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Chronic injury, aging, and systemic inflammation bias bone marrow hematopoiesis toward myeloid lineages, generating circulating monocytes with altered inflammatory and metabolic potential ( Lineage-tracing and single-cell studies consistently identify the fibrotic lung as the dominant instructive niche in which macrophage identity is defined and maintained ( + , TREM2 + , MERTK + , and MARCO + macrophages are best understood as lung nichedependent activation states rather than pre-determined lineages ( Collectively, this hierarchical model integrates systemic myeloid bias with tissue-dominant reprogramming and provides a unified framework for macrophage heterogeneity across the PFLC axis ( 2.2 Dynamic regulation of macrophage phenotype by the fibrotic microenvironment The fibrotic microenvironment of the lung comprises a dynamic network of physical, chemical, and biological signals that constantly reprogram the phenotype and function of macrophages, thereby reinforcing the self-perpetuating cycle of fibrosis and carcinogenesis

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