PMID- 14743961 OWN - NLM STAT- MEDLINE DCOM- 20040831 LR - 20190823 IS - 0036-5513 (Print) IS - 0036-5513 (Linking) VI - 63 IP - 7-8 DP - 2003 TI - Monocyte chemoattractant protein-1 and CC-chemokine receptor-2 in severe hypercholesterolaemia. PG - 513-9 AB - OBJECTIVES: To investigate whether plasma concentrations of monocyte chemoattractant protein-1 (MCP-1) and the gene expression of its receptor on the monocyte cell surface CCR-2 were elevated above normal in subjects with asymptomatic, isolated hypercholesterolaemia and if statin treatment could influence this cytokine. METHODS: The investigation was designed as a cross sectional study followed by a single, blind, treatment study of patients receiving pravastatin 80 mg/day for 8 weeks. The study included 23 patients with severe hypercholesterolaemia (LDL>5.2 mmol/L) and 39 normocholesterolaemic controls. Blood samples were obtained from patients and controls at baseline and from patients at end of the study and analysed for lipoproteins and inflammatory mediators: MCP-1. high-sensitivity C-reactive protein (HS-CRP). Isolated peripheral mononuclear cells were analysed for CCR-2 gene expression. RESULTS: Mean plasma LDL-C was significantly higher in patients than in controls. No difference in plasma MCP-1 levels or CCR-2 gene expression was seen between the groups at baseline, nor were there any differences in plasma concentrations of CRP. After treatment with pravastatin, LDL-C decreased by 31%. Treatment did not significantly affect the levels of MCP-1 or CCR-2 gene expression, nor was CRP affected by treatment with pravastatin. CONCLUSIONS: Our study does not support the view that MCP-1 plasma levels and CCR-2 gene expression in circulating monocytes are directly responsible for the monocyte recruitment into the arterial intima in patients with severe asymptomatic hypercholesterolaemia. In addition, the inflammatory response of a high concentration of LDL-C in isolated asymptomatic hypercholesterolaemia is minute. FAU - Blomqvist, H M AU - Blomqvist HM AD - Division of Internal Medicine, Department of Medicine and Care, Clinical Research Center, Faculty of Health Sciences, Linkoping, Sweden. henrik.blomqvist@imv.liu.se FAU - Olsson, A G AU - Olsson AG LA - eng PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Scand J Clin Lab Invest JT - Scandinavian journal of clinical and laboratory investigation JID - 0404375 RN - 0 (Anticholesteremic Agents) RN - 0 (Apolipoprotein A-I) RN - 0 (Apolipoproteins B) RN - 0 (CCR2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Cholesterol, HDL) RN - 0 (Cholesterol, LDL) RN - 0 (Receptors, CCR2) RN - 0 (Receptors, Chemokine) RN - 0 (Triglycerides) RN - 9007-41-4 (C-Reactive Protein) RN - 97C5T2UQ7J (Cholesterol) RN - KXO2KT9N0G (Pravastatin) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Anticholesteremic Agents/pharmacology MH - Apolipoprotein A-I/blood/drug effects MH - Apolipoproteins B/blood/drug effects MH - C-Reactive Protein/analysis MH - Chemokine CCL2/*blood MH - Cholesterol/blood MH - Cholesterol, HDL/blood/drug effects MH - Cholesterol, LDL/blood/drug effects MH - Cross-Sectional Studies MH - Female MH - Gene Expression/drug effects MH - Humans MH - Hypercholesterolemia/blood/*drug therapy/metabolism MH - Male MH - Middle Aged MH - Pravastatin/*pharmacology MH - Receptors, CCR2 MH - Receptors, Chemokine/*genetics MH - Single-Blind Method MH - Triglycerides/blood EDAT- 2004/01/28 05:00 MHDA- 2004/09/01 05:00 CRDT- 2004/01/28 05:00 PHST- 2004/01/28 05:00 [pubmed] PHST- 2004/09/01 05:00 [medline] PHST- 2004/01/28 05:00 [entrez] AID - 10.1080/00365510310003274 [doi] PST - ppublish SO - Scand J Clin Lab Invest. 2003;63(7-8):513-9. doi: 10.1080/00365510310003274.