Eric Topol maps macrophage functional programs: cell states are combinatorial, not types

EricTopol · x · 2026-10-16

Eric Topol spotlights a review infographic on macrophages in blood and tissue, mapping nine core functional programs — inflammatory, interferon-responsive, antigen-presenting, monocyte recruitment, immunosuppressive, scavenger/lipid-associated, homeostatic, and fibrotic remodeling — each with its marker genes.

The key framing: macrophage states are combinatorial uses of these programs rather than discrete types. Tumor-associated macrophages (TAM) show high scavenger/lipid plus immunosuppressive programs, disease-associated microglia (DAM) pair high scavenger activity with low inflammation, and tissue-resident macrophages (RTM) are dominated by homeostatic programs — with implications for targeted interventions in disease.

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