PMID- 26354107 OWN - NLM STAT- MEDLINE DCOM- 20170126 LR - 20181113 IS - 1522-1709 (Electronic) IS - 1520-9512 (Linking) VI - 20 IP - 1 DP - 2016 Mar TI - Increased MCP-1 gene expression in monocytes of severe OSA patients and under intermittent hypoxia. PG - 425-33 LID - 10.1007/s11325-015-1252-5 [doi] AB - PURPOSE: Obstructive sleep apnea (OSA) is known to be a risk factor of coronary artery disease. Monocyte chemoattractant protein-1 (MCP-1), as a critical factor for monocyte infiltration, is known to play a role in the development of atherosclerosis. This study aimed to investigate the effect of intermittent hypoxia, the hallmark of OSA, on the MCP-1 expression of monocytes. METHODS: Peripheral blood was sampled from 61 adults enrolled for suspected OSA. RNA was prepared from the isolated monocytes for the analysis of MCP-1. The effect of in vitro intermittent hypoxia on the regulation and function of MCP-1 was investigated on THP-1 monocytic cells and human monocytes. The mRNA and secreted protein levels were investigated by RT/real-time PCR and enzyme-linked immunosorbent assay, respectively. RESULTS: Monocytic MCP-1 gene expression was found to be increased significantly in severe OSA patients. In vitro intermittent hypoxia was demonstrated to increase the mRNA and protein expression levels of MCP-1 dose- and time-dependently in THP-1 monocytic cells. The MCP-1 mRNA expression in monocytes isolated from OSA patient was induced to a much higher level compared to that from normal control. Pre-treatment with inhibitor for p42/44 MAPK or p38 MAPK suppressed the activation of MCP-1 expression by intermittent hypoxia. CONCLUSIONS: This is the first study to demonstrate the increase of MCP-1 gene expression in monocytes of severe OSA patients. In addition, monocytic MCP-1 gene expression can be induced under intermittent hypoxia. FAU - Chuang, Li-Pang AU - Chuang LP AD - Graduate Institute of Clinical Medical Sciences, Chang Gung University, 259 Wen-Hwa 1st Road, Kwei-Shan, Tao-Yuan, Taiwan. AD - Sleep Center, Department of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Tao-Yuan, Taiwan. FAU - Chen, Ning-Hung AU - Chen NH AD - Sleep Center, Department of Pulmonary and Critical Care Medicine, Chang Gung Memorial Hospital, Tao-Yuan, Taiwan. FAU - Lin, Yuling AU - Lin Y AD - Graduate Institute of Clinical Medical Sciences, Chang Gung University, 259 Wen-Hwa 1st Road, Kwei-Shan, Tao-Yuan, Taiwan. FAU - Ko, Wen-Shan AU - Ko WS AD - Graduate Institute of Clinical Medical Sciences, Chang Gung University, 259 Wen-Hwa 1st Road, Kwei-Shan, Tao-Yuan, Taiwan. FAU - Pang, Jong-Hwei S AU - Pang JH AD - Graduate Institute of Clinical Medical Sciences, Chang Gung University, 259 Wen-Hwa 1st Road, Kwei-Shan, Tao-Yuan, Taiwan. jonghwei@mail.cgu.edu.tw. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150909 PL - Germany TA - Sleep Breath JT - Sleep & breathing = Schlaf & Atmung JID - 9804161 RN - 0 (Chemokine CCL2) RN - 0 (RNA, Messenger) SB - IM MH - Adult MH - Atherosclerosis/diagnosis/genetics MH - Chemokine CCL2/*genetics MH - Female MH - Gene Expression/genetics MH - Humans MH - Hypoxia/diagnosis/*genetics MH - Male MH - Middle Aged MH - Monocytes/*metabolism MH - Polysomnography MH - RNA, Messenger/genetics MH - Reference Values MH - Risk Factors MH - Sleep Apnea, Obstructive/diagnosis/*genetics OTO - NOTNLM OT - Intermittent hypoxia OT - Monocyte OT - Monocyte chemoattractant protein-1 OT - Obstructive sleep apnea EDAT- 2015/09/12 06:00 MHDA- 2017/01/27 06:00 CRDT- 2015/09/11 06:00 PHST- 2015/05/13 00:00 [received] PHST- 2015/08/25 00:00 [accepted] PHST- 2015/07/24 00:00 [revised] PHST- 2015/09/11 06:00 [entrez] PHST- 2015/09/12 06:00 [pubmed] PHST- 2017/01/27 06:00 [medline] AID - 10.1007/s11325-015-1252-5 [pii] AID - 10.1007/s11325-015-1252-5 [doi] PST - ppublish SO - Sleep Breath. 2016 Mar;20(1):425-33. doi: 10.1007/s11325-015-1252-5. Epub 2015 Sep 9.