Fibroblasts and macrophages have classically been viewed as engaging in a one-way supportive relationship in which fibroblasts sustain macrophage survival. Emerging evidence now challenges this paradigm by demonstrating a bidirectional regulatory circuit in which macrophages actively restrain fibroblast activation to preserve tissue integrity.
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J.E.G. has served as an advisor to AbbVie, Almirall, Johnson & Johnson, Merck, Sanofi, GSK, Astra Zeneca, Galderma, Boehringer Ingelheim and ZuraBio. R.J. declares no competing interests.
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Jiang, R., Gudjonsson, J.E. A fibroblast–macrophage circuit safeguards skin integrity. Nat Immunol 27, 647–648 (2026). https://doi.org/10.1038/s41590-026-02460-3
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DOI: https://doi.org/10.1038/s41590-026-02460-3