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Updated: Jun 10, 2026

Adoptive Transfer of IL-33-Stimulated Macrophages into Bleomycin-Induced Mouse Models to Study Their Effect on Idiopathic Pulmonary Fibrosis In Vivo
Published on: May 5, 2023
Macrophages: master regulators of inflammation and fibrosis
1Immunopathogenesis Section, Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA.
Abstract:
Macrophages are found in close proximity with collagen-producing myofibroblasts and indisputably play a key role in fibrosis. They produce profibrotic mediators that directly activate fibroblasts, including transforming growth factor-beta1 and platelet-derived growth factor, and control extracellular matrix turnover by regulating the balance of various matrix metalloproteinases and tissue inhibitors of matrix metalloproteinases. Macrophages also regulate fibrogenesis by secreting chemokines that recruit fibroblasts and other inflammatory cells. With their potential to act in both a pro- and antifibrotic capacity, as well as their ability to regulate the activation of resident and recruited myofibroblasts, macrophages and the factors they express are integrated into all stages of the fibrotic process. These various, and sometimes opposing, functions may be performed by distinct macrophage subpopulations, the identification of which is a growing focus of fibrosis research. Although collagen-secreting myofibroblasts once were thought of as the master "producers" of fibrosis, this review will illustrate how macrophages function as the master "regulators" of fibrosis.
Insights
Macrophages are key regulators of fibrosis, influencing fibroblast activation and extracellular matrix turnover. Research is exploring distinct macrophage subpopulations and their roles in fibrotic processes.
Area of Science:
- Fibrosis research
- Cell biology
- Immunology
Background:
- Macrophages are closely associated with myofibroblasts in fibrotic conditions.
- Macrophages produce mediators that influence fibroblast activity and extracellular matrix (ECM) remodeling.
- They play a crucial role in regulating fibrogenesis through various secreted factors.
Purpose of the Study:
- To review the multifaceted roles of macrophages in fibrosis.
- To highlight macrophages as central regulators rather than mere producers in fibrotic diseases.
- To discuss the potential of distinct macrophage subpopulations in fibrosis.
Main Methods:
- Literature review of studies on macrophage function in fibrosis.
- Analysis of molecular mechanisms by which macrophages influence fibroblasts and ECM.
- Synthesis of evidence regarding pro- and anti-fibrotic activities of macrophages.
Main Results:
- Macrophages secrete profibrotic mediators like transforming growth factor-beta1 and platelet-derived growth factor.
- They control ECM turnover by modulating matrix metalloproteinases and their inhibitors.
- Macrophages recruit other cells, including fibroblasts, to fibrotic sites.
Conclusions:
- Macrophages are master regulators of fibrosis, orchestrating the process at all stages.
- Distinct macrophage subpopulations may mediate the diverse functions observed in fibrosis.
- Understanding macrophage heterogeneity is crucial for developing anti-fibrotic therapies.
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