The myopathy of peripheral arterial occlusive disease: Part 2. Oxidative stress, neuropathy, and shift in muscle fiber type

Iraklis I. Pipinos, Andrew R. Judge, Joshua T. Selsby, Zhen Zhu, Stanley A. Swanson, Aikaterini A. Nella, Stephen L. Dodd

Research output: Contribution to journalArticle

101 Citations (Scopus)

Abstract

In recent years, an increasing number of studies have demonstrated that a myopathy is present, contributes, and, to a certain extent, determines the pathogenesis of peripheral arterial occlusive disease. These works provide evidence that a state of repetitive cycles of exercise-induced ischemia followed by reperfusion at rest operates in patients with peripheral arterial occlusive disease and mediates a large number of structural and metabolic changes in the muscle, resulting in reduced strength and function. The key players in this process appear to be defective mitochondria that, through multilevel failure in their roles as energy, oxygen radical species, and apoptosis regulators, produce and sustain a progressive decline in muscle performance. In this 2-part review, the currently available evidence that characterizes the nature and mechanisms responsible for this myopathy is highlighted. In part 1, the functional and histomorphological characteristics of the myopathy were reviewed, and the main focus was on the biochemistry and bioenergetics of its mitochondriopathy. In part 2, accumulating evidence that oxidative stress related to ischemia reperfusion is probably the major operating mechanism of peripheral arterial occlusive disease myopathy is reviewed. Important new findings of a possible neuropathy and a shift in muscle fiber type are also reviewed. Learning more about these mechanisms will enhance our understanding of the degree to which they are preventable and treatable.

Original languageEnglish (US)
Pages (from-to)101-112
Number of pages12
JournalVascular and Endovascular Surgery
Volume42
Issue number2
DOIs
StatePublished - Apr 2008
Externally publishedYes

Fingerprint

Arterial Occlusive Diseases
Peripheral Arterial Disease
Muscular Diseases
Oxidative Stress
Muscles
Reperfusion
Ischemia
Biochemistry
Energy Metabolism
Reactive Oxygen Species
Mitochondria
Learning
Exercise
Apoptosis

Keywords

  • Bioenergetics
  • Mitochondrial dysfunction
  • Oxidative stress
  • Peripheral arterial occlusive disease
  • Skeletal muscle

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

The myopathy of peripheral arterial occlusive disease : Part 2. Oxidative stress, neuropathy, and shift in muscle fiber type. / Pipinos, Iraklis I.; Judge, Andrew R.; Selsby, Joshua T.; Zhu, Zhen; Swanson, Stanley A.; Nella, Aikaterini A.; Dodd, Stephen L.

In: Vascular and Endovascular Surgery, Vol. 42, No. 2, 04.2008, p. 101-112.

Research output: Contribution to journalArticle

Pipinos, Iraklis I. ; Judge, Andrew R. ; Selsby, Joshua T. ; Zhu, Zhen ; Swanson, Stanley A. ; Nella, Aikaterini A. ; Dodd, Stephen L. / The myopathy of peripheral arterial occlusive disease : Part 2. Oxidative stress, neuropathy, and shift in muscle fiber type. In: Vascular and Endovascular Surgery. 2008 ; Vol. 42, No. 2. pp. 101-112.
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