Fightaging iconFightagingSep 18, 2026 ~1 min source read

The Transformation of Vascular Smooth Muscle into Macrophages in Atherosclerotic Plaques

Atherosclerosis, the growth of fatty plaques in blood vessel walls, is the largest cause of human mortality. Unstable plaques rupture to block blood vessels to cause a heart attack or stroke, while the narrowing of arteries by plaque contributes to heart failure, dementia, and other conditions.

The Transformation of Vascular Smooth Muscle into Macrophages in Atherosclerotic Plaques

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Atherosclerosis, the growth of fatty plaques in blood vessel walls, is the largest cause of human mortality.

Unstable plaques rupture to block blood vessels to cause a heart attack or stroke, while the narrowing of arteries by plaque contributes to heart failure, dementia, and other conditions.

The macrophages are instead overwhelmed by the toxic plaque environment, become inflammatory to call in more macrophages, and die to add their mass to the plaque.

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The useful part

Atherosclerosis, the growth of fatty plaques in blood vessel walls, is the largest cause of human mortality. Unstable plaques rupture to block blood vessels to cause a heart attack or stroke, while the narrowing of arteries by plaque contributes to heart failure, dementia, and other conditions. The macrophages are instead overwhelmed by the toxic plaque environment, become inflammatory to call in more macrophages, and die to add their mass to the plaque.

How it works

  • The largest plaques also distort the biochemistry of the smooth muscle surrounding blood vessels, and smooth muscle cells transform into macrophages to further […]

Details worth keeping

A plaque is in essence a growing macrophage graveyard.

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