Evidence map›Paper›PMID 40036145›Full record

ArticleAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2025

CaMKK2 Regulates Macrophage Polarization Induced by Matrix Stiffness: Implications for Shaping the Immune Response in Stiffened Tissues.

Ya Guan, Min Zhang, Jiyeon Song, Marcos Negrete, Tyler Adcock, Reeva Kandel, Luigi Racioppi, Sharon Gerecht

Abstract read
In one paragraph

Article in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

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  12. Quantifying Information Exchange Between Cells in Inflammaging.Bioengineering (Basel, Switzerland) · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ya GuanDepartment of Biomedical Engineering, Duke University, Durham, NC, 27708, USA.
Min ZhangDivision of Hematological Malignancies and Cellular Therapy, Department of Medicine, Duke University Medical Center, Durham, NC, 27708, USA.
Jiyeon SongDepartment of Biomedical Engineering, Duke University, Durham, NC, 27708, USA.
Marcos NegreteDepartment of Biomedical Engineering, Duke University, Durham, NC, 27708, USA.
Tyler AdcockDepartment of Biomedical Engineering, Duke University, Durham, NC, 27708, USA.
Reeva KandelDivision of Hematological Malignancies and Cellular Therapy, Department of Medicine, Duke University Medical Center, Durham, NC, 27708, USA.
Luigi RacioppiDivision of Hematological Malignancies and Cellular Therapy, Department of Medicine, Duke University Medical Center, Durham, NC, 27708, USA.ORCID https://orcid.org/0000-0002-9207-6752
Sharon GerechtDepartment of Biomedical Engineering, Duke University, Durham, NC, 27708, USA.ORCID https://orcid.org/0000-0002-8542-4835

Funding

Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI Laura Fish · 1985 to 2026
$174.8M
Somatostatin analogues as countermeasures against intestinal radiation toxicityU19AI067798 · NIAID · DUKE UNIVERSITY · PI CHAO, NELSON J. · 2005 to 2024
$82.1M
American Heart Association 24POST1189855DOD Peer Reviewed Cancer Research Program W81XWH-20-1-0498NASA NNX16A069A - SNT0101National Institute of Allergy and Infectious Diseases 2U19AI067798-16NCI NIH HHS P30 CA014236NIAID NIH HHS U19 AI067798U.S. Air Force FA9550-20-1-0356
6 · The paper itself

Abstract

Macrophages are essential for immune responses and maintaining tissue homeostasis, exhibiting a wide range of phenotypes depending on their microenvironment. The extracellular matrix (ECM) is a vital component that provides structural support and organization to tissues, with matrix stiffness acting as a key regulator of macrophage behavior. Using physiologically relevant 3D stiffening hydrogel models, it is found that increased matrix stiffness alone promoted macrophage polarization toward a pro-regenerative phenotype, mimicking the effect of interleukin-4(IL-4) in softer matrices. Blocking Calcium/calmodulin-dependent kinase kinase 2 (CaMKK2) selectively inhibited stiffness-induced macrophage polarization without affecting IL-4-driven pro-regenerative pathways. In functional studies, CaMKK2 deletion prevented M2-like/pro-tumoral polarization caused by matrix stiffening, which in turn hindered tumor growth. In a murine wound healing model, loss of CaMKK2 impaired matrix stiffness-mediated macrophage accumulation, ultimately disrupting vascularization. These findings highlight the critical role of CaMKK2 in the macrophage mechanosensitive fate determination and gene expression program, positioning this kinase as a promising therapeutic target to selectively modulate macrophage responses in pathologically stiff tissues.

Indexed as

Calcium-Calmodulin-Dependent Protein Kinase KinaseExtracellular MatrixMacrophagesAnimalsMiceMice, Inbred C57BLWound HealingCalcium-Calmodulin-Dependent Protein Kinase KinaseCamkk2 protein, mousehydrogelsmacrophagesmechanicspro‐regenerativestiffness

Identifiers

PMID40036145
PMCPMC12021110

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.