Macrophage Polarization and the Regulation of Bone Immunity in Bone Homeostasis

Kangyi Hu, Zhengya Shang, Xiaorui Yang, Yongjie Zhang, Linzhong Cao Clinical College of Traditional Chinese Medicine, Gansu University of Chinese Medicine, Lanzhou, People’s Republic of ChinaCorrespondence: Linzhong Cao, Clinical College of Traditional Chinese Medicine, Gansu University of Chinese M...

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Main Authors: Hu K, Shang Z, Yang X, Zhang Y, Cao L
Format: Article
Language:English
Published: Dove Medical Press 2023-08-01
Series:Journal of Inflammation Research
Subjects:
Online Access:https://www.dovepress.com/macrophage-polarization-and-the-regulation-of-bone-immunity-in-bone-ho-peer-reviewed-fulltext-article-JIR
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author Hu K
Shang Z
Yang X
Zhang Y
Cao L
author_facet Hu K
Shang Z
Yang X
Zhang Y
Cao L
author_sort Hu K
collection DOAJ
description Kangyi Hu, Zhengya Shang, Xiaorui Yang, Yongjie Zhang, Linzhong Cao Clinical College of Traditional Chinese Medicine, Gansu University of Chinese Medicine, Lanzhou, People’s Republic of ChinaCorrespondence: Linzhong Cao, Clinical College of Traditional Chinese Medicine, Gansu University of Chinese Medicine, Lanzhou, 73000, People’s Republic of China, Email 258773304@qq.comAbstract: Bone homeostasis is a dynamic equilibrium state of bone formation and absorption, ensuring skeletal development and repair. Bone immunity encompasses all aspects of the intersection between the skeletal and immune systems, including various signaling pathways, cytokines, and the crosstalk between immune cells and bone cells under both homeostatic and pathological conditions. Therefore, as key cell types in bone immunity, macrophages can polarize into classical pro-inflammatory M1 macrophages and alternative anti-inflammatory M2 macrophages under the influence of the body environment, participating in the regulation of bone metabolism and playing various roles in bone homeostasis. M1 macrophages can not only act as precursors of osteoclasts (OCs), differentiate into mature OCs, but also secrete pro-inflammatory cytokines to promote bone resorption; while M2 macrophages secrete osteogenic factors, stimulating the differentiation and mineralization of osteoblast precursors and mesenchymal stem cells (MSCs), and subsequently increase bone formation. Once the polarization of macrophages is imbalanced, the resulting immune dysregulation will cause inflammatory stimulation, and release a large amount of inflammatory factors affecting bone metabolism, leading to pathological conditions such as osteoporosis (OP), rheumatoid arthritis (RA), and steroid-induced femoral head necrosis (SANFH). In this review, we introduce the signaling pathways and related factors of macrophage polarization, as well as their relationships with immune factors, OB, OC, and MSC. We also discuss the roles of macrophage polarization and bone immunity in various diseases of bone homeostasis imbalance, as well as the factors regulating them, which may help to develop new methods for treating bone metabolic disorders.Keywords: M1 macrophage, M2 macrophage, bone immunity, bone homeostasis
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spelling doaj.art-2b53fb8c84fe4f459eac4a715e56c4bc2023-08-22T20:02:53ZengDove Medical PressJournal of Inflammation Research1178-70312023-08-01Volume 163563358086098Macrophage Polarization and the Regulation of Bone Immunity in Bone HomeostasisHu KShang ZYang XZhang YCao LKangyi Hu, Zhengya Shang, Xiaorui Yang, Yongjie Zhang, Linzhong Cao Clinical College of Traditional Chinese Medicine, Gansu University of Chinese Medicine, Lanzhou, People’s Republic of ChinaCorrespondence: Linzhong Cao, Clinical College of Traditional Chinese Medicine, Gansu University of Chinese Medicine, Lanzhou, 73000, People’s Republic of China, Email 258773304@qq.comAbstract: Bone homeostasis is a dynamic equilibrium state of bone formation and absorption, ensuring skeletal development and repair. Bone immunity encompasses all aspects of the intersection between the skeletal and immune systems, including various signaling pathways, cytokines, and the crosstalk between immune cells and bone cells under both homeostatic and pathological conditions. Therefore, as key cell types in bone immunity, macrophages can polarize into classical pro-inflammatory M1 macrophages and alternative anti-inflammatory M2 macrophages under the influence of the body environment, participating in the regulation of bone metabolism and playing various roles in bone homeostasis. M1 macrophages can not only act as precursors of osteoclasts (OCs), differentiate into mature OCs, but also secrete pro-inflammatory cytokines to promote bone resorption; while M2 macrophages secrete osteogenic factors, stimulating the differentiation and mineralization of osteoblast precursors and mesenchymal stem cells (MSCs), and subsequently increase bone formation. Once the polarization of macrophages is imbalanced, the resulting immune dysregulation will cause inflammatory stimulation, and release a large amount of inflammatory factors affecting bone metabolism, leading to pathological conditions such as osteoporosis (OP), rheumatoid arthritis (RA), and steroid-induced femoral head necrosis (SANFH). In this review, we introduce the signaling pathways and related factors of macrophage polarization, as well as their relationships with immune factors, OB, OC, and MSC. We also discuss the roles of macrophage polarization and bone immunity in various diseases of bone homeostasis imbalance, as well as the factors regulating them, which may help to develop new methods for treating bone metabolic disorders.Keywords: M1 macrophage, M2 macrophage, bone immunity, bone homeostasishttps://www.dovepress.com/macrophage-polarization-and-the-regulation-of-bone-immunity-in-bone-ho-peer-reviewed-fulltext-article-JIRm1 macrophagem2 macrophagebone immunitybone homeostasis
spellingShingle Hu K
Shang Z
Yang X
Zhang Y
Cao L
Macrophage Polarization and the Regulation of Bone Immunity in Bone Homeostasis
Journal of Inflammation Research
m1 macrophage
m2 macrophage
bone immunity
bone homeostasis
title Macrophage Polarization and the Regulation of Bone Immunity in Bone Homeostasis
title_full Macrophage Polarization and the Regulation of Bone Immunity in Bone Homeostasis
title_fullStr Macrophage Polarization and the Regulation of Bone Immunity in Bone Homeostasis
title_full_unstemmed Macrophage Polarization and the Regulation of Bone Immunity in Bone Homeostasis
title_short Macrophage Polarization and the Regulation of Bone Immunity in Bone Homeostasis
title_sort macrophage polarization and the regulation of bone immunity in bone homeostasis
topic m1 macrophage
m2 macrophage
bone immunity
bone homeostasis
url https://www.dovepress.com/macrophage-polarization-and-the-regulation-of-bone-immunity-in-bone-ho-peer-reviewed-fulltext-article-JIR
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AT caol macrophagepolarizationandtheregulationofboneimmunityinbonehomeostasis