title: Macrophage heterogeneity of culprit coronary plaques in patients with acute myocardial infarction or stable angina.
abstract: We investigated the polarization states of macrophages in coronary atherectomy tissues retrieved from patients with acute myocardial infarction (AMI, n = 52) or stable angina pectoris (SAP, n = 22). The specimens were analyzed immunohistochemically using antibodies specific to CD11c (M1 marker), CD206 (M2 marker), and to markers of endothelial cells, macrophages, and smooth muscle cells. Baseline characteristics were similar in the 2 groups. The proportion of areas immunopositive for α smooth muscle actin was similar, but those positive for CD31 and CD68 were larger in the AMI group compared with the SAP group. In addition, AMI had significantly greater areas immunopositive for CD11c (P = .007) than did SAP, but CD206 (P = .102) positivity was not different in the 2 groups. In conclusion, M1 macrophage infiltration, not M2 macrophage infiltration, was increased in culprit plaques of patients with AMI. Macrophage heterogeneity may therefore be related to plaque instability.
authors: Department of Medicine, Asan Medical Center, University of Ulsan, Seoul, Korea.
authors: Cheol Whan
authors: CW
authors: Lee
authors: Ilseon
authors: I
authors: Hwang
authors: Chan-Sik
authors: CS
authors: Park
authors: Hyangsin
authors: H
authors: Lee
authors: Duk-Woo
authors: DW
authors: Park
authors: Soo-Jin
authors: SJ
authors: Kang
authors: Seung-Whan
authors: SW
authors: Lee
authors: Young-Hak
authors: YH
authors: Kim
authors: Seong-Wook
authors: SW
authors: Park
authors: Seung-Jung
authors: SJ
authors: Park
mesh_terms: D060050:Angina, Stable / Q000276:immunology* / Q000473:pathology; D003324:Coronary Artery Disease / Q000276:immunology* / Q000473:pathology; D005260:Female; D005455:Fluorescent Antibody Technique; D006801:Humans; D007150:Immunohistochemistry; D008264:Macrophages / Q000166:cytology / Q000276:immunology*; D008297:Male; D018613:Microscopy, Confocal; D008875:Middle Aged; D009203:Myocardial Infarction / Q000276:immunology* / Q000473:pathology; D058226:Plaque, Atherosclerotic / Q000276:immunology* / Q000473:pathology