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. 2021 Aug 13;27(4):1413–1430. doi: 10.1007/s10741-021-10156-z

Table 2.

Selected populations of cardiac macrophages and their functions

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

Mediating lymphangiogenesis [105, 106]

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

CCR2MHC-IIlo/hi(mouse)

CCR2HLA-DRhi (human)

Ly6Clo CCR2

Embryonic origin

Proangiogenic function

Fetal coronary vessel development and maturation

Reparative functions [25, 41]

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]