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Updated: Oct 18, 2025

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
Published on: December 9, 2022
Chronic venous disease patients show increased IRS-4 expression in the great saphenous vein wall
Miguel A Ortega1,2,3, Oscar Fraile-Martínez1, Cielo García-Montero1
1Department of Medicine and Medical Specialities, Faculty of Medicine and Health Sciences, University of Alcalá, Alcalá de Henares, Madrid, Spain.
Insights
Insulin receptor substrate-4 (IRS-4) is elevated in varicose veins, suggesting its involvement in chronic venous disease (CVeD) pathogenesis. This finding highlights IRS-4 as a potential diagnostic and therapeutic target for CVeD.
Area of Science:
- Vascular Biology
- Molecular Medicine
- Cell Signaling
Background:
- Chronic venous disease (CVeD) is a prevalent condition affecting Western populations, characterized by venous wall integrity issues.
- Varicose veins (VVs) are the primary manifestation of CVeD, linked to molecular alterations impacting cell signaling.
- Insulin receptor substrate-4 (IRS-4) is a key adaptor protein in signaling pathways implicated in CVeD.
Purpose of the Study:
- To investigate the role of Insulin receptor substrate-4 (IRS-4) in the pathogenesis of varicose veins (VVs).
- To determine IRS-4 protein expression levels in VV tissue compared to healthy controls.
Main Methods:
- Histopathological analysis of IRS-4 protein expression.
- Comparative study between patients with CVeD and healthy individuals.
Main Results:
- A significant upregulation of IRS-4 protein was observed in varicose vein tissue.
- IRS-4 expression levels were notably higher in CVeD patients.
Conclusions:
- IRS-4 expression is significantly increased in varicose veins, suggesting its implication in CVeD development.
- IRS-4 represents a potential diagnostic biomarker and therapeutic target for chronic venous disease.
Objectives:
Chronic venous disease (CVeD) is a multifactorial and debilitating condition that has a high prevalence in Western countries and an important associated socioeconomic burden. Varicose veins (VVs) are the most common manifestations of CVeD. Pathologically, many morphological and functional changes have been described in VVs, which most notably affect venous wall integrity. Previous studies have found several molecular alterations that negatively affect normal cell signaling pathways. Insulin receptor substrate (IRS)-4 is a central adaptor protein that is closely related to insulin/insulin-like growth factor-1 signaling upstream, phosphatidylinositol 3-kinase/Akt or mitogen-activated protein kinases downstream, and other proteins. These molecular pathways have been implicated in CVeD pathogenesis. Thus, the aim of our study was to identify the role of IRS-4 in VV tissue.
Methods:
We conducted a histopathological study to analyze IRS-4 protein expression in CVeD patients compared with healthy controls.
Results:
Our results demonstrate a significant increase in IRS-4 expression in VV tissue.
Conclusions:
IRS-4 may be implicated in CVeD development and progression. Therefore, IRS-4 could be a potential diagnostic or therapeutic target for patients with this condition.
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