The Crosstalk between Autophagy and Polarization of Macrophages in Atherosclerosis
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摘要
In the past few years, researchers are attempting to understand in detail the role of macrophages in initiating and sustaining atherosclerosis, with the goal of learning how to reverse these events. Here, we respect to the polarization of macrophages associated with autophagy from the initiation of atherosclerotic plaques to its progression and regression, discussing the roles of macrophages play at these different disease stages. From the previous research, we find that the polarization and autophagy of M1 and M2 macrophages are distinct to induce opposite function and cellular metabolism in atherosclerotic plaques. Whereas both of them could be modulated by respective signal pathway, such as SmadGSK3β-PI3K-Akt-mTOR, GSK-Jak/STAT, GSK-WNT-SHH, or Jak/Stat-PI3K-Akt-mTOR, and mTOR is the key target on these cascades(Figure1). By the crosstalk of mTOR, it could enhance M2 macrophage autophagy to promote ox-LDL breakdown to liberate free fatty acids(FFA) and cholesterol through the pathway of RCT, which fuel oxidative metabolism and cholesterol efflux. While in M1 macrophages, it could induce defective autophagy which is associated with inflammasome hyperactivation, increased IL-1β production, and a buildup of cholesterol crystals. Macrophage autophagy is important for efficient efferocytosis of apoptotic plaque macrophages. Therefore, autophagy appears to be an important process in the reparative M2 macrophage phenotype in the process of formation of atherosclerotic plaques, whereas defective autophagy in macrophages may contribute to the less beneficial M1 phenotypic change.
In the past few years, researchers are attempting to understand in detail the role of macrophages in initiating and sustaining atherosclerosis, with the goal of learning how to reverse these events. Here, we respect to the polarization of macrophages associated with autophagy from the initiation of atherosclerotic plaques to its progression and regression, discussing the roles of macrophages play at these different disease stages. From the previous research, we find that the polarization and autophagy of M1 and M2 macrophages are distinct to induce opposite function and cellular metabolism in atherosclerotic plaques. Whereas both of them could be modulated by respective signal pathway, such as SmadGSK3β-PI3K-Akt-mTOR, GSK-Jak/STAT, GSK-WNT-SHH, or Jak/Stat-PI3K-Akt-mTOR, and mTOR is the key target on these cascades(Figure1). By the crosstalk of mTOR, it could enhance M2 macrophage autophagy to promote ox-LDL breakdown to liberate free fatty acids(FFA) and cholesterol through the pathway of RCT, which fuel oxidative metabolism and cholesterol efflux. While in M1 macrophages, it could induce defective autophagy which is associated with inflammasome hyperactivation, increased IL-1β production, and a buildup of cholesterol crystals. Macrophage autophagy is important for efficient efferocytosis of apoptotic plaque macrophages. Therefore, autophagy appears to be an important process in the reparative M2 macrophage phenotype in the process of formation of atherosclerotic plaques, whereas defective autophagy in macrophages may contribute to the less beneficial M1 phenotypic change.
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