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. 2020 Aug;8(16):1030. doi: 10.21037/atm-20-2037

Table 2. Major differences between M1 and M2 macrophages with respect to antigen presentation, activation stimuli, phenotypes expressed in various disease conditions, signaling pathway and molecules involved, biomarkers, metabolism, immune function and genes present.

Functional aspect M1 macrophage M2 macrophage
Antigen presentation Yes No
Activation stimuli IFN-γ, TNF-α, and lipopolysaccharide (classical activation) IL-4, IL-10, IL-13, TGF-β, glucocorticoids (alternate activation)
Metabolism Glycolysis, HIF-1α, iNOS/NO, PKF2, mTOR, Induction of pro-inflammatory cytokines like IL-1β OXPHOS, Arginase 1,2, AMPK, PFKFB1, Th2 type response induction, cholesterol efflux (38), efferocytosis (39)
Nature of Immune function Pro-inflammatory killer mediated by ROS, RNS, TNFα, IL-6, IL-12, IL-23 Immunomodulation mediated by IL-10, TGFβ, PDGF, VEGF, EGF, Arginase, α-KG
Biomarkers—used in combination or isolated markers to identify macrophage subset (40) CCL2, CCL3, CCL5; CXCL8, CXCL9, CXCL10, CXCL11, CXCL16; IL-12, TNFα, IL-6, IL-1, IL-23; CD80, CD86, NOS, ROS, MHCII, TLR2/TLR4 CCL17, CCL18, CCL22, CCL24; CXCR1, CXCR2; IL-10, IL-2RA; CD23, CD163, CD36, CD86, Mannose receptor (CD68+ MR+/CD206+MR+), scavenger receptor class A (SR-A), lectin-like oxidized LDL, Arginase, MHCII (39)
Genes/enzymes NOS2, Ciita, IL-12 (41) Arg1, Ym1, Fizz1, MMP12, MMP7, MERTK, Mcr1, IL-10, CD81 (41)
Signaling pathways and molecules present (41) PI3K, p65, IRF5, STAT1, STAT2 PI3K, p50, IRF4, STAT3, STAT6
Phenotype in various disease condition Bacterial and viral infections, auto-immune diseases (ex; Rheumatoid arthritis), obesity, diabetes, cardiovascular diseases, atherosclerosis, steatosis/fatty liver Fibrosis, wound healing, sepsis, allergy, asthma, parasitic diseases (e.g., helminths), several tumors/cancers

α-KG, α-ketoglutarate.