Apoptotic extracellular vesicle formation via local phosphatidylserine exposure drives efficient cell extrusion.

Cell extrusion is a universal mode of cell removal from tissues, and it plays an important role in regulating cell numbers and eliminating unwanted cells. However, the underlying mechanisms of cell delamination from the cell layer are unclear. Here, we report a conserved execution mechanism of apoptotic cell extrusion. We found extracellular vesicle (EV) formation in extruding mammalian and Drosophila cells at a site opposite to the extrusion direction. Lipid-scramblase-mediated local exposure of phosphatidylserine is responsible for EV formation and is crucial for executing cell extrusion. Inhibition of this process disrupts prompt cell delamination and tissue homeostasis. Although the EV has hallmarks of an apoptotic body, its formation is governed by the mechanism of microvesicle formation. Experimental and mathematical modeling analysis illustrated that EV formation promotes neighboring cells' invasion. This study showed that membrane dynamics play a crucial role in cell exit by connecting the actions of the extruding cell and neighboring cells. [Display omitted] • EV is formed in extruding cells with a spatiotemporally regulated manner • EV formation drives efficient extrusion by creating space for the nearby cell invasion • Localized phosphatidylserine exposure is involved in EV formation • EV has hallmarks of both apoptotic body and microvesicle Kira et al. show the mechanism underlying cell exit from a cell layer during cell extrusion, a conserved mode of demise in epithelial cells. Localized extracellular vesicle (EV) formation via phosphatidylserine exposure drives efficient cell extrusion by making space for neighboring cells' invasion. [ABSTRACT FROM AUTHOR]