PMID- 16669409 OWN - NLM STAT- MEDLINE DCOM- 20060823 LR - 20170214 IS - 1358-863X (Print) IS - 1358-863X (Linking) VI - 11 IP - 1 DP - 2006 Feb TI - Markers of vascular inflammation are associated with the extent of atherosclerosis assessed as angiographic score and treadmill walking distances in patients with peripheral arterial occlusive disease. PG - 21-8 AB - The importance of inflammation in atherosclerosis is well established in cardiovascular disease. However, limited data exist on the relationship between vascular inflammation and the severity of peripheral arterial occlusive disease (PAD). We investigated the relationship between biochemical markers of vascular inflammation and the diagnostic measures of PAD: ankle-brachial pressure index (ABI), maximum treadmill walking distance and angiographic score. In 127 patients (mean age 66 years; 64% males) with angiographically verified PAD, fasting blood samples were drawn for determination of selected soluble cell adhesion molecules, cytokines and chemokines. Tumor necrosis factor-alpha (TNFalpha), interleukin-6 (IL-6), monocyte chemoattractant protein-1 (MCP-1) and CD40 ligand (CD40L) were all significantly correlated with the angiographic score (p < 0.05 for all). After adjustment for relevant co-variates, MCP-1 and CD40L remained statistically significant (p < 0.01 for both). IL-6 was, independent of other risk factors, inversely correlated with the maximum treadmill walking distance (p < 0.01). Our cross-sectional study in PAD patients showed that the vascular inflammatory markers MCP-1, CD40L and IL-6 were significantly associated with the extent of atherosclerosis, assessed by angiographic score and maximum treadmill walking distance. These findings indicate that vascular inflammation is implicated in PAD, which might be of importance in future diagnosis and treatment of the disease. FAU - Nylaende, M AU - Nylaende M AD - Departments of Vascular Surgery, Aker University Hospital, Oslo, Norway. marthe@nylaende.com FAU - Kroese, A AU - Kroese A FAU - Stranden, E AU - Stranden E FAU - Morken, B AU - Morken B FAU - Sandbaek, G AU - Sandbaek G FAU - Lindahl, A K AU - Lindahl AK FAU - Arnesen, H AU - Arnesen H FAU - Seljeflot, I AU - Seljeflot I LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Vasc Med JT - Vascular medicine (London, England) JID - 9610930 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Interleukin-6) RN - 147205-72-9 (CD40 Ligand) SB - IM MH - Aged MH - Ankle/blood supply MH - Atherosclerosis/*blood/diagnostic imaging/physiopathology MH - *Blood Pressure MH - Brachial Artery/physiopathology MH - CD40 Ligand/*blood MH - Chemokine CCL2/*blood MH - Cross-Sectional Studies MH - *Exercise Test MH - Female MH - Humans MH - Interleukin-6/*blood MH - Male MH - Middle Aged MH - Peripheral Vascular Diseases/*blood/diagnostic imaging/physiopathology MH - Radiography MH - Severity of Illness Index MH - Vasculitis/*blood/diagnostic imaging/physiopathology MH - *Walking EDAT- 2006/05/04 09:00 MHDA- 2006/08/24 09:00 CRDT- 2006/05/04 09:00 PHST- 2006/05/04 09:00 [pubmed] PHST- 2006/08/24 09:00 [medline] PHST- 2006/05/04 09:00 [entrez] AID - 10.1191/1358863x06vm662oa [doi] PST - ppublish SO - Vasc Med. 2006 Feb;11(1):21-8. doi: 10.1191/1358863x06vm662oa.