PMID- 20299238 OWN - NLM STAT- MEDLINE DCOM- 20100616 LR - 20181201 IS - 1096-0023 (Electronic) IS - 1043-4666 (Linking) VI - 50 IP - 2 DP - 2010 May TI - Monocyte chemoattractant protein-1: a dichotomous role in cardiac remodeling following acute myocardial infarction in man? PG - 158-62 LID - 10.1016/j.cyto.2010.02.020 [doi] AB - INTRODUCTION: Monocyte chemoattractant protein-1 (MCP-1) is elevated after acute myocardial infarction (AMI), and potentiates left ventricular (LV) remodeling in murine models of AMI. We examined the relationships between serum MCP-1, change in LV function and biomarkers related to remodeling in a cohort of AMI patients. METHODS: Serum MCP-1 concentrations were measured in 100 patients (age 58.9+/-12.0 years, 77% male) admitted with AMI and LV dysfunction, at baseline (mean 46 h), 12 and 24 weeks; cardiac magnetic resonance imaging and measurement of matrix metalloproteinase-2 (MMP-2), MMP-3 and MMP-9 occurred at each time-point. RESULTS: MCP-1 increased significantly from 697 [483, 997]pg/mL at baseline to 878 [678, 1130]pg/mL at 24 weeks (p<0.001). MMP-3 concentration increased while MMP-9 decreased significantly over time; MMP-2 concentration did not change significantly. BASELINE MCP-1 correlated with change in (Delta) LV end-systolic volume index (DeltaLVESVI; r= -0.48, p=0.01) and with DeltaLV ejection fraction (DeltaLVEF; r=0.50, p=0.02). However, DeltaMCP-1 correlated positively with DeltaLVESVI (r=0.40, p=0.006) and negatively with DeltaLVEF (r= -0.36, p=0.004). MCP-1 had no relationship with any MMP. CONCLUSIONS: MCP-1 may have a dichotomous role following AMI, aiding early infarct healing but potentiating later remodeling, which merits further study before any therapeutic trials of MCP-1 modulation in humans. CI - Copyright (c) 2010 Elsevier Ltd. All rights reserved. FAU - Weir, Robin A P AU - Weir RA AD - Cardiology Department, Western Infirmary, Glasgow, Scotland, UK. robinweir75@hotmail.com FAU - Murphy, Charles Aengus AU - Murphy CA FAU - Petrie, Colin J AU - Petrie CJ FAU - Martin, Thomas N AU - Martin TN FAU - Clements, Suzanne AU - Clements S FAU - Steedman, Tracey AU - Steedman T FAU - Wagner, Galen S AU - Wagner GS FAU - McMurray, John J V AU - McMurray JJ FAU - Dargie, Henry J AU - Dargie HJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100317 PL - England TA - Cytokine JT - Cytokine JID - 9005353 RN - 0 (Biomarkers) RN - 0 (Chemokine CCL2) RN - 0 (Contrast Media) RN - 0 (Mineralocorticoid Receptor Antagonists) RN - 27O7W4T232 (Spironolactone) RN - 6995V82D0B (Eplerenone) RN - EC 3.4.24.- (Matrix Metalloproteinases) SB - IM MH - Biomarkers/blood MH - Chemokine CCL2/*blood MH - Cohort Studies MH - Contrast Media MH - Eplerenone MH - Female MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Matrix Metalloproteinases/metabolism MH - Middle Aged MH - Mineralocorticoid Receptor Antagonists/therapeutic use MH - Myocardial Infarction/*blood/drug therapy/enzymology/*physiopathology MH - Spironolactone/analogs & derivatives/therapeutic use MH - Time Factors MH - Ventricular Function, Left/physiology MH - Ventricular Remodeling/*physiology EDAT- 2010/03/20 06:00 MHDA- 2010/06/17 06:00 CRDT- 2010/03/20 06:00 PHST- 2009/10/01 00:00 [received] PHST- 2009/11/25 00:00 [revised] PHST- 2010/02/28 00:00 [accepted] PHST- 2010/03/20 06:00 [entrez] PHST- 2010/03/20 06:00 [pubmed] PHST- 2010/06/17 06:00 [medline] AID - S1043-4666(10)00059-1 [pii] AID - 10.1016/j.cyto.2010.02.020 [doi] PST - ppublish SO - Cytokine. 2010 May;50(2):158-62. doi: 10.1016/j.cyto.2010.02.020. Epub 2010 Mar 17.