Transcriptional and epigenetic regulation of macrophages in atherosclerosis.

Transcriptional and epigenetic regulation of macrophages in atherosclerosis.
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DOI:
10.1038/s41569-019-0265-3
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发表时间:
2020-04
期刊:
Nature reviews. Cardiology
影响因子:
--
通讯作者:
de Winther MPJ
de Winther MPJ
中科院分区:
其他
文献类型:
--
作者:
Kuznetsova T;Prange KHM;Glass CK;de Winther MPJ

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Monocytes and macrophages provide defense against pathogens and danger signals. These cells respond to stimulation in a fast and stimulus-specific manner by utilizing complex cascaded activation by lineage-determining and signal-dependent transcription factors. The complexity of the functional response is determined by interactions between triggered transcription factors, and depends on the microenvironment and interdependent signaling cascades. Dysregulation of macrophage phenotypes is a major driver in various diseases, such as atherosclerosis, rheumatoid arthritis and type II diabetes. Furthermore, exposure of macrophage precursor cells, monocytes, to certain stimuli can lead to a hypo-inflammatory tolerized phenotype or a hyper-inflammatory trained phenotype in a macrophage. In atherosclerosis, macrophages and monocytes are exposed to inflammatory cytokines, oxidized lipids, cholesterol crystals and other factors. All these stimuli induce not only a specific transcriptional response, but also interact extensively, leading to a transcriptional and epigenetic heterogeneity of atherosclerotic plaque macrophages. Targeting the epigenetic landscape of plaque macrophages can be a powerful tool to modulate pro-atherogenic phenotypes to reduce the rate of plaque formation. In this review we discuss the emerging role of transcription factors and epigenetic remodeling in the context of atherosclerosis and inflammation, and provide a comprehensive overview of epigenetic enzymes and transcription factors shaping macrophage activation.
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