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Updated: May 22, 2026

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Published on: March 21, 2021
Acute lung injury: how macrophages orchestrate resolution of inflammation and tissue repair
Susanne Herold1, Konstantin Mayer, Juergen Lohmeyer
1Department of Internal Medicine II, University of Giessen Lung Center Giessen, Germany. susanne.herold@innere.med.uni-giessen.de
Abstract:
Lung macrophages are long living cells with broad differentiation potential, which reside in the lung interstitium and alveoli or are organ-recruited upon inflammatory stimuli. A role of resident and recruited macrophages in initiating and maintaining pulmonary inflammation in lung infection or injury has been convincingly demonstrated. More recent reports suggest that lung macrophages are main orchestrators of termination and resolution of inflammation. They are also initiators of parenchymal repair processes that are essential for return to homeostasis with normal gas exchange. In this review we will discuss cellular cross-talk mechanisms and molecular pathways of macrophage plasticity which define their role in inflammation resolution and in initiation of lung barrier repair following lung injury.
Insights
Lung macrophages resolve inflammation and initiate lung repair. This review explores macrophage plasticity, cellular cross-talk, and molecular pathways crucial for lung homeostasis after injury.
Area of Science:
- Immunology
- Cell Biology
- Pulmonary Medicine
Background:
- Lung macrophages are vital immune cells residing in or recruited to the lungs.
- They play established roles in initiating and sustaining pulmonary inflammation.
- Emerging evidence highlights their critical function in resolving inflammation and promoting tissue repair.
Purpose of the Study:
- To review the dual role of lung macrophages in inflammation and repair.
- To discuss the mechanisms of macrophage plasticity.
- To explore cellular cross-talk and molecular pathways governing these processes.
Main Methods:
- Literature review of recent reports on lung macrophage function.
- Analysis of cellular cross-talk and molecular signaling pathways.
- Synthesis of information on macrophage plasticity in inflammation resolution and repair.
Main Results:
- Lung macrophages orchestrate both the resolution of inflammation and the initiation of lung repair.
- Macrophage plasticity is key to their dynamic roles in lung injury.
- Cellular interactions and molecular pathways mediate these functions.
Conclusions:
- Lung macrophages are central to restoring lung homeostasis after injury.
- Understanding macrophage plasticity is essential for developing therapeutic strategies.
- Targeting macrophage functions could enhance lung repair and recovery.
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