PMID- 17407231 OWN - NLM STAT- MEDLINE DCOM- 20070612 LR - 20221207 IS - 0315-162X (Print) IS - 0315-162X (Linking) VI - 34 IP - 4 DP - 2007 Apr TI - Monocyte chemoattractant protein-1: plasma concentrations and A(-2518)G promoter polymorphism of its gene in systemic lupus erythematosus. PG - 740-6 AB - OBJECTIVE: To determine (1) whether the A(-2518)G polymorphism of CCL-2, the gene encoding monocyte chemoattractant protein-1 (MCP-1), is associated with disease, MCP-1 concentration, nephritis, or coronary artery calcification (CAC) in systemic lupus erythematosus (SLE); and (2) whether MCP-1 and homocysteine (Hcy) concentrations are correlated. METHODS: Statistical tests were applied to determine the relationships between CCL-2 A(-2518)G genotypes, plasma MCP-1 concentrations, and clinical variables in Caucasian and African American patients with SLE and controls. RESULTS: The CCL-2 (-2518)G allele was not significantly associated with SLE in the whole study sample (p = 0.07). Among Caucasians, but not African Americans, G allele carriers had significantly increased risk of SLE (OR 4.2, 95% CI 1.8-9.6, p < 0.0001). Genotype was not associated with nephritis, CAC, or MCP-1 concentrations when all patients or all controls were considered; however, among recently diagnosed patients, G allele carriers had significantly higher MCP-1 concentrations than AA homozygotes (p = 0.02). SLE patients had higher MCP-1 concentrations than controls (p < 0.0001), African American patients had higher concentrations than Caucasian patients (p = 0.006), and patients with nephritis had higher concentrations than those without nephritis (p = 0.02). Although not associated with CAC, MCP-1 concentrations were significantly positively correlated with Hcy. CONCLUSION. CCL-2 A(-2518)G genotype is a significant risk factor for SLE among Caucasians but not African Americans, suggesting that genetically mandated differences in MCP-1 expression contribute to SLE etiology in the former. The positive correlation between MCP-1 and Hcy concentrations is consistent with the hypothesis that active inflammation and hyperhomocysteinemia are etiologically linked. FAU - Brown, Karen S AU - Brown KS AD - Department of Pharmacology and Center for Pharmacogenetics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA. FAU - Nackos, Eleni AU - Nackos E FAU - Morthala, Suneetha AU - Morthala S FAU - Jensen, Liselotte E AU - Jensen LE FAU - Whitehead, Alexander S AU - Whitehead AS FAU - Von Feldt, Joan M AU - Von Feldt JM LA - eng GR - AR47663/AR/NIAMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - Canada TA - J Rheumatol JT - The Journal of rheumatology JID - 7501984 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0LVT1QZ0BA (Homocysteine) SB - IM MH - Adult MH - Black or African American MH - Calcinosis/immunology MH - Case-Control Studies MH - Chemokine CCL2/blood/*genetics MH - Coronary Vessels/pathology MH - Female MH - Genetic Predisposition to Disease/genetics MH - Homocysteine/*blood MH - Humans MH - Lupus Erythematosus, Systemic/*blood/ethnology/*genetics MH - Middle Aged MH - Nephritis/blood/genetics/immunology MH - *Polymorphism, Single Nucleotide MH - Promoter Regions, Genetic/*genetics MH - White People EDAT- 2007/04/05 09:00 MHDA- 2007/06/15 09:00 CRDT- 2007/04/05 09:00 PHST- 2007/04/05 09:00 [pubmed] PHST- 2007/06/15 09:00 [medline] PHST- 2007/04/05 09:00 [entrez] AID - 0315162X-34-740 [pii] PST - ppublish SO - J Rheumatol. 2007 Apr;34(4):740-6.