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Updated: Aug 21, 2026

A Novel Three-dimensional Flow Chamber Device to Study Chemokine-directed Extravasation of Cells Circulating under Physiological Flow Conditions
Published on: July 15, 2013
Chemokines in the pathogenesis of vascular disease
Israel F Charo1, Mark B Taubman
1Gladstone Institute of Cardiovascular Disease, PO Box 419100, San Francisco, CA 94141-9100, USA. icharo@gladstone.ucsf.edu
Insights
Chemokines, like monocyte chemoattractant protein 1 (MCP-1), are key in recruiting leukocytes to inflamed vessels, driving vascular disease. Targeting MCP-1 and its receptor CCR2 offers a promising therapeutic strategy for atherosclerosis and thrombosis.
Area of Science:
- Immunology
- Cardiovascular Biology
- Molecular Medicine
Background:
- Inflammation is increasingly recognized as a critical factor in vascular diseases.
- Leukocyte migration from blood to vessel walls is a key inflammatory process.
- Chemokines are small secreted proteins that orchestrate leukocyte recruitment.
Purpose of the Study:
- To review the roles of chemokines in leukocyte migration to sites of vascular injury, inflammation, and atherosclerosis.
- To highlight the specific involvement of monocyte chemoattractant protein 1 (MCP-1) and its receptor CCR2.
- To discuss the therapeutic potential of targeting chemokine pathways in vascular diseases.
Main Methods:
- Review of existing literature on chemokines and leukocyte trafficking in vascular disease.
- Summary of the mechanisms by which chemokines induce chemotaxis via G-protein-coupled receptors.
- Analysis of the role of MCP-1/CCR2 in monocyte recruitment, intimal hyperplasia, and thrombosis.
Main Results:
- Chemokines selectively recruit monocytes, neutrophils, and lymphocytes to inflamed vascular sites.
- Monocyte chemoattractant protein 1 (MCP-1), via CCR2, is crucial for early monocyte recruitment in atherosclerosis and intimal hyperplasia.
- MCP-1 may contribute to thrombus formation by promoting tissue factor generation, impacting acute thrombosis.
Conclusions:
- Chemokines, particularly MCP-1/CCR2, play pivotal roles in the pathogenesis of vascular diseases like atherosclerosis and thrombosis.
- MCP-1/CCR2 are significant therapeutic targets for managing vascular inflammation and its complications.
- Development of specific antagonists for MCP-1 and related chemokines is a key focus for future therapies.
Abstract:
Our increasing appreciation of the importance of inflammation in vascular disease has focused attention on the molecules that direct the migration of leukocytes from the blood stream to the vessel wall. In this review, we summarize roles of the chemokines, a family of small secreted proteins that selectively recruit monocytes, neutrophils, and lymphocytes to sites of vascular injury, inflammation, and developing atherosclerosis. Chemokines induce chemotaxis through the activation of G-protein-coupled receptors, and the receptors that a given leukocyte expresses determines the chemokines to which it will respond. Monocyte chemoattractant protein 1 (MCP-1), acting through its receptor CCR2, appears to play an early and important role in the recruitment of monocytes to atherosclerotic lesions and in the formation of intimal hyperplasia after arterial injury. Acute thrombosis is an often fatal complication of atherosclerotic plaque rupture, and recent evidence suggests that MCP-1 contributes to thrombin generation and thrombus formation by generating tissue factor. Because of their critical roles in monocyte recruitment in vascular and nonvascular diseases, MCP-1 and CCR2 have become important therapeutic targets, and efforts are underway to develop potent and specific antagonists of these and related chemokines.
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