Experimentally aged erythrocytes are phagocytosed by macrophages after 4N1K binding. (A) Aging of fresh erythrocytes in combination with 4N1K peptide incubation induces phagocytosis by differentiated THP-1 cells (n = 3). (B) Phase-contrast image of primary human red pulp macrophages. Arrowheads indicate the erythrocytes still associated with the red pulp macrophages on isolation. (C) Expression of SIRPĪ± on primary human red pulp macrophages, as detected by flow cytometry. (D) Aging of fresh erythrocytes in combination with 4N1K peptide incubation induces phagocytosis by primary human red pulp macrophages (n = 2). ns indicates not significant. *P < .05; **P < .01; ***P < .001.