Graphic of an inflammation macrophage
Cell & Gene Therapy
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Anne Lodge, PhD

Ask A Scientist: What’s the Difference Between M1 and M2 Macrophages?

Macrophages are a diverse group of white blood cells known for eliminating pathogens through phagocytosis. In the past, macrophages were classified by the organ in which they were found: Kuppfer cells in the liver, Langerhans cells in the skin, microglia in the brain and spinal cord, osteoclasts in the bone.

Scientists continue to debate whether macrophages originate in each organ or migrate there from the bone marrow. To clear up some of this debate, the current taxonomy has shifted away from organ-specific macrophages to M1 and M2 macrophages.

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Defining M1 and M2 Macrophages

This classification is based upon macrophage polarization rather than macrophage location.

M1 macrophages are classically activated, typically by IFN-γ or lipopolysaccharide (LPS), and produce proinflammatory cytokines, phagocytize microbes, and initiate an immune response. M1 macrophages produce nitric oxide (NO) or reactive oxygen intermediates (ROI) to protect against bacteria and viruses.

M2 macrophages are alternatively activated by exposure to certain cytokines such as IL-4, IL-10, or IL-13. M2 macrophages will produce either polyamines to induce proliferation or proline to induce collagen production. These macrophages are associated with wound healing and tissue repair.

There are three types of M2 macrophages: M2a, M2b, and M2c.

Overview of the macrophage activation states. Macrophage activation is widely considered as a polarization towards M1 or M2 states. However, the M2 activation state involves heterogeneous and functionally distinct macrophages. The diagram represents the most prevalent examples of the M2 activation and lists the markers associated with the distinct activation phenotypes. The upstream signals are labeled in dotted frames. Abbreviations are defined in the text.
Source: Tamás Rőszer, “Understanding the Mysterious M2 Macrophage through Activation Markers and Effector Mechanisms,” Mediators of Inflammation, vol. 2015, Article ID 816460, 16 pages, 2015. doi:10.1155/2015/816460

M2 macrophages also contribute to the formation of extracellular matrix and do not produce nitric oxide or present antigen to T cells. Tumor-infiltrating macrophages are typically classified as M2, although some classify them as myeloid-derived suppressor cells (MDSC).

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Differences Between M1 and M2 Macrophages

 M1 MacrophagesM2 Macrophages
ActivationClassical (Th2)Alternative (Th2)
StimuliIFN-y, LPSIL-4, IL-13, Immune Complexes, LPS, Glucocorticoids, etc.
Proinflammatory CytokinesHigh LevelsLow Levels
Antigen PresentationYesNo
Nitric Oxide ProductionYesNo
FunctionKill MicrobesBuild Extracellular Matrix

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