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Insights Into Macrophage Ferroptosis: Implications for Atherosclerosis
Xiehui Chen1,2, Xiangbo Liu3, Changchun Zeng4
1Department of Geriatrics, Shenzhen Longhua District Central Hospital, Shenzhen, China.
Insights
Ferroptosis, an iron-dependent cell death, drives atherosclerosis by impacting macrophages and vascular cells. Inhibiting this process may stabilize plaques and reduce cardiovascular events.
Area of Science:
- Cardiovascular Research
- Cellular Biology
- Immunology
Background:
- Atherosclerosis is a major health issue driven by lipid metabolism, inflammation, and immune responses.
- Macrophages are key players in atherosclerotic plaque development and inflammation.
- Ferroptosis, a form of cell death involving iron and lipid peroxides, influences macrophage function in atherosclerosis.
Purpose of the Study:
- To review the mechanisms linking dysregulated iron handling, lipid metabolism, and redox imbalance to macrophage ferroptosis in atherosclerosis.
- To explore how macrophage ferroptosis contributes to vascular cell dysfunction and atherosclerotic plaque progression.
- To highlight the therapeutic potential of targeting macrophage ferroptosis for atherosclerosis treatment.
Main Methods:
- Literature review of studies on ferroptosis, macrophages, and atherosclerosis.
- Analysis of the interplay between iron metabolism, lipid peroxidation, and oxidative stress in atherosclerotic lesions.
- Examination of the impact of ferroptosis on vascular smooth muscle cells, endothelial cells, and macrophages.
Main Results:
- Dysregulated iron handling, lipid metabolism, and redox imbalances promote macrophage ferroptosis in atherosclerosis.
- Macrophage ferroptosis exacerbates oxidative stress and inflammation, driving plaque formation and instability.
- Ferroptosis contributes to the dysfunction of vascular cells, promoting atherosclerosis progression and increasing cardiovascular event risk.
Conclusions:
- Inhibiting macrophage ferroptosis offers a potential therapeutic strategy to reduce oxidative stress and inflammation.
- Targeting ferroptosis may stabilize atherosclerotic plaques and lower the risk of cardiovascular events.
- Further research into macrophage ferroptosis is crucial for developing novel atherosclerosis treatments.
Abstract:
Atherosclerosis remains a significant global health challenge, arising from the complex interactions among dysregulated lipid metabolism, chronic inflammation and immune activation. Ferroptosis, marked by lipid peroxide buildup dependent on iron, is gaining recognition as a modulator of macrophage activity in atherosclerosis. Macrophages are the pivotal orchestrators of chronic inflammation and atherosclerotic plaque formation. The marked heterogeneity and plasticity of macrophages within plaques dynamically shape the local microenvironment, contributing to phenomena such as lipid overload, cytokine overactivation, hypoxia, and programmed cell death. This review examines how dysregulated iron handling, lipid metabolism, and redox imbalances synergise to induce macrophage ferroptosis in atherosclerosis. Moreover, ferroptosis contributes to the development and progression of atherosclerosis by causing dysfunction in vascular smooth muscle cells (VSMCs), vascular endothelial cells (VECs), and macrophages, thereby promoting plaque formation and instability. Furthermore, macrophages are intricately linked to ferroptosis, with this iron-dependent cell death enhancing oxidative stress and inflammatory pathways. Macrophage ferroptosis drives plaque progression and destabilisation, ultimately heightening the risk of rupture and cardiovascular events. By inhibiting macrophage ferroptosis, it may be possible to reduce oxidative stress and inflammation, stabilise atherosclerotic plaques, and ultimately lower the risk of cardiovascular events. This review highlights the therapeutic potential of targeting macrophage ferroptosis for the treatment of atherosclerosis.
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