LEVEL OF MONOCYTE CHEMOATTRACTANT PROTEIN-1 IN MEDULLARY AND PAPILLARY THYROID CARCINOMAS

Authors

DOI:

https://doi.org/10.21856/j-PEP.2026.2.01

Keywords:

monocyte chemoattractant protein-1, medullary thyroid carcinoma, papillary thyroid carcinoma, metastasis, biomarker

Abstract

Monocyte chemoattractant protein-1 (MCP-1), also known as C-C motif chemokine ligand 2 (CCL2), is a prototypical member of the C-C chemokine superfamily (MCP-1/2/3/4) that signals through G protein–coupled receptors to orchestrate leukocyte recruitment. By regulating the trafficking and activation of monocytes and basophils, MCP-1 critically modulates inflammatory responses. In the oncologic context, MCP-1 promotes tumor progression and metastatic dissemination through the recruitment of tumor-associated macrophages, thereby fostering a microenvironment conducive to cancer cell survival, migration, and invasion. This study aimed to comparatively evaluate MCP-1 levels in conditionally normal (CN) thyroid tissue, primary medullary thyroid carcinoma (MTC) tissues, and corresponding metastatic (Mts) lesions, as well as in blood plasma from patients with medullary thyroid carcinoma and papillary thyroid carcinoma (PTC) with and without metastases.

Materials and methods. Postoperative thyroid tissue specimens and peripheral blood plasma were collected from patients undergoing surgical treatment. MCP-1 concentrations were quantified using enzyme-linked immunosorbent assay (ELISA).

Results. MCP-1 expression was significantly elevated in primary MTC tissues without metastases compared with matched CN thyroid tissue. In metastatic MTC, tissue MCP-1 levels were increased more than threefold relative to corresponding normal tissue, with the highest expression observed in lymph node metastatic deposits. Consistently, circulating MCP-1 concentrations were significantly higher in patients with metastatic MTC than in those with non-metastatic disease. No significant difference in plasma MCP-1 concentration was found between metastatic РTC and РTC without metastases.

Conclusions. MCP-1 expression is markedly upregulated in metastatic versus non-metastatic medullary thyroid carcinoma at both tissue and systemic levels. These findings implicate MCP-1 as a potential preoperative biomarker for stratifying metastatic risk in medullary thyroid carcinoma.

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Published

2026-06-15

How to Cite

Kobrynska, N., Pushkarev, V., Levchuk, N., Guda, B., Komisarenko, I., Furmanova, O., & Kovzun, O. (2026). LEVEL OF MONOCYTE CHEMOATTRACTANT PROTEIN-1 IN MEDULLARY AND PAPILLARY THYROID CARCINOMAS. Problems of Endocrine Pathology, 83(2), 7–13. https://doi.org/10.21856/j-PEP.2026.2.01

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Section

CLINICAL ENDOCRINOLOGY

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