Table 1.
The characteristics of M1-like versus M2-like macrophages
M1-like macrophages | M2-like macrophages | |
Inducers | IFN-γ, TNF-α, TLR ligands, bacterial products (such as LPS) | IL-4, IL-10, IL-13, TGF-β, CSF1, PGE2, glucocorticoids |
Phenotypic markers | HLA-DR, CD80, CD86 | CD163, CD204, CD206 |
Secreted/produced molecules | IL-1α, IL-1β, IL-6, IL-12, IL-23, TNF-α, iNOS, ROS | IL-10, TGF-β, PGE2, VEGF, MMPs, ARG1 |
Metabolism | Highly glycolytic—dependent on the stabilization of HIF-1α; increased generation of lactic acid | Glycolysis is dispensable when OXPHOS is intact |
↑PPP flux → ↑NADPH production → generation of NO and ROS; lipid biosynthesis | ↓PPP flux | |
↑lipid synthesis → membrane biogenesis, granule formation | ↑FAO | |
Impaired TCA cycle → accumulation of citrate and succinate → fatty acid synthesis and generation of inflammatory effector molecules—for example, NO | Intact TCA cycle driven by FAO and glutamine catabolism | |
Impaired OXPHOS and ETC → ↑ROS generation | ↑OXPHOS and mitochondrial biogenesis | |
↑iNOS expression → arginine is preferentially catabolized into NO | ↑ARG1 expression → arginine is preferentially catabolized into ornithine and urea → production of polyamines and proline → cell growth and collagen synthesis | |
Functions | Proinflammatory, pathogen clearance, antitumor properties | Anti-inflammatory, tissue repair and remodeling, protumorigenic properties—immunosuppression, angiogenesis, tumor cell invasion and metastasis |
CSF1, colony-stimulating factor 1; ETC, electron transport chain; FAO, fatty acid oxidation; HIF-1α, hypoxia-inducible factor 1α; HLA-DR, human leukocyte antigen-DR; IFN, interferon; iNOS, inducible nitric oxide synthase; LPS, lipopolysaccharide; MMP, matrix metalloproteinase; NADPH, nicotinamide adenine dinucleotide phosphate; NO, nitric oxide; OXPHOS, oxidative phosphorylation; PGE2, prostaglandin E2; PPP, pentose phosphate pathway; ROS, reactive oxygen species; TCA cycle, tricarboxylic acid cycle; TLR, toll-like receptor; TNF, tumor necrosis factor; VEGF, vascular endothelial growth factor.