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Updated: Dec 28, 2025

Polarization of M1 and M2 Human Monocyte-Derived Cells and Analysis with Flow Cytometry upon Mycobacterium tuberculosis Infection
Published on: September 18, 2020
Hacking the host: exploitation of macrophage polarization by intracellular bacterial pathogens
Joseph D Thiriot1, Yazmin B Martinez-Martinez1, Janice J Endsley1
1Department of Microbiology and Immunology , University of Texas Medical Branch, 301 University Blvd, Galveston, Texas 77555 USA.
Abstract:
Macrophages play an integral role in host defenses against intracellular bacterial pathogens. A remarkable plasticity allows for adaptation to the needs of the host to orchestrate versatile innate immune responses to a variety of microbial threats. Several bacterial pathogens have adapted to macrophage plasticity and modulate the classical (M1) or alternative (M2) activation bias towards a polarization state that increases fitness for intracellular survival. Here, we summarize the current understanding of the host macrophage and intracellular bacterial interface; highlighting the roles of M1/M2 polarization in host defense and the mechanisms employed by several important intracellular pathogens to modulate macrophage polarization to favor persistence or proliferation. Understanding macrophage polarization in the context of disease caused by different bacterial pathogens is important for the identification of targets for therapeutic intervention.
Insights
Macrophages are key to fighting bacterial infections. Some bacteria manipulate macrophage polarization (M1/M2 states) to survive inside host cells, impacting disease and treatment strategies.
Area of Science:
- Immunology
- Microbiology
- Cell Biology
Background:
- Macrophages are crucial for host defense against intracellular bacterial pathogens.
- Macrophage plasticity enables diverse innate immune responses to microbial threats.
- Bacterial pathogens exploit macrophage polarization (M1/M2) for intracellular survival.
Purpose of the Study:
- To review the host macrophage and intracellular bacterial interface.
- To highlight the roles of M1/M2 macrophage polarization in host defense.
- To elucidate bacterial mechanisms for modulating macrophage polarization.
Main Methods:
- Literature review of host-pathogen interactions.
- Analysis of macrophage polarization states (M1/M2).
- Examination of bacterial strategies to manipulate host immunity.
Main Results:
- Macrophage polarization (M1/M2) is central to controlling intracellular bacteria.
- Pathogens actively modulate macrophage polarization to enhance their survival and proliferation.
- Understanding these interactions is vital for developing new therapies.
Conclusions:
- Targeting macrophage polarization offers potential therapeutic avenues against bacterial infections.
- Elucidating pathogen manipulation of M1/M2 states is critical for effective disease control.
- This review synthesizes current knowledge on macrophage-bacterial interactions.
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