Objective:We aimed to investigate the potential effects of low-intensity pulsed ultrasound(LIPUS)on the polarization and lipid droplet phagocytosis of macrophage,and further explore the underlying molecular mechanism. Methods:Murine tibial bone marrow was perfused to extract murine bone marrow-derived macrophage. Different intensities(4.825,19.300,43.425 mW/cm2)of LIPUS treatment were performed in macrophage. Then LPS was used to induce polarization of macrophage to the M1 phenotype. After that,we used flow cytometry and CCK-8 kit to determine the levels of apoptosis and viability of macrophage in different groups,respectively. Besides,the heating effects of LIPUS irradiation were measured by thermocouples. The mRNA expression of inflammatory-related genes was validated by q-PCR analysis. Western blot was conducted to explore the protein levels of NF-κB/MAPK pathway. Then,the phagocytosis of DiI-labeled OX-LDL was observed under inverted fluorescence microscope after 6 h co-culture with macrophage. Results:First,no significant difference of cell apoptosis in LIPUS group was shown in flow cytometry compared with that in the control group. The viability of macrophage examined in CCK-8 did not behave obvious difference. Besides,the results of temperature test demonstrated that the ultrasound conditions we set hardly changed the temperature of culture medium during LIPUS procedures. Then,results of q-PCR showed that mRNA levels of M1 phenotype genes were remarkedly up-regulated in LPS-induced macrophage compared with those in the control group,which was attenuated by LIPUS treatment(P < 0.05). Moreover,LIPUS treatment down regulated LPS-induced phagocytosis of DiI-labeled OX-LDL(P < 0.05). Results of western blot showed that LIPUS inhibited LPS-induced activation of NF-κB/MAPK pathways(P < 0.05). Conclusion:Overall,our results demonstrated that LIPUS could reduce LPS-induced polarization of macrophage to the M1 phenotype,and phagocytosis of lipid droplet through inactivating NF-κB/MAPK pathway.