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

To explore the regulatory network of macrophage polarization after transplantation and analyze the roles of different polarization phenotypes in graft injury, repair, and fibrosis.

Approach:
  • Systematic Review: The article systematically reviews current research on macrophage polarization in the context of organ transplantation.
Key Findings:
  • Macrophages can polarize into pro-inflammatory M1 or anti-inflammatory M2 phenotypes, influencing transplant outcomes.
  • M1 macrophages exacerbate tissue injury, while M2 macrophages are involved in tissue repair but can also promote fibrosis.
  • The distinction between donor-derived tissue-resident macrophages and recipient-derived monocyte-derived macrophages is crucial for understanding graft responses.
  • The JAK-STAT signaling pathway plays a significant role in regulating macrophage polarization.
  • Metabolic pathways and iron metabolism are key factors influencing macrophage functional states.
Interpretation:

Understanding the interplay between macrophage polarization and immune responses is essential for improving graft survival and function.

Limitations:
  • The review may not encompass all recent advancements in macrophage research.
  • The complexity of macrophage polarization and its interactions with various immune signals may not be fully captured.
Conclusion:

The article provides insights into macrophage polarization and its roles in transplant-related issues.

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