Local and Systemic Endothelial Damage in Patients with CEAP C2 Chronic Venous Insufficiency: Role of Mesoglycan DOI Open Access
Angelo Santoliquido, Claudia Carnuccio, L. Santoro

et al.

International Journal of Molecular Sciences, Journal Year: 2025, Volume and Issue: 26(9), P. 4046 - 4046

Published: April 24, 2025

Chronic venous disease (CVD) involves complex pathophysiological mechanisms, particularly an imbalance between matrix metalloproteinases (MMPs) and their tissue inhibitors (TIMPs), contributing to remodeling varicosities. Elevated MMP-2 MMP-9 levels are commonly found in tissues affected by ulcers. Inflammation plays a central role CVD, with higher of pro-inflammatory markers present varicose veins compared healthy ones. Syndecans, key components the endothelial glycocalyx, involved inflammatory responses. Alterations glycocalyx structure associated vascular damage both arterial diseases. This study aimed investigate changes CVD patients, focusing on therapeutic mesoglycan, glycosaminoglycan-based drug. A prospective, monocentric included 23 patients C2 clinical–etiological–anatomical–pathological (CEAP) CVD. Serum samples were collected before after mesoglycan treatment. Results showed significantly elevated VCAM-1, MMP-2, MMP-9, SDC-1, IL-6, IL-8 blood from versus systemic circulation. Patients received 50 mg orally every 12 h for 90 days. After treatment, notable reduction was observed. These results support hypothesis that may alleviate local inflammation, providing insights into new strategies management.

Language: Английский

The Pivotal Role of the Placenta in Normal and Pathological Pregnancies: A Focus on Preeclampsia, Fetal Growth Restriction, and Maternal Chronic Venous Disease DOI Creative Commons
Miguel Á. Ortega, Oscar Fraile‐Martínez, Cielo García‐Montero

et al.

Cells, Journal Year: 2022, Volume and Issue: 11(3), P. 568 - 568

Published: Feb. 6, 2022

The placenta is a central structure in pregnancy and has pleiotropic functions. This organ grows incredibly rapidly during this period, acting as mastermind behind different fetal maternal processes. relevance of the extends far beyond pregnancy, being crucial for programming before birth. Having integrative knowledge maternofetal helps significantly understanding development either proper or pathophysiological context. Thus, aim review to summarize main features placenta, with special focus on its early development, cytoarchitecture, immunology, functions non-pathological conditions. In contraposition, role examined preeclampsia, worrisome hypertensive disorder order describe implications disease. Likewise, dysfunction growth restriction, major consequence also discussed, emphasizing potential clinical strategies derived. Finally, emerging chronic venous disease causative agent equally treated.

Language: Английский

Citations

84

Factors Influencing Venous Remodeling in the Development of Varicose Veins of the Lower Limbs DOI Open Access
Łukasz Gwoździński, Anna Pieniążek, Krzysztof Gwoździński

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(3), P. 1560 - 1560

Published: Jan. 26, 2024

One of the early symptoms chronic venous disease (CVD) is varicose veins (VV) lower limbs. There are many etiological environmental factors influencing development insufficiency (CVI), although genetic and family history play a key role. All these induce changes in hemodynamic system limbs leading to blood stasis, hypoxia, inflammation, oxidative stress, proteolytic activity matrix metalloproteinases (MMPs), microcirculation and, consequently, remodeling wall. The aim this review present current knowledge on CVD, including pathophysiology mechanisms related vein wall remodeling. Particular emphasis has been placed describing role inflammation stress involvement extracellular hemoglobin as pathogenetic VV. Additionally, active substances used treatment VV were discussed.

Language: Английский

Citations

16

Molecular Determinants of Chronic Venous Disease: A Comprehensive Review DOI Open Access
Davide Costa, Michele Andreucci, Nicola Ielapi

et al.

International Journal of Molecular Sciences, Journal Year: 2023, Volume and Issue: 24(3), P. 1928 - 1928

Published: Jan. 18, 2023

Chronic Venous Disease (CVD) refers to several pathological and hemodynamic alterations of the veins lower limbs causing a wide range symptoms signs with high prevalence in general population disabling consequences most severe forms. The etiology pathophysiology CVD is complex multifactorial, involving genetic, proteomic, cellular mechanisms that result changes venous structure functions. Expressions genes associated angiogenesis, vascular development, regulation are responsible for susceptibility CVD. Current evidence shows extracellular matrix (ECM) could be identified some cases pharmacologically targeted. This review up date information on molecular determinants order provide complete overview current knowledge this topic. In particular, article explores genetic influence, hormonal ECM imbalance, histopathology role endothelial dysfunction

Language: Английский

Citations

24

Evidence of Inflammatory Network Disruption in Chronic Venous Disease: An Analysis of Circulating Cytokines and Chemokines DOI Creative Commons
Oscar Fraile‐Martínez, Cielo García‐Montero, Ana M. Gómez-Lahoz

et al.

Biomedicines, Journal Year: 2025, Volume and Issue: 13(1), P. 150 - 150

Published: Jan. 9, 2025

Background: Chronic venous disease (CVD) comprises a set of vascular disorders that affect the system with important local and systemic repercussions. A growing body evidence displays relationship between suffering from CVD marked deregulation immune inflammatory system. In this sense, previous literature has reported some significant changes in level various circulating parameters these patients. However, more research is required to detail deepen complex relationship. Methods: work, we studied, using multiplex technique, levels cytokines chemokines detectable serum 40 patients compared it 38 healthy controls (HCs). parallel, performed Spearman's correlation analysis explore potential networks CVD. Results: study, measured assay. Results showed increased several pro-inflammatory mediators (IL-1β, IL-2, IL-5, IL-6, IL-7, IL-8, IL-12, IL-17A, IL-23, TNF-α, IFN-γ, fractalkine, ITAC, GM-CSF) decrease IL-13, no IL-4, IL-10, IL-21, MIP-1α, MIP-1β, or MIP-3α. The Spearman revealed strong, positive correlations among HC, particularly TNF-alpha, IL-1β, forming highly interconnected cytokine network. contrast, fewer, weaker, distinct correlations, new associations such as IFN-γ IL-1β suggesting disrupted profile. Conclusions: profile patients, characterized by altered chemokine less coordinated network, underscores reconfiguration pathways condition. These findings highlight therapeutic targets aimed at restoring balance mitigating chronic inflammation

Language: Английский

Citations

1

Chronic Venous Insufficiency DOI
Harvey N. Mayrovitz,

Kenji Aoki,

Jessica Colon

et al.

Published: Jan. 1, 2025

Language: Английский

Citations

1

Lipodermatosclerosis as a potential complication of chronic venous insufficiency DOI Creative Commons
A. K. Blbulyan,

K. Arustamyan,

Levon Manukyan

et al.

Obstetrics Gynecology and Reproduction, Journal Year: 2025, Volume and Issue: 19(1), P. 110 - 115

Published: March 6, 2025

Pregnancy and childbirth in women with varicose vein disease (VVD) are typically associated a high risk of developing thrombotic, obstetric fetal complications. Lipodermatosclerosis (LDS) is one the less common complications related to chronic venous insufficiency (CVI). This article presents clinical case where LDS developed during late-stage pregnancy (35–36 weeks) as complication pre-existing VVD, which noteworthy due rarity such condition that demonstrates relevant diagnostic challenges particularly pregnancy. Enhancing effectiveness multidisciplinary approach essential for diagnosing rare VVD pregnant women.

Language: Английский

Citations

1

Antioxidant Potential of Diosmin and Diosmetin against Oxidative Stress in Endothelial Cells DOI Creative Commons
Magdalena Wójciak, Marcin Feldo, Grzegorz Borowski

et al.

Molecules, Journal Year: 2022, Volume and Issue: 27(23), P. 8232 - 8232

Published: Nov. 25, 2022

Phlebotropic flavonoids, including diosmin and its aglycone diosmetin, are natural polyphenols widely used in the prevention treatment of chronic venous insufficiency (CVI). As oxidative stress plays an important role development pathophysiology cardiovascular system, study aimed to investigate protective effects diosmetin on hydrogen peroxide (H2O2)-induced endothelial cells. The cells were pretreated with different concentrations flavonoid prior H2O2 exposure. cell viability, level intracellular reactive oxygen species (ROS), activity cellular antioxidant enzymes-including superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase GPx-and malondialdehyde (MDA) assessed. It was found that H2O2-induced ameliorated by diosmin/diosmetin a concentration-dependent manner. flavonoids restored enzymes lowered MDA upregulated These results indicate may prevent cells; therefore, they protect against progression oxidative-stress-related disorders.

Language: Английский

Citations

37

Connecting epigenetics and inflammation in vascular senescence: state of the art, biomarkers and senotherapeutics DOI Creative Commons
Oscar Fraile‐Martínez,

Diego De León-Oliva,

Diego Liviu Boaru

et al.

Frontiers in Genetics, Journal Year: 2024, Volume and Issue: 15

Published: Feb. 26, 2024

Vascular diseases pose major health challenges, and understanding their underlying molecular mechanisms is essential to advance therapeutic interventions. Cellular senescence, a hallmark of aging, cellular state characterized by cell-cycle arrest, senescence-associated secretory phenotype macromolecular damage, metabolic dysregulation. senescence has been demonstrated play key role in different vascular diseases, such as atherosclerosis, peripheral arterial disease, hypertension, stroke, diabetes, chronic venous ulcers. Even though was first described 1961, significant gaps persist comprehending the epigenetic driving its subsequent inflammatory response. Through comprehensive analysis, we aim elucidate these knowledge exploring network alterations that contribute senescence. In addition, describe consequent cascades triggered modifications. Finally, explore translational applications involving biomarkers emerging field senotherapy targeting this biological process.

Language: Английский

Citations

7

Fluid dynamics and venous hemodynamics in the lower extremities DOI
Hakan Güven

VASA, Journal Year: 2024, Volume and Issue: 53(5), P. 308 - 313

Published: Aug. 14, 2024

Chronic venous disease is a vascular disorder characterized by impaired return and progressive dysfunction of the system. Pathological reflux can occur due to abnormal dilation weakening vein wall. The circulatory system natural structure in which physical laws, such as law closed containers gravity, operate. malfunctions also adhere these laws nature. This article explains how principles fluid dynamics apply flow blood veins legs. I am discussing Pascal's law, Torricelli's Bernoulli's Poiseuille's they are relating anatomy physiology

Language: Английский

Citations

7

The Top One Hundred Most Cited Articles in Venous Disease and Management DOI
Krystina Choinski, Christopher J. Smolock, John Phair

et al.

Annals of Vascular Surgery, Journal Year: 2024, Volume and Issue: unknown

Published: July 1, 2024

Language: Английский

Citations

6