The Role of Different Monocyte Subsets in the Pathogenesis of Atherosclerosis and Acute Coronary Syndromes
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Published on: October 17, 2017
E Idzkowska1, A Eljaszewicz2, P Miklasz2
1Department of Cardiology, Medical University of Bialystok, Poland.
Insights
Different monocyte subsets play key roles in cardiovascular disease. Understanding classical, intermediate, and non-classical monocytes offers insights into atherosclerosis and acute coronary syndromes, potentially revealing new biomarkers and therapeutic targets.
Area of Science:
- Cardiovascular Science
- Immunology
- Molecular Biology
Background:
- Inflammation is central to atherosclerosis and acute coronary syndromes.
- Monocytes are key inflammatory cells, but their subsets have distinct roles.
- Monocyte subsets are classified by CD14 and CD16 expression: classical (CD14++CD16-), intermediate (CD14++CD16+), and non-classical (CD14+CD16++).
Purpose of the Study:
- To review the complex roles of distinct monocyte subsets in atherosclerosis.
- To summarize monocyte subset involvement in acute coronary syndromes.
- To explore the potential of monocyte subsets as cardiovascular risk biomarkers and therapeutic targets.
Main Methods:
- Literature review of current research on monocyte subsets.
- Analysis of functional differences between monocyte subsets in cardiovascular contexts.
- Synthesis of data on biomarker and therapeutic potential.
Main Results:
- Monocyte subsets exhibit differential functions in atherosclerotic plaque development and healing.
- Specific monocyte subsets are implicated in the pathogenesis of atherosclerosis and acute coronary syndromes.
- Evidence suggests certain monocyte subsets may serve as predictive biomarkers for cardiovascular risk.
Conclusions:
- Distinct monocyte subsets have specialized roles in cardiovascular disease.
- Targeting specific monocyte subsets may offer novel therapeutic strategies for atherosclerosis and its complications.
- Further research into monocyte subsets could lead to improved cardiovascular risk prediction and treatment.
Abstract:
The inflammation underlying both atherosclerosis and acute coronary syndromes is strongly related to monocyte-related actions. However, different monocyte subsets can play differential roles in the formation and destabilization of atherosclerotic plaque as well as healing of damaged myocardial tissue. Monocytes are currently being divided into three functionally distinct subsets with different levels of CD14 (cluster of differentiation 14) and CD16 expression. Thus, there are classical CD14++CD16-, intermediate CD14++CD16+ and non-classical CD14+CD16++ monocytes. Here, we summarize the current knowledge on complex activities of different monocyte subsets in atherosclerosis and acute coronary syndromes. Moreover, we discuss which monocyte subsets can serve either as predictive biomarkers of cardiovascular risk or as potential targets used in atherosclerosis and its complications.
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