Evidence map›Paper›PMID 41813253›Full record

ReviewJournal of diabetes2026

Insights Into Macrophage Polarization and M1/M2 Balance in Diabetic Foot Ulcers.

Jing Zhang, Hong Li, Yulin Dong, Zhuoyan Zhou, Yuhan Wang, Xia Chen, Yulan Cai

Abstract readReview
In one paragraph

Review in Journal of diabetes, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Cu-CeOFrontiers in bioengineering and biotechnology · 2026
    Article
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.

Jing ZhangDepartment of Endocrinology and Metabolism, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, China.ORCID https://orcid.org/0009-0002-4270-8915
Hong LiDepartment of Endocrinology and Metabolism, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Yulin DongDepartment of Endocrinology and Metabolism, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Zhuoyan ZhouDepartment of Endocrinology and Metabolism, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Yuhan WangDepartment of Endocrinology and Metabolism, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Xia ChenDepartment of Endocrinology and Metabolism, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
Yulan CaiDepartment of Endocrinology and Metabolism, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, China.ORCID https://orcid.org/0000-0002-2181-2492

Funding

Guizhou Science and Technology Association Youth Science and Technology Talent Promotion Project NO. GASTYESS202434High-Level Talent Fund of the Second Affiliated Hospital of Zunyi Medical University GRC-2025-005Joint Fund of Zunyi Science and Technology Bureau No. 132, Zunshi Kehe HZ (2025)Kweichow Moutai Hospital Science and Technology Innovation Project MTyk2022-42National Natural Science Foundation of China 82260167; 82460167Zunyi Medical University Future Clinical Excellence Physician Training Program 20231009
6 · The paper itself

Abstract

Macrophage polarization, encompassing classically activated (M1) and alternatively activated (M2) states, is a critical determinant of immune response in wound healing. In diabetic foot ulcers (DFUs), a persistent imbalance favoring pro-inflammatory M1 over anti-inflammatory M2 macrophages drives chronic inflammation and impedes tissue repair. This review delineates the central role of macrophage polarization in DFU pathogenesis and systematically summarizes the key signaling pathways that govern this process, including PI3K/AKT, PPARγ, Notch, and Toll-like receptors (TLRs). We further synthesize these cascades into a novel hierarchical network model, identifying NF-κB and JAK-STAT as the core regulatory hubs. Beyond mechanism, we discuss emerging therapeutic strategies-including pharmacological agents and biomaterial-based approaches-that target macrophage polarization, positioning them as promising adjuvants to standard wound care. By integrating mechanistic insights with therapeutic potential, this review provides an updated framework for developing targeted immunomodulatory therapies to break the cycle of non-healing in DFUs.

Indexed as

Diabetic FootMacrophage ActivationMacrophagesAnimalsHumansSignal TransductionWound Healingdiabetesdiabetic foot ulcersdrugsmacrophage polarizationsignaling pathways

Identifiers

PMID41813253
PMCPMC12978988

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.