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CCR2 recruits an inflammatory macrophage subpopulation critical for angiogenesis in tissue repair
Open accessAbstract
Monocytes/macrophages are critical in orchestrating the tissue-repair response. However, the mechanisms that govern macrophage regenerative activities during the sequential phases of repair are largely unknown. In the present study, we examined the dynamics and functions of diverse monocyte/macrophage phenotypes during the sequential stages of skin repair. By combining the analysis of a new CCR2-eGFP reporter mouse model with conditional mouse mutants defective in myeloid cell-restricted CCR2 signaling or VEGF-A synthesis, we show herein that among the large number of inflammatory CCR2(+)Ly6C(+) macrophages that dominate the early stage of repair, only a small fraction strongly expresses VEGF-A that has nonredundant functions for the induction of vascular sprouts. The switch of macrophage-derived VEGF-A during the early stage of tissue growth toward epidermal-derived VEGF-A during the late stage of tissue maturation was critical to achieving physiologic tissue vascularization and healing progression. The results of the present study provide new mechanistic insights into CCR2-mediated recruitment of blood monocyte subsets into damaged tissue, the dynamics and functional consequences of macrophage plasticity during the sequential repair phases, and the complementary role of macrophage-derived VEGF-A in coordinating effective tissue growth and vascularization in the context of tissue-resident wound cells. Our findings may be relevant for novel monocyte-based therapies to promote tissue vascularization.
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“Recent studies have shown that Mp phenotypes change over the different phases of tissue repair and that the sequential appearance of these phenotypes may be required for efficient repair (11,14,29,49,50).”
From Sustained Inflammasome Activity in Macrophages Impairs Wound Healing in Type 2 Diabetic Humans and Mice (2014) · cites this paper as [11]
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“In addition, in spite of the reported potential of CCR2+ myeloid cells to influence angiogenesis (38), depletion of CCR2+ cells did not negatively affect vascular density, as measured by morphometric analysis of vascular areas identified by CD31 immunostaining and quantitative flow cytometry of CD45–CD31+ endothelial…”
BackgroundModeled vascular microenvironments: immune-endothelial cell interactions in vitro
Silberman, J., Jha, A., Ryan, H., Abbate, T., & Moore, E. (2021) · Drug Delivery and Translational Research · doi:10.1007/s13346-021-00970-1 · Cited by 20
Chen, L., Gao, Y., Li, Y., Wang, C., Chen, D., Gao, Y., & Ran, X. (2022) · Nature and Science of Sleep · doi:10.2147/nss.s382275 · Cited by 26
Myeloid Cell–Restricted STAT3 Signaling Controls a Cell-Autonomous Antifibrotic Repair Program
Do, N., Willenborg, S., Eckes, B., Jüngst, C., Sengle, G., Zaucke, F., & Eming, S. A. (2018) · The Journal of Immunology · doi:10.4049/jimmunol.1701791 · Cited by 20
“Macrophages were isolated from the peritoneal cavity by plastic adhesion or from bone marrow as described previously (5, 9, 10).”
BackgroundMethodInfluentialModulating Macrophage Phenotype by Sustained MicroRNA Delivery Improves Host‐Implant Integration
Lin, J., Mohamed, I., Lin, P. H., Shirahama, H., Milbreta, U., Sieow, J. L., Peng, Y., Bugiani, M., Wong, S. C., Levinson, H., et al. (2019) · Advanced Healthcare Materials · doi:10.1002/adhm.201901257 · Cited by 20
Ramadan, W. S. H., Zaher, D. M., Altaie, A. M., Talaat, I. M., & Elmoselhi, A. B. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21020565 · Cited by 24
Liu, G., Dai, Y., Fu, C.-Y., Lv, X., Qin, J., & Xie, J. (2025) · Drug Design Development and Therapy · doi:10.2147/dddt.s516001 · Cited by 22
“74 However, extended exposure to M1 macrophages leads to the degradation of already formed vessels.”
Immune Cell Therapies to Improve Regeneration and Revascularization of Non-Healing Wounds
Groppa, E., Colliva, A., Vuerich, R., Kocijan, T., & Zacchigna, S. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21155235 · Cited by 20
“Macrophages recruited during the early phase sometimes express M2 markers and both macrophage types derive from the same pool of circulating monocytes [95,96].”
BackgroundArnholdt, C., Kumaraswami, K., Götz, P., Kubler, M., Lasch, M., & Deindl, E. (2022) · Cells · doi:10.3390/cells11091490 · Cited by 19
“The pro-inflammatory phase is followed by the regenerative phase with the polarization of the initially classically activated macrophages (M1-like macrophages) to the alternatively activated M2-like macrophages [65,66].”
BackgroundTargeting foam cell formation to improve recovery from ischemic stroke
Zbesko, J. C., Stokes, J., Becktel, D. A., & Doyle, K. P. (2023) · Neurobiology of Disease · doi:10.1016/j.nbd.2023.106130 · Cited by 19
VEGF Production by Ly6C+high Monocytes Contributes to Ventilator-Induced Lung Injury
Shi, C., Huang, T.-H., Lin, C., Li, J.-M., Chen, M.-H., Tsai, M.-L., & Chang, C. (2016) · PLoS ONE · doi:10.1371/journal.pone.0165317 · Cited by 19
Osteoclasts drive bone formation in ectopic and orthotopic environments
Zhang, Y., Yu, T., Xiang, Q., van den Tillaart, F. M., Ma, J., Zhuang, Z., Stessuk, T., Wang, H., & van den Beucken, J. J. J. P. (2025) · Biomaterials · doi:10.1016/j.biomaterials.2025.123377 · Cited by 18
Fibroblast‐Derived TGFβ1 Regulates Skin Repair and Fibrosis
Willenborg, S., Schönborn, K., Sawant, M., Bornikoel, A., Yamane, T., Zeinert, I., Eckes, B., Eming, S. A., & Krieg, T. M. (2025) · Wound Repair and Regeneration · doi:10.1111/wrr.70065 · Cited by 23
Qiao, G., Ji, W., Sun, Z., Wang, X., Li, P.-Y., Jia, H.-W., Duan, L.-L., & Qi, F. (2022) · International Immunopharmacology · doi:10.1016/j.intimp.2022.108609 · Cited by 18
RANKL Impairs the TLR4 Pathway by Increasing TRAF6 and RANK Interaction in Macrophages
Mota, R. F., de Araújo, P. H. C., Cezine, M. E. R., Matsuo, F. S., Metzner, R. J. M., de Biagi, C. A. O., Peronni, K. C., Hayashi, H., Shimamura, M., Nakagami, H., et al. (2022) · BioMed Research International · doi:10.1155/2022/7740079 · Cited by 21
Eliasberg, C. D., Carballo, C. B., Piacentini, A. N., Caughey, S., Havasy, J., Khan, M., Liu, Y., Ivasyk, I., & Rodeo, S. A. (2023) · Journal of Bone and Joint Surgery · doi:10.2106/jbjs.22.01160 · Cited by 19
Sun, Z., Yang, L., Kiram, A., Yang, J., Yang, Z., Xiao, L., Yin, Y., Liu, J., Mao, Y., Zhou, D., et al. (2023) · Nature Communications · doi:10.1038/s41467-023-42690-9 · Cited by 18
Gene-selective transcription promotes the inhibition of tissue reparative macrophages by TNF
Dichtl, S., Sanin, D. E., Koss, C. K., Willenborg, S., Petzold, A., Tanzer, M. C., Dahl, A., Kabat, A. M., Lindenthal, L., Zeitler, L., et al. (2022) · Life Science Alliance · doi:10.26508/lsa.202101315 · Cited by 17
“TNF, along with other inflammatorymediators, peaks in the first days after wounding and precedes the emergence of macrophage gene expression linked toM2macrophages (Willenborg et al, 2012; Knipper et al, 2015).”
BackgroundMethodWang, K., Song, B., Zhu, Y., Wang, T., Wang, T., Song, Y., Shi, Y., You, S., Li, S., Yu, Z., et al. (2024) · npj Regenerative Medicine · doi:10.1038/s41536-024-00379-7 · Cited by 19
Wei, W., Qu, Z.-L., Li, L., & Zhang, P. (2024) · Current Medical Science · doi:10.1007/s11596-024-2946-3 · Cited by 17
“Macrophages are the most prevalent source of VEGF for early-stage wound vascularization [6, 8, 55] .”
Zhao, J., Hou, L., Dery, K. J., Yuan, X., Kim, K. H., Kupiec‐Weglinski, J. W., Hall, D. R., Thornley, C. J., Hobeika, M. J., Eltzschig, H. K., et al. (2025) · Hepatology · doi:10.1097/hep.0000000000001609 · Cited by 23
In Vitro Model of Macrophage-Biomaterial Interactions
Witherel, C. E., Graney, P. L., & Spiller, K. L. (2018) · Methods in molecular biology · doi:10.1007/978-1-4939-7741-3_13 · Cited by 17
Deletion of the chemokine receptor CCR2 attenuates foreign body reaction to implants in mice
Castro, P. R., Marques, S. M., Viana, C. T. R., Campos, P. P., Ferreira, M. A. N. D., Barcelos, L. S., & Andrade, S. P. (2014) · Microvascular Research · doi:10.1016/j.mvr.2014.07.002 · Cited by 17
Melton, D. W., Roberts, A. C., Wang, H., Sarwar, Z. U., Wetzel, M. D., Wells, J. T., Porter, L., Berton, M. T., McManus, L. M., & Shireman, P. K. (2016) · Journal of Leukocyte Biology · doi:10.1189/jlb.3ma0316-104r · Cited by 19
“Our data support the observations by other labs that CCR2 is necessary for Ly6C monocyte/macrophage recruitment to tissue [73], as the overwhelming predominance of monocytes/macrophages present in injured tissue in CCR2 mice were Ly6C(2) (Fig.”
ResultDiabetes Inhibits Gr-1+ Myeloid Cell Maturation via Cebpa Deregulation
Wicks, K., Torbica, T., Umehara, T., Amin, S., Bobola, N., & Mace, K. A. (2015) · Diabetes · doi:10.2337/db14-1895 · Cited by 17
“We divided Gr-1+ cells into four subsets based on CCR2 and CxCR2 expression, designated “P1–P4” (Fig.”
BackgroundInfluential
Metadata
- Authors
- Willenborg, S., Lucas, T., van Loo, G., Knipper, J. A., Krieg, T., Haase, I., Brachvogel, B., Hammerschmidt, M., Nagy, A., Ferrara, N., Pasparakis, M., & Eming, S. A.
- Affiliations
- University of Cologne (DE)
- Department for Molecular Biomedical Research, Vlaams Instituut voor Biotechnologie, Ghent, Belgium;
- Samuel Lunenfeld Research Institute, Mount Sinai Hospital, Toronto, ON;
- Genentech (US)
- Corresponding author
- Willenborg, Sebastian
- Lucas, Tina
- ORCID
- Venue
- Blood
- Publisher
- American Society of Hematology
- Published
- 2012-07-19
- Volume
- 120
- Issue
- 3
- Pages
- 613-625
- ISSN
- 0006-4971 (ISSN-L)
- 1528-0020
- OpenAlex
- W2065145765
- Cited by
- 534
- References
- 40
- Citations by year
- 2026: 29 · 2025: 43 · 2024: 38 · 2023: 55 · 2022: 46 · 2021: 40 · 2020: 40 · 2019: 34 · 2018: 38 · 2017: 43 · 2016: 32 · 2015: 29 · 2014: 37 · 2013: 24 · 2012: 5
- FWCI
- 32.15
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Blood (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Funders
- European Commission (2007–2013, 214402)
- Deutsche Forschungsgemeinschaft
- Universiteit Gent
- Topics
- Health Sciences › Medicine › Surgery › Wound Healing and Treatments
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Angiogenesis and VEGF in Cancer
- Keywords
- CCR2, macrophage plasticity, VEGF-A, angiogenesis, skin wound healing, tissue repair, monocyte recruitment, vascular sprouting, tissue vascularization
- MeSH terms
- Animals, Cells, Cultured, Female, Male, Mice, Inbred C57BL, Mice, Transgenic, Monocytes, Regeneration, Skin, Wound Healing, Signal Transduction, Macrophages, Peritoneal, Neovascularization, Physiologic, Gene Expression Profiling, Myeloid Cells, Vascular Endothelial Growth Factor A, Green Fluorescent Proteins, Mice, Receptors, CCR2
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