Immunometabolic control of macrophage plasticity in wound healing: mechanistic insights and therapeutic opportunities - Report - MDSpire

Immunometabolic control of macrophage plasticity in wound healing: mechanistic insights and therapeutic opportunities

  • By

  • Lijing Shi

  • Hongyou Zhou

  • Rui Zheng

  • July 13, 2026

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Clinical Report: Regulation of Macrophage Plasticity in Wound Healing

Background

Macrophages are crucial for inflammation, tissue repair, and fibrosis, adapting their phenotype and function based on the tissue microenvironment. Understanding their metabolic changes during wound healing is essential.

Data Highlights

No numerical data or trial data provided in the source material.

Key Findings

  • Macrophages transition from a pro-inflammatory to an anti-inflammatory phenotype during wound healing.
  • Early in injury, macrophages rely on glycolysis and the pentose phosphate pathway.
  • As healing progresses, there is a shift towards oxidative phosphorylation and the tricarboxylic acid cycle.
  • Sustained activation of anti-inflammatory macrophages may contribute to fibrosis.
  • Macrophage plasticity is essential for tissue repair, angiogenesis, and extracellular matrix remodeling.

Clinical Implications

Understanding the metabolic reprogramming of macrophages may provide insights into inflammatory injuries and fibrosis.

Conclusion

Macrophages play a pivotal role in wound healing through their metabolic adaptations.

Related Resources & Content

  1. Yan et al., Frontiers in Immunology, 2023 -- Regulation of Macrophage Plasticity in Wound Healing
  2. Frontiers in Immunology — Macrophage reprogramming through scavenger receptor-guided and cathepsin B-triggered nanodelivery: from intracellular mechanisms to translational applications
  3. Frontiers in Immunology — Metrnl and Macrophage Polarization: Role in Skeletal Muscle Homeostasis and Therapeutic Potential
  4. Frontiers in Immunology — Targeting macrophage metabolism: mechanisms, cellular crosstalk and implications in obesity-associated metabolic diseases
  5. IWGDF Guidelines on Offloading and Wound Healing
  6. Untitled
  7. Effect of a Novel Macrophage-Regulating Drug on Wound Healing in Patients With Diabetic Foot Ulcers: A Randomized Clinical Trial - PMC

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