Evidence map›Paper›PMID 42223750›Full record

ReviewClinical and experimental medicine2026

Morpho-functional plasticity of tumour-associated macrophages: linking cell shape, ultrastructure, and immune regulation in cancer.

Keerthana Suresh Kizhakkanoodan, Vidhula Jessica Inigo, Sindhura Lakshmi Koulmane Laxminarayana, Raviraja N Seetharam, Kanive Parashiva Guruprasad, Bharath Raja Guru

Abstract readReview
In one paragraph

Review in Clinical and experimental medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Keerthana Suresh KizhakkanoodanManipal Institute of Technology (MIT), Manipal Academy of Higher Education, Manipal, India.
Vidhula Jessica InigoManipal Institute of Technology (MIT), Manipal Academy of Higher Education, Manipal, India.
Sindhura Lakshmi Koulmane LaxminarayanaDepartment of Pathology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.
Raviraja N SeetharamChandigarh University, Mohali, 140413, Punjab, India.
Kanive Parashiva GuruprasadDepartment of Ageing Research, Manipal School of Life Sciences, Manipal Academy of Higher Education, Manipal, India.
Bharath Raja GuruManipal Institute of Technology (MIT), Manipal Academy of Higher Education, Manipal, India. bharath.guru@manipal.edu.ORCID http://orcid.org/0000-0003-2542-7740

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Macrophages are highly adaptable immune cells that play dual roles in the tumor microenvironment (TME), either promoting or restraining tumor progression. Their polarization into M1 and M2 tumor-associated macrophage (TAM) phenotypes is classically defined by molecular and biochemical cues. Recent evidence shows that morphology also significantly influences the macrophage function and behavior. This review highlights the correlation between macrophage shape and function, and how cytoskeletal remodeling, extracellular matrix (ECM) stiffness, and topographical patterning regulate macrophage polarization under in vitro and in vivo conditions. We further discuss the ultrastructural features of distinct phenotypes and their mechanistic links to tumor growth and metastasis. Therapeutic strategies that target morphology through ECM modulation, engineered biomaterials, and nanoparticle platforms are examined alongside modern imaging and machine learning tools that enable precise morphometric analysis. Finally, we address the translational progress and limitations of current 2D versus 3D model systems. Overall, this review emphasizes macrophage morphology as a critical yet underexplored determinant of immune function and tumor dynamics.

Indexed as

Cell PlasticityCell ShapeNeoplasmsTumor-Associated MacrophagesAnimalsCytoskeletonExtracellular MatrixHumansMacrophagesTumor MicroenvironmentCytoskeletonECM stiffnessMacrophage morphologyMacrophage polarizationTumor-associated macrophages (TAMs)Tumor microenvironment

Identifiers

PMID42223750
PMCPMC13433472

What OpenQuestion holds

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LicenceCC BY
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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.