Macrophage-mediated CXCL2 regulation of EPC homing promotes the progression of atherosclerosis
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Updated: Jan 21, 2026

Optical Coherence Tomography Based Biomechanical Fluid-Structure Interaction Analysis of Coronary Atherosclerosis Progression
Published on: January 15, 2022
Jingting Mai1, Runlu Sun1, Wenhao Liu1
1Sun Yat-Sen University Sun Yat-sen Memorial Hospital, Guangzhou, Guangdong, China.
Insights
Macrophages release CXCL2, a key driver of endothelial progenitor cell (EPC) homing in atherosclerosis. Targeting CXCL2 may stabilize atherosclerotic plaques by reducing pathological angiogenesis and plaque progression.
Area of Science:
- Cardiovascular Biology
- Immunology
- Vascular Biology
Background:
- Atherosclerosis is a chronic inflammatory disease characterized by pathological angiogenesis and plaque instability.
- Endothelial progenitor cells (EPCs) play a complex role in atherosclerosis, potentially exacerbating plaque burden and neovascularization.
- Macrophages are key immune cells involved in atherosclerotic plaque development and inflammation.
Purpose of the Study:
- To investigate the role of macrophage-derived CXCL2 in mediating endothelial progenitor cell (EPC) homing during atherosclerosis progression.
- To determine if targeting CXCL2 can modulate EPC recruitment and stabilize atherosclerotic plaques.
Main Methods:
- Utilized ApoE-/- mice on a high-fat diet and in vitro co-culture models.
- Employed transcriptome sequencing to identify key mediators of EPC function.
- Performed in vivo silencing of CXCL2 to assess its functional impact on atherosclerosis.
Main Results:
- Infused EPCs exacerbated plaque burden, neovascularization, and matrix degradation in a mouse model.
- Macrophages were essential for EPC recruitment to atherosclerotic plaques.
- Macrophage-derived CXCL2 was identified as a critical mediator, enhancing EPC angiogenic functions and promoting plaque progression.
- In vivo silencing of CXCL2 attenuated EPC homing, reduced plaque size and lipid accumulation, decreased neovascularization, and stabilized the plaque matrix.
Conclusions:
- Macrophage-derived CXCL2 promotes pathological angiogenesis and plaque progression in atherosclerosis by mediating EPC homing.
- Targeting CXCL2 represents a potential therapeutic strategy for stabilizing atherosclerotic plaques and managing cardiovascular disease.
Abstract:
Atherosclerosis is a chronic inflammatory disease driven by pathological angiogenesis and plaque instability. Herein, we investigated the role of macrophage-derived CXCL2 in mediating endothelial progenitor cell (EPC) homing during atherosclerosis progression. Using ApoE-/- mice on a high-fat diet and in vitro co-culture models, we found that infused EPCs exacerbated plaque burden, neovascularization, and matrix degradation. Macrophages were essential for EPC recruitment to plaques. Ox-LDL-stimulated macrophages enhanced EPC angiogenic functions, with transcriptome sequencing identifying CXCL2 as a key upregulated mediator. Functional experiments confirmed CXCL2's critical role. In vivo silencing of CXCL2 attenuated EPC homing, reduced plaque size and lipid accumulation, decreased neovascularization, and stabilized the plaque matrix. Our findings demonstrate that macrophages promote pathological angiogenesis and plaque progression via CXCL2, suggesting that targeting this chemokine could be a novel therapeutic strategy for stabilizing atherosclerotic plaques.
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