmal rafts are probably nanometer-
sized, transient domains that can interact with transmembrane
proteins and the cytoskeleton (73, 74).
These cholesterol- and sphingolipid-richmicrodomains have
been hypothesized to compartmentalize the plasma membrane
into distinct regions that can preferentially recruit signaling
proteins during receptor stimulation. During phagocytosis, Fcgreceptors that are cross-linked by polyvalent ligands are thought
to be recruited to (or perhaps recruit to their vicinity) lipid rafts.
The significance of this interaction lies in the observation that
Src family kinases like Lyn are normally resident in the rafts.
These kinases are responsible for the phosphorylation of the
immunoreceptor tyrosine-based activation motif (ITAM),
which is a key initiating event in the signal transduction cascade
that leads to particle engulfment (75). In accordance with this
idea, clusters of 200–300 nm diameter where Fcg receptors
colocalized with Lyn were detected by immunoelectron
microscopy after but not before the receptors were cross-
linked (76).
In biological membranes, particularly in the plasmalemma,
cholesterol is believed to be essential for the formation and
maintenance of liquid-ordered microdomains (rafts). For this
reason, the functional requirement for rafts has often been
evaluated by extraction of cholesterol from the membrane,
using agents like b-methyl-cyclodextrin, or its sequestration
within the membrane, using nystatin or filipin (77, 78). Using
this approach, Kwiatkowska et al. (75) and Kwiatkowska and
Sobota (79) found that disruption of lipid rafts by cholesterol
removal prevented the association of Lyn with Fcg receptors,
thereby inhibiting receptor tyrosine phosphorylation and
activation. Jointly, these observations would appear to establish
cholesterol and liquid-ordered microdomains as key compo-
nents of the phagocytic response.
However, extensive cholesterol removal with agents such as
b-methyl-cyclodextrin or the insertion into the bilayer of
cholesterol scavengers like nystatin can have unintended,
potentially deleterious effects on cells. Excessive extraction of
cholesterol was reported to disrupt the organization of
PI(4,5)P2, causing remodeling of the actin cytoskeleton (80).
Treatment with b-methyl-cyclodextrin has also been suggested
to deplete intracellular calcium stores and to depolarize the
plasma membrane (81). Therefore, more sophisticated meth-
ods were needed to overcome the shortcomings of these
traditional pharmacological techniques.
An alternative approach is the identification and manipula-
tion of the molecular determinants of receptor association with
the rafts. Recently, Barnes et al. (82) showed that palmitoylation
of the FcgIIA receptor on cysteine 208, located within
a juxtamembrane region of the cytoplasmic tail, is required
for association with lipid rafts. Remarkably, mutations of this
residue that precluded palmitoylation only moderately reduced
and delayed tyrosine phosphorylation of the receptor, despite
its failure to associate with lipid rafts (82). Others have reported
that alanine 224 is also essential for the association of FcgIIAreceptors with rafts (83). As in the previous study, mutation of
this alanine prevented the interaction with rafts; yet, tyrosine
phosphorylation and,more importantly, phagocytosis proceeded
normally (83). These studies suggest rather convincingly that
lipid rafts are not essential for FcgIIA-receptor-mediated
phagocytosis.
Other members of the Fcg family, however, may be more
dependent on their interaction with lipid-ordered micro-
domains. It is generally acknowledged that IgG-coated particles
activate not only stimulatory receptors like FcgI and FcgIIA but
also inhibitory ones like FcgIIB and that the fine balance
between these receptors is critical for regulated phagocytosis. In
the case of the FcgIIB receptor, an isoleucine residue at position232, which is mutated in a cohort of patients with systemic
lupus, was found to be necessary for its association with rafts
(84). FcgIIB receptors that underwent substitution of this
isoleucine for threonine were excluded from the rafts they
normally share with FcgI receptors after stimulation (84). Cells
bearing this mutation exhibited greater phagocytic capacity and
expressed higher levels of surface major histocompatibility
complex class II than wildtype cells (84). These results suggest
that the failure to associate with lipid rafts disrupts normal
FcgIIB receptor function, resulting in unhindered, exaggerated
FcgI and FcgIIA receptor activity.
Rafts may also be involved in phagosome maturation.
Although the existence of liquid-ordered microdomains in
phagosomes has never been established, Dermine et al. (85)
Yeung & Grinstein � Phospholipids and phagocytosis
24 Immunological Reviews 219/2007
showed that the raft-associated protein flotillin-1 accumulates
in the phagosomal membrane during maturation. In addition,
proteomic analysis identified subunits of the vacuolar adeno-
sine triphosphatase and heterotrimeric G-proteins in the
detergent-resistant fraction of the phagosomal membrane,
suggesting that lipid rafts may contribute to the recruitment or
activation of themolecularmachineries required formaturation
(85). In fact, it was proposed that lipid rafts play a role in
mediating fusion of the phagosome with late endosomes. This
suggestion was derived from analysis of the maturation of
phagosomes following internalization of Leishmania, which lack
flotillin-1 and fail to fuse with late endosomes (85). It remains
to be established if the absence of flotillin-1 correlates with the
paucity of rafts and whether these alterations are the cause or
merely a consequence of the maturation arrest.
Signaling through sphingosine-1-phosphate
Sphingosine-1-phosphate (S1P), the product of sphingosine
phosphorylation by SK, is well known as an extracellular ligand
that is recognized by a family of five GPCRs (S1PR1–5) (86).
Interest in S1P stems from the findings that it exerts anti-
apoptotic effects in cells and can regulate cell movement,
angiogenesis, and vascular maturation (87). In agreement with
these observations, inhibition of SK activity or S1P inhibitory
antibodies reduce tumor burden in mice (88, 89). Importantly,
S1P can be converted back to sphingosine and ceramide, which
are thought to be anti-tumorigenic and are associated with
growth arrest and apoptosis. The term ‘sphingolipid rheostat’
has been coined to describe the dynamic balance of these
interconvertible species that is vital for the regulation of cell
growth and apoptosis (86).
It is also well established that binding of S1P to its receptors
on the cell surface raises the cytosolic calcium level, which may
be important for phagosome maturation (86). Interestingly, it
has been suggested that S1P may also act intracellularly as
a second messenger that binds to calcium-permeable channels
in the ER and thereby directly mediating calcium mobilization
(90–92).
S1P was shown to be produced in human macrophages,
which express SK1 but not SK2 (93). In macrophages, SK1 was
found to be recruited to sites of phagocytosis during the
internalization of latex particles or serum-opsonized Staphylo-
coccus aureus (93). A sizable increase in SK activity was detected in
membranes of cells isolated after induction of phagocytosis
(93). The mechanisms of SK1 translocation and activation
during receptor-mediated phagocytosis are currently not
known. However, in vitro experiments showed that SK1 binds
anionic phospholipids, particularly PS, with nanomolar affinity
(94). As discussed in more detail subsequently, the plasma
membrane is particularly enriched in anionic lipids, making it
a likely target for SK recruitment. The activity of SK1 can be
stimulated by tyrosine kinases and serine/threonine kinases
(86, 94). Both of these types of kinases are stimulated during
the early stages of phagocytosis and may very well account for
the activation of SK1. In addition, SK1 contains a calmodulin-
binding site that, when occupied, promotes membrane trans-
location of the kinase (86). Because cytosolic calcium becomes
elevated during the initial stages of phagocytosis, complexation
of calmodulin may contribute to the recruitment of SK1.
Although some disagreement persists, several authors have
reported that cytosolic calcium changes are required for
completion of phagosome formation and/or maturation (95–
97). Given the ability of S1P to release endomembrane calcium
stores, whether directly or by activating surface receptors,
Kusner and colleagues (97) wondered whether S1P is involved
in elevating cytosolic [Ca2þ] during phagocytosis. They found
that treatment of the cells with dihydrosphingosine, a compet-
itive inhibitor of SK1, abolished the rise in intracellular [Ca2þ]
associated with particle internalization (97). More importantly,
the inhibition of SK1 and the suppression of calcium fluxes
significantly reduced the acquisition of lysosomal markers by
the phagosomes and blocked its acidification (97). Remarkably,
they also noted that when live Mycobacterium tuberculosis was the
phagocytic prey, SK1 was not recruited to the site of
phagocytosis nor was its activity stimulated (93, 97). Based
on these and other observations, Kusner and his colleagues (93,
97) proposed the interesting hypothesis that virulent mycobac-
teria may use inactivation of SK1 as a means to subvert the
normal maturation process, enabling their prolonged intracel-
lular survival. It is not entirely clear whether elevated [Ca2þ] is
both a prerequisite for SK1 recruitment, in a calmodulin-
dependent manner, and a consequence of its production of S1P.
Similarly, the mechanism used by M. tuberculosis to prevent SK1
activation remains obscure.
Like sphingosine, ceramide can also be phosphorylated,
yielding ceramide-1-phosphate. Ceramide kinase is responsible
for this reaction. Increased levels of ceramide-1-phosphatewere
reported to enhance particle engulfment (98), but it is not clear
whether this pathway is a normal contributor to the phagocytic
response.
Phosphoinositides
Phosphatidylinositol (PI) is synthesized from cytidine diphos-
phate diacylglycerol (CDP–DAG) and inositol by PI synthase in
the ER and also possibly on the plasma membrane (22). PI
Yeung & Grinstein � Phospholipids and phagocytosis
Immunological Reviews 219/2007 25
comprises about 8% of the total lipid content of cells and
approximately 10% of the lipid on the inner leaflet of the plasma
membrane (9, 99). It serves as the substrate for the biosynthesis
of three different species phosphorylated at position 3, 4, or 5 of
the inositol ring. The resulting monophosphoinositides,
phosphatidylinositol 3-phosphate [PI(3)P], phosphatidylino-
sitol 4-phosphate [PI(4)P], and phosphatidylinositol 5-phos-
phate [PI(5)P], respectively, can in turn be phosphorylated
further to form phosphatidylinositol 3,4-bisphosphate
[PI(3,4)P2], phosphatidylinositol 3,5-bisphosphate [PI(3,5)P2],
PI(4,5)P2, and phosphatidylinositol 3,4,5-trisphosphate
[PI(3,4,5)P3]. PI(4)P and PI(4,5,)P2 are the major phos-
phoinositides in cells, constituting about 0.5% of the total
lipid, whereas the D3-phosphorylated phosphoinositides and
PI(5)P combined contribute to less than 0.025% of the total
lipids (less than 0.25% of the phosphoinositides) (100,
101). To the best of our knowledge, all phosphoinositides
are localized on the cytosolic leaflet of the plasma membrane
and of intracellular organelles.
Phosphatidylinositol 4-phosphate
PI(4)P is found mainly in the Golgi and the plasma membrane
(102, 103). Two classes of PI4 kinases (type II and type III)
synthesize this inositide. As expected, PI4 kinases are present in
the Golgi and the plasma membrane, where their product is
found; but they are also detectable in the ER (104–106). At the
membrane, PI(4)P is most likely important as the source of
PI(4,5)P2, which is without question a key molecule in
phagosome formation. PI(4)P could itself serve to recruit
signaling proteins to the phagocytic cup, as it is thought to do in
the Golgi in the context of recruitment of activator protein-1
(107), although this possibility has not been explored.
We investigated whether PI(4)P is present in phagosomes
using a tandem construct of the pleckstrin homology (PH)
domain of the yeast oxysterol-binding protein (Osh2p) that
reportedly binds to this phosphoinositide (102). Compared
with the concentration detected in the plasma membrane, the
level of PI(4)P in the phagosome was found to be considerably
lower (31). However, these results must be viewed with
caution because the specificity of the Osh2p-PH tandem
construct toward PI(4)P is far from perfect. The probe also
interacts with PI(4,5)P2, which, as described subsequently, is
known with more certainty to be depleted from phagosomes,
compared with the plasmalemma. Nevertheless, because both
PI-3 kinases and PI4P-5 kinase are known to be involved in
phagocytosis, it is conceivable that PI(4)P may serve as
a substrate for the de novo synthesis of PI(3,4)P2 and PI(4,5)P2(108, 109).
Phosphatidylinositol 4,5-bisphosphate
PI(4,5)P2 is largely localized on the inner leaflet of the plasma
membrane, contributing about 1–2% of the lipid on this side of
the bilayer (110, 111). PI(4,5)P2 is well known for its role in
actin remodeling. It influences filament formation and
extension by binding to a variety of actin-capping, severing,
and monomer-binding proteins (100). The distribution and
metabolism of PI(4,5)P2 can be monitored with the PH domain
of PLCd (111). Using this approach, PI(4,5)P2 was found to
undergo a modest and transient accumulation at the forming
phagosome (108) (Fig. 1). Prior to phagocytosis, the enzyme
that synthesizes PI(4,5)P2, PI4P5K, is found at the plasma
membrane, ostensibly bound to its substrate, PI(4)P, through
basic residues in its activation loop (112). The kinase is
therefore also present in the early phagocytic cup (Fig. 1). The
activity of the enzyme at rest is believed to be low; but PI4P5K
isoforms are stimulated by a variety of factors, several of which
are involved in phagocytosis. RhoA and Rac1 can physically
associate with PI4P5K and stimulate its activity (101). In
addition, PA, the product of PLD activity, is also an agonist of
PI4P5K activity (101) (Fig. 1). Because these stimulants
accumulate in the vicinity of activated receptors, it is quite
likely that although present throughout themembrane, PI4P5Ks
become selectively activated in the early phagosomal cup,
explaining the observed accumulation of PI(4,5)P2.
Transfection of inactive mutants of PI4P5K prevented the
accumulation of the PH-PLCd probe at the base of forming
phagosomes (113). More importantly, interference with
PI4P5K activity inhibited phagocytosis as a consequence of
impaired actin polymerization and also possibly by arresting
other signaling pathways (113). PI(4,5)P2 can be hydrolyzed to
generate the second messengers inositol-1,4,5-triphosphate
(IP3) and DAG, whichmobilize calcium stores and activate PKC,
respectively (Fig. 1). Hydrolysis of PI(4,5)P2 was observed
shortly after the initial phase of accumulation (Fig. 2).
Dissociation of the PH-PLCd probe, indicative of elimination
of PI(4,5)P2, was observed even before closure was completed,
first around the base of the phagocytic cup and then throughout
the pseudopods. Disappearance of PI(4,5)P2 likely results, in
part, from PLCg-mediated degradation (Fig. 1). PLCg1 is
recruited to the phagocytic cup through its SH2 domain, and
disruption of PLC function by the inhibitor U73122 prevents
the loss of PI(4,5)P2 (96, 108).
The elimination of PI(4,5)P2 at the time of sealing appears to
be required for successful completion of phagocytosis (Fig. 2).
Treatment with U73122 obliterated particle ingestion (96,
114). Although PLCg2, a highly expressed isoform in
hematopoietic cells, was also observed at the phagocytic cup
Yeung & Grinstein � Phospholipids and phagocytosis
26 Immunological Reviews 219/2007
(108), macrophages lacking this enzyme perform phagocytosis
normally (115). As in other systems, isoform redundancy may
explain these observations. One of the main functions of PLC-
mediated PI(4,5)P2 hydrolysis is to direct the depolymerization
of the actin meshwork originally accumulated at the forming
phagosome. Indeed, inhibition of PLC activity resulted in
persistent actin accumulation and the inability to complete the
particle internalization process (114).
Another consequence of PI(4,5)P2 hydrolysis is the gener-
ation of IP3 and DAG. The role of IP3 in releasing calcium from
the lumen of the ER is well entrenched, and the occurrence of
calcium transients during phagocytosis has been documented
extensively and is not discussed further. DAG, the other product
of the hydrolysis reaction, can be visualized by the C1 domain of
PKCd, which in resting cells accumulates in a juxtanuclear
organelle, likely the Golgi complex (116). Interestingly, in
macrophages undergoing phagocytosis, the C1-PKCd probe
was recruited to the forming phagosomal membrane and
lingered there for only about 1 min after sealing (108) (Figs 1
and 2). As anticipated, the generation of DAG on the phagosomal
membrane was inhibited by the PLC inhibitor U73122,
implying generation from hydrolysis of PI(4,5)P2 (108).
DAG could conceivably have direct and indirect effects on
phagocytosis. Because of its very small polar head group, DAG is
a type II, cone-shape lipid that can induce negative (concave)
curvature on lipid bilayers, promoting fluidization or disorder
(117). For these reasons, DAGmay facilitatemembrane bulging
and fission. However, the biological effects of DAG are more
likely to be indirect, mediated in large part by its ability to
recruit proteins with C1 domains. These include various
isoforms of PKD, chimaerins, RasGRP, and DAG kinases.
Virtually, nothing is known about these proteins with regards
to phagocytosis. In contrast, a great deal of effort has been
devoted to study another group of C1-domain-bearing
proteins, namely the classical and novel isoforms of PKC. Of
these, most is known about PKCe, thanks to the work of
Lennartz and her group (34). PKCe, through its regulatory
region that includes the C1 domain, is recruited to the forming
phagosome. Competitive displacement of the full-length kinase
using a truncated, kinase-deficient mutant, reduced particle
uptake by approximately 50%, indicating an essential func-
tional role for PKCe. It is noteworthy that a related isoform,
PKCd, that contains an analogous C1 domain failed to be
recruited under identical circumstances, which suggests the
existence of other isoform-specific binding determinants (34).
In contrast, PKCdwas prominent on the membrane of Chlamydia
inclusion vacuoles (118), which bear some similarities to
phagosomes. The target(s) of PKC isoforms and the manner by
which they influence the formation and/or the maturation of
phagosomes are not clearly defined and merit future study.
Phosphatidylinositol 3,4,5-trisphosphate
PI(3,4,5)P3 is a rare phosphoinositide produced by the
phosphorylation of PI(4,5)P2 by class I PI3K. The PI(3,4,5)P3content of cells, which is minimal at rest, increases noticeably
on stimulation by growth factors, chemoattractants, and other
agonists, including ligands of phagocytic receptors. The
appearance, distribution, and fate of PI(3,4,5)P3 can be
monitored in live cells using fluorescently tagged protein
domains that specifically bind to its head group. One such
chimeric construct, consisting of the PH domain of Akt fused to
green fluorescence protein has been used to record the de novo
synthesis of PI(3,4,5)P3 during phagosome formation (109).
The specificity of this construct is imperfect as it also attaches to
PI(3,4)P2 that can be formed by dephosphorylation of
PI(3,4,5)P3 at position 5 or by phosphorylation of PI(4)P on
its position 3, a reaction favored by class II PI3K. Other PH
domains, such as those of Grp1 or Bruton’s tyrosine kinase, are
more specific for PI(3,4,5)P3 but less sensitive than that of Akt.
Use of such fluorescent probes showed that PI(3,4,5)P3becomes markedly accumulated at the cup shortly after
engagement of phagocytic receptors and persists for about
1 min in the newly formed sealed phagosome (109) (Figs 1 and
2). Experiments using cells derived from knockout mice
indicated that class I PI3K is required for this accumulation.
The catalytic p110 subunit of PI3K is associated with a p85
regulatory subunit, which is responsible for targeting of the
complex to the forming phagosome through the interaction of
its SH2 domain with phosphotyrosine residues on activated Syk
(109, 119) (Fig. 1).
Inhibitors of PI3K have been used to evaluate whether
PI(3,4,5)P3 formation is important for phagosome formation
and/or maturation. Interestingly, inhibitors such as wortman-
nin or LY294002 inhibited only the internalization of large
particles (�3 mm in diameter) but affected smaller particles
minimally (120, 121). Moreover, even in the case of large
particles, where phagocytosis was impaired, inhibition of PI3K
did not prevent actin polymerization (120). This result suggests
that class I PI3K likely contributes to membrane remodeling
processes that support the extension of the pseudopods. Indeed,
electron micrographs clearly showed that in wortmannin-
treated cells, incipient pseudopods did form but were unable to
extend sufficiently to surround the prey particle (122). That
delivery of endomembrane vesicles is required for completion
of phagocytosis of large particles was confirmed by electro-
physiological capacitance measurements that showed a net
Yeung & Grinstein � Phospholipids and phagocytosis
Immunological Reviews 219/2007 27
increase in the area of the plasma membrane during
phagocytosis, as opposed to the decrease that would be
anticipated from simple invagination and vacuolar fission
(123). In addition to its possible role in membrane delivery to
sites of phagocytosis, PI(3,4,5)P3 was also found to be
necessary for the recruitment of myosin X to the phagocytic
cup. Myosin X, a motor protein, is necessary for cell spreading
on IgG-coated substrates and is likely to propel pseudopod
extension and/or close the mouth of open phagosomes in
a purse-string fashion to seal them (124).
The termination of PI(3,4,5)P3-mediated signaling is
important for the timely completion of engulfment. Elimina-
tion of PI(3,4,5)P3 formed on the phagosomal membrane has
been shown to be dependent on the activity of the SH2-
domain-containing inositol 5#-phosphatase (SHIP) (125, 126).
SHIP isoforms have been shown to associate with both the
ITAM and the immunoreceptor tyrosine–based inhibition
motif (ITIM) region of Fcg receptors and are therefore prime
candidates for the dephosphorylation of PI(3,4,5)P3 imme-
diately after phagocytosis is completed. Silencing the gene
encoding SHIP resulted in enhanced Rac activation during Fcgreceptor clustering (127), suggesting that PI(3,4,5)P3 is
required for the maintenance of Rac activation and actin
assembly. However, inhibition of PI3K by LY294002 resulted
in prolonged Rac activation at the phagosomal membrane,
indicating that PI(3,4,5)P3 may also be required for activation
of a Rac-GTPase-activating protein (GAP) that deactivates Rac1
(unpublished results). Interestingly, Beemiller et al. (128)
reported a similar PI3K-dependent inactivation of Arf6 during
phagocytosis, suggesting that PI(3,4,5)P3 may play a more
general role in the termination of GTPase signaling.
Phosphatidylinositol 3-phosphate
PI(3)P is commonly found on the outer (cytosolic) leaflet of
early endosomes and in the internal vesicles of multivesicular
endosomes. This rare phosphoinositide can be generated
through phosphorylation of PI by the class III PI3K, Vps34; by
dephosphorylation of PI(3,5)P2 by 5 phosphatases; or by
sequential dephosphorylation of PI(3,4,5)P3 by 4 and 5
phosphatases (129, 130) (Fig. 3). PI(3)P can be visualized
using probes consisting of two tandem FYVE (Fab1/YOTB/
Vac1/EEA1)domains or the phox (PX) domain tagged with
a fluorophore, by a strategy like that described previously for
other phosphoinositides. In macrophages, PI(3)P was observed
on early endosomes and also on early phagosomes (44, 109).
Microinjection of inhibitory antibodies indicated that phag-
osomal PI(3)P originated from the phosphorylation of PI by
Vps34 (2).
PI(3)P was not readily detectable at the phagosomal cup but
became very apparent about 1 min after the phagosome sealed
(Figs 3 and 4). This observation suggests that PI(3)P is not
important in phagosome formation but may instead play a role
during maturation. Accordingly, Vps34-inhibitory antibodies
were without effect on particle internalization. In contrast,
inhibition of PI(3)P production, whether using antibodies or by
addition of wortmannin immediately after particle engulfment,
prevented fusion of the phagosome with late endosomes/
lysosomes (44, 109). The block of phagosome maturation may
be as a result of the reduced accumulation of the FYVE-domain-
containing protein early endosomal autoantigen 1 (EEA1). In
addition to a FYVE domain, EEA1 possesses two Rab5 binding
domains that are thought to mediate homotypic fusion of early
endosomes (131). Recruitment of Rab5 to endosomes and
phagosomes occurs independently of PI(3)P, and in fact,
elimination of PI(3)P, which inhibits the recruitment of EEA1,
enhanced and prolonged the association of Rab5 with
phagosomes (132).
In addition to its effects on EEA1 and Rab5, wortmannin
treatment significantly reduced the acquisition of the hepato-
cyte growth factor-regulated tyrosine kinase substrate (Hrs) by
the phagosome (133). Hrs is known to interact with the ESCRT
complex to generate MVBs and is also involved in phagosome
maturation (Fig. 3). siRNA directed against Hrs inhibited the
acquisition of LBPA by phagosomes and prevented their luminal
acidification (133). Combined together, these results provide
strong evidence of a role for PI(3)P in phagosome maturation
through the recruitment of various effectors that recognize the
head group of this inositide. How these interactions orchestrate
the fusion of the phagosome with late endosomes and
lysosomes remains to be clarified.
Because of its central role in the early stages of maturation,
PI(3)P is targeted by some pathogens in an attempt to subvert
phagolysosome formation and avoid being killed by macro-
phages. One such pathogen is M. tuberculosis. Vergne et al.
(134) reported that M. tuberculosis secrete a phosphoinositide
3-phosphatase (SapM) on internalization by macrophages.
These investigators found that SapMwas capable of reducing the
levels of PI(3)P on the phagosomal membrane, thereby
contributing to the maturation arrest (134). It is not obvious
how the phosphatase, which is presumably secreted into the
lumen of the phagosome, reaches its cytosolic face where
PI(3)P resides. Nevertheless, it is clear that elimination of the
phosphoinositide could readily explain the inability of
phagosomes to fuse with lysosomes.
In addition to its role in mediating phagosome maturation,
PI(3)P has been shown recently to be critical in the activation of
Yeung & Grinstein � Phospholipids and phagocytosis
28 Immunological Reviews 219/2007
the NADPH oxidase assembled on the phagosome. Two groups
reported simultaneously that unlike the respiratory burst
elicited at the surface membrane by soluble agonists, the
activation triggered by particulate stimuli required the presence
of the p40 subunit of the NADPH oxidase (135, 136). The p40
subunit is characterized by the presence of a PX domain that
binds with high affinity and selectivity to PI(3)P. Although the
precise mode of action of p40 is not yet clear, it is likely that its
recruitment to the phagosomal membrane is required to
maintain all the necessary subunits in the active configuration
on the phagosomal membrane. After being recruited to the
phagosome by PI(3)P, p40 may fulfill the role normally played
by components like Rac, which are unlikely to remain
associated with the vacuole after sealing (see section on surface
charge subsequently).
Is lipid diffusion limited by a barrier during phagocytosis?
A striking feature of the particle ingestion process is the highly
restricted distribution of some of the products of phosphoi-
nositide metabolism; several lipid species are seen exclusively
at the cup, whereas others are selectively eliminated from this
area, despite its apparent physical continuity with the
remainder of the plasma membrane. Thus, when visualized
using the PH domain of Akt, PI(3,4,5)P3 and/or PI(3,4)P2form in the patch of membrane subtending the engaged
particle, yet are never seen to extend to the immediately
neighboring, unengaged plasma membrane (137) (Fig. 1).
Similarly, the reduction of PI(4,5)P2 seen to occur at the
phagocytic cup was not replenished by lateral diffusion of
undegraded lipid from the rest of the plasma membrane
(108) (Fig. 1). These standing gradients often last for
minutes. Several mechanisms could potentially explain these
observations. One possibility is that the lipids generated
locally by enzymes associated with the phagocytic receptor
complex are continuously and rapidly degraded by phospha-
tases or lipases as they reach the outer edge of the cup. Such
a ‘focal source-peripheral degradation’ model would require
preferential distribution of the degradative enzymes at the rim
of the cup or at least their presence in the unengaged
membrane. In the case of PI(3,4,5)P3, hydrolysis is
principally mediated by SHIP and PTEN; yet, neither one of
these was accumulated at the edge or outside the cup. In fact,
although PTEN appeared to have a diffuse cytosolic distribu-
tion, SHIP was concentrated at the cup itself (137). Hence, no
direct evidence exists to date to support the focal source-
peripheral degradation model. Alternatively, the lipids could
be immobilized through their association with components
of the Fcg receptor signaling complex, as they coalesce into
microdomains on clustering. Using lipid-anchored fluores-
cent proteins as probes to assess lateral mobility in the plane of
the membrane, it was found that diffusion was significantly
reduced at the phagocytic cup compared with the bulk plasma
membrane, and interestingly, the effect was particularly
noticeable for the inner and not the outer leaflet of the
membrane (138). These observations are consistent with
direct binding of some lipids to the receptor complex; but
other explanations are possible. The lipids could be trapped
within the phagocytic cup by a diffusional barrier, perhaps
analogous to the tight junctions of polarized epithelial cells,
which could serve as a fence to constrain lipid exchange across
the boundary of the cup. In this case, we envisage the barrier
to form at the edge of the advancing pseudopods and to
consist of integral membrane components maintained in an
orderly structure through interactions with the underlying
cytoskeleton. Clearly, much additional study is necessary to
understand the mechanism responsible for the formation of
standing lipid gradients in phagocytic cells.
Surface charge, phospholipids, and phagocytosis
The plasma membrane is rich in anionic phospholipids (15–
20 mol%), the majority of which are preferentially distributed
to the inner leaflet (99, 139). This distinctive composition
confers a uniquely negative surface charge to the cytosolic
aspect of the cell membrane. Although monovalent anionic
phospholipids, primarily PS and PI, contribute most of this
surface charge, the polyvalent anionic phosphoinositides,
PI(4)P, PI(4,5)P2, and possibly PI(3,4,5)P3, may also play an
important role, inasmuch as they may be laterally sequestered
into microdomains by polycationic peptides (37, 140). The
accumulation of negative charges on the inner leaflet creates an
electric field equivalent to 105 V/cm that strongly attracts
cationic molecules, including inorganic ions and peptides or
proteins with clusters of cationic residues (141, 142) (Fig. 5).
This electrostatic attraction is effective within the Debye length
(estimated to approximate 1 nm) and, as described by the
Gouy–Chapman theory, is directly proportional to the surface
charge density and inversely proportional to the ionic strength
(141) (Fig. 5). The surface potential is different from the
transmembrane potential, which is largely an electrodiffusional
(Nernst) voltage generated by the differential permeability of
the membrane to inorganic ions. Transmembrane proteins,
such as ion channels, are sensitive to the combined surface and
Nernst potentials, whereas peripheral proteins are only
subjected to the surface potential on their side of the bilayer
(Fig. 5).
Yeung & Grinstein � Phospholipids and phagocytosis
Immunological Reviews 219/2007 29
The negative surface charge on the inner leaflet of the plasma
membrane is important for the targeting of many intracellular
signaling proteins. Peripheral proteins including the myristoy-
lated alanine-rich C-kinase substrate (MARCKS), c-Src, K-Ras,
and Rac1 contain a cationic motif that is necessary for their
electrostatic attachment to the inner leaflet of the plasmalemma
(143–147). Mutations that reduce or eliminate the charge of
such cationic regions cause dissociation of the proteins from the
inner aspect of the membrane (144–146, 148). It is interesting
that the electrostatic interaction with the membrane depends
neither on the structure of the cationic motif nor on the
particular type of anionic phospholipids. Thus, mutations that
alter the original sequence yet preserve the net cationic charge
of the region have no effect on the localization of the protein
(144–146, 148, 149). However, the cationic motif by itself
appears to be insufficient for polypeptides to localize to the
plasma membrane. It has become apparent that cationic motifs
of membrane-targeted proteins are usually located close to an
acylated or a prenylated moiety (e.g. a myristoyl or a farnesyl
tail) that is important in membrane targeting. Successful
anchorage therefore seems to require two independent
components: an electrostatic interaction and partitioning of
a hydrophobic tail into the bilayer. This ‘coincidence detector’
mechanism ensures that proteins intended to bind to the inner
aspect of the plasma membrane are not mistargeted to other
(non-membranous) polyanionic structures, like DNA.
Because both components of the coincidence detector are
required for successful anchorage, changes in the electrostatic
interaction can alter membrane localization. Modulation of the
net charge of the polypeptide or changes in the surface charge of
the membrane could release bound polypeptides, thereby
operating as binary electrostatic switches, an idea originally
proposed by McLaughlin and Aderem (143). In this manner,
electrostatics could provide a new dimension to the regulation
of a large number of GTPases and of transmembrane proteins
with juxtamembrane cationic domains (150–153).
There are several imaginable ways to toggle the electrostatic
switch. One is to alter the net charge of the bound protein
through phosphorylation of residues in the immediate vicinity
of the cationic motif. In this regard, it has been shown that
phosphorylation of serine and/or threonine residues within the
cationic domain of K-Ras, MARCKs, and the MAPK cascade
scaffold protein Ste5 cause their dissociation from the
membrane (153–155). A secondmechanism involves regulated
ligation of a polyanionic protein to (or near) the polycationic
motif, altering the net charge of the complex. The calcium-
dependent binding of calmodulin, which is polyanionic, has
been documented to promote detachment of K-Ras, MARCKs,
and a juxtamembrane peptide of the epidermal growth factor
receptor from the membrane (155–157). Alternatively, instead
of modifying the protein, the electrostatic change may take
place at the membrane. Metabolism of anionic phospholipids
on the inner leaflet could similarly cause dissociation of cationic
proteins from the plasma membrane. This possibility had not
been contemplated until recently, partly because of the paucity
of information about the surface charge of the inner aspect of
the plasma membrane and of endomembranes in general.
Because extensive phospholipid remodeling occurs during
phagocytosis, as described previously, we decided to explore
whether particle ingestion is accompanied by changes in the
surface charge on the phagosomal membrane. Fast-response
dyes like aminonaphthylethenylpyridinium had been used for
measurements of the outer surface potential of the plasma
membrane. However, this type of probe cannot be selectively
delivered to desired intracellular targets and exhibit very small
fluorescence increments in response to potential changes
(�10% change in fluorescence per 100 mV) and are therefore
Fig. 5. Surface potential attracts cationic molecules to the inner
leaflet of the plasma membrane. Accumulation of anionic phospho-lipids on the inner leaflet of the plasma membrane leads to generationof a negative surface potential (fsurface) within the Debye layer(approximately 1 nm). The surface potential is directly proportional tothe surface charge density and inversely proportional to the ionicstrength of the cytosol. This potential attracts cations and macro-molecules with polybasic motifs. A smaller surface potential is alsothought to exist on the outer surface because of the accumulation ofnegatively charged glycolipids and proteins. Superimposed on thesesurface potentials is an electrodiffusional (Nernst) potential caused byan imbalance in the transmembrane ionic composition and thedifferential ionic conductance of the membrane. Although peripheralproteins are affected by the surface potential on the inner leaflet, theyare not affected by the transmembrane (Nernst) potential. Trans-membrane proteins are sensitive to the combined effects of surface andtransmembrane potential.
Yeung & Grinstein � Phospholipids and phagocytosis
30 Immunological Reviews 219/2007
not applicable to the study of other surface potentials (158).
This limitation prompted us to develop probes to measure the
charge of the inner surface of the plasmamembrane. Our design
was based on the known properties of K-Ras, which
accumulates on the inner leaflet of the plasmalemma by virtue
of its C-terminal farnesylation and neighboring polycationic
motif. The isolated C-terminal hypervariable region of the
protein behaves similarly. Because posttranslational modifica-
tion such as phosphorylation and ubiquitylation could
potentially alter the membrane localization of the C-terminal
tail of K-Ras, all lysine residues were mutated to arginine, and
the intervening serine/threonine residues that are prime targets
of phosphorylation were replaced with alanine. Covalent
attachment of fluorescent moieties enabled us to monitor the
distribution of the probes bymicroscopy or spectrofluorimetry.
The resulting cationic probe, designated R-pre for arginine (R)
and prenylation, was capable of sensing surface charge changes
both in vitro and inside live cells (31). Two other coincidence
detector probes, designed based on the same principles as R-
pre, behaved similarly.
We proceeded to apply these probes to the measurement of
surface charge during the course of phagocytosis in live
macrophages. Drastic and very acute changes in the distribution
of R-pre were seen to occur during the course of phagocytosis,
and similar observations were made using the two other surface
charge probes. The redistribution of the probes was indicative
of a sudden drop in the negativity of the inner leaflet of the
phagosomal membrane, whereas the unengaged (bulk) plasma
membrane remained unaffected (31). The change in chargewas
correlated with the metabolism of phosphoinositides, specif-
ically with the sharp drop in the content of PI(4,5,)P2 (108).
We also obtained preliminary indications that the PS content of
the phagosomal membrane may have decreased; but caution
must be exercised when interpreting these results, which were
obtained using probes that required fixation, permeabilization,
and, in one case, elevation of calcium, manipulations that may
have altered lipid architecture.
Regardless of whether PS contributes to the drop in surface
charge, these surprising findings imply that receptor-mediated
stimulation of lipid metabolism can alter the net anionic charge
of the membrane. Such alterations can have important
consequences on the localization of surface-charge-sensitive
signaling proteins, which in turn can affect their activity. The
loss of negativity observed during the course of phagosome
formation is expected to cause the redistribution of K-Ras, the
original farnesylated and polycationic protein after which the
surface charge probes were patterned, and other GTPases that
are anchored by similar motifs. In accordance with this
prediction, full-length K-Ras detached quantitatively from the
membrane of the nascent phagosome, whereas the closely
related H-Ras did not (31). The latter is anchored to the
membrane hydrophobically through a dual acylation motif and
hence is insensitive to the charge of the inner leaflet.
Perhaps more importantly, Rac1 was also found to be
released from the phagosomal cup as the lipids remodeled and
the charge fell. Rac1, which initiates actin assembly that drives
pseudopod projection during phagocytosis, also displays a C-
terminal polycationic motif. However, unlike Ras isoforms,
inactive (GDP bound) Rac1 exists in a soluble form, forming
a complexwith GDI proteins (Fig. 6i). Only the active guanosine
triphosphate (GTP)-bound form is thought to be membrane
associated. Partition to and from the membrane is convention-
ally thought to be dictated by guanine nucleotide exchange
factors (GEFs) and GAPs, respectively (Fig. 6iii,v). Accordingly,
constitutively active mutants of Rac1 that are permanently
associated with GTP fail to associate with GDI and reside at the
membrane. Of all the cellular membranes, active Rac1 chooses
to partition almost exclusively at the plasma membrane, which
we attribute to the preferential interaction between its
polycationic tail and the uniquely negative inner leaflet of the
plasmalemma. Importantly, even the constitutively active
mutant form of Rac1 was released from the membrane during
phagocytosis, in parallel with the probes of surface charge (31)
(Fig. 6iv). Because this mutant is permanently associated with
GTP, detachment from the membrane cannot be attributed to
either GAP stimulation or termination of GEF activity. These
results raised the possibility that changes in the lipid
composition of the target membrane may be a major
determinant of the localization and therefore of the activity of
not only Rac1 but also other GTPases with polycationic
targeting motifs. This new layer of control would operate
independently of the state of nucleotide binding of the GTPase.
Charge-dependent control of GTPase activity may occur not
only at the level of release from the membrane but may be
critical also for their recruitment and activation. Indeed, it was
shown recently that Rho-family proteins in their GDP-bound
form can be released from their association with GDIs and bind
to membranes (159, 160) (Fig. 6ii). Using an in vitro assay,
Ugolev et al. (160) showed that Rac1-GDP detached from the
Rac1–RhoGDI complex and partitioned into anionic but not
neutral liposomes. This charge-driven transfer reaction may in
fact be required for the GEFs to access the GTPase (Fig. 6ii,iii).
Crystallographic analysis has shown that GDIs bind not only to
the geranylgernayl tail of the Rho proteins but also to residues in
the switch I and switch II domains, regions of the GTPase that
need to be accessed by the GEFs to exert nucleotide exchange
Yeung & Grinstein � Phospholipids and phagocytosis
Immunological Reviews 219/2007 31
(161). Detachment of the GDP-bound form of the Rho proteins
from the GDI may therefore be conducive if not an essential
preliminary step for their interaction with GEFs (Fig. 6ii,iii). In
support of this concept, the GDP-to-GTP exchange mediated by
the GEF Tiam1 occurs 10 times more rapidly when its target,
Rac1, is bound to liposomes than when it is complexed with
RhoGDI (159). Therefore, for GTPases with a cationic targeting
motif, the negative surface charge of the membrane may
function as the elusive GDI-displacement factor (161) (Fig. 6ii).
The phagosomal membrane undergoes additional extensive
remodeling during the course of maturation to phagolyso-
somes. Phospholipids such as PI(3)P and LBPA, which are not
present in the plasmalemma or nascent phagosome, appear
transiently in maturing phagosomes. PI(3)P may in turn be
converted to PI(3,5)P2 by PIKfyve; but this has not been shown
directly (Figs 3 and 4). For the most part, however, the precise
composition and sidedness of the lipids of maturing phag-
osomes have not been studied, and there is little evidence
therefore to predict the surface charge of the different stages of
the phagosome. Use of probes like R-premay provide ameasure
of the negativity of these membranes andwill suggest what type
of proteins can interact with them electrostatically.
Concluding remarks and future directions
The lipid distribution of the plasma membrane is highly
asymmetrical, and this asymmetry impacts on the initiation and
development of the phagocytic response. In addition to the
specific role each lipid species plays in recognizing and
recruiting ligands, they act jointly by generating a sizable
surface charge that attracts polycationic ligands electrostatically,
with less structural selectivity. The extent to which each lipid
species contributes to this charge is the subject of debate, with
some groups favoring the polyphosphoinositides (151),
whereas others believe that the very abundant PS and PI must
contribute importantly, despite being monovalent. Although
Fig. 6. Surface charge as a binary regulator of Rho GTPases. (i) Rhofamily GTPases in the GDP-bound state are retained by GDIs in thecytosol. (ii) Rho proteins are occasionally released from the Rho–GDIcomplex and tend to partition onto the plasma membrane as a result ofthe electrostatic interaction between their C-terminal polybasic motifand the negative surface charge on the inner leaflet of theplasmalemma. In this way, surface charge acts as the putative GDF thatpromotes the dissociation of Rho proteins from GDIs and facilitatestheir association with membranes. (iii) Membrane-anchored Rhoproteins in the GDP state can be activated by exchange factors (GEFs),
converting into GTP-bound species that associate with and activate theirrespective effectors. (iv) Membrane and lipid remodeling events duringthe internalization process alter drastically the surface charge on thephagosome, leading to the net loss of negative charge, which in turninduces dissociation of Rho proteins from the phagosome, regardless oftheir nucleotide-binding status. As such, surface charge functions as anelectrostatic switch or binary regulator of Rho GTPases or otherpolycationic ligands. (v) Activated (GTP bound) Rho proteins may alsobe deactivated by GAPs, thereby reentering an equilibrium that favorstheir retention in the cytosol by GDIs.
Yeung & Grinstein � Phospholipids and phagocytosis
32 Immunological Reviews 219/2007
considerably less abundant, the polyphosphoinositides may
weigh disproportionately if they congregate in islands, a phe-
nomenon that has been suggested to occur in the presence of
polyvalent cationic ligands (37, 140).
Althoughmuch has been learned about lipid distribution and
dynamics in recent years, enormous gaps exist in our
understanding. The development of non-invasive probes in
conjunction with ever more sensitive and quantitative imaging
methods has afforded a new window into the biochemistry and
physiology. However, the availability of probes is still limited,
and some crucial lipids have not been investigated at all. Notable
among these is PS, a major component that serves both the
apoptotic targets and the phagocytic cells to complete the
ingestion process. Ongoing work from several groups,
including our own, may soon yield useful probes to better
monitor and understand the biological life of PS.
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