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Updated: Jun 22, 2025

Isolation of Macrophage Subsets and Stromal Cells from Human and Mouse Myocardial Specimens
Published on: December 17, 2019
The Multifaceted Nature of Macrophages in Cardiovascular Disease
Cindy X Li1,2, Lixia Yue1,2
1Department of Cell Biology, Pat and Jim Calhoun Cardiovascular Center, University of Connecticut Health Center, Farmington, CT 06030, USA.
Insights
Macrophages are key immune cells influencing cardiovascular diseases (CVD). This review explores their dual role in promoting or suppressing inflammation and disease progression in heart and vascular disorders.
Area of Science:
- Immunology
- Cardiology
- Pathophysiology
Background:
- Cardiovascular disease (CVD) is a major global cause of mortality.
- Macrophages are versatile immune cells involved in both health and disease.
- Their role in inflammatory processes, including CVD, is increasingly recognized.
Purpose of the Study:
- To review the current understanding of macrophage functions in cardiovascular diseases.
- To highlight the dual role of macrophages in promoting or suppressing inflammation in CVD.
Main Methods:
- Literature review of current knowledge on macrophages in cardiovascular diseases.
- Synthesis of information on macrophage polarization and function in various CVD contexts.
Main Results:
- Macrophages play critical roles in the pathogenesis of atherosclerosis, ischemic injury, and heart failure.
- Macrophage polarization (e.g., M1 vs. M2) significantly impacts disease outcomes.
- Dysfunctional macrophages contribute to chronic inflammation and tissue damage in CVD.
Conclusions:
- Macrophages are central players in the development and progression of cardiovascular diseases.
- Targeting macrophage functions presents a potential therapeutic strategy for CVD.
- Further research is needed to fully elucidate macrophage heterogeneity and its therapeutic implications in CVD.
Abstract:
As the leading cause of mortality worldwide, cardiovascular disease (CVD) represents a variety of heart diseases and vascular disorders, including atherosclerosis, aneurysm, ischemic injury in the heart and brain, arrythmias, and heart failure. Macrophages, a diverse population of immune cells that can promote or suppress inflammation, have been increasingly recognized as a key regulator in various processes in both healthy and disease states. In healthy conditions, these cells promote the proper clearance of cellular debris, dead and dying cells, and provide a strong innate immune barrier to foreign pathogens. However, macrophages can play a detrimental role in the progression of disease as well, particularly those inflammatory in nature. This review will focus on the current knowledge regarding the role of macrophages in cardiovascular diseases.
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