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. 2022 Sep 20;9:988266. doi: 10.3389/fcvm.2022.988266

TABLE 2.

Differences between M1 and M2 macrophages in atherosclerosis.

M1 M2
Polarization stimuli Cholesterol crystals;
LPS;
Pro-inflammatory cytokines;
OxLDLs
TGF-β;
IL-10;
IL-4;
IL-13
Activation pathway TLR-4 or NF-κB pathway LXR-α (liver X receptor-α)
Secretion of cytokines TNF-α;
IL-1β;
IL-6;
IL-12;
IL-23
IL-10;
TGF-β
Predominant metabolism Aerobic glycolysis;
Fatty acid synthesis;
Production of mitochondrial ROS
Oxidative phosphorylation;
Fatty acid oxidation (β-oxidation)
Localization Plaque shoulder and lipid core Adventitia and areas of neovascularization
Association with plaque stability Abundant in symptomatic and unstable plaques Abundant in stable zones of the plaque and asymptomatic lesions
Roles Occurrence of postapoptotic necrosis after dead cell accumulation;
Formation of a necrotic core;
Contribution to plaque instability and rupture
Phagocytosis of apoptotic cells and debris;
Increase of lipid degradation and prevention of foam cell formation;
Resolution of inflammation