Research Article

Apolipoprotein (a)/Lipoprotein(a)-Induced Oxidative-Inflammatory α7-nAChR/p38 MAPK/IL-6/RhoA-GTP Signaling Axis and M1 Macrophage Polarization Modulate Inflammation-Associated Development of Coronary Artery Spasm

Figure 6

Graphical abstract depicting how Lp(a)-triggered inflammation drives CAS through macrophage M1 polarization, activation of coronary VSMC, and α7-nAChR/p38 MAPK signal induction. Tocilizumab disrupts Lp(a)-induced α7-nAChR/p38 signaling by attenuating the inflammation in coronary VSMCs and patient monocyte-derived macrophages.