PMID- 21247529 OWN - NLM STAT- MEDLINE DCOM- 20110603 LR - 20191210 IS - 1879-1913 (Electronic) IS - 0002-9149 (Linking) VI - 107 IP - 6 DP - 2011 Mar 15 TI - Effect of CC chemokine receptor 2 CCR2 blockade on serum C-reactive protein in individuals at atherosclerotic risk and with a single nucleotide polymorphism of the monocyte chemoattractant protein-1 promoter region. PG - 906-11 LID - 10.1016/j.amjcard.2010.11.005 [doi] AB - CC chemokine receptor 2 (CCR2), expressed on the surface of circulating monocytes, and its ligand monocyte chemoattractant protein-1 (MCP-1; also known as CC-chemokine ligand 2) are present in atherosclerotic plaques and may have important roles in endothelial monocyte recruitment and activation. MLN1202 is a highly specific humanized monoclonal antibody that interacts with CCR2 and inhibits MCP-1 binding. The aim of this randomized, double-blind, placebo-controlled study was to measure reductions in circulating levels of high-sensitivity C-reactive protein, an established biomarker of inflammation associated with coronary artery disease, on MLN1202 treatment in patients at risk for atherosclerotic cardiovascular disease (>/=2 risk factors for atherosclerotic cardiovascular disease and circulating high-sensitivity C-reactive protein >3 mg/L). Additionally, patients were genotyped for the 2518 A-->G polymorphism in the promoter of the MCP-1 gene to investigate the correlation between this polymorphism and reduced C-reactive protein levels with MLN1202 treatment. Patients who received MLN1202 exhibited significant decreases in high-sensitivity C-reactive protein levels, beginning at 4 weeks and continuing through 12 weeks after dosing. Patients with A/G or G/G genotypes in the MCP-1 promoter had significantly greater reductions in high-sensitivity C-reactive protein levels than patients with the wild-type A/A genotype. In conclusion, MLN1202 treatment was well tolerated in this patient population and resulted in significant reductions in high-sensitivity C-reactive protein levels. CI - Copyright (c) 2011 Elsevier Inc. All rights reserved. FAU - Gilbert, Jim AU - Gilbert J AD - Archemix Corporation, Cambridge, MA, USA. jgilbert@archemix.com FAU - Lekstrom-Himes, Julie AU - Lekstrom-Himes J FAU - Donaldson, Debra AU - Donaldson D FAU - Lee, Yih AU - Lee Y FAU - Hu, Mingxiu AU - Hu M FAU - Xu, Jing AU - Xu J FAU - Wyant, Tim AU - Wyant T FAU - Davidson, Michael AU - Davidson M CN - MLN1202 Study Group LA - eng PT - Clinical Trial, Phase II PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20110119 PL - United States TA - Am J Cardiol JT - The American journal of cardiology JID - 0207277 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Biomarkers) RN - 0 (Chemokine CCL2) RN - 0 (Placebos) RN - 0 (Receptors, CCR2) RN - 4XG66BMN0D (plozalizumab) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Antibodies, Monoclonal/*pharmacology MH - Antibodies, Monoclonal, Humanized MH - Biomarkers/metabolism MH - C-Reactive Protein/*metabolism MH - Chemokine CCL2/*genetics MH - Coronary Artery Disease/*blood/*genetics MH - Double-Blind Method MH - Female MH - Genotype MH - Humans MH - Male MH - Middle Aged MH - Placebos MH - *Polymorphism, Single Nucleotide MH - Promoter Regions, Genetic MH - Receptors, CCR2/*antagonists & inhibitors MH - Risk Factors MH - Statistics, Nonparametric FIR - Conner, Gordon IR - Conner G FIR - Poque, Bryan IR - Poque B FIR - Ellison, Travis IR - Ellison T FIR - Pierson, Monica IR - Pierson M FIR - Zavoral, James IR - Zavoral J FIR - Halpern, Stephen IR - Halpern S FIR - Severance, Randall IR - Severance R FIR - Fiske, Darrell IR - Fiske D EDAT- 2011/01/21 06:00 MHDA- 2011/06/04 06:00 CRDT- 2011/01/21 06:00 PHST- 2010/07/09 00:00 [received] PHST- 2010/11/03 00:00 [revised] PHST- 2010/11/03 00:00 [accepted] PHST- 2011/01/21 06:00 [entrez] PHST- 2011/01/21 06:00 [pubmed] PHST- 2011/06/04 06:00 [medline] AID - S0002-9149(10)02414-8 [pii] AID - 10.1016/j.amjcard.2010.11.005 [doi] PST - ppublish SO - Am J Cardiol. 2011 Mar 15;107(6):906-11. doi: 10.1016/j.amjcard.2010.11.005. Epub 2011 Jan 19.