New Approaches to Target Inflammation in Heart Failure: Harnessing Insights from Studies of Immune Cell Diversity
Open accessAbstract
Despite mounting evidence implicating inflammation in cardiovascular diseases, attempts at clinical translation have shown mixed results. Recent preclinical studies have reenergized this field and provided new insights into how to favorably modulate cardiac macrophage function in the context of acute myocardial injury and chronic disease. In this review, we discuss the origins and roles of cardiac macrophage populations in the steady-state and diseased heart, focusing on the human heart and mouse models of ischemia, hypertensive heart disease, and aortic stenosis. Specific attention is given to delineating the roles of tissue-resident and recruited monocyte-derived macrophage subsets. We also highlight emerging concepts of monocyte plasticity and heterogeneity among monocyte-derived macrophages, describe possible mechanisms by which infiltrating monocytes acquire unique macrophage fates, and discuss the putative impact of these populations on cardiac remodeling. Finally, we discuss strategies to target inflammatory macrophage populations.
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Anti-inflammatory therapies targeting essential immune modulators are associated with serious adverse events such as a higher incidence of fatal infection and sepsis.
“they are also associated with serious adverse events such as a higher incidence of fatal infection and sepsis36,38.”
From Chromatin remodelling drives immune cell–fibroblast communication in heart failure (2024) · cites this paper as [38]
In “Targeting Monocytes and Macrophages in Heart Failure” (page unavailable), the review says immune-suppressing or immune-modulating therapies may increase the risk of opportunistic or life-threatening infections, citing CANTOS as an example. Our copy does not specify a higher incidence of fatal infection or sepsis, so those details are not supported. (LLM, conf=0.84)
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- Authors
- Rhee, A. J., & Lavine, K. J.
- Affiliations
- Washington University in St. Louis (US)
- Venue
- Annual Review of Physiology
- Publisher
- Annual Reviews
- Published
- 2020-02-10
- Volume
- 82
- Issue
- 1
- Pages
- 1-20
- ISSN
- 0066-4278 (ISSN-L)
- 1545-1585
- PMC
- PMC7202684
- OpenAlex
- W2982287350
- Cited by
- 46
- References
- 114
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 8 · 2023: 7 · 2022: 8 · 2021: 7 · 2020: 4
- FWCI
- 0.86
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Annual Review of Physiology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01HL138466, R01HL139714, K08HL123519)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Fibrosis and Remodeling
- Life Sciences › Immunology and Microbiology › Immunology › Atherosclerosis and Cardiovascular Diseases
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Keywords
- heart failure, inflammation, cardiac macrophages, monocyte-derived macrophages, monocyte plasticity, monocyte heterogeneity, acute myocardial injury, ischemia, hypertensive heart disease, aortic stenosis, cardiac remodeling, tissue-resident macrophages, macrophage-targeted therapy
- MeSH terms
- Animals, Heart Failure, Humans, Immunity, Cellular, Inflammation, Macrophages, Monocytes, Myocardium
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