The DOI matches its Crossref record; 63 of the 65 references it cites were found in a registry or an index.
Functional plasticity of macrophages: in situ reprogramming of tumor-associated macrophages
Open accessAbstract
Functionally polarized macrophages in chronic pathologies are highly adaptable cells displaying a functional response to tissue signals, which response can be reprogrammed to therapeutic advantage. The extent to which the functional heterogeneity of Mφs is dependent on the differentiation of functional sublineages remains unresolved. One alternative hypothesis proposes that Mφs are functionally plastic cells, which are capable of altering their functional activities progressively in response to progressively changing signaling molecules generated in their microenvironment. This “functional plasticity” hypothesis predicts that the functionally polarized Mφs in chronic pathologies do not represent Mφ sublineages but rather, are mutable phenotypes sustained by chronic signaling from the pathological environment. Solid TAMφs are chronically polarized to provide activities that support tumor growth and metastasis and suppress adaptive immune responses. In support of the functional plasticity hypothesis, administration of slow-release microsphere-encapsulated IL-12 successfully reprogrammed TAMφs in situ, reducing Mφ support of tumor growth and metastasis and enhancing Mφ proimmunogenic activities. Increased knowledge of how Mφ function is regulated and how polarized Mφs can be reprogrammed in situ will increase our ability to control Mφ function in a variety of pathological states, including cancer and chronic inflammatory disease.
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“It has been shown that unlike lymphocytes, where cellular phenotype is relatively fixed upon differentiation, macrophages have dynamic and plastic phenotypes that change with local microenvironmental signals [5,14–16].”
From Macrophage polarization: an opportunity for improved outcomes in biomaterials and regenerative medicine (2012) · cites this paper as [14]
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Cites
Alternative activation of macrophages
Gordon, S. (2003) · Nature Reviews Immunology · doi:10.1038/nri978 · Cited by 6,189
Singer, A. J., & Clark, R. A. F. (1999) · New England Journal of Medicine · doi:10.1056/nejm199909023411006 · Cited by 6,106
Monocyte and macrophage heterogeneity
Gordon, S., & Taylor, P. R. (2005) · Nature Reviews Immunology · doi:10.1038/nri1733 · Cited by 5,190
M-1/M-2 Macrophages and the Th1/Th2 Paradigm
Mills, C. D., Kincaid, K., Alt, J. M., Heilman, M. J., & Hill, A. M. (2000) · The Journal of Immunology · doi:10.4049/jimmunol.164.12.6166 · Cited by 3,287
Macrophage activation and polarization
Martinez, F. O. (2008) · Frontiers in Bioscience · doi:10.2741/2692 · Cited by 3,160
Cancer immunotherapy: moving beyond current vaccines
Rosenberg, S. A., Yang, J. C.-H., & Restifo, N. P. (2004) · Nature Medicine · doi:10.1038/nm1100 · Cited by 2,980
Macrophages: Obligate Partners for Tumor Cell Migration, Invasion, and Metastasis
Condeelis, J. S., & Pollard, J. W. (2006) · Cell · doi:10.1016/j.cell.2006.01.007 · Cited by 2,677
Trinchieri, G. (1995) · Annual Review of Immunology · doi:10.1146/annurev.iy.13.040195.001343 · Cited by 2,379
Distinct role of macrophages in different tumor microenvironments
Lewis, C. E., & Pollard, J. W. (2006) · Cancer Research · doi:10.1158/0008-5472.can-05-4005 · Cited by 2,225
Wound healing: an overview of acute, fibrotic and delayed healing
Diegelmann, R. (2004) · Frontiers in Bioscience · doi:10.2741/1184 · Cited by 2,147
Flagged first, then by citations
2 of the 65 references couldn’t be matched to a known paper.
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- Stout, 1995, T cell signaling of macrophage activation
- Adams, 1992, Molecular basis of macrophage activation: diversity and its origins, 75
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Items 101–183 of 183
The significance of macrophage phenotype in cancer and biomaterials
Bygd, H. C., Forsmark, K. D., & Bratlie, K. M. (2014) · Clinical and Translational Medicine · doi:10.1186/s40169-014-0041-2 · Cited by 30
Ungefroren, H., Hyder, A., Schulze, M., El‐Sayed, K. M. F., Grage‐Griebenow, E., Nussler, A. K., & Fändrich, F. (2015) · Stem Cells International · doi:10.1155/2016/7132751 · Cited by 27
Analysis of Macrophage Phenotype in Rejected Corneal Allografts
Oh, J. Y., Lee, H. J., Ko, A. Y., Ko, J. H., Kim, M. K., & Wee, W. R. (2013) · Investigative Ophthalmology & Visual Science · doi:10.1167/iovs.13-12650 · Cited by 26
The biological activity of macrophages in health and disease
Nazimek, K., & Bryniarski, K. (2012) · Postępy Higieny i Medycyny Doświadczalnej · doi:10.5604/17322693.1004080 · Cited by 27
Ni, W., Zhang, Q., Liu, G., Wang, F., Yuan, H., Guo, Y., Zhang, X., Xie, F., Li, Q., & Tai, G. (2014) · International Immunopharmacology · doi:10.1016/j.intimp.2014.04.025 · Cited by 26
Park, K., Ahn, J. W., Kim, J., & Kim, J. W. (2022) · International Journal of Biological Macromolecules · doi:10.1016/j.ijbiomac.2022.07.159 · Cited by 25
Ovsiy, I., Riabov, V., Manousaridis, I., Michel, J., Moganti, K., Yin, S., Liu, T., Sticht, C., Kremmer, E., Harmsen, M. C., et al. (2017) · Scientific Reports · doi:10.1038/s41598-017-17307-z · Cited by 23
Kuonen, F., Touvrey, C., Laurent, J., & Rüegg, C. (2010) · Cytometry Part A · doi:10.1002/cyto.a.20969 · Cited by 25
Antigen‐presenting Cells in Pregnant and Non‐pregnant Human Myometrium
Ivanišević, M., Segerer, S. E., Rieger, L., Kapp, M., Dietl, J., Kämmerer, U., & Frambach, T. (2010) · American Journal of Reproductive Immunology · doi:10.1111/j.1600-0897.2010.00858.x · Cited by 23
Sun, X., Robertson, S. A., & Ingman, W. V. (2013) · Cytokine · doi:10.1016/j.cyto.2012.12.002 · Cited by 22
Immunomodulation for maxillofacial reconstructive surgery
Kim, S. (2020) · Maxillofacial Plastic and Reconstructive Surgery · doi:10.1186/s40902-020-00249-4 · Cited by 22
Fu, Q., le Zhang, K., Fang, Z. W., Yang, M., Liu, M., Yang, R., Wang, Y., Yang, X. R., & Wang, Y. (2023) · Pharmaceutics · doi:10.3390/pharmaceutics15061700 · Cited by 22
Physicochemical properties of liposomal modifiers that shift macrophage phenotype
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Bravo-Flores, E., Mancilla‐Herrera, I., y Sosa, S. E., Ortiz-Ramirez, M. A., Flores-Rueda, V., Ibargüengoitia-Ochoa, F., Ibáñez, C. A., Zambrano, E., Solis‐Paredes, J. M., Perichart‐Perera, O., et al. (2018) · International Journal of Molecular Sciences · doi:10.3390/ijms19041074 · Cited by 22
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Ko, J. K.-S., Lee, S. S., & Martin, H. (2010) · PPAR Research · doi:10.1155/2010/407650 · Cited by 20
Wagner, D. H. (2017) · Frontiers in Endocrinology · doi:10.3389/fendo.2017.00208 · Cited by 19
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Ali, H. R. K., Selim, S. A. K., & Aili, D. (2021) · RSC Advances · doi:10.1039/d1ra03671h · Cited by 18
Szala, S., Mitrus, I., & Sochanik, A. (2010) · Cancer Immunology Immunotherapy · doi:10.1007/s00262-010-0873-6 · Cited by 18
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Brown, B. N., & Badylak, S. F. (2013) · Elsevier eBooks · doi:10.1016/b978-0-12-398358-9.00025-2 · Cited by 17
Immunologic mechanisms in RCC and allogeneic renal transplant rejection
Bedke, J., & Stenzl, A. (2010) · Nature Reviews Urology · doi:10.1038/nrurol.2010.59 · Cited by 16
Maternal molecular features and gene profiling of monocytes during first trimester pregnancy
Koldehoff, M., Cierna, B., Steckel, N. K., Beelen, D. W., & Elmaagacli, A. H. (2013) · Journal of Reproductive Immunology · doi:10.1016/j.jri.2013.07.001 · Cited by 15
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Galdiero, M. R., & Mantovani, A. (2015) · Elsevier eBooks · doi:10.1016/b978-0-12-800196-7.00006-2 · Cited by 14
Biocompatibility and Immune Response to Biomaterials
Brown, B. N., & Badylak, S. F. (2013) · Elsevier eBooks · doi:10.1016/b978-0-12-398523-1.00011-2 · Cited by 15
Chen, L., Li, Q., Zhou, X., Shi, Y., Yang, L., Xu, S., Chen, C., Cui, Y., Zhang, X., & Bian, X. (2014) · International Immunopharmacology · doi:10.1016/j.intimp.2014.02.025 · Cited by 14
Liao, J., Feng, W., Wang, R., Ma, S., Wang, L., Yang, X. Q., Yang, F., Lin, Y., Ren, Q., & Zheng, G. (2015) · Oncotarget · doi:10.18632/oncotarget.6362 · Cited by 14
Antineoplastic drug NSC631570 modulates functions of hypoxic macrophages
Skivka, L. M., Федорчук, О. Г., Rudyk, M. P., Позур, В. В., Khranovska, N., Grom, M. Y., & Jw, N. (2013) · Cytology and Genetics · doi:10.3103/s0095452713050095 · Cited by 12
Cao, R., Islamoglu, H., Teskey, G., Gyurjian, K., Abrahem, R., Onajole, O. K., Lun, S., Bishai, W. R., Kozikowski, A. P., Fraix, M. P., et al. (2019) · International Microbiology · doi:10.1007/s10123-019-00086-0 · Cited by 10
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Wang, W., Liu, Y., Liu, Z., Li, S., Deng, C., Yang, X., Deng, Q. F., Sun, Y., Zhang, Y., Ma, Z., et al. (2021) · ACS Biomaterials Science & Engineering · doi:10.1021/acsbiomaterials.1c00882 · Cited by 10
Malyshev, I. Y., Manukhina, E. B., & Malyshev, Y. (2014) · Medical Hypotheses · doi:10.1016/j.mehy.2014.03.019 · Cited by 8
Pais, R., Bhowmick, S., Chattopadhyay, S., Lemire, Y., Sharafieh, R., Yadav, R., O’Rourke, J., & Cone, R. E. (2012) · PLoS ONE · doi:10.1371/journal.pone.0043182 · Cited by 7
Molecular mechanisms of regulation of the macrophage activity
Onoprienko, L. V. (2011) · Russian Journal of Bioorganic Chemistry · doi:10.1134/s1068162011040091 · Cited by 7
Promoting Angiogenesis Using Immune Cells for Tissue-Engineered Vascular Grafts
Wang, L., Wei, X., & Wang, Y. (2023) · Annals of Biomedical Engineering · doi:10.1007/s10439-023-03158-5 · Cited by 5
Chattopadhyay, S., & Roy, S. (2018) · Cytokine · doi:10.1016/j.cyto.2018.06.035 · Cited by 5
Fetal exposure to oncoantigen elicited antigen-specific adaptive immunity against tumorigenesis
Chen, J., Ou, L.-S., Kuo, M., Tseng, L.-Y., & Chang, H. (2020) · Journal for ImmunoTherapy of Cancer · doi:10.1136/jitc-2019-000137 · Cited by 5
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Escorcio-Correia, M., & Hagemann, T. (2010) · Springer eBooks · doi:10.1007/978-1-4419-6615-5_18 · Cited by 5
Chattopadhyay, S., & Roy, S. (2021) · Springer eBooks · doi:10.1007/978-981-15-4501-6_178-1 · Cited by 4
Engstrom, L., Bober, L. A., Chen, S., Fine, J. S., Li, Y., Stanton, M. C., Kinsley, D., Cui, L., Jackson, J. V., Rojas-Triana, A., et al. (2010) · PPAR Research · doi:10.1155/2010/970164 · Cited by 4
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Szala, S., Jarosz–Biej, M., Cichoń, T., Smolarczyk, R., & Sochanik, A. (2014) · Springer eBooks · doi:10.1007/978-3-662-44946-2_22 · Cited by 4
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Erokhina, M. V., Kurynina, А. V., Щербакова, Е. А., Shaposhnikova, D., & Лепеха, Л. Н. (2020) · Вестник ЦНИИТ · doi:10.7868/s2587667820040020 · Cited by 2
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Shimada, A. L. B. (2011) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/d.9.2011.tde-08072011-145954
IL-12 induced modulation of tumor derived myeloid cell inflammatory responsiveness.
Mitchell, C. (2014) · ThinkIR: The University of Louisville's Institutional Repository (University of Louisville) · doi:10.18297/etd/991
Curley, G. F. (2012) · ARAN (University of Galway Research Repository) (Ollscoil na Gaillimhe – University of Galway) · doi:10.13025/17147
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Microscopic Anatomy The role of prolactin in the healing process: A preliminary morphological study
Musumeci, G., Trovato, F., Avola, R., Imbesi, R., Ventimiglia, P. C., & Castrogiovanni, P. (2013)
Immunomodulation of myeloid-derived suppressor cells by particulate b-glucan in cancer.
Albeituni, S. (2015) · ThinkIR: The University of Louisville's Institutional Repository (University of Louisville) · doi:10.18297/etd/2332
Nazimek, K., & Bryniarski, K. (2012)
Relationship of macrophage function and phenotype in COPD
Tilman, J. (2017) · Spiral (Imperial College London) · doi:10.25560/59760
Валерьевич, К. С., Владимировна, Л. С., Раецкая, А. А., & Malyshev, I. Y. (2017) · Zhurnal «Patologicheskaia fiziologiia i eksperimental`naia terapiia» · doi:10.25557/0031-2991.2017.02.4-9
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Schwendener, R. A., & Mete, S. (2013) · BENTHAM SCIENCE PUBLISHERS eBooks · doi:10.2174/97816080579861130101
Alexander, M. A. (2011) · Science Publishers eBooks · doi:10.1201/b10503-18
Chattopadhyay, S., & Roy, S. (2022) · Springer eBooks · doi:10.1007/978-981-15-9411-3_178
Pacini, S. (2025) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2025.1513440
AMP-activated protein kinase regulation of myeloid antigen presenting cell activity.
Carroll, K. (2013) · ThinkIR: The University of Louisville's Institutional Repository (University of Louisville) · doi:10.18297/etd/215
Importance des glycosaminoglycanes de surface dans les phénomènes inflammatoires liés au cancer
Martinez, P. (2014) · theses.fr (ABES) · doi:10.70675/d8d46778ze3baz4df0z9270z4a2656f165d0
Metadata
- Authors
- Stout, R. D., Watkins, S. K., & Suttles, J.
- Affiliations
- University of Louisville (US)
- Frederick National Laboratory for Cancer Research (US)
- Corresponding author
- Stout, Robert D
- ORCID
- Watkins, Stephanie K
- Venue
- Journal of Leukocyte Biology
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-07-15
- Volume
- 86
- Issue
- 5
- Pages
- 1105-1109
- ISSN
- 0741-5400 (ISSN-L)
- 1938-3673
- PMC
- PMC2774875
- OpenAlex
- W2128057905
- Cited by
- 183
- References
- 65
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 4 · 2023: 4 · 2022: 4 · 2021: 6 · 2020: 6 · 2019: 4 · 2018: 9 · 2017: 13 · 2016: 6 · 2015: 18 · 2014: 21 · 2013: 23 · 2012: 19
- FWCI
- 1.62
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Leukocyte Biology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (AI048850)
- Kentucky Lung Cancer Research Fund
- The American Lung Association
- Commonwealth of Kentucky Research Challenge Trust Fund
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Life Sciences › Immunology and Microbiology › Immunology › Phagocytosis and Immune Regulation
- Keywords
- tumor-associated macrophages, macrophage reprogramming, macrophage polarization, IL-12, tumor growth, metastasis, immunosuppression, chronic inflammation, cancer immunotherapy
- MeSH terms
- Cell Differentiation, Humans, Immune System, Killer Cells, Natural, Macrophages, Monocytes, Neoplasms, Th1 Cells, Th2 Cells
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