PMID- 21115617 OWN - NLM STAT- MEDLINE DCOM- 20110210 LR - 20220318 IS - 1533-3450 (Electronic) IS - 1046-6673 (Print) IS - 1046-6673 (Linking) VI - 22 IP - 1 DP - 2011 Jan TI - MCP-1 contributes to arteriovenous fistula failure. PG - 43-8 LID - 10.1681/ASN.2010040373 [doi] AB - Vascular access dysfunction compromises the care of patients on chronic hemodialysis. Elucidating the mechanisms of such dysfunction and devising strategies that may interrupt neointimal hyperplasia and relevant pathogenetic pathways are essential. Here, we show that, in the venous segment of a murine model of an arteriovenous fistula, monocyte chemoattractant protein-1 (MCP-1) mRNA and protein increase, accompanied by increased activity of the transcription factors NF-kappaB and AP-1. Genetic deficiency of MCP-1 proved markedly protective in this murine model, reflected by increased fistula patency 6 weeks after its formation, decreased venous wall thickness, and increased luminal area. An early effect of MCP-1 deficiency was the attenuation of the marked induction of CCL5 (RANTES) that occurred in this model, a chemokine recently recognized as a critical participant in vascular injury. Finally, in a rat model of an arteriovenous fistula, we localized expression of MCP-1 to the endothelium, proliferating smooth muscle cells and infiltrating leukocytes. In summary, marked upregulation of MCP-1 occurs in the venous segment of an arteriovenous fistula in rodents, and this vasculopathic chemokine contributes to failure of the fistula. FAU - Juncos, Julio P AU - Juncos JP AD - Mayo Clinic, Guggenheim 542, 200 First Street, SW, Rochester, MN 55905, USA. FAU - Grande, Joseph P AU - Grande JP FAU - Kang, Lu AU - Kang L FAU - Ackerman, Allan W AU - Ackerman AW FAU - Croatt, Anthony J AU - Croatt AJ FAU - Katusic, Zvonimir S AU - Katusic ZS FAU - Nath, Karl A AU - Nath KA LA - eng GR - DK47060/DK/NIDDK NIH HHS/United States GR - R01 DK047060/DK/NIDDK NIH HHS/United States GR - R01 DK070124/DK/NIDDK NIH HHS/United States GR - DK70124/DK/NIDDK NIH HHS/United States GR - R37 DK047060/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20101129 PL - United States TA - J Am Soc Nephrol JT - Journal of the American Society of Nephrology : JASN JID - 9013836 RN - 0 (Ccl2 protein, mouse) RN - 0 (Ccl2 protein, rat) RN - 0 (Chemokine CCL2) RN - 0 (NF-kappa B) RN - 0 (Transcription Factor AP-1) SB - IM MH - Animals MH - Arteriovenous Shunt, Surgical/*adverse effects MH - Cell Proliferation MH - Chemokine CCL2/genetics/*metabolism MH - Endothelium, Vascular/cytology/*metabolism MH - Leukocytes/cytology MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Models, Animal MH - NF-kappa B/metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Renal Dialysis/methods MH - Transcription Factor AP-1/metabolism MH - Up-Regulation/*physiology PMC - PMC3014033 EDAT- 2010/12/01 06:00 MHDA- 2011/02/11 06:00 PMCR- 2012/01/01 CRDT- 2010/12/01 06:00 PHST- 2010/12/01 06:00 [entrez] PHST- 2010/12/01 06:00 [pubmed] PHST- 2011/02/11 06:00 [medline] PHST- 2012/01/01 00:00 [pmc-release] AID - ASN.2010040373 [pii] AID - 2010040373 [pii] AID - 10.1681/ASN.2010040373 [doi] PST - ppublish SO - J Am Soc Nephrol. 2011 Jan;22(1):43-8. doi: 10.1681/ASN.2010040373. Epub 2010 Nov 29.