PMID- 12556201 OWN - NLM STAT- MEDLINE DCOM- 20060501 LR - 20220408 IS - 1744-7631 (Electronic) IS - 1472-8222 (Linking) VI - 7 IP - 1 DP - 2003 Feb TI - Targeting monocyte chemoattractant protein-1 signalling in disease. PG - 35-48 AB - Monocyte chemoattractant protein-1 (MCP-1) has been implicated in many inflammatory and autoimmune diseases. The G-protein-coupled receptor CCR-2B is probably the most important MCP-1 receptor in vivo, and loss of MCP-1 effector function alone is sufficient to impair monocytic trafficking in inflammation models. MCP-1 signalling appears to be a relevant target, especially in rheumatoid arthritis (RA). In RA patients, MCP-1 is produced by synovial cells and infiltrating monocytes, plasma MCP-1 concentrations correlate with swollen joint count, and elevated serum MCP-1 concentrations were found in juvenile RA in patients with active disease. Modulation of MCP-1 signalling in experimental RA showed beneficial effects on inflammation and joint destruction. With respect to chronic neuroinflammation, a critical role for MCP-1 has been established in animal models for multiple sclerosis. In acute neuroinflammation, experimental evidence for a detrimental role of MCP-1 in stroke and excitotoxic injury has been found. Several selective small molecular weight CCR-2B antagonists and MCP-1-blocking antibodies have been described. The proof for the validity of targeting MCP-1 signalling in disease, however, has yet to be established in clinical trials. FAU - Dawson, Janet AU - Dawson J AD - Arthritis and Bone Metabolism Research, Novartis Pharma AG, Basel, Switzerland. FAU - Miltz, Wolfgang AU - Miltz W FAU - Mir, Anis K AU - Mir AK FAU - Wiessner, Christoph AU - Wiessner C LA - eng PT - Journal Article PT - Review PL - England TA - Expert Opin Ther Targets JT - Expert opinion on therapeutic targets JID - 101127833 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Antibodies, Monoclonal) RN - 0 (Antirheumatic Agents) RN - 0 (CCL2 protein, human) RN - 0 (CCR2 protein, human) RN - 0 (Ccl2 protein, mouse) RN - 0 (Ccr2 protein, mouse) RN - 0 (Chemokine CCL2) RN - 0 (Receptors, CCR2) RN - 0 (Receptors, Chemokine) SB - IM MH - Alzheimer Disease/drug therapy MH - Animals MH - Anti-Inflammatory Agents/pharmacology/therapeutic use MH - Antibodies, Monoclonal/pharmacology/therapeutic use MH - Antirheumatic Agents/pharmacology/therapeutic use MH - Arthritis, Rheumatoid/drug therapy/physiopathology MH - Central Nervous System/drug effects/injuries MH - Chemokine CCL2/*antagonists & inhibitors/deficiency/genetics/physiology MH - *Drug Design MH - Encephalomyelitis, Autoimmune, Experimental/drug therapy MH - Humans MH - Inflammation/drug therapy MH - Mice MH - Mice, Inbred MRL lpr MH - Mice, Knockout MH - Models, Molecular MH - Molecular Structure MH - Multiple Sclerosis/drug therapy MH - Obesity/drug therapy MH - Receptors, CCR2 MH - Receptors, Chemokine/antagonists & inhibitors/deficiency/genetics/physiology MH - Signal Transduction/drug effects/physiology RF - 137 EDAT- 2003/01/31 04:00 MHDA- 2006/05/02 09:00 CRDT- 2003/01/31 04:00 PHST- 2003/01/31 04:00 [pubmed] PHST- 2006/05/02 09:00 [medline] PHST- 2003/01/31 04:00 [entrez] AID - 10.1517/14728222.7.1.35 [doi] PST - ppublish SO - Expert Opin Ther Targets. 2003 Feb;7(1):35-48. doi: 10.1517/14728222.7.1.35.