Monocyte and Macrophage Dynamics in the Cardiovascular System: JACC Macrophage in CVD Series (Part 3)

Zahi A Fayad1, Filip K Swirski2, Claudia Calcagno3

  • 1Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, New York; Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, New York; The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York.

Insights

The bone marrow is the origin of monocytes that become macrophages in atherosclerosis. New imaging techniques reveal systemic influences on these cells within cardiovascular disease.

Area of Science:

  • Cardiovascular Biology
  • Immunology
  • Medical Imaging

Background:

  • Bone marrow is the primary source of monocytes, which differentiate into macrophages within atherosclerotic lesions.
  • The intricate interplay between bone marrow, monocytes/macrophages, and atherosclerotic plaques is a developing area of research.
  • Systemic interactions, including extramedullary sites like the spleen, are increasingly recognized in cardiovascular disease.

Purpose of the Study:

  • To explore monocyte and macrophage dynamics in the cardiovascular system.
  • To investigate how systemic events influence local atherosclerotic plaque biology.
  • To highlight the role of advanced imaging in studying these cellular dynamics.

Main Methods:

  • Review of current literature on monocyte/macrophage biology in cardiovascular disease.
  • Integration of systemic biology principles with advanced imaging techniques.
  • Focus on in vivo imaging of monocyte/macrophage trafficking.

Main Results:

  • Advances in imaging and cell labeling enable in vivo tracking of monocyte/macrophage movement.
  • Systemic factors significantly impact the behavior of monocytes and macrophages in cardiovascular contexts.
  • Understanding these systemic dynamics is crucial for comprehending local plaque development.

Conclusions:

  • Monocyte and macrophage trafficking is a dynamic process influenced by systemic factors.
  • Advanced imaging offers powerful tools to visualize these processes in vivo.
  • Further research into systemic biology and imaging is essential for cardiovascular disease management.

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