Evidence map›Paper›PMID 41290567›Full record

ReviewBone research2025

Biomaterial-mediated macrophage polarization remodeling and sequential regulation: a potential strategy in bone infections treatment.

Xiangwen Shi, Chao Xu, Zhian Chen, Mingjun Li, Zhe Yin, Bin Wang, Yang Li, Yipeng Wu, Xiaopei Wu, Yongqing Xu

Abstract readReview
In one paragraph

Review in Bone research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing 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

33 citing papers in PubMed.

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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

10 authors.

Xiangwen Shi *Kunming Medical University, Kunming, Yunnan, China.
Chao Xu *College of Materials Science and Engineering, State Key Laboratory of New Textile Materials and Advanced Processing Technology, Wuhan Textile University, Wuhan, Hubei, China.
Zhian Chen *Kunming Medical University, Kunming, Yunnan, China.
Mingjun LiDepartment of Orthopedic Surgery, 920th Hospital of Joint Logistics Support Force of PLA, Kunming, Yunnan, China.
Zhe YinKunming Medical University, Kunming, Yunnan, China.
Bin WangDepartment of Orthopedic Surgery, 920th Hospital of Joint Logistics Support Force of PLA, Kunming, Yunnan, China.
Yang LiDepartment of Orthopedic Surgery, 920th Hospital of Joint Logistics Support Force of PLA, Kunming, Yunnan, China.
Yipeng WuDepartment of Orthopedic Surgery, 920th Hospital of Joint Logistics Support Force of PLA, Kunming, Yunnan, China. chriswuyipeng@163.com.
Xiaopei WuState Key Laboratory of Advanced Technology for Materials Synthesis and Processing, Wuhan University of Technology, Wuhan, Hubei, China. wxp06134@whut.edu.cn.
Yongqing XuDepartment of Orthopedic Surgery, 920th Hospital of Joint Logistics Support Force of PLA, Kunming, Yunnan, China. xuyongqingkm@163.net.

Funding

Applied Basic Research Key Project of Yunnan (Applied Basic Research Key Project of Yunnan Province) 202301AC070621National Natural Science Foundation of China (National Science Foundation of China) 82072392Yunnan Provincial Department of Education (Department of Education, Yunnan Province) 2024Y251Yunnan Provincial Science and Technology Department (Yunnan Department of Science and Technology) 202102AA310068Yunnan Provincial Science and Technology Department (Yunnan Department of Science and Technology) ZX20191001
6 · The paper itself

Abstract

Osteomyelitis remains a global challenge in the field of orthopedics. Even after standard debridement and antibiotic-assisted treatment, the long-term recurrence rate remains at 20%-30%. Given the dynamic changes in immune responses and defense mechanisms during bone infection, as well as the complex "race for the surface" involving bacterial adhesion and host cells (macrophages and tissue cells) on implant surfaces, biomaterials with immunomodulatory functions have attracted considerable attention. Macrophages, as crucial components of the immune system, participate in the inflammatory regulation and tissue remodeling of bone infections through highly plastic polarization mechanisms after bacterial invasion. The different microenvironmental characteristics and therapeutic needs at different stages of bone infection highlight the promising applications of biomaterials capable of macrophage polarization remodeling and sequential regulation. In this review, we provide a detailed discussion of the complex immune regulatory patterns in the bone infection microenvironment and the critical functions of macrophage polarization. We then explore how implant surface properties influence bacterial adhesion and macrophage function, highlighting the importance of achieving precise and dynamic regulation of macrophage polarization based on the Race for the Surface theory. Furthermore, we focus on recent advances, potential challenges, and opportunities in biomaterial-mediated macrophage polarization remodeling and sequential modulation strategies across different stages of osteomyelitis, aiming to offer insights that may accelerate the clinical translation of novel biomaterial-based macrophage immunotherapies.

Indexed as

Biocompatible MaterialsCell PolarityMacrophagesOsteomyelitisAnimalsHumansBiocompatible Materials

Identifiers

PMID41290567
PMCPMC12647917

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.