Endothelial cell dysfunction: Implications for the pathogenesis of peripheral artery disease

Peripheral artery disease (PAD) is caused by occluded or narrowed arteries that reduce blood flow to the lower limbs. The treatment focuses on lifestyle changes, management of modifiable risk factors and vascular surgery. In this review we focus on how Endothelial Cell (EC) dysfunction contributes t...

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Main Authors: Mary M. Kavurma, Christina Bursill, Christopher P. Stanley, Freda Passam, Siân P. Cartland, Sanjay Patel, Jacky Loa, Gemma A. Figtree, Jonathan Golledge, Sarah Aitken, David A. Robinson
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2022.1054576/full
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author Mary M. Kavurma
Christina Bursill
Christina Bursill
Christopher P. Stanley
Freda Passam
Freda Passam
Siân P. Cartland
Sanjay Patel
Sanjay Patel
Jacky Loa
Gemma A. Figtree
Gemma A. Figtree
Jonathan Golledge
Jonathan Golledge
Sarah Aitken
Sarah Aitken
David A. Robinson
author_facet Mary M. Kavurma
Christina Bursill
Christina Bursill
Christopher P. Stanley
Freda Passam
Freda Passam
Siân P. Cartland
Sanjay Patel
Sanjay Patel
Jacky Loa
Gemma A. Figtree
Gemma A. Figtree
Jonathan Golledge
Jonathan Golledge
Sarah Aitken
Sarah Aitken
David A. Robinson
author_sort Mary M. Kavurma
collection DOAJ
description Peripheral artery disease (PAD) is caused by occluded or narrowed arteries that reduce blood flow to the lower limbs. The treatment focuses on lifestyle changes, management of modifiable risk factors and vascular surgery. In this review we focus on how Endothelial Cell (EC) dysfunction contributes to PAD pathophysiology and describe the largely untapped potential of correcting endothelial dysfunction. Moreover, we describe current treatments and clinical trials which improve EC dysfunction and offer insights into where future research efforts could be made. Endothelial dysfunction could represent a target for PAD therapy.
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spelling doaj.art-835f614d8bbb416b9e36fccc5793d3dd2022-12-22T03:38:45ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-11-01910.3389/fcvm.2022.10545761054576Endothelial cell dysfunction: Implications for the pathogenesis of peripheral artery diseaseMary M. Kavurma0Christina Bursill1Christina Bursill2Christopher P. Stanley3Freda Passam4Freda Passam5Siân P. Cartland6Sanjay Patel7Sanjay Patel8Jacky Loa9Gemma A. Figtree10Gemma A. Figtree11Jonathan Golledge12Jonathan Golledge13Sarah Aitken14Sarah Aitken15David A. Robinson16Heart Research Institute, The University of Sydney, Sydney, NSW, AustraliaSouth Australian Health and Medical Research Institute, Adelaide, SA, AustraliaFaculty of Health and Medical Science, University of Adelaide, Adelaide, SA, AustraliaHeart Research Institute, The University of Sydney, Sydney, NSW, AustraliaHeart Research Institute, The University of Sydney, Sydney, NSW, AustraliaCentral Clinical School, Faculty of Health and Medicine, The University of Sydney, Sydney, NSW, AustraliaHeart Research Institute, The University of Sydney, Sydney, NSW, AustraliaHeart Research Institute, The University of Sydney, Sydney, NSW, AustraliaRoyal Prince Alfred Hospital, Sydney, NSW, AustraliaRoyal Prince Alfred Hospital, Sydney, NSW, AustraliaFaculty of Health and Medicine, The University of Sydney, Sydney, NSW, AustraliaKolling Institute of Medical Research, Royal North Shore Hospital, Sydney, NSW, AustraliaQueensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, QLD, AustraliaThe Department of Vascular and Endovascular Surgery, Townsville University Hospital, Townsville, QLD, AustraliaFaculty of Health and Medicine, The University of Sydney, Sydney, NSW, Australia0Concord Institute of Academic Surgery, Concord Hospital, Sydney, NSW, AustraliaRoyal Prince Alfred Hospital, Sydney, NSW, AustraliaPeripheral artery disease (PAD) is caused by occluded or narrowed arteries that reduce blood flow to the lower limbs. The treatment focuses on lifestyle changes, management of modifiable risk factors and vascular surgery. In this review we focus on how Endothelial Cell (EC) dysfunction contributes to PAD pathophysiology and describe the largely untapped potential of correcting endothelial dysfunction. Moreover, we describe current treatments and clinical trials which improve EC dysfunction and offer insights into where future research efforts could be made. Endothelial dysfunction could represent a target for PAD therapy.https://www.frontiersin.org/articles/10.3389/fcvm.2022.1054576/fullperipheral artery disease (PAD)inflammationtherapeuticsendothelial cell dysfunctionthrombosisangiogenesis
spellingShingle Mary M. Kavurma
Christina Bursill
Christina Bursill
Christopher P. Stanley
Freda Passam
Freda Passam
Siân P. Cartland
Sanjay Patel
Sanjay Patel
Jacky Loa
Gemma A. Figtree
Gemma A. Figtree
Jonathan Golledge
Jonathan Golledge
Sarah Aitken
Sarah Aitken
David A. Robinson
Endothelial cell dysfunction: Implications for the pathogenesis of peripheral artery disease
Frontiers in Cardiovascular Medicine
peripheral artery disease (PAD)
inflammation
therapeutics
endothelial cell dysfunction
thrombosis
angiogenesis
title Endothelial cell dysfunction: Implications for the pathogenesis of peripheral artery disease
title_full Endothelial cell dysfunction: Implications for the pathogenesis of peripheral artery disease
title_fullStr Endothelial cell dysfunction: Implications for the pathogenesis of peripheral artery disease
title_full_unstemmed Endothelial cell dysfunction: Implications for the pathogenesis of peripheral artery disease
title_short Endothelial cell dysfunction: Implications for the pathogenesis of peripheral artery disease
title_sort endothelial cell dysfunction implications for the pathogenesis of peripheral artery disease
topic peripheral artery disease (PAD)
inflammation
therapeutics
endothelial cell dysfunction
thrombosis
angiogenesis
url https://www.frontiersin.org/articles/10.3389/fcvm.2022.1054576/full
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