Journal
JOURNAL OF LEUKOCYTE BIOLOGY
Volume 88, Issue 1, Pages 41-55Publisher
FEDERATION AMER SOC EXP BIOL
DOI: 10.1189/jlb.1009671
Keywords
chemokines; chemokine receptors; disease pathogenesis; monocyte/macrophage recruitment
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A cardinal feature of inflammation is the tissue recruitment of leukocytes, a process that is mediated predominantly by chemokines via their receptors on migrating cells. CCR2 and CCR5, two CC chemokine receptors, are important players in the trafficking of monocytes/macrophages and in the functions of other cell types relevant to disease pathogenesis. This review provides a brief overview of the biological actions of CCR2 and CCR5 and a comprehensive summary of published data that demonstrate the involvement of both receptors in the pathogenesis of immunologic diseases (RA, CD, and transplant rejection) and cardiovascular diseases (atherosclerosis and AIH). In light of the potential for functional redundancy of chemokine receptors in mediating leukocyte trafficking and the consequent concern over insufficient efficacy offered by pharmacologically inhibiting one receptor, this review presents evidence supporting dual targeting of CCR2 and CCR5 as a more efficacious strategy than targeting either receptor alone. It also examines potential safety issues associated with such dual targeting. J. Leukoc. Biol. 88: 41-55; 2010.
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