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Review
. 2014 May 1;102(2):240-8.
doi: 10.1093/cvr/cvu025. Epub 2014 Feb 5.

Cardiac macrophages and their role in ischaemic heart disease

Affiliations
Review

Cardiac macrophages and their role in ischaemic heart disease

Stefan Frantz et al. Cardiovasc Res. .

V体育平台登录 - Abstract

Cardiac macrophages are abundant in the healthy heart and after myocardial infarction (MI). Different macrophage phenotypes likely promote myocardial health vs. disease. Infarct macrophages are inflammatory and derive from circulating monocytes produced by the haematopoietic system. These cells are centrally involved in inflammatory tissue remodelling, resolution of inflammation during post-MI healing, and left ventricular remodelling. Presumably, macrophages interact with myocytes, endothelial cells, and fibroblasts VSports手机版. Although macrophages are primarily recruited to the ischaemic myocardium, the remote non-ischaemic myocardium macrophage population changes dynamically after MI. Macrophages' known roles in defending the steady state and their pathological actions in other disease contexts provide a road map for exploring cardiac macrophages and their phenotypes, functions, and therapeutic potential. In our review, we summarize recent insights into the role of cardiac macrophages, focus on their actions after ischaemia, and highlight emerging research topics. .

Keywords: Bone marrow; Heart failure; Macrophage; Myocardial infarction; Spleen. V体育安卓版.

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Figures (VSports app下载)

Figure 1
Figure 1
The spleen as a source of macrophages. The left panel shows clusters of GFP+ monocytes residing in the sub-capsular red pulp of CX3XR1GFP/+ mice. The middle panel shows a monocyte departing after MI in two movie frames acquired in the spleen after coronary ligation. Adapted from reference. The right panel shows immunohistochemical monocyte staining in the spleens of a control patient and a patient after myocardial infarction. The comparison verifies the existence of a splenic monocyte reservoir in humans.
Figure 2
Figure 2
Macrophages in the heart. The left panel shows the steady-state myocardium in a CX3CR1GFP/+ mouse (adapted from reference). The middle panel shows macrophage presence in the infarct and the remote myocardium after coronary ligation (adapted from reference). The right panel shows the presence of monocytes in the infarct and in the remote myocardium of a patient with acute MI (adapted from reference).
Figure 3
Figure 3
The biphasic monocyte/macrophage response after myocardial infarction.
Figure 4
Figure 4
The role of macrophages in cardiovascular disease and intersections with other organ systems. (A) After myocardial infarction, sympathetic nervous signalling changes the micro-milieu in the bone marrow, leading to haematopoietic stem cell activation (HSC). (B) Macrophages are part of the haematopoietic stem cell niche and provide signals that regulate the blood cell production. (C) The haematopoietic niche provides monocytes, which are progenitors of inflammatory macrophages. (D) After MI, haematopoietic stem and progenitor cells (HSPC) are released into the blood stream and seed the spleen, where they initiate accelerated monocyte production. (E) The spleen is also a site of blood cell recycling. (F) Macrophages are involved in regulating blood pressure. (G) Macrophages reside in fat tissue and obtain inflammatory phenotypes during obesity. They also promote diabetes. (H) Monocytes recruited to atherosclerotic lesions differentiate into macrophages and foam cells, which promote plaque growth and rupture. Macrophages respond to ischaemic injury in the heart (i) and the brain (j), regulating tissue repair and outcomes.

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