PMID- 19373627 OWN - NLM STAT- MEDLINE DCOM- 20090507 LR - 20151119 IS - 1532-4303 (Electronic) IS - 0277-0903 (Linking) VI - 46 IP - 3 DP - 2009 Apr TI - Sequential evaluation of serum monocyte chemotactic protein 1 among asymptomatic state and acute exacerbation and remission of asthma in children. PG - 225-8 LID - 10.1080/02770900802553805 [doi] AB - BACKGROUND: Monocyte chemotactic protein 1 (MCP-1) plays an important role in various immune and allergic disorders since it is a potent chemo-attractant for inflammatory cells, such as eosinophils, memory T cells, and monocytes. OBJECTIVE: To investigate serum MCP-1 during asymptomatic state and acute attacks of bronchial asthma. METHODS: In this longitudinal cohort design study, sequential serum levels of MCP-1 were measured by a sandwich enzyme-linked immunosorbent assay (ELISA). Twenty-four asthma patients' MCP-1 levels were examined at 5 time points: during the asymptomatic phase, in an acute wheezing episode, and at 1 week, 1 month, and 2 months after acute asthma attack. Fifteen children without asthma were enrolled as control. RESULTS: During the asymptomatic phase of asthma, serum MCP-1 levels were significantly higher than that of normal controls (329.57 +/- 99.20 pg/ml vs. 213.63 +/- 77.29 pg/ml, p = 0.001). In comparison with the asymptomatic phase, the serum MCP-1 levels during the acute asthma attack were significantly higher (682.88 +/- 88.45 pg/ml vs. 329.57 +/- 99.20 pg/ml, p < 0.001). After treatment of acute asthma exacerbation, all of the serum MCP-1 levels declined within 1 week, but were still higher than control 2 months later. CONCLUSION: In asthma patients, the consistently elevated serum levels of MCP-1 suggest its role in the pathogenesis of bronchial asthma - not only in the chronic inflammatory processes, but also in acute asthma attack exacerbation. These findings suggest a possible role for MCP-1 in the pathogenesis of asthma and a potential role for its use in anti-asthma treatment in the future. FAU - Chan, Chin-Kan AU - Chan CK AD - Graduate Institute of Clinical Medical Science, Chang Gung University, Taoyuan, Taiwan. FAU - Kuo, Ming-Ling AU - Kuo ML FAU - Yeh, Kuo-Wei AU - Yeh KW FAU - Ou, Liang-Shiou AU - Ou LS FAU - Chen, Li-Chen AU - Chen LC FAU - Yao, Tsung-Chieh AU - Yao TC FAU - Huang, Jing-Long AU - Huang JL LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - J Asthma JT - The Journal of asthma : official journal of the Association for the Care of Asthma JID - 8106454 RN - 0 (Androstadienes) RN - 0 (Bronchodilator Agents) RN - 0 (Chemokine CCL2) RN - CUT2W21N7U (Fluticasone) RN - N8ONU3L3PG (Terbutaline) SB - IM MH - Acute Disease MH - Adolescent MH - Androstadienes/therapeutic use MH - Asthma/*blood/drug therapy MH - Bronchodilator Agents/therapeutic use MH - Chemokine CCL2/biosynthesis/*blood MH - Child MH - China MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Fluticasone MH - Humans MH - Longitudinal Studies MH - Male MH - Respiratory Function Tests MH - Terbutaline/therapeutic use EDAT- 2009/04/18 09:00 MHDA- 2009/05/08 09:00 CRDT- 2009/04/18 09:00 PHST- 2009/04/18 09:00 [entrez] PHST- 2009/04/18 09:00 [pubmed] PHST- 2009/05/08 09:00 [medline] AID - 910512135 [pii] AID - 10.1080/02770900802553805 [doi] PST - ppublish SO - J Asthma. 2009 Apr;46(3):225-8. doi: 10.1080/02770900802553805.