PMID- 25683933 OWN - NLM STAT- MEDLINE DCOM- 20150902 LR - 20181202 IS - 2284-0729 (Electronic) IS - 1128-3602 (Linking) VI - 19 IP - 2 DP - 2015 TI - Comparative analysis of MCP-1 and TF in elderly patients with acute exacerbations of COPD and its clinical significance. PG - 215-9 LID - 8404 [pii] AB - OBJECTIVE: This study was conducted to investigate the variation of monocyte chemoattrant protein-1 (MCP-1) and tissue factor (TF) in elderly patients with acutely exacerbated chronic obstructive pulmonary disease (AECOPD) and their clinical significance. PATIENTS AND METHODS: Serum specimens were obtained from 49 AECOPD. Patients and 30 health controls, with mean age of 76.1 +/- 10.2 and 62.8 +/- 6.5 years. Patients in AECOPD group were further grouped into two subgroups, with high or normal procaletonin (PCT) levels. Plasma TE, MCP-1 and PCT were qualified by enzyme-linked immunosorbent assay (ELISA). RESULTS: TF and MCP-1 were found to be higher in AECOPD patients than in health people (p < 0.01), and TF was linearly and positively related to MCP-1. In the subgroups TF was significantly higher in patients with higher PCT than those with normal PCT (p < 0.05). CONCLUSIONS: In AECOPD patients blood cells are activated to hypercoagulation state, particularly when their PCT level is high. Extrinsic pathway activated by TE plays important role in development of the hypercoagulation state. Our results indicate that plasma TF level was positively correlated to the level of MCP-1. This suggests that monitoring of plasma TF and MCP-1 levels in AECOPD patients could be a very useful way to prevent and cure blood hypercoagulability, cardiovascular and cerebrovascular thrombotic diseases. FAU - Wang, Y AU - Wang Y AD - Department of Emergency, Tongren Hospital, Capital Medical University, Beijing, China. ningding699@163.com. FAU - Zheng, Y AU - Zheng Y FAU - Zhai, Y-L AU - Zhai YL FAU - Liu, F-Q AU - Liu FQ FAU - Ding, N AU - Ding N LA - eng PT - Comparative Study PT - Journal Article PL - Italy TA - Eur Rev Med Pharmacol Sci JT - European review for medical and pharmacological sciences JID - 9717360 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 9035-58-9 (Thromboplastin) SB - IM MH - Acute Disease MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Case-Control Studies MH - Chemokine CCL2/*blood MH - Cross-Sectional Studies MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Male MH - Middle Aged MH - Pulmonary Disease, Chronic Obstructive/*blood/pathology MH - Thromboplastin/*metabolism EDAT- 2015/02/17 06:00 MHDA- 2015/09/04 06:00 CRDT- 2015/02/17 06:00 PHST- 2015/02/17 06:00 [entrez] PHST- 2015/02/17 06:00 [pubmed] PHST- 2015/09/04 06:00 [medline] AID - 8404 [pii] PST - ppublish SO - Eur Rev Med Pharmacol Sci. 2015;19(2):215-9.