Macrophages modulate stiffness-related foreign body responses through plasma membrane deformation
Open accessAbstract
Implants are widely used in medical applications and yet macrophage-mediated foreign body reactions caused by implants severely impact their therapeutic effects. Although the extensive use of multiple surface modifications has been introduced to provide some mitigation of fibrosis, little is known about how macrophages recognize the stiffness of the implant and thus influence cell behaviors. Here, we demonstrated that macrophage stiffness sensing leads to differential inflammatory activation, resulting in different degrees of fibrosis. The potential mechanism for macrophage stiffness sensing in the early adhesion stages tends to involve cell membrane deformations on substrates with different stiffnesses. Combining theory and experiments, we show that macrophages exert traction stress on the substrate through adhesion and altered membrane curvature, leading to the uneven distribution of the curvature-sensing protein Baiap2, resulting in cytoskeleton remodeling and inflammation inhibition. This study introduces a physical model feedback mechanism for early cellular stiffness sensing based on cell membrane deformation, offering perspectives for future material design and targeted therapies.
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Other studies have reported opposite trends, with softer substrates promoting pro-inflammatory phenotypes or stiffer substrates promoting M2 polarisation.
“Conversely, other studies have reported opposite trends, highlighting the complexity of macrophage responses to substrate stiffness.”
From Soft tissue-mimicking hydrogel stiffness modulates polarisation of human monocyte-derived macrophages (2025) · cites this paper as [18]
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Foreign body reaction to biomaterials
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“Blakney et al. (18). and Sridharan et al. (19). demonstrated that increased stiffness promoted changes in macrophage polarization and migration patterns; conversely, another study demonstrated that stiffer substrates enhanced the anti-inflammatory polarization of macrophages (20).”
Self-citationModulation of foreign body reaction and macrophage phenotypes concerning microenvironment
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Coser, C., Ghaemmaghami, A. M., & Yang, J. (2025) · Biomaterials Science · doi:10.1039/d5bm01187f · Cited by 17 · see citing works
- Authors
- Ni, Y., Qi, H., Zhang, F., Jiang, S., Tang, Q., Cai, W., Mo, W., Miron, R. J., & Zhang, Y.
- Affiliations
- Wuhan University (CN)
- Corresponding author
- Zhang, Yufeng
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2023-01-10
- Volume
- 120
- Issue
- 3
- Pages
- e2213837120-e2213837120
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC9934070
- OpenAlex
- W4315436169
- Cited by
- 69
- References
- 7
- Citations by year
- 2026: 29 · 2025: 16 · 2024: 18 · 2023: 6
- FWCI
- 9.99
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- MOST | National Key Research and Development Program of China (2021YFC2400405)
- National Natural Science Foundation of China (82025011)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Cellular Mechanics and Interactions
- Physical Sciences › Engineering › Mechanical Engineering › Advanced Materials and Mechanics
- Health Sciences › Medicine › Surgery › Tissue Engineering and Regenerative Medicine
- Keywords
- macrophages, foreign body reaction, implant stiffness, cell membrane deformation, membrane curvature, BAIAP2, traction stress, cytoskeletal remodeling, inflammation, fibrosis, mechanotransduction, cell adhesion, substrate stiffness
- MeSH terms
- Cell Membrane, Fibrosis, Foreign-Body Reaction, Humans, Inflammation, Macrophages
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