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Related Experiment Video

Updated: Jun 22, 2026

Quantification of Monocyte Transmigration and Foam Cell Formation from Individuals with Chronic Inflammatory Conditions
09:41

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Published on: October 17, 2017

Association between plasma levels of monocyte chemoattractant protein-1 and long-term clinical outcomes in patients

James A de Lemos1, David A Morrow, Marc S Sabatine

  • 1TIMI Study Group, Donald W. Reynolds Cardiovascular Clinical Research Center, the University of Texas, Southwestern Medical School, Dallas, TX 75390-9047, USA. james.delemos@utsouthwestern.edu

Circulation
|February 13, 2003
PubMed
Summary

Elevated monocyte chemoattractant protein-1 (MCP-1) levels in acute coronary syndrome patients correlate with traditional atherosclerosis risk factors and predict increased risk of death or myocardial infarction. MCP-1 shows potential as a biomarker and therapeutic target.

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Area of Science:

  • Cardiovascular Medicine
  • Inflammation Biology
  • Biomarker Discovery

Background:

  • Monocyte chemoattractant protein-1 (MCP-1) is a key chemokine in inflammatory responses.
  • MCP-1 plays a significant role in various stages of atherosclerosis development and progression.

Purpose of the Study:

  • To investigate the association between baseline MCP-1 levels and clinical characteristics in patients with acute coronary syndromes (ACS).
  • To determine if MCP-1 levels predict adverse cardiovascular outcomes in ACS patients.

Main Methods:

  • MCP-1 levels were measured in plasma from 2270 ACS patients (OPUS-TIMI 16 trial) and 279 healthy volunteers.
  • Statistical analyses were performed to correlate MCP-1 levels with baseline characteristics and outcomes, adjusting for confounders.

Main Results:

  • ACS patients had significantly higher median MCP-1 levels than healthy volunteers (178 vs. 157 pg/mL).
  • Elevated MCP-1 was associated with traditional risk factors: older age, female sex, hypertension, diabetes, prior coronary disease, and renal insufficiency.
  • High baseline MCP-1 (>75th percentile) independently predicted an increased risk of death or myocardial infarction at 10 months (aHR=1.53).

Conclusions:

  • Elevated MCP-1 in ACS patients is linked to established atherosclerosis risk factors and predicts poorer outcomes.
  • MCP-1 serves as a potential surrogate biomarker for cardiovascular risk.
  • MCP-1 warrants further investigation as a therapeutic target in cardiovascular disease.