Objective To investigate the inflammatory regulation of eIF4E during the development of atherosclerosis in mice. Methods Cell experiments: RAW264.7 cells were induced by 200?ng/μl lipopolysaccharide (LPS) and 20 ng/μl interleukin 4 (IL-4) respectively. Relative mRNA was extracted 12 hours later and protein was extracted 24 hours later. Real-time quantitative polymerase chain reaction (qRT-PCR) and Western blotting were used to detect the expression levels of eIF4E mRNA and protein in M1 and M2 macrophages. Animal experiments: ApoE-/- atherosclerosis mouse model was constructed. Real-time quantitative polymerase chain reaction (qRT-PCR) and Western blotting were used to detect the expression level of eIF4E mRNA and protein in abdominal aorta of mice. Tissue immunofluorescence was used to detect the expression of eIF4E in M1 and M2 macrophages in aortic sinus. Results The expressions of eIF4E mRNA and protein in M1 macrophages were higher than those in M2 macrophages (P?0.05). The expressions of eIF4E mRNA and protein in the ApoE-/- mice abdominal aorta were higher than those in the C57BL/6J control group (P?0.05); the co-localization expressions of eIF4E and CD86 were higher than those of eIF4E and CD206. Conclusion eIF4E plays a major role in M1 macrophages and then affects the development of atherosclerosis.