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Updated: May 31, 2026

Isolation of Macrophage Subsets and Stromal Cells from Human and Mouse Myocardial Specimens
Published on: December 17, 2019
Role of Macrophage Efferocytosis in Cardiovascular Homeostasis and Disease
Hanqing Lin1,2, Xiangyu Zhu1,2, Yuting Sun1,2
1State Key Laboratory of Modern Chinese Medicine, Key Laboratory of Pharmacology of Traditional Chinese Medical Formulae for the Ministry of Education, Tianjin University of Traditional Chinese Medicine, 301617 Tianjin, China.
Insights
Cardiovascular diseases (CVDs) remain a leading cause of death. This review explores how macrophage-mediated efferocytosis, the process of clearing dead cells, impacts CVD development and progression.
Area of Science:
- Cardiovascular Science
- Immunology
- Cell Biology
Background:
- Cardiovascular diseases (CVDs) are the leading global cause of mortality, accounting for one-third of all deaths.
- Despite advances in risk factor management, patient prognosis remains suboptimal due to chronic inflammation and dysregulated apoptosis.
- Efferocytosis, the clearance of apoptotic cells, is crucial for tissue homeostasis and limiting inflammation.
Purpose of the Study:
- To review the critical roles and mechanisms of macrophage-mediated efferocytosis in cardiovascular disease pathogenesis.
- To highlight efferocytosis as a key process in managing chronic inflammation and improving outcomes in CVD patients.
Main Methods:
- Systematic review of literature on macrophage-mediated efferocytosis.
- Investigation of efferocytosis mechanisms in the context of cardiovascular disease.
- Analysis of the impact of efferocytosis on inflammatory injury and oxidative stress in CVD.
Main Results:
- Macrophages are highly efficient professional phagocytes crucial for clearing apoptotic cells.
- Dysfunctional efferocytosis contributes to the accumulation of apoptotic material, exacerbating inflammation and oxidative stress in CVD.
- Enhanced macrophage efferocytosis may offer a therapeutic target for CVD.
Conclusions:
- Macrophage-mediated efferocytosis plays a pivotal role in the pathogenesis and progression of cardiovascular diseases.
- Understanding these mechanisms is essential for developing novel therapeutic strategies to improve CVD patient outcomes.
Abstract:
Cardiovascular diseases (CVDs) are the primary cause of mortality globally. The Global Burden of Disease Study indicates that CVDs account for one-third of all global deaths, with a notable 18.17% increase in their incidence over the last decade. Despite the widespread use and proven effectiveness of therapies like antiplatelet agents, lipid-lowering drugs, anticoagulants, and percutaneous coronary intervention (PCI) in managing risk factors, the long-term prognosis of patients remains suboptimal. The prevailing academic viewpoint asserts that chronic inflammation and dysregulated apoptosis lead to the accumulation of apoptotic cells or fragments, triggering inflammatory injury and oxidative stress. Efferocytosis, encompassing the recognition, engulfment, and degradation of apoptotic cells by phagocytes, is essential for preserving tissue homeostasis and limiting excessive inflammation in this context. Macrophages, being professional phagocytes, demonstrate the highest efficiency and precision in clearing apoptotic cells. Hence, this review will center on macrophage-mediated efferocytosis, systematically investigating its roles and mechanisms in the pathogenesis and progression of CVDs.
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