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Proinflammatory circulating molecules in peripheral arterial disease.

Salvatore S Signorelli1, Maria C Mazzarino, Demetrios A Spandidos

  • 1Department of Internal Medicine, Angiology Unit, University of Catania, 95124 Catania, Italy.

International Journal of Molecular Medicine
|August 3, 2007
PubMed
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Inflammatory markers like C-reactive protein and IL-6 are linked to peripheral arterial disease (PAD) severity. This review explores their role, especially in type 2 diabetes patients with increased PAD risk.

Area of Science:

  • Cardiovascular Medicine
  • Immunology
  • Genetics

Background:

  • Peripheral arterial disease (PAD) affects 5% of the elderly population.
  • PAD is associated with elevated plasma inflammatory markers.
  • Type 2 diabetes patients have a two-fold risk of PAD.

Purpose of the Study:

  • To review proinflammatory molecules involved in PAD development.
  • To examine the role of C-reactive protein, fibrinogen, cytokines (IL-6), adhesion molecules, and matrix metalloproteinases in PAD.
  • To discuss the influence of the G(-174)C IL-6 polymorphism on PAD in type 2 diabetes.

Main Methods:

  • Literature review of studies on inflammatory markers and PAD.
  • Analysis of associations between specific molecules and PAD severity.

Related Experiment Videos

  • Exploration of genetic polymorphisms related to inflammation and PAD risk.
  • Main Results:

    • High C-reactive protein and fibrinogen levels correlate with increased PAD severity.
    • Interleukin-6 (IL-6) is a key cytokine studied in PAD, particularly in acute phase responses.
    • Elevated IL-6 and other acute response markers are found in type 2 diabetes patients, who have higher PAD risk.

    Conclusions:

    • Proinflammatory molecules, including C-reactive protein, fibrinogen, and IL-6, are significantly implicated in PAD development and severity.
    • The G(-174)C IL-6 polymorphism may influence PAD risk in individuals with type 2 diabetes.
    • Further research into these inflammatory pathways is warranted for understanding and potentially treating PAD.