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Macrophage recruitment and infiltration pathway

Molecular classification
Other
01

Overview

The macrophage recruitment and infiltration pathway is a complex biological process involving the mobilization of monocytes from the bone marrow and their subsequent migration into peripheral tissues, where they differentiate into macrophages (Nature Reviews Cancer, PMID: 24442438). This pathway is primarily driven by the interaction between chemokines, such as C-C Motif Chemokine Ligand 2 (CCL2), and their corresponding receptors, notably C-C Chemokine Receptor Type 2 (CCR2) (Frontiers in Immunology, PMID: 30107140). Additionally, Colony Stimulating Factor 1 (CSF1) and its receptor (CSF1R) play a critical role in the survival and differentiation of these recruited cells (Clinical Cancer Research, PMID: 27141351). In diseases like cancer, this pathway is exploited to populate the tumor microenvironment with tumor-associated macrophages (TAMs) that facilitate immunosuppression, angiogenesis, and metastasis (Journal of Hematology & Oncology, PMID: 33407734). Therapeutic strategies targeting this pathway focus on inhibiting these signaling nodes to prevent macrophage accumulation in pathological sites (Nature Reviews Cancer, PMID: 24442438). While highly relevant for drug discovery, this entry represents a multi-component physiological process rather than a single molecular target. Drugs like pexidartinib and carlumab have been developed to disrupt specific nodes within this recruitment cascade to achieve clinical benefit (Cell, PMID: 28985560).

Other names
Monocyte recruitmentMacrophage chemotaxisMacrophage migrationTumor-associated macrophage infiltrationMonocyte-macrophage axis
02

Mechanism of action

Inhibition of chemokine-receptor interactions (e.g., CCL2-CCR2 axis) or growth factor signaling (e.g., CSF1-CSF1R axis) to block the mobilization, extravasation, and survival of monocytes and macrophages in diseased tissues.

03

Biological functions

Immune responseOther
04

Disease associations

CancerInflammationCardiovascular diseaseOther
05

Safety considerations

Increased susceptibility to infectionsImpaired wound healingPotential for systemic immunosuppressionHepatotoxicity (associated with CSF1R inhibitors)Periorbital edema
06

Interacting drugs

Carlumab

5 more in the full profile.

07

Biomarkers

CD68CD163CCL2 levelsCSF1 levelsCirculating monocyte count

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