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Updated: May 27, 2026

A Multi-Cue Bioreactor to Evaluate the Inflammatory and Regenerative Capacity of Biomaterials under Flow and Stretch
Published on: December 10, 2020
Human macrophages primed with angiogenic factors show dynamic plasticity, irrespective of extracellular matrix
Diana T A Ploeger1, Sander M van Putten, Jasper A Koerts
1Department of Pathology and Medical Biology, University Medical Centre Groningen, University of Groningen, Hanzeplein 1 (HPC EA11), 9713 GZ Groningen, The Netherlands.
Abstract:
Macrophages are important in inflammation as well as in tissue repair processes. They can be activated by various stimuli and classified into two major groups: M1 (classically activated) or M2 (alternatively activated). Inflammation, angiogenesis and matrix remodeling play a major role in tissue repair. Here, we investigate the combined influence of a pro-angiogenic microenvironment and specific extracellular matrix (ECM) components or tissue culture polystyrene (TCPS) on the dynamics of human macrophage polarization. We established that human angiogenically primed macrophages cultured on different ECM components exhibit an M2-like polarization. These M2-like macrophages polarized to M1 and M2 macrophages with classical (LPS and IFNγ) stimuli and alternative (IL-4 and IL-13) stimuli respectively. Moreover, these M1 and M2 (primary) polarized macrophages rapidly underwent a secondary (re)polarization to M2 and M1 with conditioned media from M2 and M1 primary polarized macrophages respectively. In these initial priming and later (re)polarization processes the soluble factors had a dominant and orchestrating role, while the type of ECM (collagen I, fibronectin, versus tissue culture polystyrene) did not play a crucial role on the polarization of macrophages.
Insights
Human macrophages primed in an angiogenic environment adopt an M2-like state. Soluble factors, not extracellular matrix, dictate subsequent M1/M2 polarization and repolarization dynamics during tissue repair.
Area of Science:
- Immunology and cell biology
- Tissue engineering and regenerative medicine
Background:
- Macrophages are crucial immune cells involved in inflammation and tissue repair.
- Macrophage polarization into M1 (pro-inflammatory) and M2 (anti-inflammatory/repair) subtypes is key to these processes.
- Angiogenesis and extracellular matrix (ECM) remodeling are vital components of tissue repair.
Purpose of the Study:
- To investigate how a pro-angiogenic microenvironment and ECM components influence human macrophage polarization dynamics.
- To understand the interplay between soluble factors and substrate stiffness in macrophage fate.
- To elucidate the mechanisms of primary and secondary macrophage polarization.
Main Methods:
- Human macrophages were primed in a pro-angiogenic microenvironment.
- Cells were cultured on different extracellular matrix (ECM) components (collagen I, fibronectin) and tissue culture polystyrene (TCPS).
- Macrophage polarization was assessed using classical (LPS, IFNγ) and alternative (IL-4, IL-13) stimuli, and conditioned media for secondary polarization.
Main Results:
- Angiogenically primed macrophages exhibited M2-like polarization on various ECM substrates.
- These M2-like macrophages could be polarized to M1 or M2 phenotypes by specific stimuli.
- A secondary repolarization to M1 or M2 occurred rapidly when exposed to conditioned media from primary M1 or M2 macrophages, respectively.
- Soluble factors played a dominant role in both priming and repolarization, while ECM type had minimal impact.
Conclusions:
- Soluble factors orchestrate human macrophage polarization and repolarization, overriding substrate effects in a pro-angiogenic context.
- ECM composition is less critical than soluble cues for macrophage polarization dynamics during tissue repair.
- Understanding these polarization dynamics is essential for developing effective regenerative therapies.
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