PMID- 30852582 OWN - NLM STAT- MEDLINE DCOM- 20190429 LR - 20200225 IS - 1643-3750 (Electronic) IS - 1234-1010 (Print) IS - 1234-1010 (Linking) VI - 25 DP - 2019 Mar 10 TI - Decreased Serum Monocyte Chemoattractant Protein-1 (MCP-1) Expression in Patients with Upper Gastrointestinal Bleeding. PG - 1822-1827 LID - 10.12659/MSM.911897 [doi] AB - BACKGROUND The aim of this study was to investigate the expression of monocyte chemoattractant protein-1 (MCP-1) and its correlation with the blood lipid level in upper gastrointestinal bleeding (UGIB). MATERIAL AND METHODS A total of 118 patients with UGIB were enrolled in this study. The relevant indicators for blood lipid levels were detected using a biochemical analyzer. MCP-1 levels in the serum of patients was determined through enzyme-linked immunosorbent assay (ELISA). Statistical Product and Service Solutions (SPSS) 17.0 software was used for the statistical analysis. Two-sample t-test was used for the intergroup comparison. The significant indicators were included in a multivariate logistic regression model to analyze the prognostic factors of UGIB. Pearson analysis was applied to the correlation analysis. P<0.05 suggested that the difference was statistically significant. RESULTS MCP-1 expression levels in patients with UGIB were significantly lower than that in the control group and were even further reduced in patients with massive hemorrhage. The levels of total cholesterol (TC), triglyceride (TG), and low-density lipoprotein (LDL) in the serum of patients with UGIB were decreased compared with those in the control group and these indicators of the blood lipid level were decreased much more in patients with massive hemorrhage. The MCP-1 expression was positively correlated with the levels of TC, TG, and LDL in serum. MCP-1 and TC were the prognostic influencing factors of UGIB. CONCLUSIONS Serum MCP-1 expression was significantly decreased in patients with UGIB and correlated with blood lipid level, suggesting it might be a prognostic factor for UGB. FAU - Xing, Guohui AU - Xing G AD - Department of Digestive Medicine, Rizhao Traditional Chinese Medicine Hospital, Rizhao, Shandong, China (mainland). FAU - Wang, Lili AU - Wang L AD - Department of Infectious Diseases, Qingdao Central Hospital, Qingdao, Shandong, China (mainland). FAU - Li, Wei AU - Li W AD - Department of General Surgery, Rizhao Traditional Chinese Medicine Hospital, Rizhao, Shandong, China (mainland). FAU - Xu, Yanling AU - Xu Y AD - Department of Digestive Medicine, Rizhao Traditional Chinese Medicine Hospital, Rizhao, Shandong, China (mainland). FAU - Shi, Xia AU - Shi X AD - Department of Digestive Medicine, Rizhao Traditional Chinese Medicine Hospital, Rizhao, Shandong, China (mainland). FAU - Xu, Guixing AU - Xu G AD - Department of General Surgery, Rizhao Traditional Chinese Medicine Hospital, Rizhao, Shandong, China (mainland). FAU - Zhang, Jiajun AU - Zhang J AD - Department of Digestive Medicine, Rizhao Traditional Chinese Medicine Hospital, Rizhao, Shandong, China (mainland). LA - eng PT - Journal Article DEP - 20190310 PL - United States TA - Med Sci Monit JT - Medical science monitor : international medical journal of experimental and clinical research JID - 9609063 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Lipids) RN - 0 (Lipoproteins, LDL) RN - 0 (Triglycerides) RN - 97C5T2UQ7J (Cholesterol) SB - IM MH - Adult MH - Aged MH - Chemokine CCL2/*blood MH - Cholesterol/blood MH - Female MH - Gastrointestinal Hemorrhage/*blood MH - Humans MH - Lipids/blood MH - Lipoproteins, LDL/blood MH - Male MH - Middle Aged MH - Transcriptome MH - Triglycerides/blood MH - Upper Gastrointestinal Tract PMC - PMC6422425 COIS- Conflict of interest None. EDAT- 2019/03/11 06:00 MHDA- 2019/04/30 06:00 PMCR- 2019/03/10 CRDT- 2019/03/11 06:00 PHST- 2019/03/11 06:00 [entrez] PHST- 2019/03/11 06:00 [pubmed] PHST- 2019/04/30 06:00 [medline] PHST- 2019/03/10 00:00 [pmc-release] AID - 911897 [pii] AID - 10.12659/MSM.911897 [doi] PST - epublish SO - Med Sci Monit. 2019 Mar 10;25:1822-1827. doi: 10.12659/MSM.911897.