PMID- 30070144 OWN - NLM STAT- MEDLINE DCOM- 20200818 LR - 20200818 IS - 1557-7716 (Electronic) IS - 1523-0864 (Linking) VI - 30 IP - 12 DP - 2019 Apr 20 TI - The Role of Metabolic Remodeling in Macrophage Polarization and Its Effect on Skeletal Muscle Regeneration. PG - 1553-1598 LID - 10.1089/ars.2017.7420 [doi] AB - Significance: Macrophages are crucial for tissue homeostasis. Based on their activation, they might display classical/M1 or alternative/M2 phenotypes. M1 macrophages produce pro-inflammatory cytokines, reactive oxygen species (ROS), and nitric oxide (NO). M2 macrophages upregulate arginase-1 and reduce NO and ROS levels; they also release anti-inflammatory cytokines, growth factors, and polyamines, thus promoting angiogenesis and tissue healing. Moreover, M1 and M2 display key metabolic differences; M1 polarization is characterized by an enhancement in glycolysis and in the pentose phosphate pathway (PPP) along with a decreased oxidative phosphorylation (OxPhos), whereas M2 are characterized by an efficient OxPhos and reduced PPP. Recent Advances: The glutamine-related metabolism has been discovered as crucial for M2 polarization. Vice versa, flux discontinuities in the Krebs cycle are considered additional M1 features; they lead to increased levels of immunoresponsive gene 1 and itaconic acid, to isocitrate dehydrogenase 1-downregulation and to succinate, citrate, and isocitrate over-expression. Critical Issues: A macrophage classification problem, particularly in vivo, originating from a gap in the knowledge of the several intermediate polarization statuses between the M1 and M2 extremes, characterizes this field. Moreover, the detailed features of metabolic reprogramming crucial for macrophage polarization are largely unknown; in particular, the role of beta-oxidation is highly controversial. Future Directions: Manipulating the metabolism to redirect macrophage polarization might be useful in various pathologies, including an efficient skeletal muscle regeneration. Unraveling the complexity pertaining to metabolic signatures that are specific for the different macrophage subsets is crucial for identifying new compounds that are able to trigger macrophage polarization and that might be used for therapeutical purposes. FAU - De Santa, Francesca AU - De Santa F AD - Institute of Cell Biology and Neurobiology (IBCN), National Research Council (CNR), Rome, Italy. FAU - Vitiello, Laura AU - Vitiello L AD - Laboratory of Pathophysiology of Cachexia and Metabolism of Skeletal Muscle, IRCCS San Raffaele Pisana, Rome, Italy. FAU - Torcinaro, Alessio AU - Torcinaro A AD - Institute of Cell Biology and Neurobiology (IBCN), National Research Council (CNR), Rome, Italy. AD - Department of Biology and Biotechnology "Charles Darwin," Sapienza University, Rome, Italy. FAU - Ferraro, Elisabetta AU - Ferraro E AD - Laboratory of Pathophysiology of Cachexia and Metabolism of Skeletal Muscle, IRCCS San Raffaele Pisana, Rome, Italy. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20181009 PL - United States TA - Antioxid Redox Signal JT - Antioxidants & redox signaling JID - 100888899 SB - IM MH - Animals MH - Cell Polarity MH - Humans MH - Macrophages/*physiology MH - Mitochondria/metabolism MH - Muscle, Skeletal/cytology/*physiology MH - Phenotype MH - *Regeneration OTO - NOTNLM OT - cross-talk muscle-macrophages OT - macrophage polarization OT - metabolic reprogramming OT - mitochondria OT - rehabilitation OT - skeletal muscle regeneration EDAT- 2018/08/03 06:00 MHDA- 2020/08/19 06:00 CRDT- 2018/08/03 06:00 PHST- 2018/08/03 06:00 [pubmed] PHST- 2020/08/19 06:00 [medline] PHST- 2018/08/03 06:00 [entrez] AID - 10.1089/ars.2017.7420 [doi] PST - ppublish SO - Antioxid Redox Signal. 2019 Apr 20;30(12):1553-1598. doi: 10.1089/ars.2017.7420. Epub 2018 Oct 9.