Table 2.
Main function | Population of cardiac macrophages | Characteristic |
---|---|---|
Phagocytosis | MHC-IIloCCR2− |
Apoptotic and necrotic cells clearance The highest level of MerTK [50] |
Electrical conduction |
a) MHC-IIhiCCR2hi b) MHC-IIhiCCR2lo c) MHC-IIloCCR2lo |
a,b) Generation of transient electrical signals, propagation of electrical signal by Cx43-gap junction coupling with cardiomyocytes b,c) Controlling heart rhythm and the heart beat owing to expression of ion channels [56] |
Vessel patrolling |
Monocytes: CX3CR1hiLy6C− (mouse) CX3CR1hiCD14dimCD16+ (human) |
Recognition and removal of damaged luminal cells; scavenging micrometric particles at steady-state [37, 38, 62] |
Arterial tone regulation | Lyve-1+ | Regulation of vascular tone and collagen production by mural cells [63] |
Osmoregulation | TonEBP+ |
Regulation of blood pressure, extracellular fluid, and solute volume Acting via TonEBP/VEGF-C signaling pathway |
Proinflammatory |
CCR2+MHC-IIhi (mouse) CCR2+HLA-DRhi (human) Ly6Chi CCR2+ |
Monocyte-derived Promote inflammatory response [41, 137, 138]; produce IL-1b, increase cardiocyte necrosis, replacement fibrosis, worsen systolic activity in acute inflammation [76]; systemic inflammation triggers CCR2+ cardiac macrophage invasion and promote interstitial collagen deposition what stiffens myocardial wall [76, 181] resulting in diastolic dysfunction |
Anti-inflammatory |
CCR2−MHC-IIlo/hi(mouse) CCR2−HLA-DRhi (human) Ly6Clo CCR2− |
Embryonic origin Proangiogenic function Fetal coronary vessel development and maturation Wound healing Reduction of inflammation (IL-10 production) after acute phase, preservation of cardiac function; promotion of collagen deposition, fibrosis, and angiogenesis [142] |
Heart valve remodeling |
a) CD301b+ b) CD206+ |
a) Inflammation and fibrosis within the valve [148] b) Tissue repair promotion and regeneration [45] |