DAMPs and PAMPs driven macrophage activation in kidney injury

Jia-Hui Li1, Zhu-Jun Wu2, Wan-Ting Li3

  • 1College of Integration of Traditional Chinese and Western Medicine, Southwest Medical University, Luzhou 646000, China.

Tissue & Cell
|April 21, 2026
PubMed

Insights

Pattern recognition receptors (PRRs) on macrophages detect damage signals (DAMPs/PAMPs), driving kidney inflammation and fibrosis. Targeting this pathway offers new treatments for kidney disease.

Area of Science:

  • Nephrology
  • Immunology
  • Pathology

Background:

  • Renal inflammation and fibrosis are key drivers of chronic kidney disease progression.
  • Macrophage activation via pattern recognition receptors (PRRs) sensing damage- (DAMPs) and pathogen-associated molecular patterns (PAMPs) initiates kidney injury.

Purpose of the Study:

  • To comprehensively review how DAMP/PAMP-mediated macrophage activation orchestrates renal injury.
  • To elucidate the mechanisms of macrophage polarization, inflammasome activation, and pyroptosis in kidney disease.
  • To highlight novel DAMPs/PAMPs roles and therapeutic strategies targeting this axis.

Main Methods:

  • Review of literature on macrophage activation, inflammasomes, and renal pathology.
  • Analysis of mechanisms linking PRR signaling to kidney inflammation and fibrosis.
  • Synthesis of therapeutic approaches targeting PRR-DAMP/PAMP-macrophage axis.

Main Results:

  • DAMP/PAMP sensing by PRRs triggers macrophage activation, leading to renal inflammation and fibrosis.
  • Macrophage polarization, inflammasome assembly, and pyroptosis amplify kidney injury.
  • Emerging DAMPs and PAMPs contribute to specific renal pathologies.

Conclusions:

  • Targeting PRR antagonists, inflammasome inhibitors, and macrophage polarization modulators shows therapeutic potential.
  • Modulating the DAMP/PAMP-macrophage axis can attenuate renal inflammation and fibrosis.
  • These strategies may mitigate the progression of end-stage kidney disease.

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