Open research questions in Phagocytosis and Immune Regulation
96 gap statements mined from Phagocytosis and Immune Regulation papers in our 4.5M-paper local library, which holds 287 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
What the literature leaves open
Abstract Highly accessible genomic super-enhancers often drive tumor-promoting programs, yet the impact of genomic variation within these regulatory elements remains unclear.
An InDel genomic variant within a bifunctional super-enhancer for LINC00636 and CD47 regulation in breast cancer · 2026 · DOILiver inflammation and damage are well-known features of COVID-19 pathogenesis; however, little is known about FGL-1 expression patterns in COVID-19 and other infectious diseases.
FGL-1 plasma levels correlate with markers of inflammation and severe disease during SARS-CoV-2 infection · 2026 · DOILive T cells, however, have been shown to externalize PS, and the role of cell surface-exposed PS in T-cell function remains unclear.
However, the precise mechanism through which PAI-1 exacerbates inflammation remains unclear.
Inflammatory macrophage-derived plasminogen activator inhibitor-1 exacerbates inflammation through efferocytosis inhibition · 2026 · DOIGlioblastomas (GBMs) are uniformly fatal brain tumors resistant to immunotherapy, yet the mechanisms driving immune dysfunction remain poorly understood.
Radiation therapy synergizes with mRNA vaccination to overcome microglia-mediated suppression of dendritic cell migration and T cell priming in glioblastoma · 2026 · DOITherefore, future investigations are warranted to elucidate the roles of ACE2-independent mechanisms in immune-mediated pathology and viral evolution, independent of immune pressure targeting ACE2-mediated entry in previously infected or vaccinated individuals.
However, the mechanism by which intracellular lipid accumulation impairs macrophage efferocytosis remains unclear.
However, Kras mutation alone is insufficient to transform precancerous cells into metastatic PDAC.
Intercellular TIMP-1-CD63 signaling directs the evolution of immune escape and metastasis in KRAS-mutated pancreatic cancer cells · 2025 · DOIBACKGROUND: While immunotherapy-chemotherapy combinations are approved for programmed death-ligand 1 (PD-L1)-positive advanced triple-negative breast cancer (TNBC), the therapeutic potential of sitravatinib-enhanced immunotherapy remains unexplored.
Sitravatinib plus tislelizumab in locally recurrent or metastatic triple-negative breast cancer: a multi-cohort, single-arm, phase II clinical trial (SPARK Trial) · 2025 · DOIWhile the mechanisms involved in this heterogeneity in the tumor microenvironment (TME) of early-stage EC remain poorly defined.
Targeting the CD47-HCK-LGALS9 axis disrupts proliferation-immunosuppression coupling in early-stage endometrial cancer · 2025 · DOIThe details of adaptive immune remodeling in liver metastasis, especially the role of neutrophils, remain elusive.
NFE2-driven neutrophil polarization promotes pancreatic cancer liver metastasis progression · 2025 · DOIHowever, the precise function and regulatory mechanisms of SIRPα in efferocytosis remain unclear.
SIRPα modulates microglial efferocytosis and neuroinflammation following experimental subarachnoid hemorrhage via the SHP1/STAT6 axis · 2025 · DOIHowever, its antibacterial role in vivo and the underlying mechanisms have been insufficiently explored.
ATP7A Maintains Bactericidal Function of Neutrophils and Macrophages via Regulating the Formation and Activation of Phagolysosomes · 2025 · DOISuccessfully inhibiting sepsis-induced acute lung injury (ALI) hinges on clearing apoptotic neutrophils; however, the underlying mechanisms of this process remain elusive.
Blocking the ADAM9 / ITGAV Pathway Ameliorates Sepsis‐Induced Acute Lung Injury by Promoting Macrophage Efferocytosis · 2025 · DOIHowever, the specific molecular mechanisms underlying the defective immune functions of BM-MSCs in patients with SLE remain unclear.
The aryl hydrocarbon receptor affects the inflammatory response of bone marrow mesenchymal stem cell via the hippo– YAP pathway to exacerbate systemic lupus erythematosus · 2025 · DOIHowever, compared to small extracellular vesicles, the preparation, characterization, and biological properties of ApoBDs remain underexplored.
Comparison of in-vitro immunomodulatory capacity between large and small apoptotic bodies from human bone marrow mesenchymal stromal cells · 2025 · DOIM2 microglia efferocytosis is essential for resolving neuroinflammation, but its regulatory mechanisms remain unclear.
GAS6/AXL signaling promotes M2 microglia efferocytosis to alleviate neuroinflammation in sepsis-associated encephalopathy · 2025 · DOIHowever, the antitumor activity of gilteritinib in solid tumors remains poorly elucidated.
Despite the significant impact of CAKI on COVID-19-related mortality and its enduring effects in long COVID, the underlying causes and molecular mechanisms of CAKI remain elusive.
SARS-CoV-2 ORF3a induces COVID-19-associated kidney injury through HMGB1-mediated cytokine production · 2024 · DOIBACKGROUND: The Gas6/TAM (Tyro3, Axl, and Mer) receptor system has been implicated in demyelination and delayed remyelination in experimental animal models, but data in humans are scarce.
Tyro3 and Gas6 are associated with white matter and myelin integrity in multiple sclerosis · 2024 · DOIHowever, the best strategies to use these therapies remain unknown, and ongoing studies suggest they may be most effective when used in combination with other anticancer agents.
Targeted therapies prime oncogene-driven lung cancers for macrophage-mediated destruction · 2024 · DOIAlthough extracellular vesicles derived from mesenchymal stem cells (MSC-EVs) have shown substantial potentials in cell replacement therapy of various organ ischemia reperfusion injuries (IRIs), the precise mechanisms remain unclear.
Extracellular vesicles containing GAS6 protect the liver from ischemia-reperfusion injury by enhancing macrophage efferocytosis via MerTK-ERK-COX2 signaling · 2024 · DOIThe complex pathogenesis of rheumatoid arthritis, - The limited curative therapies available for RA, - The potential off-target effects of CD47 antibodies
Commentary: the TSP-1-CD47-integrin α4β1 axis—deciphering pathogenic mechanisms and therapeutic horizons in rheumatoid arthritis · 2026 · DOIThe study identifies a gap in the understanding of the molecular mechanisms underlying CD47-mediated T cell infiltration. The role of the TSP-1-CD47-integrin α4β1 axis in rheumatoid arthritis is not fully understood.
Commentary: the TSP-1-CD47-integrin α4β1 axis—deciphering pathogenic mechanisms and therapeutic horizons in rheumatoid arthritis · 2026 · DOIThe geometric origins of the physical limit of frustrated phagocytosis remain poorly defined. There is a need for a quantitative framework to interpret stalled engulfment and nuclear deformation-dependent responses.
Most-cited papers in Phagocytosis and Immune Regulation
- Macrophage biology in development, homeostasis and disease · Nature · 2013 · 4,244 citations
- The Apoptosis Paradox in Cancer · International Journal of Molecular Sciences · 2022 · 395 citations
- Iron Metabolism and Immune Regulation · Frontiers in Immunology · 2022 · 249 citations
- Fatty acid oxidation fuels glioblastoma radioresistance with CD47-mediated immune evasion · Nature Communications · 2022 · 238 citations
- TAM receptors and the clearance of apoptotic cells · Annals of the New York Academy of Sciences · 2010 · 224 citations
- Stromal niche inflammation mediated by IL-1 signalling is a targetable driver of haematopoietic ageing · Nature Cell Biology · 2023 · 217 citations
- Macrophages use apoptotic cell-derived methionine and DNMT3A during efferocytosis to promote tissue resolution · Nature Metabolism · 2022 · 162 citations
- Engineered CD47 protects T cells for enhanced antitumour immunity · Nature · 2024 · 117 citations
- Sirpα on tumor-associated myeloid cells restrains antitumor immunity in colorectal cancer independent of its interaction with CD47 · Nature Cancer · 2024 · 91 citations
- AXL signaling in cancer: from molecular insights to targeted therapies · Signal Transduction and Targeted Therapy · 2025 · 88 citations
Most recent work
- Sialylated CD43 forms a glyco-immune barrier that restrains antileukemic immunity · Science · 2026
- Macrophage efferocytosis promotes inflammation resolution and accelerates wound healing · Communications Biology · 2026
- A logic-gated trispecific engager enhances macrophage killing of cancer cells in solid tumors · Nature Biotechnology · 2026
- Inflammatory macrophage-derived plasminogen activator inhibitor-1 exacerbates inflammation through efferocytosis inhibition · Cell Death Discovery · 2026
- AXL receptor tyrosine kinase regulates Golgi organization and function via an adhesion-Arf1 signalling axis in breast and lung cancer cell lines · Biology Open · 2026
- A MERTK-Targeting Antibody–Drug Conjugate Selectively Depletes M2 Tumor-Associated Macrophages and MERTK-Expressing Cancer Cells · Cancer Research · 2026
- Reprogramming the tumor microenvironment with antibody against membrane-proximal AXL to overcome immune checkpoint blockade resistance · Signal Transduction and Targeted Therapy · 2026
- Targeting GPR34 in damage-associated macrophages enhances anti-tumor immunity and the efficacy of Surufatinib in pancreatic cancer · Signal Transduction and Targeted Therapy · 2026
- Gas6 restores microglial efferocytosis and limits neuroinflammation in neonatal hypoxic-ischemic encephalopathy by activating MerTK and the PI3K–Rac1 pathway · Cell Communication and Signaling · 2026
- GPR81 Activation by Lactate Delays Inflammation Resolution in Acute Lung Injury · The FASEB Journal · 2026
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