Review Article

The Toll of Vascular Insufficiency: Implications for the Management of Peripheral Arterial Disease

Table 1

Role of TLR in cardiovascular biology.

Toll-like receptor (TLR)LigandsCell typeProposed disease process affectedRoleReference

TLR2Carboxy alkyl pyrrolesEndothelial cells⁢CancerProangiogenic[60]
HSP60Cardiac myocytesAntiapoptotic[59]

TLR3Poly:ICSkeletal myocytesHIV myopathyProinflammatory[61]
Double stranded RNAEndothelial cellsAtherosclerosisProapoptotic[56]

TLR4HMGB1Skeletal myocytesMyositisProinflammatory[62]
mmLDLMacrophagesAtherosclerosisIncreases uptake[55]
EDACardiac myocytesHeart failureProinflammatory[58]
LPSEndothelial cellsPlaque ruptureProinflammatory[50]
LPSEndothelial cellsPanarteritisProinflammatory[48]
LPSCardiac myocytesHeart failureAntiapoptotic[45]
HSP60Cardiac myocytesHeart failureProapoptotic[57]

TLR5FlagellinEndothelial cellsAdventitial vasculitisProinflammatory[48]

TLR7Single stranded RNASkeletal myocytesMuscular dystrophyProinflammatory[64]

Current literature suggests that multiple TLRs play a role in cardiovascular disease. This table describes the TLR, proposed ligand, and cell type that is affected as it relates to disease process involving the vascular system. References are also noted. HSP60 is suggested by the authors as a possible TLR2 ligand for the observed effect. Minimally oxidized low density lipoprotein; alternatively spliced extra domain A of fibronectin.