PMID- 11196541 OWN - NLM STAT- MEDLINE DCOM- 20010301 LR - 20220408 IS - 0315-162X (Print) IS - 0315-162X (Linking) VI - 28 IP - 1 DP - 2001 Jan TI - Plasma monocyte chemoattractant protein 1 is a marker for joint inflammation in rheumatoid arthritis. PG - 41-6 AB - OBJECTIVE: Monocyte chemoattractant protein 1 (MCP-1) level in plasma is described as a marker for joint inflammation in rheumatoid arthritis (RA). METHODS: MCP-1 in plasma and synovial fluid (SF) was quantified by ELISA in 36 RA patients with synovitis of the knee at Day 1 and 30. Disease activity was assessed by the swollen joint count, Ritchie Articular Index (RAI), global assessment, pain on visual analog scale, Health Assessment Questionnaire, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP). RESULTS: By linear regression analysis plasma MCP-1 levels correlated significantly with the swollen joint count (Day 1: R = 0.47, p = 0.005; Day 30: R = 0.53, p < 0.001) and the RAI (Day 1: R = 0.37, p = 0.03; Day 30: R = 0.41, p = 0.01). The correlations of swollen joint count and RAI with ESR and CRP were significant only on Day 30 for the ESR (R = 0.40, p = 0.02). No association was found between plasma MCP-1 levels and the ESR/CRP levels. MCP-1 levels in plasma in RA patients were elevated compared to controls (p < 0.001) and MCP-I levels in SF were higher than in plasma (p < 0.001). No correlation was found between SF MCP-1 levels and in vitro migration of mononuclear cells towards SF. MCP-1 appears to participate in the disease process in RA, and plasma MCP-1 may be useful in monitoring joint inflammation. FAU - Ellingsen, T AU - Ellingsen T AD - Department of Rheumatology, Arhus University Hospital, Denmark. FAU - Buus, A AU - Buus A FAU - Stengaard-Pedersen, K AU - Stengaard-Pedersen K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Canada TA - J Rheumatol JT - The Journal of rheumatology JID - 7501984 RN - 0 (Biomarkers) RN - 0 (Chemokine CCL2) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Adult MH - Aged MH - Arthritis, Rheumatoid/*blood/complications/pathology MH - Biomarkers/analysis MH - Blood Sedimentation MH - C-Reactive Protein/analysis MH - Chemokine CCL2/*blood MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Knee Joint/*pathology/physiopathology MH - Linear Models MH - Male MH - Middle Aged MH - Severity of Illness Index MH - Synovial Fluid/metabolism MH - Synovitis/*blood/etiology/pathology EDAT- 2001/02/24 12:00 MHDA- 2001/03/07 10:01 CRDT- 2001/02/24 12:00 PHST- 2001/02/24 12:00 [pubmed] PHST- 2001/03/07 10:01 [medline] PHST- 2001/02/24 12:00 [entrez] PST - ppublish SO - J Rheumatol. 2001 Jan;28(1):41-6.