PMID- 34969653 OWN - NLM STAT- MEDLINE DCOM- 20220215 LR - 20220531 IS - 1989-4805 (Electronic) IS - 1889-1837 (Linking) VI - 39 IP - 1 DP - 2022 Jan-Mar TI - Monocyte chemoattractant protein-1 and hypertension: An overview. PG - 14-23 LID - S1889-1837(21)00074-X [pii] LID - 10.1016/j.hipert.2021.11.003 [doi] AB - BACKGROUND: The association between hypertension and cardiovascular disease (CVD) has been increasingly studied through early inflammatory biomarkers. The monocyte chemoattractant protein-1 (MCP-1) is the main chemokine implicated in the inflammatory endothelial process, attracting monocytes and macrophages to the atherosclerotic plaque. METHODS: We reviewed the main observational studies that have analyzed serum MCP-1 in patients with hypertension regardless of CVD, relating them to target organ damage (TOD). RESULTS: As endothelial dysfunction continues and TOD accumulates, MCP-1 has been perpetuated at higher levels. The relationship between this chemokine and the increase in comorbidities, such as chronic kidney disease, dyslipidaemia, diabetes, and coronary artery disease, became clearer from the observational studies. However, patients with such morbidities use medications with potential anti-inflammatory effects. CONCLUSION: There is no normal threshold of MCP-1 for the healthy population, nor a uniform curve pattern, due to a balance between genetic factors, age, gender, comorbidities, TOD, and anti-inflammatory effects of drugs. In fact, MCP-1 seems to have a promising role as a tool for further improvement in cardiovascular risk stratification, as prognostic studies have demonstrated an association with fatal and non-fatal cardiovascular outcomes, regardless of other clinical and laboratory predictors. CI - Copyright (c) 2021 SEH-LELHA. Publicado por Elsevier Espana, S.L.U. All rights reserved. FAU - Cortez, A AU - Cortez A AD - Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil. Electronic address: arthurfcortez@gmail.com. FAU - Muxfeldt, E AU - Muxfeldt E AD - Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil. LA - eng PT - Journal Article PT - Review DEP - 20211227 PL - Spain TA - Hipertens Riesgo Vasc JT - Hipertension y riesgo vascular JID - 101510649 RN - 0 (Biomarkers) RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) SB - IM MH - Biomarkers MH - *Cardiovascular Diseases/epidemiology MH - Chemokine CCL2 MH - Humans MH - *Hypertension/drug therapy/epidemiology OTO - NOTNLM OT - Cardiovascular disease OT - Chemokine OT - Enfermedad cardiovascular OT - Hipertension OT - Hipertension resistente OT - Hypertension OT - Inflamacion OT - Inflammation OT - Monocyte chemoattractant protein-1 OT - Proteina 1 quimioatrayente de monocitos OT - Quimioquina OT - Resistant hypertension EDAT- 2022/01/01 06:00 MHDA- 2022/02/16 06:00 CRDT- 2021/12/31 05:36 PHST- 2021/07/29 00:00 [received] PHST- 2021/11/10 00:00 [revised] PHST- 2021/11/16 00:00 [accepted] PHST- 2022/01/01 06:00 [pubmed] PHST- 2022/02/16 06:00 [medline] PHST- 2021/12/31 05:36 [entrez] AID - S1889-1837(21)00074-X [pii] AID - 10.1016/j.hipert.2021.11.003 [doi] PST - ppublish SO - Hipertens Riesgo Vasc. 2022 Jan-Mar;39(1):14-23. doi: 10.1016/j.hipert.2021.11.003. Epub 2021 Dec 27.