Table 3 Selected published articles related to the current status of preclinical macrophage targeting strategies

From: Macrophages in cardiovascular diseases: molecular mechanisms and therapeutic targets

Study

Model

Therapeutic strategy

Therapeutic outcome

Citation

Inhibition of macrophage recruitment

Ostermann et al. (2005)

AS

JAM-A inhibition

Soluble JAM-A inhibits JAM-A mediated recruitment of monocytes on atherosclerotic endothelium and reduces inflammation, thereby reducing the formation of atherosclerosis.

486

Kentischer et al. (2006)

AS

Anti-MIF monoclonal antibody treatment

MIF blockade strongly reduces macrophage content in the lesions and leads to markedly decreased levels of circulating and local aortic inflammatory mediators, thereby reducing the formation of atherosclerosis.

489

Christophe et al. (2008)

AS

Combined inhibition of CCL2, CX3CR1, and CCR5

Combined inhibition of CCL2, CX3CR1, and CCR5 pathways almost abrogates macrophage accumulation and atherosclerosis in mice.

388

Wang et al. (2018)

MI

Anti-CCR2 antibody treatment

Inhibiting CCR2 significantly reduces monocyte recruitment in the heart, alleviates inflammatory cascade reactions, and reduces myocardial infarction area.

601

Samuel et al. (2023)

AS

VCAM-1 Inhibition

RAG8 treatment reduces VCAM-1 protein levels and platelet accumulation in atherosclerotic coronary arteries, thereby reducing coronary artery atherosclerosis and myocardial fibrosis.

484

Inhibition of foam cell formation and macrophage survival

Andrew et al. (2004)

AS

Inducing ABCA1 expression

PPARα and PPARγ agonist therapy induces LXRα and LXR mediated ABCA1 expression which plays a role in promoting cholesterol efflux and reducing the formation of foam cells, ultimately inhibiting the development of atherosclerosis.

497

Secchiero et al. (2006)

AS

TRAIL injection

TRAIL injection not only significantly attenuates the total extension of the plaques, but also contributes to stabilize atherosclerotic plaques by selectively decreasing the number of infiltrating macrophages in the atherosclerotic lesions.

509

Verheye et al. (2007)

AS

Delivery of everolimus

Stent-based delivery of everolimus selectively clears macrophages in rabbit atherosclerotic plaques by autophagy, thereby reduceing atherosclerosis.

513

Petri et al. (2010)

AS

Silence of SR-A

Silencing of SR-A significantly reduces the formation of foam cells, thereby reducing atherosclerosis in mice.

310

Duewell et al. (2010)

AS

NLRP3-deficient

The absence of NLRP3 inflammasome significantly protects atherosclerotic mice from disease invasion and reduces the size of lesions.

602

Wang et al. (2013)

AS

Downregulation of mTOR expression

The down-regulation of mTOR induces autophagy of macrophages, leading to a decrease in their number and stabilizing atherosclerotic plaque.

514

Zhai et al. (2014)

AS

Inhibition of PI3K/Akt/mTOR signaling pathway

Selective inhibition of Akt/mTOR signaling pathway reduces macrophages by promoting autophagy, thereby stabilizing vulnerable atherosclerotic plaque.

515

Karunakaran et al. (2016)

AS

Nec-1 treatment

Nec-1 reduces lesion size and markers of plaque instability, including necrotic core formation.

510

Shoulders et al. (2019)

AS

Clo-Lip administration

Clo-Lip administration leads to macrophage apoptosis by inhibiting mitochondrial oxygen consumption, thus preventing the progression of atherosclerosis.

508

Xu et al. (2023)

AS

IL-37 treatment

IL-37 inhibits iron death of macrophages by activating the NRF2 pathway, thereby slowing down the progression of atherosclerosis.

512

Luo et al. (2024)

AS

MCL treatment

MCL activates the NRF2 pathway, thereby inhibiting ferroptosis of macrophages and alleviating the progression of atherosclerosis.

511

Regulation of macrophage function

Cardilo-Reis et al. (2012)

AS

IL-13 treatment

IL-13 promotes the production of repair macrophages, thereby stabilizing AS plaques and preventing the development of AS.

363

Sager et al. (2015)

MI

Anti-IL-1β treatment

Anti-IL-1β reduces leukocyte infiltration, reduces inflammation in the infarct area, weakens fibrosis, and prevents adverse cardiac remodeling.

519

Wei et al. (2015)

AS

MiR-155 inhibition

MiR-155 inhibition promotes macrophage efferocytosis, thereby inhibiting the formation of necrotic core and the progression of atherosclerosis.

532

Brenner et al. (2015)

AS

Sitagliptin treatment

Sitagliptin promotes the differentiation of monocytes into the M2 phenotype, reduces plaque burden, and thereby inhibiting early atherosclerosis.

545

Gabunia et al. (2016)

AS

IL-19 treatment

IL-19 inhibits macrophage inflammation, maintains cholesterol homeostasis, thereby preventing AS plaque progression.

537

Jung et al. (2017)

MI

IL-10 treatment

Infusion of IL-10 at the appropriate period can inhibit post-MI inflammation and reduce collagen deposition by stimulating the polarization of M2 macrophages.

114

Price et al. (2017)

AS

MiR-33 inhibition

Anti-miR-33 therapy reduces lipid accumulation and inflammatory responses in macrophages, thereby mediating AS protection.

533

Lee et al. (2017)

MI

Dapagliflozin treatment

Dapagliflozin increases the activation of M2 macrophages, thereby inhibiting the differentiation of myofibroblasts and reducing collagen fiber production and alleviating myocardial fibrosis.

540

Han et al. (2018)

MI

IL-4pDNA treatment

IL-4pDNA delivery promotes M2 polarization, which reduces cardiac inflammation, weakens fibrosis, and improves cardiac function.

521

Jin et al. (2018)

AS

MiR-21 treatment

MiR-21 inhibits the transformation of macrophages into foam cells and relieves the restriction of smooth muscle cells proliferation by activated macrophages, which results in thickening of the fibrous cap and stabilization of AS plaques.

531

Podaru et al. (2019)

MI

M-CSF and IL-4-induced macrophage transplantation

Cardiac microvascular formation is enhanced, cardiomyocyte hypertrophy is reduced, and pathological interstitial fibrosis distal to the infarcted area is attenuated.

527

Tokutome et al. (2019)

MI

Pioglitazone treatment

Pioglitazone increases M2 macrophage activation, reduces cardiac inflammatory response, and promotes appropriate collagen fiber production.

544

Liao et al. (2020)

MI

Heart-derived MSCs infusion

MSCs infusion inhibits macrophage infiltration and induces the development of macrophages toward an anti-inflammatory M2 phenotype, significantly reducing infarct size after AMI and mediating appropriate fibrogenesis in the injured area.

526

Zhang et al. (2021)

AS

Rosuvastatin treatment

Rosuvastatin improves macrophage autophagy activity and lipid accumulation, thereby exerting anti-atherosclerotic effects.

546

Zhu et al. (2022)

MI

Hypoxia-induced macrophage transplantation

Myocardial cell apoptosis is reduced, angiogenesis is induced, and fibrosis in the infarct area and border zone is attenuated.

528

Abdollahi et al. (2022)

AS

Dapagliflozin treatment

Dapagliflozin can inhibit the inflammatory response of macrophages, thereby preventing the progression of AS.

542

Chen et al. (2023)

MI

IL-4pDNA treatment

IL-4pDNA promotes M2 polarization, reduces cardiac inflammation, promotes cardiac angiogenesis, and alleviates myocardial fibrosis.

523

Wang et al. (2023)

MI

IL-10 treatment

IL-10 delivery promotes M2 polarization, reduces cardiac inflammation, and effectively reduces myocardial fibrosis in the infarct area.

522

  1. AS atherosclerosis, CCL2 C-C motif chemokine ligand 2, CX3CR1 C-X3-C motif chemokine receptor 1, CCR C-C motif chemokine receptor, VCAM-1 vascular cell adhesion molecule 1, JAM-A junctional adhesion molecule A, MIF migration inhibitory factor, MI myocardial infarction, SR-A scavenger receptor A, ABCA1 ATP-binding cassette transporter A1, PPAR peroxisome proliferator-activated receptor, LXR liver X receptor, Clo-Lip clophosphonate-liposome, TRAIL tumor necrosis factor-related apoptosis-inducing ligand, Nec-1 necrostatin-1, NLRP3 NOD-like receptor thermal protein domain associated protein 3, MCL micheliolide, NRF2 nuclear factor erythroid related factor 2, IL interleukin, mTOR mammalian target of rapamycin, PI3K phosphatidylinositol-3-kinase, MSCs mesenchymal stem cells, M-CSF macrophage colony-stimulating factor, miR microRNA