Luo Min, Zhao Fukun, Cheng Huan, Su Mu, Wang Yuanmin
The Third Affiliated Hospital of Zunyi Medical University, The First People's Hospital of Zunyi, Zunyi, Guizhou, China.
Front Immunol. 2024 Apr 10;15:1352946. doi: 10.3389/fimmu.2024.1352946. eCollection 2024.
Macrophages are crucial cells in the human body's innate immunity and are engaged in a variety of non-inflammatory reactions. Macrophages can develop into two kinds when stimulated by distinct internal environments: pro-inflammatory M1-like macrophages and anti-inflammatory M2-type macrophages. During inflammation, the two kinds of macrophages are activated alternatively, and maintaining a reasonably steady ratio is critical for maintaining homeostasis . M1 macrophages can induce inflammation, but M2 macrophages suppress it. The imbalance between the two kinds of macrophages will have a significant impact on the illness process. As a result, there are an increasing number of research being conducted on relieving or curing illnesses by altering the amount of macrophages. This review summarizes the role of macrophage polarization in various inflammatory diseases, including autoimmune diseases (RA, EAE, MS, AIH, IBD, CD), allergic diseases (allergic rhinitis, allergic dermatitis, allergic asthma), atherosclerosis, obesity and type 2 diabetes, metabolic homeostasis, and the compounds or drugs that have been discovered or applied to the treatment of these diseases by targeting macrophage polarization.
巨噬细胞是人体固有免疫中的关键细胞,参与多种非炎症反应。当受到不同内部环境刺激时,巨噬细胞可分化为两种类型:促炎性M1样巨噬细胞和抗炎性M2型巨噬细胞。在炎症过程中,这两种巨噬细胞交替被激活,维持合理稳定的比例对于维持体内平衡至关重要。M1巨噬细胞可诱导炎症,而M2巨噬细胞则抑制炎症。两种巨噬细胞之间的失衡将对疾病进程产生重大影响。因此,通过改变巨噬细胞数量来缓解或治愈疾病的研究越来越多。本综述总结了巨噬细胞极化在各种炎症性疾病中的作用,包括自身免疫性疾病(类风湿性关节炎、实验性自身免疫性脑脊髓炎、多发性硬化症、自身免疫性肝炎、炎症性肠病、克罗恩病)、过敏性疾病(过敏性鼻炎、过敏性皮炎、过敏性哮喘)、动脉粥样硬化、肥胖症和2型糖尿病、代谢稳态,以及已发现或应用于通过靶向巨噬细胞极化治疗这些疾病的化合物或药物。