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Updated: Nov 1, 2025

Isolation of Macrophage Subsets and Stromal Cells from Human and Mouse Myocardial Specimens
Published on: December 17, 2019
Nerve-macrophage interactions in cardiovascular disease
Katsuhito Fujiu1,2, Ichiro Manabe3
1Department of Cardiovascular Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo, Tokyo, Japan.
Insights
Autonomic nerves and immune cells, particularly macrophages, interact during cardiovascular disease. Understanding these autonomic-immune links is key to addressing heart conditions and related diseases.
Area of Science:
- Cardiovascular physiology and pathology
- Neuroimmunology
- Autonomic nervous system function
Background:
- The heart relies on autonomic nerves for regulation, crucial for daily life.
- Cardiovascular diseases involve autonomic imbalance (excess sympathetic, low parasympathetic activity).
- Chronic inflammation in heart tissues suggests links between autonomic dysfunction and inflammation.
Purpose of the Study:
- To review the physiological and pathological interactions between autonomic nerves and macrophages.
- To explore the mechanistic links between autonomic nerves and immune cells in the cardiovascular system.
- To understand the role of autonomic-immune interactions in cardiovascular disease and multimorbidity.
Main Methods:
- Literature review of recent studies on autonomic nerves and immune cells.
- Analysis of physiological and pathological interactions.
- Focus on the role of macrophages in cardiovascular disease context.
Main Results:
- Autonomic dysregulation and chronic inflammation coexist in cardiovascular diseases.
- Emerging research reveals mechanistic links between autonomic nerves and immune cells.
- Autonomic and immune systems coordinate organ function and disease interactions.
Conclusions:
- Interactions between autonomic nerves and macrophages are significant in cardiovascular disease.
- Understanding these neuro-immune pathways is vital for managing heart conditions.
- These interactions likely influence systemic conditions like cardiorenal syndrome and multimorbidity.
Abstract:
The heart is highly innervated by autonomic neurons, and dynamic autonomic regulation of the heart and blood vessels is essential for animals to carry out the normal activities of life. Cardiovascular diseases, including heart failure and myocardial infarction, are characterized in part by an imbalance in autonomic nervous system activation, with excess sympathetic and diminished parasympathetic activation. Notably, however, this is often accompanied by chronic inflammation within the cardiovascular tissues, which suggests there are interactions between autonomic dysregulation and inflammation. Recent studies have been unraveling the mechanistic links between autonomic nerves and immune cells within the cardiovascular system. The autonomic nervous system and immune system also act in concert to coordinate the actions of multiple organs that not only maintain homeostasis but also likely play key roles in disease-disease interactions, such as cardiorenal syndrome and multimorbidity. In this review, we summarize the physiological and pathological interactions between autonomic nerves and macrophages in the context of cardiovascular disease.
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