PMID- 22664781 OWN - NLM STAT- MEDLINE DCOM- 20130201 LR - 20220309 IS - 1347-4820 (Electronic) IS - 1346-9843 (Linking) VI - 76 IP - 9 DP - 2012 TI - Independent roles of monocyte chemoattractant protein-1, regulated on activation, normal T-cell expressed and secreted and fractalkine in the vulnerability of coronary atherosclerotic plaques. PG - 2167-73 AB - BACKGROUND: Monocyte chemotactic factors contribute to the formation of atherosclerotic plaques. The present study aimed to elucidate the roles of monocyte chemoattractant protein-1 (MCP-1), Regulated on Activation, Normal T-cell Expressed and Secreted (RANTES) and fractalkine on the vulnerability of atherosclerotic plaques in patients with acute myocardial infarction (AMI) or unstable angina pectoris (UAP). METHODS AND RESULTS: Sixty patients with AMI, 60 patients with UAP, 60 patients with stable angina pectoris (SAP) and 40 patients without coronary heart disease comprised the study group. Quantitative coronary angiography and intravascular ultrasound (IVUS) were performed. Concentrations and mRNA expression levels of high-sensitivity C-reactive protein, MCP-1, RANTES and fractalkine were measured by ELISA and RT-PCR, respectively. IVUS found that 51.3% of the AMI patients and 47.7% of the UAP patients had soft lipid plaques. Among the SAP patients, 52.4% had fibrous plaques and only 17.1% had soft plaques. AMI and UAP patients had larger plaque burden and vascular remodeling index than did the SAP patients (P<0.01). The averaged number of migrated monocytes was higher in AMI and UAP patients. Concentrations and mRNA expression levels of MCP-1, RANTES and fractalkine were significantly higher in AMI and UAP patients than in SAP patients (P<0.05-0.01). The plaque burden in UAP patients as measured with IVUS correlated well with monocytes chemotaxis (r=0.56, P<0.01). CONCLUSIONS: MCP-1, RANTES and fractalkine independently participate in the pathogenesis of plaque vulnerability and subsequent plaque rupture. FAU - Li, Jifu AU - Li J AD - The Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education and Chinese Ministry of Health, Shandong University Qilu Hospital, Shandong, PR China. FAU - Guo, Yuan AU - Guo Y FAU - Luan, Xiaorong AU - Luan X FAU - Qi, Tianjun AU - Qi T FAU - Li, Daqing AU - Li D FAU - Chen, Yuguo AU - Chen Y FAU - Ji, Xiaoping AU - Ji X FAU - Zhang, Yun AU - Zhang Y FAU - Chen, Wenqiang AU - Chen W LA - eng PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120605 PL - Japan TA - Circ J JT - Circulation journal : official journal of the Japanese Circulation Society JID - 101137683 RN - 0 (CCL2 protein, human) RN - 0 (CCL5 protein, human) RN - 0 (CX3CL1 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Chemokine CCL5) RN - 0 (Chemokine CX3CL1) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Angina, Unstable/blood/complications/diagnostic imaging MH - C-Reactive Protein/metabolism MH - Chemokine CCL2/*blood MH - Chemokine CCL5/*blood MH - Chemokine CX3CL1/*blood MH - Coronary Angiography MH - Coronary Artery Disease/*blood/complications/diagnostic imaging MH - Female MH - Humans MH - Male MH - Middle Aged MH - Myocardial Infarction/blood/complications/diagnostic imaging MH - Plaque, Atherosclerotic/*blood/complications/diagnostic imaging MH - Ultrasonography, Interventional EDAT- 2012/06/06 06:00 MHDA- 2013/02/05 06:00 CRDT- 2012/06/06 06:00 PHST- 2012/06/06 06:00 [entrez] PHST- 2012/06/06 06:00 [pubmed] PHST- 2013/02/05 06:00 [medline] AID - DN/JST.JSTAGE/circj/CJ-11-1457 [pii] AID - 10.1253/circj.cj-11-1457 [doi] PST - ppublish SO - Circ J. 2012;76(9):2167-73. doi: 10.1253/circj.cj-11-1457. Epub 2012 Jun 5.