PMID- 17694504 OWN - NLM STAT- MEDLINE DCOM- 20080321 LR - 20171116 IS - 1520-7552 (Print) IS - 1520-7552 (Linking) VI - 24 IP - 2 DP - 2008 Feb TI - Circulating advanced glycation end products (AGEs) and soluble form of receptor for AGEs (sRAGE) are independent determinants of serum monocyte chemoattractant protein-1 (MCP-1) levels in patients with type 2 diabetes. PG - 109-14 AB - BACKGROUND: Atherosclerosis is an inflammatory disease. Monocyte chemoattractant protein-1 (MCP-1) is an essential chemokine responsible for the recruitment of monocytes to inflammatory lesions in the vasculature, an initial step of atherosclerosis. Since serum levels of MCP-1 are higher in patients with type 2 diabetes, inhibition of MCP-1 may be a novel therapeutic target for prevention of accelerated atherosclerosis in diabetes. However, little is known about the regulation and determinants of serum MCP-1 levels in patients with diabetes. In this study, we examined the determinants of serum MCP-1 levels in type 2 diabetic patients. METHODS: Eighty-six consecutive outpatients with type 2 diabetes (36 male and 50 female; mean age 68.4+/-9.6) underwent a complete history and physical examination, determination of blood chemistries, MCP-1, tumour necrosis factor-alpha, adiponectin, advanced glycation end products (AGEs), and soluble form of receptor for AGEs (sRAGE). We examined the association between MCP-1 levels and those in anthropometric, metabolic and inflammatory variables in these subjects. RESULTS: Univariate regression analysis showed that serum levels of MCP-1 were positively associated with AGEs (r=0.386, p<0.001) and sRAGE (r=0.315, p<0.001). After adjusting for age and sex, AGEs (p<0.001) and sRAGE (p<0.05) still remained significant. CONCLUSION: The results demonstrate for the first time that circulating levels of AGEs and sRAGE are independent determinants of serum MCP-1 levels in patients with type 2 diabetes. Our present observations suggest the AGEs-RAGE system may be mainly involved in the elevation of MCP-1 in type 2 diabetic patients. CI - Copyright (c) 2007 John Wiley & Sons, Ltd. FAU - Nakamura, Kazuo AU - Nakamura K AD - Department of Medicine, Kurume University School of Medicine, Kurume, Japan. FAU - Yamagishi, Sho-ichi AU - Yamagishi S FAU - Adachi, Hisashi AU - Adachi H FAU - Matsui, Takanori AU - Matsui T FAU - Kurita-Nakamura, Yayoi AU - Kurita-Nakamura Y FAU - Takeuchi, Masayoshi AU - Takeuchi M FAU - Inoue, Hiroyoshi AU - Inoue H FAU - Imaizumi, Tsutomu AU - Imaizumi T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Diabetes Metab Res Rev JT - Diabetes/metabolism research and reviews JID - 100883450 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Glycation End Products, Advanced) RN - 0 (Receptor for Advanced Glycation End Products) RN - 0 (Receptors, Immunologic) SB - IM MH - Aged MH - Chemokine CCL2/*blood MH - Diabetes Mellitus, Type 2/*blood MH - Female MH - Glycation End Products, Advanced/*blood MH - Humans MH - Male MH - Middle Aged MH - Receptor for Advanced Glycation End Products MH - Receptors, Immunologic/*blood MH - Regression Analysis MH - Solubility EDAT- 2007/08/19 09:00 MHDA- 2008/03/22 09:00 CRDT- 2007/08/19 09:00 PHST- 2007/08/19 09:00 [pubmed] PHST- 2008/03/22 09:00 [medline] PHST- 2007/08/19 09:00 [entrez] AID - 10.1002/dmrr.766 [doi] PST - ppublish SO - Diabetes Metab Res Rev. 2008 Feb;24(2):109-14. doi: 10.1002/dmrr.766.