Macrophage heterogeneity: relevance and functional implications in atherosclerosis

J Lauran Stöger1, Pieter Goossens, Menno P J de Winther

  • 1Department of Molecular Genetics, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Universiteitssingel 50, 6229 ER Maastricht, The Netherlands.

Insights

Macrophages in atherosclerosis are diverse. This review explores macrophage subtypes in other diseases and their potential roles in atherosclerosis, disease progression, and novel therapies.

Area of Science:

  • Immunology
  • Cardiovascular Biology
  • Cell Biology

Background:

  • Atherosclerosis is a chronic inflammatory disease driven by macrophages.
  • Macrophages in atherosclerotic plaques exhibit varied functions.
  • Emerging evidence suggests macrophages are heterogeneous, with diverse subtypes in other diseases.

Purpose of the Study:

  • To review macrophage subsets in other pathologies.
  • To explore the presence and roles of distinct macrophage subtypes in atherosclerosis.
  • To link macrophage subtypes to disease progression and identify therapeutic targets.

Main Methods:

  • Literature review of macrophage heterogeneity in various diseases.
  • Analysis of existing data on macrophage populations in atherosclerotic lesions.
  • Synthesis of information to propose roles for macrophage subtypes in atherosclerosis.

Main Results:

  • Macrophage heterogeneity is well-established in other fields.
  • Distinct macrophage subtypes likely exist within atherosclerotic lesions.
  • These subtypes may have diverse, even opposing, functions influencing disease.

Conclusions:

  • Understanding macrophage heterogeneity is crucial for atherosclerosis research.
  • Specific macrophage subtypes may drive or resolve atherosclerotic plaque development.
  • Targeting these subtypes offers potential for new diagnostic and therapeutic strategies.