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Updated: Aug 17, 2026

Quantification of Monocyte Transmigration and Foam Cell Formation from Individuals with Chronic Inflammatory Conditions
Published on: October 17, 2017
Thematic review series: the immune system and atherogenesis. Molecular mechanisms regulating monocyte recruitment in
1Department of Medicine, University of California, San Diego, La Jolla, CA 92093-0682, USA. oquehenberger@ucsd.edu
Insights
Cardiovascular disease involves inflammatory cell recruitment to artery walls. Understanding monocyte accumulation in atherosclerotic plaques offers new therapeutic targets for this leading cause of death.
Area of Science:
- Cardiovascular Science
- Immunology
- Pathology
Background:
- Cardiovascular disease, marked by arterial lipid buildup, is a major cause of mortality.
- Atherogenesis initiates with inflammatory cell recruitment into developing arterial lesions.
- Inflammatory mediators play a crucial role in cardiovascular disease initiation and progression.
Purpose of the Study:
- To review the mechanisms of inflammatory cell recruitment in atherosclerosis.
- To elucidate the process of monocyte accumulation within atherosclerotic plaques.
- To highlight potential therapeutic targets based on cellular recruitment pathways.
Main Methods:
- Review of experimental research on inflammatory cell recruitment.
- Analysis of adhesion proteins and chemokines involved in monocyte migration.
- Synthesis of current understanding of monocyte retention in atherosclerotic lesions.
Main Results:
- Significant progress in understanding monocyte, macrophage, and T-cell accumulation in plaques.
- Identification of key adhesion proteins and chemokines mediating inflammatory cell recruitment.
- Development of a mechanistic framework for therapeutic interventions.
Conclusions:
- Inflammatory cell recruitment is central to atherogenesis.
- Understanding these mechanisms provides a basis for novel cardiovascular disease therapies.
- Targeting monocyte recruitment and retention pathways holds therapeutic promise.
Abstract:
Cardiovascular disease, a progressive disorder characterized by the accumulation of lipids in the artery wall, is a leading cause of death in Western societies. One of the initial events in atherogenesis involves the recruitment of inflammatory cells from the circulation into the developing lesion. Studies during the past decade have underscored the role of inflammatory mediators in disease initiation and progression. Critical progress has been made in our understanding of the complex mechanisms by which monocytes, macrophages, and T-cells accumulate in atherosclerotic plaques. Experimental research has identified several candidate adhesion proteins and chemokines that are critically involved in the recruitment process, and encouraging data provide a mechanistic framework for new therapeutic targets. This review provides an overview of our current understanding of the mechanisms that direct the recruitment of monocytes to, and their retention in, atherosclerotic lesions.
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