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Updated: Apr 29, 2026

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Published on: July 29, 2019
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The Spectrum of Fibroblast Immune Biology
Alberto Guarnieri1, Shannon J Turley1,2
1Discovery Immunology and Ophthalmology, Genentech, South San Francisco, California, USA;
Annual Review of Immunology
|April 27, 2026
Summary
Inflammatory fibroblasts, a diverse cell type, significantly impact immune responses and tissue health. Their plasticity and interactions with immune cells are crucial in chronic inflammatory diseases.
Area of Science:
- Immunology
- Cell Biology
- Pathology
Background:
- Single-cell omics and lineage tracing reveal microenvironmental influences on immune activity.
- Fibroblasts exhibit greater plasticity and heterogeneity than previously understood.
- Unique connections between fibroblasts and immune system functions are increasingly recognized.
Purpose of the Study:
- To review the current understanding of inflammatory fibroblast biology.
- To emphasize their regulatory roles and interactions with innate and adaptive immune cells in chronic nonmalignant diseases.
- To explore their ontogeny, distribution, and characteristics in various inflammatory conditions.
Main Methods:
- Review of recent advancements in single-cell omic technologies.
- Analysis of lineage-tracing approaches.
- Synthesis of current literature on fibroblast biology and immunology.
Main Results:
- Fibroblasts are key regulators of immune responses within specific microenvironments.
- Inflammatory fibroblasts exhibit unique transcriptional, biochemical, and immunological profiles.
- These cells are intricately involved in both tissue homeostasis and pathological conditions.
Conclusions:
- Inflammatory fibroblasts are critical players in chronic inflammatory diseases.
- Their interactions with immune cells are bidirectional and context-dependent.
- Further research into fibroblast heterogeneity is essential for understanding and treating inflammatory conditions.
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