Efferocytosis in atherosclerosis

Shaunak S Adkar1,2, Nicholas J Leeper3,4

  • 1Department of Surgery, Division of Vascular Surgery, Stanford University School of Medicine, Stanford, CA, USA.

PubMed

Insights

Dysfunctional efferocytosis, the process of clearing dead cells, drives atherosclerosis and cardiovascular disease. Restoring this function may offer new therapeutic strategies for heart conditions.

Area of Science:

  • Cardiovascular Science
  • Immunology
  • Cell Biology

Background:

  • Cardiovascular disease, a leading global cause of death, is often driven by atherosclerotic plaque progression.
  • Dysfunctional efferocytosis, the clearance of dead cells, is an emerging key factor in atherosclerosis development.
  • Impaired efferocytosis leads to dead cell accumulation, enlarging necrotic cores and increasing plaque instability.

Purpose of the Study:

  • To review programmed cell death types in atherosclerotic plaques.
  • To highlight the role of efferocytosis in cardiovascular physiology.
  • To discuss efferocytosis failure mechanisms in cardiovascular and cardiometabolic diseases.

Main Methods:

  • Review of scientific literature on efferocytosis, atherosclerosis, and programmed cell death.
  • Analysis of mechanisms underlying efferocytosis dysfunction in cardiovascular disease.
  • Exploration of therapeutic strategies targeting efferocytosis.

Main Results:

  • Atherosclerotic plaques exhibit various forms of programmed cell death.
  • Efferocytosis is crucial for maintaining cardiovascular health by clearing cellular debris.
  • Efferocytosis failure contributes to plaque progression and instability in atherosclerosis, myocardial infarction, and diabetes.

Conclusions:

  • Dysfunctional efferocytosis is a significant contributor to cardiovascular disease pathogenesis.
  • Understanding efferocytosis failure provides insights into plaque development and rupture.
  • Targeting efferocytosis presents a potential therapeutic avenue for cardiovascular and cardiometabolic diseases.

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