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Circulation. 2001;103:2531-2534

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(Circulation. 2001;103:2531.)
© 2001 American Heart Association, Inc.


Brief Rapid Communications

Modulation of C-Reactive Protein–Mediated Monocyte Chemoattractant Protein-1 Induction in Human Endothelial Cells by Anti-Atherosclerosis Drugs

Vincenzo Pasceri, MD, PhD; Jed Chang, BS; James T. Willerson, MD; Edward T. H. Yeh, MD

From the Department of Cardiology (J.C., E.T.H.Y.), University of Texas–MD Anderson Cancer Center; Department of Internal Medicine (V.P., J.T.W., E.T.H.Y.), University of Texas Health Science Center; and the Texas Heart Institute (V.P., J.T.W., E.T.H.Y.), St. Luke’s Episcopal Hospital, Houston, Tex.

Correspondence to Edward T.H. Yeh, MD, Department of Cardiology, 1515 Holcombe Blvd. Box 449, University of Texas–MD Anderson Cancer Center, Houston, TX 77030-4009.

Background—C-reactive protein (CRP) induces adhesion molecule expression by endothelial cells. However, the effects of CRP on chemokine expression by endothelial cells are not known.

Methods and Results—We tested the effects of CRP on the production of the chemokines monocyte chemoattractant protein-1 (MCP-1) and RANTES in cultured human umbilical vein endothelial cells. The secretion of chemokines was assessed by ELISA. Incubation with 100 µg/mL recombinant human CRP induced a 7-fold increase in MCP-1 but no change in RANTES secretion. We showed that the effect of CRP on MCP-1 was present even at 5 µg/mL CRP, with stepwise increases as the CRP concentration was increased to 10, 50, and 100 µg/mL. The effect of CRP on MCP-1 induction was not influenced by aspirin (at concentrations up to 1 mmol/L), but it was significantly inhibited by 5 µmol/L simvastatin. The peroxisome proliferator-activated receptor-{alpha} activators fenofibrate (100 µmol/L) and Wy-14649 (100 µmol/L) almost completely abolished the induction of MCP-1, but the peroxisome proliferator-activated receptor-{gamma} activator ciglitazone had only a moderate effect.

Conclusions—These results further strengthen the role of CRP in the pathogenesis of vascular inflammation and, likely, atherosclerosis and provide a crucial insight into a novel mechanism of action of anti-atherosclerosis drugs such as simvastatin and fenofibrate.


Key Words: cell adhesion molecules • endothelium • atherosclerosis




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