Evidence map›Paper›PMID 41479889›Full record

ReviewFrontiers in immunology2025

Macrophage-driven immunopathology in pulmonary arterial hypertension: from mechanisms to targeted therapies.

Wenna Xu, Yunlong Shen, Zhengdong Wan, Jiawei Guo

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

4 authors.

Wenna Xu *Department of Vascular and Endovascular Surgery, The First Affiliated Hospital of Yangtze University, Jingzhou, Hubei, China.
Yunlong Shen *School of Medicine, Yangtze University, Jingzhou, China.
Zhengdong WanDepartment of Vascular and Endovascular Surgery, The First Affiliated Hospital of Yangtze University, Jingzhou, Hubei, China.
Jiawei GuoDepartment of Vascular and Endovascular Surgery, The First Affiliated Hospital of Yangtze University, Jingzhou, Hubei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary arterial hypertension (PAH) is a progressive vascular disorder characterized by obstructive vascular remodeling driven by the aberrant proliferation of endothelial cells, smooth muscle cells, and adventitial fibroblasts within the small pulmonary arteries. Emerging evidence highlights a pivotal role for macrophage polarization in PAH pathogenesis. In the pulmonary vasculature, macrophages drive local inflammation and fibrosis through M1/M2 polarization, while the inflammatory mediators they release can also alter the systemic immune environment and indirectly influence right ventricular remodeling through the "lung-heart immune axis." This phenotypic plasticity is tightly governed by hypoxia-induced signaling pathways, metabolic reprogramming, and epigenetic modifications. Elucidating these mechanisms has revealed macrophage polarization and immunometabolic regulation as promising therapeutic targets for PAH. Future investigations focusing on macrophage heterogeneity, single-cell transcriptomics, and precision immunomodulatory strategies are expected to accelerate the development of targeted therapies and improve clinical outcomes in PAH.

Indexed as

MacrophagesPulmonary Arterial HypertensionAnimalsHumansMolecular Targeted TherapySignal TransductionVascular Remodelingepigenetic modificationsmacrophage polarizationmetabolic reprogrammingpulmonary arterial hypertensionpulmonary vascular remodelingtherapeutic targets

Identifiers

PMID41479889
PMCPMC12753438

What Socratic holds

Textmetadata
LicenceCC BY
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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 Socratic graph.