Review Article

Macrophages and Their Role in Atherosclerosis: Pathophysiology and Transcriptome Analysis

Table 1

Macrophage phenotypes detected in humans and mice and their role in atherosclerosis  (adapted with modifications from [26], with permission from Elsevier).

PhenotypeInductionMarkersSecreted moleculesFunctionsRole in atherosclerosis

M1 (human, mouse)IFN-γ, TNF-α, LPS, and other TRL-mediated stimuliIL-1β, IL-6, IL-12, IL-23, TNF-α, CXCL9, CXCL10, and CXCL11IL-6, IL-10 (low), IL-12 (high), IL-23, TNF-α, iNOS, and ROSTh1 response, antitumorPlaque progression, maintaining inflammatory response
M2a (human, mouse)IL-4, IL-13Human: MR, IL1RN
Mouse: Arg-1, FIZZ1, and Ym1/2
IL-10, TGF-β, CCL17, and CCL22Tissue repair and remodelling
M2b (human, mouse)IL-1β, LPSIL-10 (high), IL-12 (low)IL-6, IL-10 (high), IL-12 (low), and TNF-αImmune regulatory functionsEnriched in regressing plaques in humans and mice
M2c (human, mouse)IL-10, TGF-β, and glucocorticoidsHuman: MR
Mouse: Arg-1
IL-10, TGF-β, and PTX3Phagocytosis, apoptotic cell clearance
M2d (mouse)TLR + A2R ligandsIL-12 (low), TNF-α (low)IL-10, VEGF, and iNOSAngiogenesisPresent in murine plaques
M4 (human)CXCL4MR, MMP7, and S100A8IL-6, TNF-α, and MMP12Weak phagocytosisMinimal foam cell formation, potentially proatherogenic
MoxOxidized LDLHMOX-1, Nrf2, Srxn1, and Txnrd1IL-1β, IL-10Weak phagocytosisProatherogenic properties in mice
HA-mac (human)Haemoglobin/
haptoglobin
CD163 (high), HLA-DR (low)HMOX-1Haemoglobin clearanceAtheroprotective
M (Hb) (human)Haemoglobin/
haptoglobin
MR, CD163ABCA1, ABCG1, and LXRαCholesterol efflux, atheroprotective
Mhem (human, mouse)HemeATF1, CD163LXRβErythrocyte phagocytosisAtheroprotective