1997
DOI: 10.1161/01.atv.17.8.1614
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Monocyte Chemotactic Protein-1 Expression Is Associated With the Development of Vein Graft Intimal Hyperplasia

Abstract: Infiltration of immunologically active cells into vein grafts is concomitant with the development of intimal hyperplasia (IH) and often leads to obliterative stenosis and graft failure. Previous work has demonstrated the prolonged presence of monocytes and macrophages in vein grafts. The stimuli attracting these macrophages remain unidentified. Monocyte chemotactic protein-1 (MCP-1), a potent and specific chemokine for monocytes/macrophages, is secreted by smooth muscle cells, endothelial cells, fibroblasts, a… Show more

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Cited by 70 publications
(67 citation statements)
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“…An increased mononuclear cell infiltration attracted by increased levels of MCP-1 can enhance both rejection and the development of transplantassociated atherosclerosis (26). Although we cannot exclude subclinical rejections, we found no influence of the MCP-1 variant on acute rejection in our population.…”
Section: Discussioncontrasting
confidence: 46%
“…An increased mononuclear cell infiltration attracted by increased levels of MCP-1 can enhance both rejection and the development of transplantassociated atherosclerosis (26). Although we cannot exclude subclinical rejections, we found no influence of the MCP-1 variant on acute rejection in our population.…”
Section: Discussioncontrasting
confidence: 46%
“…Intimal hyperplasia of vein grafts, which involves an exaggerated vascular wound healing response, has been associated with increased MCP-1 levels that may stimulate monocyte infiltration as well as promote endothelial migration. 45 The advent of chemokine peptide antagonists, eg, the 9-76 MCP-1 analogue, which has already been tested in a murine arthritis model, 46,47 may offer encouraging novel approaches in the treatment of inflammatory conditions, restenosis, or angiogenic tumors.…”
Section: Discussionmentioning
confidence: 99%
“…Although vein grafts are commonly used as conduits in cardiac and vascular surgery, 10 their use is commonly complicated by intimal hyperplasia and accelerated atherosclerosis, which cause late failure rates of up to 40% of grafts within 10 years of surgery. 11 The process of vein grafting leads to activation of MAP kinases, 12,13 endothelial expression of adhesion molecules 14 and chemokines, 15 and recruitment of inflammatory cells within 6 to 24 hours after surgery. 16,17 It has been suggested that the inflammatory process contributes to pathogenesis because vein graft disease can be reduced by depletion of macrophages 18 or by genetic deletion of proinflammatory genes such as intercellular adhesion molecule-1 19 or the p55 tumor necrosis factor receptor.…”
Section: Clinical Perspective On P 532mentioning
confidence: 99%