The role of macrophage polarization and cellular crosstalk in the pulmonary fibrotic microenvironment: a review

Abstract Pulmonary fibrosis (PF) is a progressive interstitial inflammatory disease with a high mortality rate. Patients with PF commonly experience a chronic dry cough and progressive dyspnoea for years without effective mitigation. The pathogenesis of PF is believed to be associated with dysfuncti...

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Main Authors: Bo-wen Zhou, Hua-man Liu, Fei Xu, Xin-hua Jia
Format: Article
Language:English
Published: BMC 2024-03-01
Series:Cell Communication and Signaling
Subjects:
Online Access:https://doi.org/10.1186/s12964-024-01557-2
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author Bo-wen Zhou
Hua-man Liu
Fei Xu
Xin-hua Jia
author_facet Bo-wen Zhou
Hua-man Liu
Fei Xu
Xin-hua Jia
author_sort Bo-wen Zhou
collection DOAJ
description Abstract Pulmonary fibrosis (PF) is a progressive interstitial inflammatory disease with a high mortality rate. Patients with PF commonly experience a chronic dry cough and progressive dyspnoea for years without effective mitigation. The pathogenesis of PF is believed to be associated with dysfunctional macrophage polarization, fibroblast proliferation, and the loss of epithelial cells. Thus, it is of great importance and necessity to explore the interactions among macrophages, fibroblasts, and alveolar epithelial cells in lung fibrosis, as well as in the pro-fibrotic microenvironment. In this review, we discuss the latest studies that have investigated macrophage polarization and activation of non-immune cells in the context of PF pathogenesis and progression. Next, we discuss how profibrotic cellular crosstalk is promoted in the PF microenvironment by multiple cytokines, chemokines, and signalling pathways. And finally, we discuss the potential mechanisms of fibrogenesis development and efficient therapeutic strategies for the disease. Herein, we provide a comprehensive summary of the vital role of macrophage polarization in PF and its profibrotic crosstalk with fibroblasts and alveolar epithelial cells and suggest potential treatment strategies to target their cellular communication in the microenvironment.
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spelling doaj.art-390a1b4344cc45fe9692c56ffd6d346b2024-03-10T12:18:19ZengBMCCell Communication and Signaling1478-811X2024-03-0122111610.1186/s12964-024-01557-2The role of macrophage polarization and cellular crosstalk in the pulmonary fibrotic microenvironment: a reviewBo-wen Zhou0Hua-man Liu1Fei Xu2Xin-hua Jia3The First School of Clinical Medicine, Shandong University of Traditional Chinese MedicineDepartment of General Medicine, Affiliated Hospital of Shandong University of Traditional Chinese MedicineDepartment of Pneumology and Critical Care Medicine, Affiliated Hospital of Shandong University of Traditional Chinese MedicineDepartment of Pneumology and Critical Care Medicine, Affiliated Hospital of Shandong University of Traditional Chinese MedicineAbstract Pulmonary fibrosis (PF) is a progressive interstitial inflammatory disease with a high mortality rate. Patients with PF commonly experience a chronic dry cough and progressive dyspnoea for years without effective mitigation. The pathogenesis of PF is believed to be associated with dysfunctional macrophage polarization, fibroblast proliferation, and the loss of epithelial cells. Thus, it is of great importance and necessity to explore the interactions among macrophages, fibroblasts, and alveolar epithelial cells in lung fibrosis, as well as in the pro-fibrotic microenvironment. In this review, we discuss the latest studies that have investigated macrophage polarization and activation of non-immune cells in the context of PF pathogenesis and progression. Next, we discuss how profibrotic cellular crosstalk is promoted in the PF microenvironment by multiple cytokines, chemokines, and signalling pathways. And finally, we discuss the potential mechanisms of fibrogenesis development and efficient therapeutic strategies for the disease. Herein, we provide a comprehensive summary of the vital role of macrophage polarization in PF and its profibrotic crosstalk with fibroblasts and alveolar epithelial cells and suggest potential treatment strategies to target their cellular communication in the microenvironment.https://doi.org/10.1186/s12964-024-01557-2PFMacrophage polarizationFibroblastAlveolar epithelial cellCrosstalk
spellingShingle Bo-wen Zhou
Hua-man Liu
Fei Xu
Xin-hua Jia
The role of macrophage polarization and cellular crosstalk in the pulmonary fibrotic microenvironment: a review
Cell Communication and Signaling
PF
Macrophage polarization
Fibroblast
Alveolar epithelial cell
Crosstalk
title The role of macrophage polarization and cellular crosstalk in the pulmonary fibrotic microenvironment: a review
title_full The role of macrophage polarization and cellular crosstalk in the pulmonary fibrotic microenvironment: a review
title_fullStr The role of macrophage polarization and cellular crosstalk in the pulmonary fibrotic microenvironment: a review
title_full_unstemmed The role of macrophage polarization and cellular crosstalk in the pulmonary fibrotic microenvironment: a review
title_short The role of macrophage polarization and cellular crosstalk in the pulmonary fibrotic microenvironment: a review
title_sort role of macrophage polarization and cellular crosstalk in the pulmonary fibrotic microenvironment a review
topic PF
Macrophage polarization
Fibroblast
Alveolar epithelial cell
Crosstalk
url https://doi.org/10.1186/s12964-024-01557-2
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