PMID- 9789895 OWN - NLM STAT- MEDLINE DCOM- 19981229 LR - 20161021 IS - 1124-0490 (Print) IS - 1124-0490 (Linking) VI - 15 IP - 2 DP - 1998 Sep TI - Measurement of serum monocyte chemoattractant protein-1 and its clinical application for estimating the activity of granuloma formation in sarcoidosis. PG - 165-72 AB - BACKGROUND AND AIM OF THE WORK: The role of monocyte chemoattractant protein-1 (MCP-1) in bronchoalveolar lavage fluids from sarcoidosis patients was previously reported. To study the role of MCP-1, we evaluated the serum MCP-1 and its clinical significance in sarcoidosis. METHODS: The serum MCP-1 level was measured in 47 patients with sarcoidosis and 10 normal healthy controls with the use of an enzyme-linked immunosorbent assay. The localization and mRNA expression of MCP-1 in sarcoid lymph nodes were evaluated by an immunohistochemical method using an anti-MCP-1 monoclonal antibody and an in situ hybridization technique to determine the cellular source(s) of MCP-1. RESULTS: Serum MCP-1 levels were significantly elevated in the sarcoidosis patients compared with the healthy controls (698.3 +/- 101.9 vs. less than 39 pg/ml, p < 0.001). A comparison of the patients' serum MCP-1 levels among standard radiographic stages revealed that the serum MCP-1 was significantly higher in early stages: stage 0 vs. III, and stage I vs. II. In addition, the serum MCP-1 levels were significantly correlated with the serum angiotensin converting enzyme levels (r = 0.539, p = 0.0006). MCP-1 expression was detected in macrophages peripheral to the epithelioid granuloma in sarcoid lymph nodes, by both immunohistochemistry and in situ hybridization. CONCLUSIONS: These data suggest that MCP-1 may be expressed by the macrophages in the granuloma throughout the body, and that the measurement of serum MCP-1 levels may have clinical value as an indicator in estimating the activity of granuloma formation throughout the body in sarcoidosis. FAU - Iyonaga, K AU - Iyonaga K AD - First Department of Internal Medicine, Kumamoto University School of Medicine, Japan. iyonaga@kaiju.medic.kumamoto-u.ac.jp FAU - Suga, M AU - Suga M FAU - Ichiyasu, H AU - Ichiyasu H FAU - Yamamoto, T AU - Yamamoto T FAU - Hiraga, Y AU - Hiraga Y FAU - Ando, M AU - Ando M LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - Italy TA - Sarcoidosis Vasc Diffuse Lung Dis JT - Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG JID - 9610928 RN - 0 (Chemokine CCL2) RN - 0 (RNA, Messenger) RN - EC 3.4.15.1 (Peptidyl-Dipeptidase A) SB - IM CIN - Sarcoidosis Vasc Diffuse Lung Dis. 1998 Sep;15(2):131-3. PMID: 9789889 MH - Adult MH - Aged MH - Bronchoalveolar Lavage Fluid/cytology MH - Cell Count MH - Chemokine CCL2/*blood/genetics MH - Disease Progression MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Granuloma, Respiratory Tract/*blood/diagnosis/physiopathology MH - Humans MH - In Situ Hybridization MH - Lymph Nodes/metabolism/pathology MH - Macrophages, Alveolar/metabolism/pathology MH - Male MH - Middle Aged MH - Peptidyl-Dipeptidase A/blood MH - RNA, Messenger/biosynthesis MH - Respiratory Function Tests MH - Sarcoidosis, Pulmonary/*blood/diagnosis/physiopathology EDAT- 1998/10/28 00:00 MHDA- 1998/10/28 00:01 CRDT- 1998/10/28 00:00 PHST- 1998/10/28 00:00 [pubmed] PHST- 1998/10/28 00:01 [medline] PHST- 1998/10/28 00:00 [entrez] PST - ppublish SO - Sarcoidosis Vasc Diffuse Lung Dis. 1998 Sep;15(2):165-72.