Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1999-6-7
pubmed:abstractText
Kawasaki disease (KD) is a systemic vasculitis preferentially affecting coronary arteries. Extensive monocytes/macrophages infiltrate in the vascular lesions, implying the involvement of a chemotactic cytokine in their recruitment. We investigated the role of monocyte chemoattractant protein-1 (MCP-1, also termed monocyte chemotactic and activating factor) in KD. In the immunohistochemical studies using the cardiac tissues of patients with fatal KD, MCP-1 but not interleukin (IL) -8 or macrophage inflammatory protein-1alpha was localized at the extracellular matrix associated with mononuclear cellular infiltration. The sites of MCP-1 expression correlated with the distribution of the acute inflammation, including early coronary vasculitis. In prospectively studied patients with KD, circulating levels of MCP-1, IL-8, tumor necrosis factor alpha (TNF-alpha), and IL-1alpha were elevated in 73, 77, 57, and 0% of samples before gamma globulin (GG) treatment (400 mg/kg x 5 days = total 2 g/kg), respectively, compared with respective control values. GG treatment correlated with a rapid decrease in the circulating levels of MCP-1 (P = 0.001) but not IL-8 (P = 0.19) or TNF-alpha (P = 0.33). In the sensitive Western blotting, MCP-1 bound to GG. Furthermore, GG inhibited the MCP-1-induced Ca2+ influx in a human monocytic cell line in vitro. These findings suggest a role of MCP-1 in KD, and indicate that GG treatment may block MCP-1 activity, thus alleviating KD vasculitis.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0741-5400
pubmed:author
pubmed:issnType
Print
pubmed:volume
65
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
566-72
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:10331483-Blotting, Western, pubmed-meshheading:10331483-Calcium, pubmed-meshheading:10331483-Cell Line, pubmed-meshheading:10331483-Chemokine CCL2, pubmed-meshheading:10331483-Chemokine CCL4, pubmed-meshheading:10331483-Child, pubmed-meshheading:10331483-Child, Preschool, pubmed-meshheading:10331483-Humans, pubmed-meshheading:10331483-Immunohistochemistry, pubmed-meshheading:10331483-Infant, pubmed-meshheading:10331483-Interleukin-1, pubmed-meshheading:10331483-Interleukin-8, pubmed-meshheading:10331483-Macrophage Inflammatory Proteins, pubmed-meshheading:10331483-Monocytes, pubmed-meshheading:10331483-Mucocutaneous Lymph Node Syndrome, pubmed-meshheading:10331483-Myocardium, pubmed-meshheading:10331483-Tumor Necrosis Factor-alpha, pubmed-meshheading:10331483-gamma-Globulins
pubmed:year
1999
pubmed:articleTitle
Dramatic decrease of circulating levels of monocyte chemoattractant protein-1 in Kawasaki disease after gamma globulin treatment.
pubmed:affiliation
Department of Pediatrics, Chiba University School of Medicine, Chiba-shi, Japan. terai@med.m.chiba-u.ac.jp
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, Non-U.S. Gov't