REVIEW article

Front. Immunol.

Sec. Antigen Presenting Cell Biology

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1607932

m6A modification: a novel mechanism that regulates atherosclerosis via macrophage polarization

Provisionally accepted
Xiaying  LiXiaying Li1Hengkai  ZhangHengkai Zhang2Zhou  YanZhou Yan3Lei  ZhangLei Zhang3Ye  HuangYe Huang3*
  • 1Beijing University of Chinese Medicine, Beijing, Beijing Municipality, China
  • 2Shanxi Traditional Chinese Medical Hospital, Taiyuan, Shanxi Province, China
  • 3Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, China

The final, formatted version of the article will be published soon.

Atherosclerosis is a chronic vascular inflammatory disease in which macrophages play a pivotal role in modulating its pathology. In response to the intraplaque microenvironment, both pro-inflammatory M1 and anti-inflammatory M2 phenotypes of macrophages have the polarization capability, each influencing the inflammatory state through the secretion of distinct cytokines.N6-methyladenosine (m6A) modification, the most prevalent internal chemical modification of RNA, significantly impacts various biological processes, including RNA transcription and protein expression. m6A modification acts as a critical determinant in macrophage polarization, with its molecular mechanisms intricately linked to the progression of atherosclerosis. This review aims to elucidate how different macrophage polarization phenotypes influence the progression of atherosclerosis while also exploring the significance of m6A modifications in this pathological context, thereby providing a theoretical foundation for identifying novel diagnostic and therapeutic targets for atherosclerosis.

Keywords: Macrophage polarization, Cytokines, Atherosclerosis, N 6 -methyladenosine modification, Inflammatory

Received: 08 Apr 2025; Accepted: 29 May 2025.

Copyright: © 2025 Li, Zhang, Yan, Zhang and Huang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Ye Huang, Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China

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