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

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 describi...

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Main Authors: Jun Xu, Ulka Sachdev
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2016/8249015
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author Jun Xu
Ulka Sachdev
author_facet Jun Xu
Ulka Sachdev
author_sort Jun Xu
collection DOAJ
description 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.
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institution Kabale University
issn 2314-8861
2314-7156
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spelling doaj-art-50fbb22796104bd29565c85b32acdfca2025-02-03T05:52:07ZengWileyJournal of Immunology Research2314-88612314-71562016-01-01201610.1155/2016/82490158249015The Toll of Vascular Insufficiency: Implications for the Management of Peripheral Arterial DiseaseJun Xu0Ulka Sachdev1Division of Vascular Surgery, University of Pittsburgh Medical Center, 200 Lothrop Street, Suite A1011, Pittsburgh, PA 15213, USADivision of Vascular Surgery, University of Pittsburgh Medical Center, 200 Lothrop Street, Suite A1011, Pittsburgh, PA 15213, USAPeripheral 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.http://dx.doi.org/10.1155/2016/8249015
spellingShingle Jun Xu
Ulka Sachdev
The Toll of Vascular Insufficiency: Implications for the Management of Peripheral Arterial Disease
Journal of Immunology Research
title The Toll of Vascular Insufficiency: Implications for the Management of Peripheral Arterial Disease
title_full The Toll of Vascular Insufficiency: Implications for the Management of Peripheral Arterial Disease
title_fullStr The Toll of Vascular Insufficiency: Implications for the Management of Peripheral Arterial Disease
title_full_unstemmed The Toll of Vascular Insufficiency: Implications for the Management of Peripheral Arterial Disease
title_short The Toll of Vascular Insufficiency: Implications for the Management of Peripheral Arterial Disease
title_sort toll of vascular insufficiency implications for the management of peripheral arterial disease
url http://dx.doi.org/10.1155/2016/8249015
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