Zhong Xiaohui, Lyu Chengjie, Lai Dengming, Shu Qiang
Department of Thoracic and Cardiovascular Surgery, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Regional Medical Center for Children, Hangzhou 310052, China.
Department of Neonatal Surgery, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Regional Medical Center for Children, Hangzhou 310052, China.
Zhejiang Da Xue Xue Bao Yi Xue Ban. 2024 Oct 25;53(5):650-658. doi: 10.3724/zdxbyxb-2024-0129.
Macrophages are vital in maintaining tissue homeostasis in the lungs by modulating and regulating immune responses. Based on different origins and anatomical locations, macrophages in the lungs are categorized into alveolar macrophages, interstitial macrophages, perivascular macrophages, and inflammatory macrophages. Alveolar macrophages are located in the alveolar spaces and are primarily responsible for maintaining alveolar surfactant homeostasis, defending against pathogens and regulating immune responses. Interstitial macrophages can maintain homeostasis, regulate immunity and anti-inflammation in the lung tissue. Perivascular macrophages play a crucial role in inhibiting lung inflammation, improving pulmonary fibrosis, and regulating lung tumor progression due to antigen-presenting and immunomodulatory effects. Inflammatory macrophages, which are differentiated from monocytes during inflammation, regulate the inflammatory process. This article reviews the origins of various subpopulations of macro-phages in the lung tissue and their physiological and pathological functions as well as discusses the underlying mechanisms and potential therapeutic targets.
巨噬细胞通过调节免疫反应在维持肺部组织稳态中起着至关重要的作用。根据不同的起源和解剖位置,肺内的巨噬细胞可分为肺泡巨噬细胞、间质巨噬细胞、血管周围巨噬细胞和炎症巨噬细胞。肺泡巨噬细胞位于肺泡腔内,主要负责维持肺泡表面活性物质的稳态、抵御病原体和调节免疫反应。间质巨噬细胞可维持肺组织的稳态、调节免疫和抗炎作用。血管周围巨噬细胞由于具有抗原呈递和免疫调节作用,在抑制肺部炎症、改善肺纤维化和调节肺肿瘤进展中发挥关键作用。炎症巨噬细胞在炎症过程中由单核细胞分化而来,调节炎症过程。本文综述了肺组织中各种巨噬细胞亚群的起源及其生理和病理功能,并讨论了其潜在机制和潜在治疗靶点。