Evidence map›Paper›PMID 41552884›Full record

ReviewAnnals of medicine2026

Corneal macrophages and limbal stem cells: emerging roles in ocular surface regeneration.

Yi Mao, Shangkun Ou, Wei Si, Yuhang Zhang, Su Xu, Ying Qi, Fengyan Zhang

Abstract readReview
In one paragraph

Review in Annals of medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
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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

7 authors.

Yi MaoDepartment of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.ORCID 0000-0002-1177-2183
Shangkun OuEye Institute of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fujian, China.
Wei SiDepartment of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Yuhang ZhangDepartment of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Su XuDepartment of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.ORCID 0009-0008-6627-2021
Ying QiDepartment of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Fengyan ZhangDepartment of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCorneal integrity and visual acuity rely on limbal stem cells (LSCs) and immune homeostasis. Macrophages, as critical immune regulators, are increasingly recognized for their roles in stem cell niche maintenance and tissue regeneration. Recent advances in human single-cell and spatial transcriptomic profiling have further revealed previously underappreciated macrophage heterogeneity, context-dependent activation states, and neuroimmune interactions within the limbal niche.

objectiveTo review current evidence on the localization, plasticity, and immuno-modulatory functions of corneal macrophages-with emphasis on human-derived insights, emerging neuroimmune mechanisms, and their interactions with LSCs during homeostasis and injury.

methodsThis narrative review integrates findings from the immunology, stem cell biology, and ophthalmology literature. It focuses on macrophage-derived cytokines, metabolic mediators, and microenvironmental cues that influence LSC behavior, and incorporates recent human single-cell, spatial transcriptomic, and regenerative immunology studies as well as therapeutic strategies modulating macrophage phenotype.

resultsMacrophages exhibit dynamic and spectrum-like polarization during corneal inflammation and repair, extending beyond the traditional M1/M2 dichotomy. Their secreted factors-including TNF-α, IL-6, TGF-β, IL-10, and NO, and Arg1-derived metabolites-affect LSC proliferation, migration, and differentiation in a dose-, time-, and context-dependent manner. Therapeutic reprogramming of macrophages

conclusionMacrophages serve as pivotal modulators of the limbal niche. Targeting macrophage-stem cell crosstalk represents a promising avenue for restoring niche stability and preventing limbal stem cell deficiency. Future progress will rely on human single-cell atlases, immune microenvironment profiling, and macrophage-targeted immunoregenerative strategies.

Indexed as

CorneaLimbus CorneaeMacrophagesRegenerationAnimalsHumansLimbal Stem Cell DeficiencyLimbal Stem CellsStem Cell NicheStem CellsCorneal macrophagesimmune–stem cell interactioninflammationlimbal stem cellsmacrophage polarizationocular surface regeneration

Identifiers

PMID41552884
PMCPMC12818306

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Registered trials

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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.