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Updated: Jan 26, 2026

A Human Ex Vivo Atherosclerotic Plaque Model to Study Lesion Biology
Published on: May 6, 2014
[Macrophages and Their Role in Destabilization of an Atherosclerotic Plaque]
P V Pigarevsky1, V A Snegova1, P G Nazarov1
1Institute of Experimental Medicine, St. Petersburg.
Abstract:
The modern data on structure and the functional activity of macrophages are presented in the review. It is shown that they are the nonhomogeneous cell population. Two of their main subpopulations are presented as M1 and M2 phenotypes which perform opposite functions at inflammation development. The main attention in the review is paid to a role of macrophages in pathogenesis of atherosclerosis and, first, in formation of unstable atherosclerotic plaques which are the cause of the most severe complications of the disease. It is shown that main subpopulations of macrophages play different roles in formation of unstable and stable atherosclerotic plaques. Macrophages of M1 phenotype in the vascular wall carry out pro-atherogenic role and influence destabilization of an atherosclerotic plaque, while M2 macrophages perform atheroprotective function.
Insights
Macrophages are diverse immune cells with M1 and M2 phenotypes. M1 macrophages promote atherosclerosis plaque instability, while M2 macrophages offer protection, impacting cardiovascular disease complications.
Area of Science:
- Immunology
- Cardiovascular Biology
- Cell Biology
Background:
- Macrophages are critical immune cells involved in inflammation and tissue repair.
- They exist as diverse subpopulations, notably M1 and M2 phenotypes, with distinct functional roles.
- Atherosclerosis pathogenesis involves complex cellular interactions within the vascular wall.
Purpose of the Study:
- To review current data on macrophage structure and function.
- To elucidate the specific roles of M1 and M2 macrophage phenotypes in atherosclerosis.
- To understand how these macrophage subpopulations influence atherosclerotic plaque stability and complications.
Main Methods:
- Literature review of existing studies on macrophage biology and atherosclerosis.
- Analysis of data concerning macrophage phenotypes (M1 and M2) in vascular inflammation.
- Synthesis of information on the contribution of macrophages to plaque formation and destabilization.
Main Results:
- Macrophages represent a heterogeneous cell population.
- M1 and M2 macrophage phenotypes exhibit opposing functions in inflammatory processes.
- M1 macrophages in the vascular wall are pro-atherogenic, contributing to plaque destabilization.
- M2 macrophages exert an atheroprotective effect, potentially stabilizing plaques.
Conclusions:
- Macrophage subpopulations, M1 and M2, play differential roles in atherosclerosis.
- M1 macrophages are implicated in the formation of unstable atherosclerotic plaques, leading to severe complications.
- M2 macrophages contribute to atheroprotection, suggesting therapeutic potential.
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