PMID- 10780312 OWN - NLM STAT- MEDLINE DCOM- 20000731 LR - 20061115 IS - 0340-6245 (Print) IS - 0340-6245 (Linking) VI - 83 IP - 4 DP - 2000 Apr TI - Recurrent venous thrombosis and markers of inflammation. PG - 536-9 AB - Inflammatory processes may play a key role in venous thrombosis, by inducing a procoagulant state through the action of cytokines and chemokines on monocytes and endothelial cells. Plasma concentrations of three inflammatory mediators, interleukin 6 (IL-6), interleukin 8 (IL-8) and monocyte chemotactic protein 1 (MCP-1), that mediate the cross-talk between inflammation and coagulation, were measured in 182 subjects with recurrent venous thrombosis and 350 healthy subjects recruited through a general practice. Elevated levels of IL-6 (>90th percentile of the control group) were detected in 25.8% of the patients with venous thrombosis in comparison with 10% (by definition) of the controls [odds ratio 2.4 (95%CI 1.5-3.8)]. In 21.5% of the patients elevated plasma levels of IL-8 (>90th percentile) were determined [odds ratio 2.0 (95%CI 1.2-3.5)]. Elevated levels of MCP-1 (>90th percentile) were detected in 24.1% of the patients [odds ratio 1.9 (95%CI 1.2-3.2)]. This is the first large clinical study showing that an increase in inflammatory mediators is associated with venous thrombosis. Future prospective studies are necessary to clarify the causal nature of the inflammatory process with respect to venous thrombosis. FAU - van Aken, B E AU - van Aken BE AD - Laboratory for Experimental Internal Medicine, University Hospital Nijmegen, The Netherlands. FAU - den Heijer, M AU - den Heijer M FAU - Bos, G M AU - Bos GM FAU - van Deventer, S J AU - van Deventer SJ FAU - Reitsma, P H AU - Reitsma PH LA - eng PT - Journal Article PL - Germany TA - Thromb Haemost JT - Thrombosis and haemostasis JID - 7608063 RN - 0 (Chemokine CCL2) RN - 0 (Interleukin-6) RN - 0 (Interleukin-8) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Case-Control Studies MH - Chemokine CCL2/*blood MH - Female MH - Humans MH - Inflammation MH - Interleukin-6/*blood MH - Interleukin-8/*blood MH - Male MH - Middle Aged MH - Netherlands/epidemiology MH - Odds Ratio MH - Recurrence MH - Thrombophlebitis/blood/epidemiology MH - Venous Thrombosis/*blood/epidemiology EDAT- 2000/04/26 09:00 MHDA- 2000/08/06 11:00 CRDT- 2000/04/26 09:00 PHST- 2000/04/26 09:00 [pubmed] PHST- 2000/08/06 11:00 [medline] PHST- 2000/04/26 09:00 [entrez] AID - 00040536 [pii] PST - ppublish SO - Thromb Haemost. 2000 Apr;83(4):536-9.