Immunometabolism and immune response regulate macrophage function in atherosclerosis

Ageing Res Rev. 2023 Sep:90:101993. doi: 10.1016/j.arr.2023.101993. Epub 2023 Jun 27.

Abstract

Macrophages are crucial in the progression of atherosclerotic cardiovascular disease (ASCVD). In the atherosclerotic lesions, macrophages play a central role in maintaining inflammatory response, promoting plaque development, and facilitating thrombosis. Increasing studies indicate that metabolic reprogramming and immune response mediate macrophage functional changes in all stages of atherosclerosis. In this review article, we explain how metabolic changes in glycolysis, oxidative phosphorylation, the tricarboxylic acid cycle, fatty acid synthesis, fatty acid oxidation, and cholesterol metabolism regulate macrophage function in atherosclerosis. We discuss how immune response to oxidized lipids regulate macrophage function in atherosclerosis. Additionally, we explore how abnormal metabolism leads to macrophage mitochondrial dysfunction in atherosclerosis.

Keywords: Atherosclerosis; Immune response; Immunometabolism; Macrophage; Oxidation-specific epitopes.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Atherosclerosis* / pathology
  • Fatty Acids
  • Humans
  • Immunity
  • Macrophages
  • Plaque, Atherosclerotic* / metabolism

Substances

  • Fatty Acids