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Chinese Journal of Clinical Pharmacology and Therapeutics ›› 2026, Vol. 31 ›› Issue (1): 125-132.doi: 10.12092/j.issn.1009-2501.2026.01.014

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Progress in research on macrophage polarization, intestinal flora and their metabolites in organ injury

Yiru WEN1(), Jinlamu YANG1, Ga MEI1, Na LI2, Yapeng LU2, Yan ZHANG2, Jieting LIU2,*()   

  1. 1. The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou 730000, Gansu, China
    2. Dpartment of Anesthesiology, The Second Hospital & Clinical Medical School, Lanzhou university, Lanzhou 730000, Gansu, China
  • Received:2024-12-08 Revised:2025-02-22 Online:2026-01-26 Published:2026-02-13
  • Contact: Jieting LIU E-mail:wenyiru975@163.com;49005110@qq.com

Abstract:

Macrophage polarization, intestinal flora and their metabolites have emerged as research hotspots in recent years. Several published studies have shown that there is a certain correlation between macrophage polarization and intestinal flora as well as their metabolites. Intestinal flora and their metabolites can induce macrophages to polarize into M1 or M2 phenotypes, thereby triggering pro-inflammatory or anti-inflammatory responses, which are closely related to organ injury. This review summarizes the relevant research on macrophage polarization, intestinal flora, and their metabolites in organ injury. It elaborates on the mechanisms and related pathways of macrophage polarization, explores the regulatory effects of intestinal flora and their metabolites on macrophage polarization, and discusses their roles in related diseases and organ injury. The aim is to provide new insights for the research on the mechanisms of organ injury and corresponding protective strategies.

Key words: macrophage polarization, intestinal flora, metabolites, inflammation, organ injury

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