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Updated: Jul 18, 2025

A Methodological Approach to Non-invasive Assessments of Vascular Function and Morphology
Published on: February 7, 2015
Micro- and Macrovascular Effects of Inflammation in Peripheral Artery Disease-Pathophysiology and Translational
Michael Poledniczek1,2, Christoph Neumayer3, Christoph W Kopp1
1Division of Angiology, Department of Internal Medicine II, Medical University of Vienna, 1090 Vienna, Austria.
Abstract:
Inflammation has a critical role in the development and progression of atherosclerosis. On the molecular level, inflammatory pathways negatively impact endothelial barrier properties and thus, tissue homeostasis. Conformational changes and destruction of the glycocalyx further promote pro-inflammatory pathways also contributing to pro-coagulability and a prothrombotic state. In addition, changes in the extracellular matrix composition lead to (peri-)vascular remodelling and alterations of the vessel wall, e.g., aneurysm formation. Moreover, progressive fibrosis leads to reduced tissue perfusion due to loss of functional capillaries. The present review aims at discussing the molecular and clinical effects of inflammatory processes on the micro- and macrovasculature with a focus on peripheral artery disease.
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