“…Macrophages can reduce excessive lipid accumulation in the body by increasing the lipolysis of intracellular LDs, avoiding damage to cells from lipid toxicity and alleviating the further development of atherosclerosis. The primary mechanisms include the miR-328-5p reduction-mediated histone deacetylase 3/ATP-binding cassette transporter A1 pathway ( Huang et al, 2021 ), lipid droplet ubiquitination mediated by AUP1 ( Robichaud et al, 2021 ), TAG synthesis guided by GPAT3 and GPAT4 ( Quiroga et al, 2021 ), hydrolysis of cholesterol ester catalyzed by neutral cholesterol ester hydrolase 1 ( Matsuoka et al, 2020 ), Foxc2-induced Angptl2-mediated lipid accumulation ( Yang L. et al, 2020 ), inhibition of mitochondrial respiration by iNOS-derived nitric oxide ( Rosas-Ballina et al, 2020 ), SphK2-affected lipid droplet decomposition mediated by autophagosomes and lysosome ( Ishimaru et al, 2019 ), BECN1 and ATG14 mediated autophagy ( Singh et al, 2009 ; Ouimet et al, 2011 ; Hadadi-Bechor et al, 2019 ), lipid accumulation marked by the perilipin family of PLIN1-PLIN5 ( Sztalryd and Brasaemle, 2017 ; Bosch et al, 2020 ), LD biogenesis mediated by PPAR signaling pathway ( Yang T. et al, 2020 ), acute iron deprivation ( Pereira et al, 2019 ), neutral lipase-mediated hydrolysis of neutral fat in LDs ( van Dierendonck et al, 2020 ), and fat phagocytosis mediated by Hmgb1, Hmgb2, Hspa5 and Scarb2 ( Robichaud et al, 2021 ; Figure 4 ). HILPDA is a physiological inhibitor of ATGL-mediated lipolysis in macrophages that binds to the intracellular triglyceride hydrolase ATGL and inhibits ATGL-mediated triglyceride hydrolysis ( van Dierendonck et al, 2020 ).…”