Abstract:Atherosclerosis is a chronic vascular disease, whose early manifestations are vascular intimal hyperplasia and plaque formation, and the late vascular events can be caused by plaque rupture after erosion. In the process of atherosclerosis, vascular smooth muscle cell(VSMC) in the arterial media play a key role in vascular remodeling, and their phenotype conversion has an important impact on maintaining vascular homeostasis. Due to methodological limitations, the previous understanding of VSMC function is limited; With the rapid development of lineage tracing and single-cell sequencing technology, the role of VSMC in atherosclerosis has been deeply explored in recent years. This paper summarizes the emerging research methods of VSMC in recent years, and reviews the literature on the roles and mechanisms of phenotypic switching of VSMC in vascular remodeling.