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Macrophage Polarization Comes of Age
Open accessAbstract
Functional polarization of macrophages into M1 or M2 cells is an operationally useful, simplified conceptual framework describing the plasticity of mononuclear phagocytes. Genetic approaches have begun to shed new light on mechanisms underlying macrophage polarization and on the actual in vivo significance of polarized M2 cells ( [this issue of Immunity]).
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“In contrast, M2 macrophages are involved in polarized Th2 inflammatory reactions and characterized by expression of arginase-1 and mannose and scavenger receptors [19], [20].”
From Rac2 Controls Tumor Growth, Metastasis and M1-M2 Macrophage Differentiation In Vivo (2014) · cites this paper as [19]
In the citing paper
“M1 macrophages are IL-12high, IL-23high, IL-10low; produce high levels of inducible nitric oxide synthetase (iNOS); secrete inflammatory cytokines such as IL-1β, IL-6, and TNF; and are inducer and effector cells in Th1 type inflammatory responses [19].”
From Rac2 Controls Tumor Growth, Metastasis and M1-M2 Macrophage Differentiation In Vivo (2014) · cites this paper as [19]
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BackgroundMethodMacrophages, PPARs, and Cancer
Ginderachter, J. A. V., Movahedi, K., den Bossche, J. V., & BAETSELIER, P. D. (2008) · PPAR Research · doi:10.1155/2008/169414 · Cited by 54
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BackgroundXu, Y., Tang, X., Fang, A., Yan, J., Ocansey, D. K. W., Zhang, X., & Mao, F. (2022) · International Immunopharmacology · doi:10.1016/j.intimp.2022.108925 · Cited by 59
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BackgroundKlimchenko, O., Stefano, A. D., Geoerger, B., Hamidi, S., Opolon, P., Robert, T., Routhier, M., Benna, J. E., Delezoide, A., Boukour, S., et al. (2010) · Blood · doi:10.1182/blood-2010-07-295246 · Cited by 50
Involvement of CD11b+ GR-1low cells in autoimmune disorder in MRL-Faslpr mouse
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BackgroundInnate immune responses in central nervous system inflammation
Finsen, B., & Owens, T. (2011) · FEBS Letters · doi:10.1016/j.febslet.2011.05.030 · Cited by 50
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“11,25,26 In the majority of cases, the tumor microenvironment seems to polarize macrophages towards a pro-angiogenic phenotype, resulting in TAMs to be associated with a “bad” prognosis in most tumor models.”
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“[11] Mantovani A, Sica A, Locati M.”
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Macrophages Orchestrate Hematopoietic Programs and Regulate HSC Function During Inflammatory Stress
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“The concept of “polarization” was proposed to describe in vitro differentiated macrophages and classify distinct functional and phenotypic programs (39), though these programs are vastly more complicated and nuanced in vivo (40, 41).”
BackgroundMarengo, B., Bellora, F., Ricciarelli, R., Ciucis, C. D., Furfaro, A. L., Leardi, R., Colla, R., Pacini, D., Traverso, N., Moretta, A., et al. (2015) · BioFactors · doi:10.1002/biof.1243 · Cited by 44
“FIG 4 Domenicotti et al. 87 opposite results on ROS production and MMP9 expression in human promonocytic U937 cells [14].”
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Molina, E. R., Smith, B. T., Shah, S. R., Shin, H., & Mikos, A. G. (2015) · Journal of Controlled Release · doi:10.1016/j.jconrel.2015.08.038 · Cited by 44
“As discussed previously, macrophages possess the unique ability to switch phenotype based upon cues present in the microenvironment (the M1 versus M2 paradigm) [34,129].”
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Enhanced adiponectin actions by overexpression of adiponectin receptor 1 in macrophages
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“Macrophages are a heterogeneous and plastic population of phagocytic cells, which arise from circulating myeloid-derived blood monocytes, enter target tissues, and gain phenotypic and functional attributes partly determined by their tissue of residence [29].”
BackgroundWhole-cell MALDI-TOF MS: a new tool to assess the multifaceted activation of macrophages.
Ouédraogo, R., Daumas, A., Ghigo, E., Capo, C., Mege, J., & Textoris, J. (2012) · Journal of Proteomics · doi:10.1016/j.jprot.2012.07.046 · Cited by 44
“Such responses have been classified into M1 and M2 macrophage responses that are analogous to the model of Th1/Th2 lymphocyte polarisation [8–10].”
BackgroundLiu, H., Zhang, H., Hu, Q.-X., Liu, X., Wang, Z., Fan, J., Zhan, M., & Chen, F. (2012) · BioMed Research International · doi:10.1155/2012/867023 · Cited by 48
“These different phenotypes of macrophages were expressed in such a manner that macrophages display a balanced, integrated pattern of functions [14, 17].”
BackgroundChakraborty, P., Chatterjee, S., Ganguly, A., Saha, P., Adhikary, A., Das, T., Chatterjee, M., & Choudhuri, S. K. (2012) · Journal of Leukocyte Biology · doi:10.1189/jlb.0611287 · Cited by 41
“macrophages can perform a plethora of balanced and harmonious functions [5–7].”
BackgroundMacrophages and Platelets Are the Major Source of Protease Nexin-1 in Human Atherosclerotic Plaque
Mansilla, S., Boulaftali, Y., Vénisse, L., Arocas, V., Meilhac, O., Michel, J., Jandrot‐Perrus, M., & Bouton, M. (2008) · Arteriosclerosis Thrombosis and Vascular Biology · doi:10.1161/atvbaha.108.171389 · Cited by 53
Zhang, H., Shi, Y., Lin, C., He, C., Wang, S., Li, Q., Sun, Y. P., & Li, M. (2024) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1338918 · Cited by 40
“These polarized macrophages can be broadly categorized into two distinct types: M1 and M2, each assigned speci fi c functions (34).”
BackgroundGao, W., Jian-Xin, L. I. U., Liu, M., Yao, Y.-D., Liu, Z., Liu, L., He, H., & Zhou, H. (2021) · Pharmacological Research · doi:10.1016/j.phrs.2021.105563 · Cited by 47
Ravindran, S., Rasool, S., & Maccalli, C. (2019) · Cancer Microenvironment · doi:10.1007/s12307-019-00233-1 · Cited by 49
Zhang, P., Zhao, S., Wu, C., Li, J., Li, Z., Wen, C., Hu, S., An, G., Meng, H., Zhang, X., et al. (2018) · Immunotherapy · doi:10.2217/imt-2018-0012 · Cited by 44
Neu, C., Sedlag, A., Bayer, C., Förster, S., Crauwels, P., Niess, J. H., van Zandbergen, G., Frascaroli, G., & Riedel, C. U. (2013) · PLoS ONE · doi:10.1371/journal.pone.0066898 · Cited by 38
“Accordingly, M-MQ have PLOS ONE | www.plosone.org 8 June 2013 | Volume 8 | Issue 6 | e66898 anti-inflammatory capacity similar to M2 or alternatively activated macrophages, which can also be generated ex vivo from monocytes by incubation with IL-4 and/or IL-13 [8,12,34,35], and mimic resident tissue macrophages.”
BackgroundChen, W., Liu, J., Meng, J., Lu, C., Li, X., Wang, E., & Shan, F. (2012) · Cancer Immunology Immunotherapy · doi:10.1007/s00262-012-1240-6 · Cited by 48
“As described previously, macrophages can be functionally polarized into classically activated (M1) macrophages or alternatively activated (M2) macrophages [10, 11].”
BackgroundHou, Y., Witte, F., Li, J., & Guan, S. (2022) · Smart Materials in Medicine · doi:10.1016/j.smaim.2022.01.001 · Cited by 43
SS‐31 Protects Liver from Ischemia‐Reperfusion Injury via Modulating Macrophage Polarization
Shang, L., Ren, H., Wang, S., Liu, H., Hu, A., Gou, P., Lin, Y., Zhou, J., Zhu, W., & Shi, X. (2021) · Oxidative Medicine and Cellular Longevity · doi:10.1155/2021/6662156 · Cited by 44
“The activation of macrophages has two modes, classical activation (M1) and alternative activation (M2) [12].”
BackgroundWang, X., Guo, J., Yu, P., Guo, L., Mao, X., Wang, J., Miao, S., & Sun, J. (2021) · Journal of Experimental & Clinical Cancer Research · doi:10.1186/s13046-021-01840-x · Cited by 49
Mola, S., Pandolfo, C., Sica, A., & Porta, C. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21186866 · Cited by 48
“Macrophages are widely recognized for their exceptional plasticity, namely the ability to change their functional phenotype in response to the dynamic changes of microenvironmental signals [8].”
BackgroundThe TLR4–NOS1–AP1 signaling axis regulates macrophage polarization
Srivastava, M., Saqib, U., Naim, A., Roy, A., Liu, D., Bhatnagar, D., Ravinder, R., & Baig, M. S. (2016) · Inflammation Research · doi:10.1007/s00011-016-1017-z · Cited by 47
Sawyer, D. M., Amenta, P., Medel, R., & Dumont, A. (2015) · Mediators of Inflammation · doi:10.1155/2015/896283 · Cited by 42
“M1 macrophages are proinflammatory cells that are activated by interferon gamma (IFN-γ) and which produce reactive oxygen/nitrogen species and elaborate IL-1β, TNF-α, and IL-6 [45].”
BackgroundA transcriptional perspective on human macrophage biology
Schultze, J. L., Freeman, T. C., Hume, D. A., & Latz, E. (2015) · Seminars in Immunology · doi:10.1016/j.smim.2015.02.001 · Cited by 39
Equine cellular therapy—from stall to bench to bedside?
Burk, J., Badylak, S. F., Kelly, J., & Brehm, W. (2012) · Cytometry Part A · doi:10.1002/cyto.a.22216 · Cited by 43
“Although there are many variants of these phenotypes, the simplest concept includes the M1 (proinflammatory) macrophages and the M2 (regulatory, tissue remodeling) phenotypes (46,49,50).”
BackgroundMacrophages in Renal Development, Injury, and Repair
Williams, T. M., Little, M. H., & Ricardo, S. D. (2010) · Seminars in Nephrology · doi:10.1016/j.semnephrol.2010.03.011 · Cited by 44
Oxidative Stress, Inflammation, and the Corrosion of Metallic Biomaterials
Gilbert, J. L., & Kubacki, G. W. (2016) · Elsevier eBooks · doi:10.1016/b978-0-12-803269-5.00003-6 · Cited by 49
Roles of Macrophages and Their Interactions with Schwann Cells After Peripheral Nerve Injury
Wu, G., Wen, X., Kuang, R., Lui, K. H. W., He, B., Li, G., & Zhu, Z. (2023) · Cellular and Molecular Neurobiology · doi:10.1007/s10571-023-01442-5 · Cited by 49
“This process involves molecular networks, including post-transcriptional regulators, epigenetic mechanisms, transcription factors, and signaling molecules (Mantovani et al. 2005).”
Wang, X., Chen, S., Lu, R., Sun, Y., Song, T., Nie, Z., Yu, C., & Gao, Y. (2022) · Heliyon · doi:10.1016/j.heliyon.2022.e11495 · Cited by 41
“Macrophages differentiate into M1 phenotype pro-inflammatory cells and M2 phenotype anti-inflammatory cells under different environmental stimuli [28].”
BackgroundCCL22-Polarized TAMs to M2a Macrophages in Cervical Cancer In Vitro Model
Wang, Q., Sudan, K., Schmoeckel, E., Kost, B. P., Kühn, C., Vattai, A., Vilsmaier, T., Mahner, S., Jeschke, U., & Heidegger, H. H. (2022) · Cells · doi:10.3390/cells11132027 · Cited by 45
“Conversely, M2 macrophages are stimulated by Th2 factors and promote tumor growth [9].”
BackgroundYu, Y., Ke, L., Lv, X., Ling, Y., Lu, J., Hu, L., Qiu, W., Huang, X.-J., Liu, G., Li, W., et al. (2018) · Cancer Management and Research · doi:10.2147/cmar.s167071 · Cited by 56
“Tumor-associated macrophages (TAMs) are also major stromal components within tumors that exist as a heterogeneous population of cells derived from monocytes and are polarized into two functionally distinct forms, M1 and M2, in response to tissue microenvironments and/or inflammatory status.(16) CD68 has been widely us…”
Intravenous Immunoglobulin Promotes Antitumor Responses by Modulating Macrophage Polarization
Domínguez‐Soto, Á., Casas-Engel, M. D. L., Bragado, R., Medina‐Echeverz, J., Aragoneses-Fenoll, L., Martín‐Gayo, E., van Rooijen, N., Berraondo, P., Toribio, M. L., Moro, M. Á., et al. (2014) · The Journal of Immunology · doi:10.4049/jimmunol.1303375 · Cited by 42
“Microbe- derived factors, or cytokines like IFN-g, GM-CSF, or TNF-a, promote in macrophages the acquisition of proinflammatory, bactericidal, tumor-suppressive, and immunogenic activities, a process commonly referred to as classical or M1 polarization and whose hallmark is the ability to release large amounts of IL-12…”
BackgroundMethodInfluentialCurcumin alleviates immune‐complex‐mediated glomerulonephritis in factor‐H‐deficient mice
Jacob, A., Chaves, L., Eadon, M. T., Chang, A., Quigg, R., & Alexander, J. (2013) · Immunology · doi:10.1111/imm.12079 · Cited by 41
Ziraldo, C., Solovyev, A., Allegretti, A., Krishnan, S., Henzel, M. K., Sowa, G., Brienza, D. M., An, G. C., Mi, Q., & Yoram Vodovotz, B. (2015) · PLoS Computational Biology · doi:10.1371/journal.pcbi.1004309 · Cited by 34
“The complexity of the inflammatory response was increased by creating two subpopulations of activated macrophages, one with pro-inflammatory (M1 macrophages) and another with antiinflammatory (M2 macrophages) phenotype [28,29].”
BackgroundMethodKoyasu, S., & Moro, K. (2011) · Current Opinion in Allergy and Clinical Immunology · doi:10.1097/aci.0b013e3283448808 · Cited by 39
Metadata
- Authors
- Mantovani, Sica, & Locati, M.
- Affiliations
- University of Milan (IT)
- Corresponding author
- Mantovani,, Alberto
- Venue
- Immunity
- Publisher
- Elsevier BV
- Published
- 2005-10
- Volume
- 23
- Issue
- 4
- Pages
- 344-346
- ISSN
- 1074-7613 (ISSN-L)
- OpenAlex
- W1986736465
- Cited by
- 1,259
- References
- 0
- Citations by year
- 2026: 41 · 2025: 60 · 2024: 58 · 2023: 54 · 2022: 70 · 2021: 65 · 2020: 68 · 2019: 58 · 2018: 57 · 2017: 70 · 2016: 67 · 2015: 64 · 2014: 85 · 2013: 89 · 2012: 80
- FWCI
- 9.96
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (vor, 2846 d)
- doi.org/10.15223/policy-017 (stm-asf)
- doi.org/10.15223/policy-037 (stm-asf)
- doi.org/10.15223/policy-012 (stm-asf)
- doi.org/10.15223/policy-029 (stm-asf)
- doi.org/10.15223/policy-004 (stm-asf)
- Locations
- Immunity (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministero dell’Istruzione, dell’Università e della Ricerca
- Associazione Italiana per la Ricerca sul Cancro
- European Commission
- Ministero della Salute
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Life Sciences › Immunology and Microbiology › Immunology › Immune responses and vaccinations
- Life Sciences › Immunology and Microbiology › Immunology › Immune Response and Inflammation
- Keywords
- macrophage polarization, M1 macrophages, M2 macrophages, mononuclear phagocytes, macrophage plasticity
- MeSH terms
- Cell Differentiation, Macrophages
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