A Comprehensive Single-Cell and Spatial Analysis of Macrophage States in Human Atherosclerotic Plaques - Report - MDSpire

A Comprehensive Single-Cell and Spatial Analysis of Macrophage States in Human Atherosclerotic Plaques

  • By

  • Yuanyuan Yang

  • Haiying Zhu

  • April 29, 2026

  • 0 min

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Clinical Report: Comprehensive Analysis of Macrophage States in Atherosclerosis

Overview

Revise to include specific macrophage state programs and their clinical relevance.

Background

Atherosclerosis is a leading cause of cardiovascular disease, characterized by chronic inflammation and lipid accumulation. Understanding the diverse roles of macrophages within atherosclerotic plaques is crucial for developing targeted therapies and improving patient outcomes. Recent advances in single-cell and spatial profiling have revealed the complexity of macrophage states, linking them to clinically relevant features of atherosclerosis.

Data Highlights

No numerical data provided in the source material.

Key Findings

  • Macrophages in atherosclerotic plaques exhibit diverse transcriptional states, including inflammatory, lipid-associated, and reparative phenotypes.
  • These macrophage states are associated with critical clinical features such as symptomatic disease and plaque instability.
  • Macrophage abundance correlates with symptomatic presentation and cardiovascular events over three years.
  • Methodological heterogeneity in studies complicates the understanding of macrophage roles in atherosclerosis.
  • A coherent macrophage atlas can enhance the mechanistic understanding of plaque progression and inform clinical applications.

Clinical Implications

Clinicians should consider the diverse macrophage states when assessing atherosclerotic disease and its progression. Targeting specific macrophage phenotypes may offer new therapeutic avenues for risk stratification and treatment in patients with atherosclerosis.

Conclusion

The emerging understanding of macrophage states in atherosclerosis underscores their significance in disease progression and clinical outcomes. A unified framework for macrophage characterization may facilitate the development of targeted interventions.

References

  1. NLRP3 Facilitates Macrophage Proliferation Induced by Lipids in Established Atherosclerotic Conditions, Basic Research in Cardiology, 2025
  2. Tertiary Lymphoid Structures in Arteries: Neuro-Immune Interactions and Their Role in Atherosclerosis, Basic Research in Cardiology, 2026
  3. Macrophage Proliferation Inhibition is Key to Plaque Regression Following Cholesterol Reduction, Basic Research in Cardiology, 2020
  4. The Role of Collagen, Macrophages, and Microcalcification in the Mechanics of Atherosclerotic Plaque Cap Rupture, Basic Research in Cardiology, 2024
  5. 2026 Guideline on the Management of Dyslipidemia, American Heart Association, 2026
  6. Long-term trials of colchicine for secondary prevention of vascular events: a meta-analysis, European Heart Journal, 2024
  7. 2024 Chronic Coronary Syndromes
  8. 2026 Guideline on the Management of Dyslipidemia - Professional Heart Daily | American Heart Association
  9. Long-term trials of colchicine for secondary prevention of vascular events: a meta-analysis | European Heart Journal | Oxford Academic
  10. 2024 Chronic Coronary Syndromes

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