PMID- 17161183 OWN - NLM STAT- MEDLINE DCOM- 20070103 LR - 20061212 IS - 1531-5037 (Electronic) IS - 0022-3468 (Linking) VI - 41 IP - 12 DP - 2006 Dec TI - The role of monocyte chemoattractant protein-1 in biliary atresia. PG - 1967-72 AB - BACKGROUND: The aim of this study was to explain the role of monocyte chemoattractant protein-1 (MCP-1) in biliary atresia (BA). METHODS: Concentrations of serum MCP-1 and collagen type IV were measured in 38 patients with BA by using commercially available kits. MCP-1 was also assessed in liver biopsy specimens by using immunohistochemistry. Subjects were classified into groups. Group 1 comprised BA patients with normal liver function (n = 13), group II comprised BA patients with moderate liver dysfunction (n = 18), group III comprised BA patients older than 20 years awaiting liver transplantation (n = 7), and the control group comprised age-matched patients without evidence of liver disease (n = 23). RESULTS: Serum MCP-1 levels were significantly increased in group II compared with group I (P < .0001) and the control group (P < .0001). Serum MCP-1 levels in group III were lower than in the control group (P < .0001). There was a significant linear correlation between serum MCP-1 levels and type IV collagen levels in group II. Group II subjects with portal hypertension (PH) had higher MCP-1 levels than those without PH (P = .0009). Biopsy specimens showed MCP-1 was expressed mainly on biliary epithelial cells, vascular endothelial cells, and hepatocytes in group II. CONCLUSIONS: These findings suggest that MCP-1 probably plays a significant role in the development of progressive liver fibrosis in BA. FAU - Kobayashi, Hiroyuki AU - Kobayashi H AD - Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, Bunkyo-ku, Tokyo 113-8421, Japan. koba@med.juntendo.ac.jp FAU - Tamatani, Takuya AU - Tamatani T FAU - Tamura, Tsuyoshi AU - Tamura T FAU - Kusafuka, Junichi AU - Kusafuka J FAU - Koga, Hiroyuki AU - Koga H FAU - Yamataka, Atsuyuki AU - Yamataka A FAU - Lane, Geoffrey J AU - Lane GJ FAU - Miyahara, Katsumi AU - Miyahara K FAU - Sueyoshi, Noriyoshi AU - Sueyoshi N FAU - Miyano, Takeshi AU - Miyano T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Pediatr Surg JT - Journal of pediatric surgery JID - 0052631 RN - 0 (Chemokine CCL2) RN - 0 (Collagen Type IV) SB - IM MH - Adolescent MH - Biliary Atresia/blood/complications/*physiopathology MH - Chemokine CCL2/*blood MH - Child MH - Child, Preschool MH - Collagen Type IV/blood MH - Digestive System Surgical Procedures MH - Disease Progression MH - Humans MH - Hypertension, Portal/etiology/physiopathology MH - Liver Cirrhosis/etiology/*physiopathology MH - Treatment Outcome EDAT- 2006/12/13 09:00 MHDA- 2007/01/04 09:00 CRDT- 2006/12/13 09:00 PHST- 2006/12/13 09:00 [pubmed] PHST- 2007/01/04 09:00 [medline] PHST- 2006/12/13 09:00 [entrez] AID - S0022-3468(06)00582-3 [pii] AID - 10.1016/j.jpedsurg.2006.08.018 [doi] PST - ppublish SO - J Pediatr Surg. 2006 Dec;41(12):1967-72. doi: 10.1016/j.jpedsurg.2006.08.018.