Evidence map›Paper›PMID 40867535›Full record

ReviewBiomolecules2025

Macrophage Reprogramming: Emerging Molecular Therapeutic Strategies for Nephrolithiasis.

Meng Shu, Yiying Jia, Shuwei Zhang, Bangyu Zou, Zhaoxin Ying, Xu Gao, Ziyu Fang, Xiaofeng Gao

Abstract readReview
In one paragraph

Review in Biomolecules, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Meng ShuDepartment of Urology, Changhai Hospital of Shanghai, Naval Medical University, Shanghai 200433, China.ORCID 0009-0002-0419-2495
Yiying JiaDepartment of Urology, Changhai Hospital of Shanghai, Naval Medical University, Shanghai 200433, China.
Shuwei ZhangDepartment of Urology, Changhai Hospital of Shanghai, Naval Medical University, Shanghai 200433, China.
Bangyu ZouDepartment of Urology, Changhai Hospital of Shanghai, Naval Medical University, Shanghai 200433, China.
Zhaoxin YingDepartment of Urology, Changhai Hospital of Shanghai, Naval Medical University, Shanghai 200433, China.
Xu GaoDepartment of Urology, Changhai Hospital of Shanghai, Naval Medical University, Shanghai 200433, China.
Ziyu FangDepartment of Urology, Changhai Hospital of Shanghai, Naval Medical University, Shanghai 200433, China.
Xiaofeng GaoDepartment of Urology, Changhai Hospital of Shanghai, Naval Medical University, Shanghai 200433, China.

Funding

Xu Gao 2020YFC2002700Xu Gao 2020YFC2002704
6 · The paper itself

Abstract

Nephrolithiasis, predominantly driven by calcium oxalate (CaOx) crystal deposition, poses a significant global health burden due to its high prevalence and recurrence rates and limited preventive/therapeutic options. Recent research has underscored a pivotal role for macrophage polarization in nephrolithiasis pathogenesis. Pro-inflammatory phenotype macrophages exacerbate crystal-induced injury and foster stone formation by amplifying crystal adhesion via an NF-κB-IL-1β positive-feedback axis that sustains ROS generation and NLRP3 inflammasome activation, whereas anti-inflammatory phenotype macrophages facilitate crystal clearance and tissue repair. We have summarized the research on treating nephrolithiasis and related renal injury by targeting macrophage polarization in recent years, including therapeutic approaches through pharmacological methods, epigenetic regulation, and advanced biomaterials. At the same time, we have critically evaluated the novel therapeutic strategies for macrophage reprogramming and explored the future development directions of targeting macrophage reprogramming for nephrolithiasis treatment, such as using single-cell/spatial omics to reveal the heterogeneity of macrophages in the stone microenvironment, chimeric antigen receptor macrophages (CAR-Ms) as a potential therapy for specific crystal phagocytosis in certain areas, and multi-omics integration to address inter-patient immune differences. This review highlights that macrophage reprogramming is a transformative frontier in nephrolithiasis management and underscores the need for further research to translate these molecular insights into effective clinical applications.

Indexed as

Cellular ReprogrammingMacrophagesNephrolithiasisAnimalsCalcium OxalateHumansInflammasomesCalcium OxalateInflammasomesCaOxcellular reprogrammingmacrophage polarizationnephrolithiasisprecision medicine

Identifiers

PMID40867535
PMCPMC12383566

What OpenQuestion holds

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Registered trials

None linked

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.