Macrophages phagocytose and clear extravasated blood cells after internal bleeding.
Is it true that macrophages phagocytose and clear extravasated blood cells after internal bleeding?
Yes. Multiple experimental and review studies confirm that macrophages and microglia actively phagocytose and clear extravasated blood cells following internal bleeding events such as intracerebral hemorrhage.
Verdict: SUPPORTED · 10 sources for, 0 against · Last checked
The retrieved papers consistently demonstrate across multiple models (intracerebral hemorrhage, stroke, and cardiovascular pathologies) that macrophages and microglia perform erythrophagocytosis and efferocytosis to clear extravasated blood cells and hematomas. There are no papers refuting this well-established biological function.
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Chang, C., Massey, J., Osherov, A., Costa, L. H. A. d., & Sansing, L. H. (2020). Bexarotene Enhances Macrophage Erythrophagocytosis and Hematoma Clearance in Experimental Intracerebral Hemorrhage. doi.org. https://doi.org/10.1161/strokeaha.119.027037
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Odaka, C., Mizuochi, T., Yang, J., & Ding, A. (2003). Murine Macrophages Produce Secretory Leukocyte Protease Inhibitor During Clearance of Apoptotic Cells: Implications for Resolution of the Inflammatory Response. doi.org. https://doi.org/10.4049/jimmunol.171.3.1507
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B, Z., Y, Z., Z, Y., K, J., Z, Z., S, C., X, Z., Q, W., & X, Z. (2024). Efferocytosis: the resolution of inflammation in cardiovascular and cerebrovascular disease.. doi.org. https://doi.org/10.3389/fimmu.2024.1485222
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Y, Z., Y, L., X, H., Y, Z., S, X., Y, F., Y, K., H, C., L, F., H, H., L, H., X, Y., J, W., L, J., J, H., X, F., H, Z., S, C., & L, W. (2025). Gut microbiota depletion accelerates hematoma resolution and neurological recovery after intracerebral hemorrhage via p-coumaric acid-promoted Treg differentiation.. doi.org. https://doi.org/10.7150/thno.113764
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Y, Z., P, H., M, C., Y, C., X, Z., X, H., & L, X. (2024). ATAT1 deficiency enhances microglia/macrophage-mediated erythrophagocytosis and hematoma absorption following intracerebral hemorrhage.. doi.org. https://doi.org/10.4103/1673-5374.382984
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MA, B., WA, B., & AE, M. (2023). Inflammatory Bowel Disease-Associated Colorectal Cancer: Translational and Transformational Risks Posed by Exogenous Free Hemoglobin Alpha Chain, A By-Product of Extravasated Erythrocyte Macrophage Erythrophagocytosis.. doi.org. https://doi.org/10.3390/medicina59071254
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S, W., X, J., R, M., & M, L. (2025). Potential Therapeutic Targets and Emerging Strategies to Promote Hematoma Resolution in Intracerebral Hemorrhage.. doi.org. https://doi.org/10.31083/rn46121
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J, W., M, L., Y, S., & S, W. (2026). The senescent niche hypothesis: microglial dysfunction and replacement strategies in drug-resistant epilepsy.. doi.org. https://doi.org/10.3389/fimmu.2026.1807871
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J, X., C, C., HY, Y., YY, Z., CR, W., X, X., H, P., DH, L., & Y, L. (2026). Reappraising heme oxygenase-1 as a ferroptosis modulator in atherosclerosis: a mechanism-focused review.. doi.org. https://doi.org/10.3389/fimmu.2026.1737751
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WF, H., CH, L., HY, H., CY, P., YF, W., TJ, L., PB, L., ST, T., CH, L., & HK, L. (2026). Immunoproteasome Inhibition Modulates Microglial Polarization to Facilitate Anti-Inflammatory Responses and Hematoma Resolution After Intracerebral Hemorrhage.. doi.org. https://doi.org/10.3390/cells15080664
What does the evidence say?
The retrieved papers consistently demonstrate across multiple models (intracerebral hemorrhage, stroke, and cardiovascular pathologies) that macrophages and microglia perform erythrophagocytosis and efferocytosis to clear extravasated blood cells and hematomas. There are no papers refuting this well-established biological function.
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