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The pro-fibrogenic role of SPP1+ macrophages in medical implant fibrosis: mechanisms and therapeutic opportunities - PubMed

2 days ago
  • #macrophages
  • #fibrosis
  • #implants
  • SPP1+ macrophages play a key role in fibrosis around medical implants.
  • These macrophages originate from CCR2+ monocytes and develop in collagen-rich areas near implants.
  • They are recruited via the CCL2-CCR2 axis and remain active in chronic phases.
  • SPP1+ macrophages promote fibrosis by activating fibroblasts through osteopontin-CD44 signaling.
  • Potential treatments include targeting the CCL2-CCR2 axis, blocking osteopontin-CD44 signaling, and using CRISPR-Cas13 or CAR macrophages.
  • Smart biomaterial-based drug delivery systems are also being explored to reduce fibrosis.