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The Toll of Vascular Insufficiency: Implications for the Management of Peripheral Arterial Disease
Journal article   Open access   Peer reviewed

The Toll of Vascular Insufficiency: Implications for the Management of Peripheral Arterial Disease

Jun Xu and Ulka Sachdev
Journal of immunology research, Vol.2016, pp.8249015-9
2016
DOI: 10.1155/2016/8249015
PMCID: PMC4779544
PMID: 26998496
url
https://doi.org/10.1155/2016/8249015View
Published (Version of record) Open Access

Abstract

Peripheral artery disease (PAD) can result in limb loss within six months of diagnosis in a subset of patients who cannot undergo endovascular or surgical revascularization yet continues to maintain a marginal position in cardiovascular research. While a body of literature continues to grow describing the role of danger signaling and innate immunity in cardiac biology, the role of these pathways in the ischemic myopathy associated with PAD has not been extensively studied. The following report will review the current literature on the role of Toll-like receptor (TLR) signaling in cardiovascular biology as well as in nonischemic myopathy. While attenuation of TLR signaling has not been shown to be clinically useful in the treatment of infectious inflammation, it may show promise in the management of severe arterial insufficiency.
Signal Transduction Myocytes, Cardiac - immunology Peripheral Arterial Disease - pathology Humans Toll-Like Receptors - immunology Adaptor Proteins, Vesicular Transport - genetics Gene Expression Regulation Myeloid Differentiation Factor 88 - genetics Arteries - immunology Ischemia - genetics Muscular Diseases - pathology Adaptor Proteins, Vesicular Transport - immunology Arteries - pathology Immunity, Innate Myocytes, Cardiac - pathology Muscular Diseases - immunology Ischemia - immunology Peripheral Arterial Disease - genetics Peripheral Arterial Disease - immunology Toll-Like Receptors - genetics Myeloid Differentiation Factor 88 - immunology Muscular Diseases - genetics Ischemia - pathology

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