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Updated: Jun 18, 2026

Isolation of Functional Cardiac Immune Cells
Published on: December 5, 2011
Mast cells: pivotal players in cardiovascular diseases
Ilze Bot1, Theo J C van Berkel, Erik A L Biessen
1Division of Biopharmaceutics, Leiden/Amsterdam Center for Drug Research, Leiden University, Gorlaeus Laboratories, Einsteinweg 55, 2333 CC, Leiden, The Netherlands.
Insights
Mast cells, key inflammatory cells, are increasingly found in atherosclerotic plaques. New research suggests mast cells significantly influence plaque stability and cardiovascular events, offering therapeutic targets.
Area of Science:
- Cardiovascular Science
- Immunology
- Pathology
Background:
- Cardiovascular diseases like myocardial infarction and stroke often result from atherosclerotic plaque rupture.
- The precise triggers for plaque rupture remain unclear.
- Mast cells, crucial inflammatory cells, are increasingly observed in vascular tissue during plaque development.
Purpose of the Study:
- To review current evidence on the role of mast cells in cardiovascular disease progression.
- To explore the therapeutic potential of targeting mast cell activity.
Main Methods:
- Review of recent scientific literature and pathological studies.
- Analysis of data from mouse models investigating mast cell involvement in cardiovascular events.
Main Results:
- Mast cells and their mediators significantly impact atherosclerotic plaque progression and stability.
- Mast cell activity is linked to acute cardiovascular syndromes, including myocardial infarction and vascular aneurysm.
- Modulating mast cell function may enhance plaque resilience against rupture.
Conclusions:
- Mast cells play a critical role in the pathogenesis of cardiovascular disorders.
- Targeting mast cell pathways presents a promising therapeutic strategy for managing atherosclerotic disease and preventing rupture.
Abstract:
The clinical outcome of cardiovascular diseases as myocardial infarction and stroke are generally caused by rupture of an atherosclerotic plaque. However, the actual cause of a plaque to rupture is not yet established. Interestingly, pathology studies have shown an increased presence of the mast cell, an important inflammatory effector cell in allergy and host defense, in (peri)vascular tissue during plaque progression, which may point towards a causal role for mast cells. Very recent data in mouse models show that mast cells and derived mediators indeed can profoundly impact plaque progression, plaque stability and acute cardiovascular syndromes such as vascular aneurysm or myocardial infarction. In this review, we discuss recent evidence on the role of mast cells in the progression of cardiovascular disorders and give insight in the therapeutic potential of modulation of mast cell function in these processes to improve the resilience of a plaque to rupture.
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