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Published on: January 28, 2020
Monocyte chemoattractant protein-1 and recurrent cardiovascular events in patients with stable coronary heart disease
Moti Haim1, David Tanne, Valentina Boyko
1Department of Cardiology, Rabin Medical Center, Beilinson Campus, Petah Tiqva, Israel. motih@netvision.net.il
Insights
Monocyte chemoattractant protein-1 (MCP-1) does not predict future cardiovascular events in patients with stable coronary heart disease. This study found no association between MCP-1 levels and recurrent cardiovascular events.
Area of Science:
- Cardiovascular Research
- Immunology
- Biomarker Discovery
Background:
- Monocyte chemoattractant protein-1 (MCP-1) is involved in mononuclear cell recruitment to the vessel wall.
- Understanding MCP-1's role in cardiovascular disease is crucial for risk stratification.
Purpose of the Study:
- To investigate the association between serum MCP-1 concentrations and the risk of future cardiovascular events.
- To determine if MCP-1 can serve as a predictive biomarker in patients with chronic coronary heart disease.
Main Methods:
- A nested case-control study design was employed.
- Serum MCP-1 levels were measured in patients with coronary heart disease and compared between those who experienced recurrent cardiovascular events and matched controls.
Main Results:
- No significant difference in serum MCP-1 levels was observed between cases and controls.
- A 1 standard deviation increase in MCP-1 was not associated with increased odds of recurrent cardiovascular events (OR 1.19, 95% CI 0.95-1.45).
- Increasing tertiles of MCP-1 concentrations did not correlate with a higher risk of recurrent cardiovascular events.
Conclusions:
- Elevated serum MCP-1 levels are not associated with long-term cardiovascular event risk in patients with stable coronary artery disease.
- MCP-1 may not be a reliable prognostic biomarker for cardiovascular events in this patient population.
Background:
Monocyte chemoattractant protein-1 (MCP-1) participates in the recruitment of mononuclear cells to the vessel wall.
Hypothesis:
The aim of the study was to evaluate the potential association between serum concentration of MCP-1 and risk of future cardiovascular events in patients with chronic coronary heart disease.
Methods:
A nested case control design was used. Baseline serum samples were taken from patients with coronary heart disease who were enrolled in a secondary prevention study. The MCP-1 levels were measured in those patients who had recurrent cardiovascular events during follow-up (n = 233) and compared with levels in age- and gender-matched controls.
Results:
There were no differences in serum MCP-1 levels between cases and controls. The relative odds of a recurrent cardiovascular event for each 1 standard deviation difference in MCP-1 serum concentration (160 pg/ml) was 1.19 (95% confidence interval, 0.95-1.45). No increase in the relative odds for recurrent cardiovascular events was observed per increasing tertiles of MCP-1 concentrations.
Conclusion:
Elevated MCP-1 levels are not associated with long-term risk of cardiovascular events in patients with stable coronary disease.
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