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

Circulation Research
|October 30, 2004
PubMed

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.

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