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Monocyte chemoattractant protein-1 in patients with peripheral arterial disease
Jana Petrkova1, Jaroslava Szotkowska, Zuzana Hermanova
1Department of Immunology, Palacky University and Faculty Hospital, Olomouc, Czech Republic.
Insights
Monocyte chemoattractant protein-1 (MCP-1) is elevated in peripheral arterial disease (PAD) patients, suggesting its role in inflammation. MCP-1 levels may decrease with disease progression and correlate with lipid profiles.
Area of Science:
- Cardiovascular Research
- Immunology
- Biochemistry
Background:
- Inflammatory cell migration, driven by chemokines, contributes to atherosclerosis, including peripheral arterial disease (PAD).
- Monocyte chemoattractant protein-1 (MCP-1) is a key chemokine implicated in inflammatory processes.
- Elevated MCP-1 levels are observed in coronary artery disease and hypertension, prompting investigation in PAD.
Purpose of the Study:
- To investigate the levels of Monocyte chemoattractant protein-1 (MCP-1) in patients with peripheral arterial disease (PAD).
- To explore the relationship between MCP-1 levels and disease progression and risk factors in PAD.
Main Methods:
- Serum MCP-1 was quantified using enzyme-linked immunosorbent assay (ELISA).
- Study included 36 healthy controls and 19 patients diagnosed with PAD.
- Statistical analysis involved Mann-Whitney and Spearman correlation tests.
Main Results:
- MCP-1 levels were significantly higher in PAD patients (748 pg/ml) compared to controls (459 pg/ml) (p=0.0001).
- MCP-1 levels showed a trend towards decrease with advancing disease severity.
- Diabetes was associated with increased MCP-1, while hypertension had no significant effect. Serum MCP-1 correlated positively with cholesterol, triglycerides, and LDL, but not HDL.
Conclusions:
- The elevated circulating MCP-1 in PAD patients supports its role in the inflammatory pathogenesis of the disease.
- This pilot study suggests MCP-1 as a potential biomarker for monitoring peripheral arterial disease progression and prognosis.
- Further research is warranted to validate MCP-1's utility in clinical follow-up of PAD.
Background:
Chemokine-driven migration of inflammatory cells has been implicated in the pathogenesis of atherosclerotic conditions including peripheral arterial disease (PAD). Monocyte chemoattractant protein-1 (MCP-1) is elevated in patients with coronary artery disease and in hypertensive patients. This study therefore investigated MCP-1 in patients with PAD.
Methods:
Serum MCP-1 was determined by enzyme-linked immunosorbent assay in 36 healthy, control subjects and in 19 patients with PAD. Statistical analysis utilised the Mann-Whitney test and Spearman correlation (p < 0.05).
Results:
MCP-1 (pg/ml) was increased in patients compared with in controls (mean+/-standard error of the mean: PAD group, 748+/-60; control group, 459+/-27; p=0.0001). MCP-1 levels tended to decrease with progressing disease. From atherosclerosis risk factors, diabetes inclined to increase MCP-1 levels; hypertension had no effect. Serum MCP-1 correlated with cholesterol, triglycerides, low-density lipoprotein but not high-density lipoprotein.
Conclusion:
Elevation of MCP-1 in the circulation of PAD patients shown in the present pilot study implicates this CC chemokine ligand 2 in inflammatory processes contributing to PAD clinical symptomatology. Further investigations are necessary to evaluate whether MCP-1 can be used as a potential marker of peripheral arterial disease follow-up and/or prognosis.
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