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Macrophage Related Chronic Inflammation in Non-Healing Wounds
Meirong Li1,2,3,4, Qian Hou1,2,3, Lingzhi Zhong1,2,3
1Research Center for Tissue Repair and Regeneration Affiliated to the Medical Innovation Research Division and 4th Medical Center, PLA General Hospital and PLA Medical College, Beijing, China.
Abstract:
Persistent hyper-inflammation is a distinguishing pathophysiological characteristic of chronic wounds, and macrophage malfunction is considered as a major contributor thereof. In this review, we describe the origin and heterogeneity of macrophages during wound healing, and compare macrophage function in healing and non-healing wounds. We consider extrinsic and intrinsic factors driving wound macrophage dysregulation, and review systemic and topical therapeutic approaches for the restoration of macrophage response. Multidimensional analysis is highlighted through the integration of various high-throughput technologies, used to assess the diversity and activation states as well as cellular communication of macrophages in healing and non-healing wound. This research fills the gaps in current literature and provides the promising therapeutic interventions for chronic wounds.
Insights
Chronic wounds involve persistent inflammation due to macrophage dysfunction. This review explores macrophage roles in healing and non-healing wounds, highlighting therapeutic strategies to restore macrophage function for better chronic wound treatment.
Area of Science:
- Wound healing research
- Immunology
- Cell biology
Background:
- Chronic wounds are characterized by persistent hyper-inflammation.
- Macrophage malfunction is a key factor contributing to non-healing wounds.
- Understanding macrophage heterogeneity is crucial for therapeutic development.
Purpose of the Study:
- To review macrophage origin, heterogeneity, and function in wound healing.
- To compare macrophage roles in healing versus non-healing chronic wounds.
- To discuss therapeutic strategies for restoring macrophage function in chronic wounds.
Main Methods:
- Literature review of macrophage biology in wound healing.
- Analysis of factors contributing to macrophage dysregulation.
- Examination of systemic and topical therapeutic interventions.
- Highlighting multidimensional analysis integrating high-throughput technologies.
Main Results:
- Macrophages exhibit diverse origins and functions during wound healing.
- Dysregulated macrophages contribute to chronic inflammation in non-healing wounds.
- Various intrinsic and extrinsic factors influence macrophage behavior.
- Multidimensional analysis reveals macrophage diversity and communication.
Conclusions:
- Restoring macrophage function is a promising therapeutic avenue for chronic wounds.
- Targeting macrophage dysregulation can address persistent inflammation.
- Advanced analytical techniques offer insights into macrophage-mediated wound repair.
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