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Published on: September 15, 2017
Inflammation as a Mechanism and Therapeutic Target in Peripheral Artery Disease
Noel C Chan1, Ke Xu2, Tim A C de Vries3
1Population Health Research Institute, Hamilton, Ontario, Canada; Thrombosis and Atherosclerosis Research Institute, Hamilton, Ontario, Canada; Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
Insights
Peripheral artery disease (PAD) patients face high vascular risks despite treatments. This review explores inflammation
Area of Science:
- Cardiovascular Medicine
- Inflammation Research
- Atherosclerosis Studies
Background:
- Peripheral artery disease (PAD) is a major manifestation of atherosclerosis, alongside coronary and cerebrovascular disease.
- Current treatments for PAD, including surgery and risk factor modification, leave patients with significant residual vascular risk.
- Inflammation is increasingly recognized as a key driver in the development and progression of atherosclerosis.
Purpose of the Study:
- To review the evidence linking inflammation to atherosclerosis pathogenesis.
- To examine recent clinical trials of anti-inflammatory agents for atherothrombosis.
- To identify novel anti-inflammatory strategies for PAD complications.
Main Methods:
- Literature review of studies on inflammation in atherosclerosis.
- Analysis of clinical trial data for anti-inflammatory therapies.
- Synthesis of evidence on therapeutic opportunities for PAD.
Main Results:
- Inflammation plays a critical role in the development of atherosclerosis and its complications.
- Existing anti-inflammatory approaches show promise but require further investigation for PAD.
- Novel anti-inflammatory strategies may offer new avenues for reducing cardiovascular and limb risks in PAD patients.
Conclusions:
- Targeting inflammation presents a promising strategy to mitigate residual risk in peripheral artery disease.
- Further research into novel anti-inflammatory agents is warranted to improve outcomes for PAD patients.
- Addressing the inflammatory component of atherosclerosis is crucial for comprehensive atherothrombosis prevention and treatment.
Abstract:
Peripheral artery disease is 1 of 3 major clinical manifestations of atherosclerosis, the other 2 being coronary artery and cerebrovascular disease. Despite progress in surgery, antithrombotic therapy and therapies that modify conventional risk factors (lipid-, blood pressure-, and glucose-lowering interventions), patients with peripheral artery disease have an unacceptably high risk of vascular complications. Additional strategies to reduce this residual risk are needed. The accumulated evidence that inflammation plays an important role in the pathogenesis of atherosclerosis has spurred recent efforts to evaluate anti-inflammatory agents as an additional therapeutic approach for atherothrombosis prevention and treatment. In this review, we examine the evidence supporting the role of inflammation in atherosclerosis, review recent trials of anti-inflammatory approaches to reduce cardiovascular complications, and offer insights into the opportunities for novel anti-inflammatory strategies to reduce the burden of cardiovascular and limb complications in patients with peripheral artery disease.
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