Review Article

Regulatory Mechanism of M1/M2 Macrophage Polarization in the Development of Autoimmune Diseases

Table 1

Phenotypes, stimulants, biomarkers, secretions, and functions of macrophages.

Macrophage phenotypeStimulantsBiomarkersSecretionsFunctionsRef.

M1 (classically activated macrophages)IFN-γ, LPS, TNF-α, GM-CSFCD86, CD40, CD38, NF-κB, STAT1TNF-α, IL-1α, IL-12, IL-23, IL-1β, IL-6, ROS, and RNSPromote Th1 immune response, promote inflammatory response, fight pathogens, and inhibit the occurrence and development of tumors[7, 8, 4245]
M2a (wound healing macrophages)IL-4, IL-13, M-CSFCD206, IL-1R, CCL17, Fizz1, STAT6TGF-β, IL-10, insulin-like growth factor (IGF), and fibronectinPromote tissue repair and remodeling, promote fibrosis, and promote type II immune response by enhancing polyamines, collagen synthesis[45, 5356]
M2b (regulatory macrophages)Immune complex, TLR agonist, IL-1R agonistIL-10, CCL1, LIGHT, CD86, SPHK1, TNF-α, IL-6, ERK, AP-1Proinflamatory cytokines (IL-1β, IL-6, and TNF-α), anti-inflammatory cytokine (IL-10 and low levels of IL-12)Involve in proinflammatory and anti-inflammatory responses, immunomodulation, and Th2 activation[45, 5458]
M2c (acquired inactivated macrophages)Glucocorticoids, TGF-β, IL-10CD163, Mer receptor tyrosine kinase (MerTK), STAT3IL-10, TGF-βImmune tolerance and tissue repair, suppress inflammation, promote phagocytosis and cholesterol efflux[45, 55, 56, 58, 59]
M2d (tumor-associated macrophagesTLR, adenosine A2A receptor
γ, IL-6
Vascular endothelial growth factor A (VEGF-A), HIF-1αProteolytic enzymes (MMP-2), growth factors (VEGF), and anti-inflammatory mediators (TGF-β)Beneficial for angiogenesis and tumor metastasis[45, 55, 56, 6064]