PMID- 37986880 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240210 DP - 2023 Nov 7 TI - Chemokine Receptor 2 Is A Theranostic Biomarker for Abdominal Aortic Aneurysms. LID - 2023.11.06.23298031 [pii] LID - 10.1101/2023.11.06.23298031 [doi] AB - Abdominal aortic aneurysm (AAA) is a degenerative vascular disease impacting aging populations with a high mortality upon rupture. There are no effective medical therapies to prevent AAA expansion and rupture. We previously demonstrated the role of the monocyte chemoattractant protein-1 (MCP-1) / C-C chemokine receptor type 2 (CCR2) axis in rodent AAA pathogenesis via positron emission tomography/computed tomography (PET/CT) using CCR2 targeted radiotracer (64) Cu-DOTA-ECL1i. We have since translated this radiotracer into patients with AAA. CCR2 PET showed intense radiotracer uptake along the AAA wall in patients while little signal was observed in healthy volunteers. AAA tissues collected from individuals scanned with (64) Cu-DOTA-ECL1i and underwent open-repair later demonstrated more abundant CCR2+ cells compared to non-diseased aortas. We then used a CCR2 inhibitor (CCR2i) as targeted therapy in our established male and female rat AAA rupture models. We observed that CCR2i completely prevented AAA rupture in male rats and significantly decreased rupture rate in female AAA rats. PET/CT revealed substantial reduction of (64) Cu-DOTA-ECL1i uptake following CCR2i treatment in both rat models. Characterization of AAA tissues demonstrated decreased expression of CCR2+ cells and improved histopathological features. Taken together, our results indicate the potential of CCR2 as a theranostic biomarker for AAA management. FAU - Elizondo-Benedetto, Santiago AU - Elizondo-Benedetto S FAU - Sastriques-Dunlop, Sergio AU - Sastriques-Dunlop S FAU - Detering, Lisa AU - Detering L FAU - Arif, Batool AU - Arif B FAU - Heo, Gyu Seong AU - Heo GS FAU - Sultan, Deborah AU - Sultan D FAU - Luehmann, Hannah AU - Luehmann H FAU - Zhang, Xiaohui AU - Zhang X AUID- ORCID: 0000-0002-4927-2117 FAU - Gao, Xuefeng AU - Gao X FAU - Harrison, Kitty AU - Harrison K FAU - Thies, Dakkota AU - Thies D FAU - McDonald, Laura AU - McDonald L FAU - Combadiere, Christophe AU - Combadiere C FAU - Lin, Chieh-Yu AU - Lin CY FAU - Kang, Yeona AU - Kang Y FAU - Zheng, Jie AU - Zheng J FAU - Ippolito, Joseph AU - Ippolito J AUID- ORCID: 0000-0003-1913-5573 FAU - Laforest, Richard AU - Laforest R FAU - Gropler, Robert J AU - Gropler RJ FAU - English, Sean J AU - English SJ FAU - Zayed, Mohamed A AU - Zayed MA FAU - Liu, Yongjian AU - Liu Y AUID- ORCID: 0000-0002-1118-1535 LA - eng GR - S10 OD025214/OD/NIH HHS/United States PT - Preprint DEP - 20231107 PL - United States TA - medRxiv JT - medRxiv : the preprint server for health sciences JID - 101767986 PMC - PMC10659515 EDAT- 2023/11/21 06:42 MHDA- 2023/11/21 06:43 PMCR- 2023/11/20 CRDT- 2023/11/21 05:08 PHST- 2023/11/21 06:43 [medline] PHST- 2023/11/21 06:42 [pubmed] PHST- 2023/11/21 05:08 [entrez] PHST- 2023/11/20 00:00 [pmc-release] AID - 2023.11.06.23298031 [pii] AID - 10.1101/2023.11.06.23298031 [doi] PST - epublish SO - medRxiv [Preprint]. 2023 Nov 7:2023.11.06.23298031. doi: 10.1101/2023.11.06.23298031.