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Human carotid atherosclerotic plaque tissues were collected via carotid endarterectomy for metabolomic and spatial analysis. The study identified 74 differential metabolites, with arachidonic acid upregulated in unstable plaques and involved in 22 metabolic pathways. It provides spatial evidence for the linoleic acid–arachidonic acid–leukotriene D4 metabolic axis and its association with macrophage phenotypes.
The primary file is a 2.0 MB PDF research article; underlying structured datasets (e.g., metabolite tables, spatial coordinates, single-cell data) may need to be requested from the authors or are not included. License is CC BY 4.0.