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Table 3 The mechanism of macrophage cellular crosstalk in the pathogenesis of PF

From: The role of macrophage polarization and cellular crosstalk in the pulmonary fibrotic microenvironment: a review

Type of crosstalk

Mediator

Mechanism of action

References

Macrophage to fibroblast

S100a4

M2-derived S100a4 promoted mesenchymal progenitor cell fibrogenicity and following fibroblast activation, migration, as well as FMT↑

[76,77,78]

CX3CR1

The downregulation of M2 polarization induced by CX3CL1-CX3CR1 interaction modulate fibrocytes migration and subsequent myofibroblasts activation↓

[79]

TSLP/MMP9

Macrophage-derived TSLP/MMP9 promoted the EMT and FMT progress between epithelial cells and fibroblasts↑

[80]

IL-1/ TGF-β1

Macrophage-secreted IL-10 regulated M2 polarization via CCL2/CCR2 axis and following fibroblast activation in a TGF-β1 dependent manner↑

[81,82,83]

microcystin-LR

Chronic exposure of microcystin-LR suppressed the M2 differentiation by blocking UPRER signaling, thereby inhibiting EMT and FMT↓

[84]

SPP1/MERTK

Highly proliferation of SPP1hi macrophage contributed to the activation of myofibroblast in PF microenvironment↑

[85]

ER stress/UPR

The enhancement of ER stress upregulated UPR-associated proteins (IRE1α/ CHOP) to promote M2 polarization and facilitated the TGF-β–mediated myofibroblasts differentiation via PI3K/AKT/mTOR pathway↑

ER stress modified macrophage-fibroblast crosstalk by TLR4 and PINK↑

[86, 87]

miR-142-3p

The delivery of miR-142-3p from macrophage-derived exosomes to fibroblasts can reduce TGFβ-R1 transcript and profibrotic genes expression

[10]

Fibroblast to macrophage

Lactate

Myofibroblast glycolysis relies on lactate to mediate the pathogenic phenotype of alveolar macrophages and induce profibrotic mediator expression in macrophages↑

[89, 90]

Fatty acid

Dysfunctional fatty acid metabolism in fibroblasts promoted the secretion of PPAR-γ to activate M2 polarization and subsequent phenotypes switch between lipofibroblasts and myofibroblasts↑

[92,93,94]

Macrophage to AEC

IL-4/IL-13

IL-4/IL-13 induced M2 cell culture media promoted the expression of fibrotic factors and antiapoptotic meditators (COX, BCL2) in ATII cells↑

[108]

NOX2

M2 macrophage stimulated the senescence of AECs in a NOX2 dependent manner via increasing superoxide production↑

[109]

PI3K/Akt

Macrophage-secreted cytokine levels are involved in the activation of EMT process through PI3K/Akt signaling↑

[110]

Keratin 8

Keratin 8 prohibited macrophage-induced transitional AEC senescence from bleomycin exposure by decreasing macrophage fibrotic cytokines↓

[111]

STING

The blocking of STING signaling inhibited M1 polarization and fibrotic response within the co-culture system of macrophages, fibroblasts and AECs↓

[112]

AEC to macrophage

CCL2/CCL12

AEC-induced CCL2/CCL12 expression recruited monocyte-oriented macrophages within fibrotic microenvironment↑

Senescent AECs promoted Ly6C monocytes to migrate and differentiate into IMs via CCL2↑

[113, 114]

AEC to macrophage

GM-CSF

Expression of GM-CSF in ATII cells would switch on the differentiation of fetal AMs, and the absence of ATII-derived Csf2 led to AM population atrophy↑

[116]

PAI-1

The deletion of PAI-1 in senescent ATII cells inhibited the secretion of SASP and subsequent M2 polarization↑

[117]

miR-92a-3p

miR-92a-3p in AEC-derived exosomes could be absorbed by AMs to induce inflammatory cytokines↑

[118]

Ninj1

Upregulation of Ninj1 in AECs boosted the activation of macrophage within PF microenvironment↑

[119]

Shh

Shh secreted by ATII cells promoted the alternative activation of osteopontin-mediated M2 macrophage↑

[120]

12-LOX

Senescent ATII cells may facilitate macrophage to polarize into preferential M2 type via 12-LOX dependent pathway in PF microenvironment↑

[121]

  1. ↑ Increase, ↓ Decrease, FMT Fibroblast-to-myofibroblast transformation, ECM Extracellular matrix, TSLP Thymic stromal lymphopoietin, MMP9 Matrix metalloproteinase 9, IL Interleukin, LR Leucine arginine, UPR Endoplasmic reticulum unfolded protein response, EMT Epithelial-mesenchymal transition, IRE1α Requiring enzyme 1α, CHOP C/EBP homologous protein, PPAR-γ Peroxisome proliferator-activated receptor-γ, AEC Alveolar epithelial cell, IL Interleukin, ATII Alveolar epithelial cell type II, COX Cyclooxygenase, BCL2 B-cell lymphoma-2, PI3K/Akt Phosphatidylinositide 3-kinases/ protein kinase B, STING Stimulator of interferon genes, GM-CSF Granulocyte–macrophage colony-stimulating factor, PAI-1 Plasminogen activator inhibitor-1, SASP Senescence-associated secretory phenotype, Ninj1 Nerve injury-induced protein 1, Shh Sonic hedgehog, 12-LOX 12-lipoxygenase