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Updated: Dec 2, 2025

Isolation of Macrophage Subsets and Stromal Cells from Human and Mouse Myocardial Specimens
Published on: December 17, 2019
Critical roles of macrophages in pressure overload-induced cardiac remodeling
Dan Yang1,2,3, Han-Qing Liu4, Fang-Yuan Liu1,2,3
1Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, 430060, People's Republic of China.
Insights
Cardiac macrophages expand during pressure overload (PO), driving heart remodeling. Targeting these immune cells offers a promising therapeutic strategy for heart conditions.
Area of Science:
- Cardiovascular Biology
- Immunology
- Cardiac Remodeling
Background:
- Macrophages are key immune cells in the heart.
- Their numbers increase significantly under sustained pressure overload (PO).
- This accumulation impacts cardiac hypertrophy and remodeling processes.
Purpose of the Study:
- To review the heterogeneity and diversity of cardiac macrophages.
- To summarize the roles of macrophages in PO-induced cardiac remodeling.
- To explore mechanisms for modulating cardiac macrophages.
Main Methods:
- Literature review of cardiac macrophage research.
- Analysis of studies on pressure overload models.
- Synthesis of current knowledge on macrophage functions in the heart.
Main Results:
- Cardiac macrophages exhibit significant heterogeneity.
- Macrophage proliferation and monocyte migration contribute to cardiac remodeling.
- Specific mechanisms of macrophage involvement in PO are identified.
Conclusions:
- Cardiac macrophages play a critical role in pathological cardiac remodeling after pressure overload.
- Understanding macrophage heterogeneity and function is crucial.
- Targeting cardiac macrophages presents a potential therapeutic avenue for heart disease.
Abstract:
Macrophages are integral components of the mammalian heart that show extensive expansion in response to various internal or external stimuli. After the onset of sustained pressure overload (PO), the accumulation of cardiac macrophages through local macrophage proliferation and monocyte migration has profound effects on the transition to cardiac hypertrophy and remodeling. In this review, we describe the heterogeneity and diversity of cardiac macrophages and summarize the current understanding of the important roles of macrophages in PO-induced cardiac remodeling. In addition, the possible mechanisms involved in macrophage modulation are also described. Finally, considering the significant effects of cardiac macrophages, we highlight their emerging role as therapeutic targets for alleviating pathological cardiac remodeling after PO.
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