Macrophage diversity and polarization in atherosclerosis: a question of balance

Alberto Mantovani1, Cecilia Garlanda, Massimo Locati

  • 1Istituto Clinico Humanitas IRCCS, via Manzoni 56, 20089 Rozzano, Italy. alberto.mantovani@humanitas.it

Insights

Mononuclear phagocytes, including diverse monocyte subsets and plaque-associated macrophages, drive atherosclerosis plaque development and complications. Maintaining a "macrophage balance" is crucial for managing this complex cardiovascular disease.

Area of Science:

  • Immunology
  • Cardiovascular Biology
  • Cellular Biology

Background:

  • Mononuclear phagocytes exhibit significant diversity and plasticity, influencing atherosclerotic plaque formation and progression.
  • Distinct monocyte subsets contribute differently to plaque infiltration and atherosclerosis complications.
  • Plaque-associated macrophages display polarized pro- and antiatherogenic functions based on environmental cues.

Purpose of the Study:

  • To elucidate the role of mononuclear phagocyte diversity and plasticity in atherosclerosis.
  • To understand how different monocyte subsets and macrophage polarization impact plaque evolution and complications.
  • To highlight the significance of macrophage balance in atherogenesis.

Main Methods:

  • Analysis of monocyte subset contributions to plaque infiltration.
  • Investigation of environmental signals modulating macrophage polarization.
  • Assessment of macrophage influence on lipid metabolism, inflammation, and plaque stability.

Main Results:

  • Identification of distinct monocyte subsets with differential roles in atherosclerosis.
  • Demonstration of polarized macrophage programs affecting lipid metabolism and inflammation.
  • Evidence of macrophage influence on atherosclerotic plaque stability and evolution.

Conclusions:

  • Macrophage balance is a critical determinant in the pathogenesis of atherosclerotic plaques.
  • Mononuclear phagocyte diversity and plasticity significantly impact atherosclerosis evolution and complications.
  • Targeting macrophage balance may offer therapeutic strategies for atherosclerosis.

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