PMID- 18186797 OWN - NLM STAT- MEDLINE DCOM- 20080403 LR - 20181113 IS - 1744-313X (Electronic) IS - 1744-3121 (Print) IS - 1744-3121 (Linking) VI - 35 IP - 1 DP - 2008 Feb TI - Association of MCP-1 and CCR2 polymorphisms with the risk of late acute rejection after renal transplantation in Korean patients. PG - 25-31 LID - 10.1111/j.1744-313X.2007.00725.x [doi] AB - Among the factors modulating transplant rejection, chemokines and their respective receptors deserve special attention. Increased expression of monocyte chemoattractant protein-1 (MCP-1) and its corresponding receptor (chemokine receptor-2, CCR2) has been implicated in renal transplant rejection. To determine the impact of the MCP-1-2518G and CCR2-64I genotypes on renal allograft function, 167 Korean patients who underwent transplantation over a 25-year period were evaluated. Genomic DNA was genotyped using polymerase chain reaction followed by restriction fragment length polymorphism analysis. Fifty-five (32.9%) patients were homozygous for the MCP-1-2518G polymorphism. Nine (5.4%) patients were homozygous for the CCR2-64I polymorphism. None of the investigated polymorphism showed a significant shift in long-term allograft survival. However, a significant increase was noted for the risk of late acute rejection in recipients who were homozygous for the MCP-1-2518G polymorphism (OR, 2.600; 95% CI, 1.125-6.012; P = 0.022). There was also an association between the MCP-1-2518G/G genotype and the number of late acute rejection episodes (P = 0.024). Although there was no difference in the incidence of rejection among recipients stratified by the CCR2-V64I genotype, recipients with the CCR2-V64I GG genotype in combination with the MCP-1-2518G/G genotype had a significantly higher risk of acute or late acute rejection among the receptor-ligand combinations (P = 0.006, P = 0.008, respectively). The MCP-1 variant may be a marker for risk of late acute rejection in Korean patients. FAU - Kang, S W AU - Kang SW AD - Department of Nephrology, College of Medicine, Inje University, Busan, South Korea. FAU - Park, S J AU - Park SJ FAU - Kim, Y W AU - Kim YW FAU - Kim, Y H AU - Kim YH FAU - Sohn, H S AU - Sohn HS FAU - Yoon, Y C AU - Yoon YC FAU - Joo, H AU - Joo H FAU - Jeong, K H AU - Jeong KH FAU - Lee, S H AU - Lee SH FAU - Lee, T W AU - Lee TW FAU - Ihm, C G AU - Ihm CG LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Int J Immunogenet JT - International journal of immunogenetics JID - 101232337 RN - 0 (CCL2 protein, human) RN - 0 (CCR2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Receptors, CCR2) SB - IM MH - Adult MH - Analysis of Variance MH - Chemokine CCL2/*genetics MH - Female MH - Graft Rejection/*genetics MH - Graft Survival MH - Humans MH - *Kidney Transplantation MH - Male MH - Middle Aged MH - Multivariate Analysis MH - *Polymorphism, Genetic MH - Receptors, CCR2/*genetics PMC - PMC2228509 EDAT- 2008/01/12 09:00 MHDA- 2008/04/04 09:00 PMCR- 2008/02/05 CRDT- 2008/01/12 09:00 PHST- 2008/01/12 09:00 [pubmed] PHST- 2008/04/04 09:00 [medline] PHST- 2008/01/12 09:00 [entrez] PHST- 2008/02/05 00:00 [pmc-release] AID - EJI725 [pii] AID - 10.1111/j.1744-313X.2007.00725.x [doi] PST - ppublish SO - Int J Immunogenet. 2008 Feb;35(1):25-31. doi: 10.1111/j.1744-313X.2007.00725.x.