The role of macrophage polarization in organ transplantation: research progress on impact on graft injury, repair, and fibrosis - Report - MDSpire

Macrophage Polarization in Organ Transplantation: Advances in Understanding Its Effects on Graft Injury, Repair, and Fibrosis

  • By

  • Liping Wang

  • Lijuan Wang

  • Xu Chen

  • Shaochen Yu

  • July 17, 2026

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Clinical Report: Macrophage Polarization in Organ Transplantation

Background

Organ transplantation is critical for patients with end-stage organ failure, yet challenges such as graft injury and immune rejection can hinder long-term success. Macrophages play a pivotal role in the immune response and tissue remodeling post-transplant, with their polarization influencing graft outcomes significantly.

Data Highlights

No numerical or trial data is available in the source material.

Key Findings

  • Macrophages can polarize into pro-inflammatory M1 or anti-inflammatory M2 phenotypes, affecting transplant outcomes.
  • M1 macrophages exacerbate tissue injury and acute rejection, while M2 macrophages are involved in tissue repair.
  • Macrophage polarization is influenced by the microenvironment, including ischemia-reperfusion injury and alloantigen recognition.
  • Recent research indicates that macrophage heterogeneity extends beyond the traditional M1/M2 classification.
  • Understanding the crosstalk between macrophage polarization and antigen-specific alloimmunity is crucial.

Clinical Implications

Clinicians should consider the role of macrophage polarization in managing transplant patients, particularly in the context of graft injury and rejection.

Conclusion

Macrophage polarization is a critical factor in organ transplantation outcomes, influencing both graft injury and repair processes.

Related Resources & Content

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  4. Current Reference Guide to the Banff Classification - BANFF
  5. Frontiers in Immunology — Macrophage reprogramming through scavenger receptor-guided and cathepsin B-triggered nanodelivery: from intracellular mechanisms to translational applications
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  7. NOTCH signaling orchestrates the inflammatory-fibrotic continuum of macrophages in renal allograft rejection - ScienceDirect
  8. Clazakizumab in the treatment of chronic active antibody-mediated kidney transplant rejection: Results from the IMAGINE phase 3, randomized, double-blind, placebo-controlled study - ScienceDirect

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