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Inflammatory signaling and macrophage polarization pathways represent the complex regulatory networks that govern the functional plasticity of macrophages in response to microenvironmental cues. Macrophages typically polarize into two broad phenotypes: the M1 (classically activated) state, which is pro-inflammatory and microbicidal, and the M2 (alternatively activated) state, which is involved in anti-inflammatory responses and tissue repair [1][2]. These transitions are mediated by key signaling cascades, including the NF-κB, MAPK, and JAK-STAT pathways, which integrate signals from Toll-like receptors (TLRs) and cytokine receptors [3][4]. Dysregulation of these pathways is a hallmark of various pathologies, including chronic inflammatory diseases, atherosclerosis, and cancer, where tumor-associated macrophages (TAMs) often adopt an M2-like phenotype to promote immune evasion [5]. Therapeutic strategies aim to modulate these pathways using biologics or small molecules to either suppress excessive M1-mediated inflammation or re-polarize M2-like TAMs toward an anti-tumor M1 phenotype [6].
Modulation of macrophage phenotypes through the inhibition or activation of specific signaling nodes such as NF-κB, JAK-STAT, and MAPK pathways to shift the balance from pro-inflammatory (M1) to anti-inflammatory (M2) states.
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