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Updated: Sep 17, 2025

Metabolic Characterization of Polarized M1 and M2 Bone Marrow-derived Macrophages Using Real-time Extracellular Flux Analysis
Published on: November 28, 2015
m6A modification: a novel mechanism that regulates atherosclerosis via macrophage polarization
Xiaying Li1,2, Hengkai Zhang3, Yan Zhou2
1Graduate School, Beijing University of Chinese Medicine, Beijing, China.
Abstract:
Atherosclerosis is a chronic vascular inflammatory disease in which macrophages play a pivotal role in modulating its pathology. In response to the intraplaque microenvironment, both pro-inflammatory M1 and anti-inflammatory M2 phenotypes of macrophages have the polarization capability, each influencing the inflammatory state through the secretion of distinct cytokines. N6-methyladenosine (m6A) modification, the most prevalent internal chemical modification of RNA, significantly impacts various biological processes, including RNA transcription and protein expression. m6A modification acts as a critical determinant in macrophage polarization, with its molecular mechanisms intricately linked to the progression of atherosclerosis. This review aims to elucidate how different macrophage polarization phenotypes influence the progression of atherosclerosis while also exploring the significance of m6A modifications in this pathological context, thereby providing a theoretical foundation for identifying novel diagnostic and therapeutic targets for atherosclerosis.
Insights
Macrophages are key in atherosclerosis. Their polarization, influenced by N6-methyladenosine (m6A) modification, impacts disease progression, offering potential new targets for diagnosis and therapy.
Area of Science:
- Vascular biology
- Immunology
- Molecular biology
Background:
- Atherosclerosis is a chronic inflammatory vascular disease.
- Macrophages are central to atherosclerosis pathology, with M1 and M2 phenotypes influencing inflammation via cytokine secretion.
- N6-methyladenosine (m6A) modification, a key RNA modification, regulates gene expression and is implicated in macrophage polarization.
Purpose of the Study:
- To review the role of macrophage polarization phenotypes in atherosclerosis progression.
- To explore the significance of m6A modifications in the context of macrophage polarization and atherosclerosis.
- To provide a theoretical basis for novel diagnostic and therapeutic strategies for atherosclerosis.
Main Methods:
- Literature review of studies on macrophage polarization in atherosclerosis.
- Analysis of research on the role of m6A modification in macrophage biology.
- Synthesis of information linking m6A, macrophage phenotypes, and atherosclerotic pathology.
Main Results:
- Different macrophage polarization states (M1/M2) differentially affect atherosclerosis.
- m6A modification is a critical regulator of macrophage polarization.
- The interplay between m6A and macrophage polarization mechanisms is intrinsically linked to atherosclerosis development.
Conclusions:
- Understanding macrophage polarization and m6A modification is crucial for comprehending atherosclerosis.
- m6A modification represents a significant factor in modulating macrophage-driven inflammation in atherosclerosis.
- Targeting m6A-dependent macrophage polarization pathways may offer novel therapeutic avenues for atherosclerosis.
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