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. 2024 May 31;9:130. doi: 10.1038/s41392-024-01840-1

Table 2.

Selected published articles related to vascular diseases regulated by macrophages

Study Macrophage phenotype Model Main intervention Effect of intervention on prognosis Conclusion Citation
Atherosclerosis (Plaque progression)
Meurs et al. (2012) CD68+ Ldlr−/− Abcg1−/−

Progress (early stage)

Stabilize (late stage)

The effect of ABCG1 on the development of AS lesions seems to depend on different stages, where ABCG1 has a protective effect in early lesions, while in late atherosclerosis attenuated apoptosis and compensatory mechanisms stimulate the development of late lesions. 322
Bhat et al. (2015) CD68+ ApoE−/− IL-18 treatment Progress IL-18 binds to IL-18 Rα via NF-κB to trigger an inflammatory cascade leading to plaque progression and destabilization. Blockade of NF-κB blocks IL-18 signaling by down-regulating IL-18, IL-18 Rα, CD36, and MMP-9, thereby reducing inflammation and restoring plaque stability by up-regulating LXR-α. 292
Tao et al. (2015) CD68+ ApoE−/− SR-B1−/− Progress SR-B1 deficiency in macrophages promotes defective efferocytosis signaling through the Src/PI3K/Rac1 pathway, leading to inflammation and increased plaque size. 331
Ceneri et al. (2017) F4/80+ ApoE−/− Rac2−/− Progress Macrophages rely on Rac1 to secrete IL-1β, and Rac2 prevents progressive calcification by inhibiting this pathway, thereby stabilizing plaques. 351
Oberoi et al. (2018) CD68+ Ldlr−/− TNF-α antibody Progress TNF-α antibody reduces circulating inflammatory markers while exhibiting no impact on body weight and glucose metabolism, but increases plasma triglyceride levels and pro-atherogenic VLDL cholesterol, as well as plaque burden in the thoracoabdominal aorta and aortic root. 286
Guo et al. (2018) CD163+ ApoE−/− CD163−/− Stabilize Through the CD163/HIF1α/VEGF-A pathway, CD163+ alternative macrophages promote plaque angiogenesis, vascular permeability and inflammation, which contributes to plaque progression. 304
Hettwer et al. (2021) CD11b+ ApoE−/−

1. IL-1β antibody

2. NLRP3 inflammasome inhibition

Both stabilize IL-1β and NLRP3 inflammasome induce leukocyte recruitment to atherosclerotic aortas, promote bone marrow hematopoietic stem cell proliferation and inflammatory response. 276
Singla et al. (2022) LysM+ ApoE−/−

1. Sirpα−/−

2. Cd47−/−

3. Cd47fl/fl LysM-Cre+/-

1. Stabilize

2. Stabilize

3. Progress

By inhibiting efferocytosis and the M2 macrophage phenotype, promoting cholesterol accumulation and oxidized LDL-induced inflammation, SIRPα or CD47 promotes plaque necrotic core formation. However, the opposite result is obtained with CD47-specific loss of myeloid cells. 344
Atherosclerosis (Plaque rupture)
Souissi et al. (2008) CD68+ NA PPARα−/− NA By inhibiting MMP-12 expression in macrophages, PPARα agonists prevent inflammation and atherosclerotic plaque rupture. 595
Atherosclerosis (Plaque regression)
van Gils et al. (2012) CD68+ Ldlr−/− Netrin1−/− Regress Through its receptor UNC5b, netrin-1 inhibits the migration of macrophages directed by chemokines CCL2 and CCL19, allowing macrophages to remain in the arterial wall to promote atherosclerosis. 269
Cardilo-Reis et al. (2012) CD206+ and CD80+ Ldlr−/− IL-13 treatment Regress IL-13 protects against atherosclerosis and contributes to a favorable plaque morphology by increasing collagen content, reducing VCAM-1-dependent monocyte recruitment and inducing M2 macrophage polarization. 363
Mueller et al. (2018) CD11b+ ApoE−/− LRP1−/− Regress Depletion of macrophage LRP1 enhances reverse cholesterol transport and increases the expression of the motility receptor CCR7 which drives macrophage egress from lesions, thus accelerating the regression of atherosclerosis. 374
Wang et al. (2018) CD68+ Ldlr−/− β-catenin−/− Deteriorate Inhibition of β-catenin triggers the downregulation of STAT3 and activation of STAT1 in macrophages, which leads to elevated macrophage inflammatory response and increased atherosclerosis. 376
Aortic aneurysm (AAA)
Tazume et al. (2012) CD68+ CaCl2-induced Angptl2−/− Improve By inducing the expression of proinflammatory cytokines and MMP-9, macrophage-derived Angptl2 promotes aneurysm development and vascular destruction. 405
Hadi et al. (2018) LysM+ Ang-II-induced Ntn1fl/fl LysM-Cre+/- Improve Acting via its receptor neogenin-1, netrin-1 induces the activation of VSMC and the expression of MMP-3, thereby promoting focal ECM degradation in AAA. 466
Yan et al. (2019) MOMA-2+ Elastase-induced

1. IL-12p40 antibody

2. IL-23p19 antibody

Both improve IL-12 and IL-23 released by macrophages promote macrophage expansion, MMP expression, Th1/Th17 cell differentiation and proliferation, thereby driving the chronic inflammatory response in AAA. 596
Wang et al. (2019) CD68+ CaPO4-induced exosome inhibitor Improve Macrophage-derived exosomes participate in the pathogenesis of AAA by inducing the expression of MMP-2 in VSMC through JNK and p38 pathways. 422
Yang et al. (2020) Lyz2+

CaCl2-induced

Ang-II-induced

Thbs1fl/fl Lyz2-Cre Improve Inflammatory macrophages in AAA up-regulate the expression of TSP1, which enhances macrophage infiltration by inhibiting TIMP1 expression and leads to AAA progression. 597
Salarian et al. (2023) CD11b+ Ang-II- induced Mmp-12fl/fl Csf1r-iCre Deteriorate By activating of complement activation and neutrophil extracellular trap pathway, absence of MMP-12 leads to more pronounced elastic layer degradation and reduced collagen integrity, and ultimately adverse aortic remodeling and death from rupture. 598
Davis et al. (2023) Lys2+

Elastase-induced

Ang-II-induced

Setdb2fl/fl Lys2-Cre Improve Macrophages in AAA significantly up-regulate the expression of SETDB2, trimethylating histone 3 lysine 9 on the TIMP1-3 gene promoters, thereby suppressing TIMP1-3 transcription and leading to unregulated matrix metalloproteinase activity, ultimately contributing to vascular inflammation, macrophage infiltration and destruction of aortic structure. 599
Ye et al. (2024) F4/80+ Ang-II-induced

1. Gsdmd−/−

2. AAV-F4/80-shGSDMD

Both improve Macrophages in AAA express GSDMD, which promotes AAA and aortic pyroptosis. GSDMD also promoted LPS+ nigericin-induced secretion of multiple cytokines. 600

CD cluster of differentiation, Ldlr low density lipoprotein receptor, ABCG1 ATP-binding cassette transporter G1, AS atherosclerosis, ApoE apolipoprotein E, IL interleukin, NF-κB nuclear factor κB, LXR liver X receptor, SR-B1 scavenger receptor class B type 1, Src proto-oncogene tyrosine-protein kinase, PI3K phosphatidylinositol-3-kinase, Rac Ras-related C3 botulinum toxin substrate, TNF-α tumor necrosis factor-α, VLDL very-low-density lipoprotein, HIF1α hypoxia inducible factor 1α, VEGF-A vascular endothelial growth factor A, NLRP3 NOD-like receptor thermal protein domain associated protein 3, SIRPα signal regulatory protein α, NA not applicable, PPAR peroxisome proliferator-activated receptor, MMP matrix metalloproteinase, CCL C-C motif chemokine ligand, VCAM-1 vascular cell adhesion molecule 1, LRP1 lipoprotein receptor-related protein 1, CCR7 C-C motif chemokine receptor 7, STAT signal transducers and activators of transduction, Angptl2 angiopoietin-like protein 2, Ang-II angiotensin-II, Ntn1 netrin-1, VSMC vascular smooth muscle cell, ECM extracellular matrix, AAA abdominal aortic aneurysms, Thbs1 thrombospondin-1, TSP1 thrombospondin-1, TIMP1 tissue inhibitors of metalloproteinase, Setdb2 SET domain bifurcated histone lysine methyltransferase 2, GSDMD gasdermin D, LPS lipopolysaccharides