2003
DOI: 10.1007/s00109-003-0435-x
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Chemokine receptor (CCR2) genotype is associated with myocardial infarction and heart failure in patients under 65 years of age

Abstract: Inflammation is associated with atherosclerosis of coronary arteries. Chemokines have an important role in inflammation. The CCR2 chemokine receptor mediates leukocyte chemoattraction, which is involved in the pathogenesis of coronary heart disease. We prospectively studied 1960 consecutive patients aged under 65 years and referred for a first-time left ventricular catheter. Left heart catheters were analyzed by two independent cardiologists for the presence of myocardial infarction (regional wall motion abnor… Show more

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Cited by 68 publications
(53 citation statements)
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“…One common variant in CCR2, Val64Ile (rs1799864), has been associated with coronary artery calcium with the rarer 64Ile allele associated with decreased coronary artery calcium independent of sex and other traditional risk factors. 19 This allele has also been associated with early-onset MI 20,21 and heart failure but not coronary atherosclerosis suggesting a less stable plaque morphology due to lack of calcification that may explain increased risk of MI observed in carriers of 64Ile. 20 However, the Val64Ile allele was not associated with MI in a retrospective study of patients in Iceland who survived an MI at 37-69 years of age.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…One common variant in CCR2, Val64Ile (rs1799864), has been associated with coronary artery calcium with the rarer 64Ile allele associated with decreased coronary artery calcium independent of sex and other traditional risk factors. 19 This allele has also been associated with early-onset MI 20,21 and heart failure but not coronary atherosclerosis suggesting a less stable plaque morphology due to lack of calcification that may explain increased risk of MI observed in carriers of 64Ile. 20 However, the Val64Ile allele was not associated with MI in a retrospective study of patients in Iceland who survived an MI at 37-69 years of age.…”
Section: Discussionmentioning
confidence: 99%
“…19 This allele has also been associated with early-onset MI 20,21 and heart failure but not coronary atherosclerosis suggesting a less stable plaque morphology due to lack of calcification that may explain increased risk of MI observed in carriers of 64Ile. 20 However, the Val64Ile allele was not associated with MI in a retrospective study of patients in Iceland who survived an MI at 37-69 years of age. 22 Two isoforms of the receptor, CCR2A and CCR2B, are the result of alternative splicing.…”
Section: Discussionmentioning
confidence: 99%
“…In healthy subjects with a family history of heart disease, both 76 In another study, the 64I mutation was associated with myocardial infarction or reduced left ventricular function in patients aged 65 years or younger, suggesting that the mutation may be deleterious. 77 However, the 64I allele was not associated with coronary artery atherosclerosis, which may indicate that the effects of CCR2 are more related to plaque stability than to plaque size as measured by angiography. Evidence for a role for MCP-1 in ischemic heart disease comes from a study of plasma MCP-1 levels in healthy volunteers and patients with acute coronary syndrome.…”
Section: Arteriogenesismentioning
confidence: 96%
“…At the center of this disease process is recruitment of circulating monocytes into the injured vascular wall. In human subjects, polymorphisms in the chemokine receptors CCR2 and CX 3 CR1, which result in reduced chemotaxis of monocytes, are highly protective against adverse cardiovascular events (3,4). Mice deficient in CCR2, CX 3 CR1, and CCR5 demonstrate decreased monocyte trafficking into vascular lesions, and combined blockade of all three confers additive protection (5)(6)(7)(8)(9).…”
Section: mentioning
confidence: 99%