Metabolic and epigenetic regulation of macrophage polarization in atherosclerosis: Molecular mechanisms and targeted therapies

Atherosclerosis, a multifactorial progressive inflammatory disease, is the common pathology underlying cardiovascular and cerebrovascular diseases. The macrophage plasticity is involved in the pathogenesis of atherosclerosis. With the advance of metabolomics and epigenetics, metabolites/metabolic an...

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Main Authors: Pinglian Yang, Xiaoling Rong, Zhechang Gao, Jiaojiao Wang, Zhiping Liu
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Pharmacological Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S1043661825000131
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author Pinglian Yang
Xiaoling Rong
Zhechang Gao
Jiaojiao Wang
Zhiping Liu
author_facet Pinglian Yang
Xiaoling Rong
Zhechang Gao
Jiaojiao Wang
Zhiping Liu
author_sort Pinglian Yang
collection DOAJ
description Atherosclerosis, a multifactorial progressive inflammatory disease, is the common pathology underlying cardiovascular and cerebrovascular diseases. The macrophage plasticity is involved in the pathogenesis of atherosclerosis. With the advance of metabolomics and epigenetics, metabolites/metabolic and epigenetic modification such as DNA methylation, histone modification and noncoding RNA, play a crucial role in macrophage polarization and the progression of atherosclerosis. Herein, we provide a comprehensive review of the essential role of metabolic and epigenetic regulation, as well as the crosstalk between the two in regulating macrophage polarization in atherosclerosis. We also highlight the potential therapeutic strategies of regulating macrophage polarization via epigenetic and metabolic modifications for atherosclerosis, and offer recommendations to advance our knowledge of the roles of metabolic-epigenetic crosstalk in macrophage polarization in the context of atherosclerosis. Fundamental studies that elucidate the mechanisms by which metabolic and epigenetic regulation of macrophage polarization influence atherosclerosis will pave the way for novel therapeutic approaches.
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institution Kabale University
issn 1096-1186
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publishDate 2025-02-01
publisher Elsevier
record_format Article
series Pharmacological Research
spelling doaj-art-d753ff72bf5047ea9681f240ced26ae12025-02-08T04:59:42ZengElsevierPharmacological Research1096-11862025-02-01212107588Metabolic and epigenetic regulation of macrophage polarization in atherosclerosis: Molecular mechanisms and targeted therapiesPinglian Yang0Xiaoling Rong1Zhechang Gao2Jiaojiao Wang3Zhiping Liu4State Key Laboratory of Bioactive Molecules and Druggability Assessment, Guangdong Province Key Laboratory of Pharmacodynamic Constituents of TCM and New Drugs Research, International Cooperative Laboratory of Traditional Chinese Medicine Modernization and Innovative Drug Discovery of Chinese Ministry of Education (MOE), College of Pharmacy, Jinan University, Guangzhou 510632, ChinaSchool of Pharmacy, Nanjing University of Chinese Medicine, Nanjing 210023, ChinaState Key Laboratory of Bioactive Molecules and Druggability Assessment, Guangdong Province Key Laboratory of Pharmacodynamic Constituents of TCM and New Drugs Research, International Cooperative Laboratory of Traditional Chinese Medicine Modernization and Innovative Drug Discovery of Chinese Ministry of Education (MOE), College of Pharmacy, Jinan University, Guangzhou 510632, ChinaKey Laboratory of Big Data Mining and Precision Drug Design of Guangdong Medical University, Key Laboratory of Computer-Aided Drug Design of Dongguan City, Key Laboratory for Research and Development of Natural Drugs of Guangdong Province, School of Pharmacy, Guangdong Medical University, Dongguan 523808, China; Correspondence to: School of Pharmacy, Guangdong Medical University, No. 1, Xincheng Avenue, Songshan Lake Science and technology Industrial Park West, Dongguan 523808, China.State Key Laboratory of Bioactive Molecules and Druggability Assessment, Guangdong Province Key Laboratory of Pharmacodynamic Constituents of TCM and New Drugs Research, International Cooperative Laboratory of Traditional Chinese Medicine Modernization and Innovative Drug Discovery of Chinese Ministry of Education (MOE), College of Pharmacy, Jinan University, Guangzhou 510632, China; Correspondence to: College of Pharmacy, Jinan University, No. 855, East Xingye Avenue, Guangzhou 511436, China.Atherosclerosis, a multifactorial progressive inflammatory disease, is the common pathology underlying cardiovascular and cerebrovascular diseases. The macrophage plasticity is involved in the pathogenesis of atherosclerosis. With the advance of metabolomics and epigenetics, metabolites/metabolic and epigenetic modification such as DNA methylation, histone modification and noncoding RNA, play a crucial role in macrophage polarization and the progression of atherosclerosis. Herein, we provide a comprehensive review of the essential role of metabolic and epigenetic regulation, as well as the crosstalk between the two in regulating macrophage polarization in atherosclerosis. We also highlight the potential therapeutic strategies of regulating macrophage polarization via epigenetic and metabolic modifications for atherosclerosis, and offer recommendations to advance our knowledge of the roles of metabolic-epigenetic crosstalk in macrophage polarization in the context of atherosclerosis. Fundamental studies that elucidate the mechanisms by which metabolic and epigenetic regulation of macrophage polarization influence atherosclerosis will pave the way for novel therapeutic approaches.http://www.sciencedirect.com/science/article/pii/S1043661825000131Macrophage polarizationAtherosclerosisEpigeneticMetabolismNoncoding RNATherapies
spellingShingle Pinglian Yang
Xiaoling Rong
Zhechang Gao
Jiaojiao Wang
Zhiping Liu
Metabolic and epigenetic regulation of macrophage polarization in atherosclerosis: Molecular mechanisms and targeted therapies
Pharmacological Research
Macrophage polarization
Atherosclerosis
Epigenetic
Metabolism
Noncoding RNA
Therapies
title Metabolic and epigenetic regulation of macrophage polarization in atherosclerosis: Molecular mechanisms and targeted therapies
title_full Metabolic and epigenetic regulation of macrophage polarization in atherosclerosis: Molecular mechanisms and targeted therapies
title_fullStr Metabolic and epigenetic regulation of macrophage polarization in atherosclerosis: Molecular mechanisms and targeted therapies
title_full_unstemmed Metabolic and epigenetic regulation of macrophage polarization in atherosclerosis: Molecular mechanisms and targeted therapies
title_short Metabolic and epigenetic regulation of macrophage polarization in atherosclerosis: Molecular mechanisms and targeted therapies
title_sort metabolic and epigenetic regulation of macrophage polarization in atherosclerosis molecular mechanisms and targeted therapies
topic Macrophage polarization
Atherosclerosis
Epigenetic
Metabolism
Noncoding RNA
Therapies
url http://www.sciencedirect.com/science/article/pii/S1043661825000131
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AT xiaolingrong metabolicandepigeneticregulationofmacrophagepolarizationinatherosclerosismolecularmechanismsandtargetedtherapies
AT zhechanggao metabolicandepigeneticregulationofmacrophagepolarizationinatherosclerosismolecularmechanismsandtargetedtherapies
AT jiaojiaowang metabolicandepigeneticregulationofmacrophagepolarizationinatherosclerosismolecularmechanismsandtargetedtherapies
AT zhipingliu metabolicandepigeneticregulationofmacrophagepolarizationinatherosclerosismolecularmechanismsandtargetedtherapies