PMID- 16095529 OWN - NLM STAT- MEDLINE DCOM- 20060329 LR - 20231105 IS - 1465-993X (Electronic) IS - 1465-9921 (Print) IS - 1465-9921 (Linking) VI - 6 IP - 1 DP - 2005 Aug 11 TI - A role for MCP-1/CCR2 in interstitial lung disease in children. PG - 93 AB - BACKGROUND: Interstitial lung diseases (ILD) are chronic inflammatory disorders leading to pulmonary fibrosis. Monocyte chemotactic protein 1 (MCP-1) promotes collagen synthesis and deletion of the MCP-1 receptor CCR2 protects from pulmonary fibrosis in ILD mouse models. We hypothesized that pulmonary MCP-1 and CCR2+ T cells accumulate in pediatric ILD and are related to disease severity. METHODS: Bronchoalveolar lavage fluid was obtained from 25 children with ILD and 10 healthy children. Levels of pulmonary MCP-1 and Th1/Th2-associated cytokines were quantified at the protein and the mRNA levels. Pulmonary CCR2+, CCR4+, CCR3+, CCR5+ and CXCR3+ T cells were quantified by flow-cytometry. RESULTS: CCR2+ T cells and MCP-1 levels were significantly elevated in children with ILD and correlated with forced vital capacity, total lung capacity and ILD disease severity scores. Children with lung fibrosis had significantly higher MCP-1 levels and CCR2+ T cells in bronchoalveolar lavage fluid compared to non-fibrotic children. CONCLUSION: The results indicate that pulmonary CCR2+ T cells and MCP-1 contribute to the pathogenesis of pediatric ILD and might provide a novel target for therapeutic strategies. FAU - Hartl, Dominik AU - Hartl D AD - Childrens' Hospital, Ludwig-Maximilians-University, Munich, Germany. dominic.hartl@med.uni-muenchen.de FAU - Griese, Matthias AU - Griese M FAU - Nicolai, Thomas AU - Nicolai T FAU - Zissel, Gernot AU - Zissel G FAU - Prell, Christine AU - Prell C FAU - Reinhardt, Dietrich AU - Reinhardt D FAU - Schendel, Dolores J AU - Schendel DJ FAU - Krauss-Etschmann, Susanne AU - Krauss-Etschmann S LA - eng PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20050811 PL - England TA - Respir Res JT - Respiratory research JID - 101090633 RN - 0 (CCL2 protein, human) RN - 0 (CCR2 protein, human) RN - 0 (Ccr2 protein, mouse) RN - 0 (Chemokine CCL2) RN - 0 (Receptors, CCR2) RN - 0 (Receptors, Chemokine) SB - IM MH - Adolescent MH - Asthma/*metabolism/pathology MH - Bronchoalveolar Lavage Fluid/chemistry/cytology MH - Chemokine CCL2/*metabolism MH - Child MH - Child, Preschool MH - Female MH - Humans MH - Lung Diseases, Interstitial/*metabolism/pathology MH - Male MH - Receptors, CCR2 MH - Receptors, Chemokine/*metabolism MH - Severity of Illness Index MH - Th1 Cells/metabolism/pathology MH - Th2 Cells/metabolism/pathology PMC - PMC1199626 EDAT- 2005/08/13 09:00 MHDA- 2006/03/30 09:00 PMCR- 2005/08/11 CRDT- 2005/08/13 09:00 PHST- 2005/04/19 00:00 [received] PHST- 2005/08/11 00:00 [accepted] PHST- 2005/08/13 09:00 [pubmed] PHST- 2006/03/30 09:00 [medline] PHST- 2005/08/13 09:00 [entrez] PHST- 2005/08/11 00:00 [pmc-release] AID - 1465-9921-6-93 [pii] AID - 10.1186/1465-9921-6-93 [doi] PST - epublish SO - Respir Res. 2005 Aug 11;6(1):93. doi: 10.1186/1465-9921-6-93.