Review Article

M2 Macrophages as a Potential Target for Antiatherosclerosis Treatment

Table 5

Other molecules promoting M2 polarization.

BiomoleculesExperiment animal/cellsEffectReferences

27-OHPBMC from healthy donorsIncreased the secretion of IL-10 and expression of LXR and ABCA1[134]
VDHypercholesterolemic swineAffected the process of M2 polarization; decreased the 27-hydroxycholesterol level[136]
AdiponectinHuman peripheral blood monocytesDecreased adiponectin was related with lower levels of M2 markers such as IL-10 and arginase-1 in the liver of mice[144, 145, 147]
Inhibitors of Sema3EMacrophages of advanced atherosclerotic lesions of ApoE–/– miceInhibiting Sema3E may promote M2 polarization and downregulate the inflammation in atherosclerotic lesions[152]
BMP-7ApoE-/- mice: sham, PLCA, and PLCA+ BMP-7Upregulated BMP-7R expression which led to activation of PI3K, Akt, and mTOR, thus enhancing M2 macrophage polarization[153]
Trx-1Murine peritoneal and human macrophagesElevated M2 markers including CD206 and IL-10[154]
ApoA-IApoA-I−/− or apolipoprotein E-deficient miceIncreased M2 macrophage markers and decreased M1 macrophages in atherosclerotic plaques[156, 159]
HNO donors: AS or GTNC57/Bl6 mice; human monocytesIncreased CD200R and CD206 expression and mRNA gene expression of CD206 and the anti-inflammatory gene SR-B1 in macrophages treated with IL-4 coincubated with AS[163]
Inhibitors of MTPLDLR-/- miceIncreased M2 markers including arginase-I and MR[165]
CLAApoE-/- C57BL/6J mouse; bone marrow-derived macrophagesReduced the level of CD68 and alleviate the levels of CD163 and mannose receptor in human macrophages[166, 169, 170]
EPOWHHLMI rabbits; HUVECsReduced HUVEC apoptosis and THP-1 production of TNFα and MMP-9; activated Akt and ERK1/2; decreased M1 macrophages and the M1/M2 ratio; increased expression of IL-10 in coronary atherosclerotic lesions[171, 172]
HBSP
HxHxE−/− miceHxE−/− mice with human Hx injection showed a shift from M1 to M2 macrophages and inhibited the progression of atherosclerosis in ApoE−/− mice[173]
PJ and polyphenolsApoE-/- mice and mouse peritoneal macrophagesPromoted the expression of IL-10 and decreased the secretion of TNFα and IL-6[174]

27-OH: 27-hydroxycholesterol; PBMC: peripheral blood mononuclear cells; VD: vitamin D; Sema3E: Semaphorin 3E; BMP-7: bone morphogenetic protein-7; Trx: thioredoxin; ApoA-I: apolipoprotein A-I; HNO donors: nitroxyl anion donors; MTP: microsomal triglyceride transfer protein; CLA: conjugated linoleic acid; EPO: erythropoietin; HBSP: helix B surface peptide; Hx: hemopexin; PLCA: partial left carotid artery ligation; AS: Angeli’s salt; GTN: glyceryl trinitrate; HUVECs: human umbilical vein endothelial cells; HxE−/− mice: Hx and ApoE double-knockout mice; PJ: pomegranate juice.