PMID- 18272603 OWN - NLM STAT- MEDLINE DCOM- 20080613 LR - 20220409 IS - 1931-857X (Print) IS - 1522-1466 (Linking) VI - 294 IP - 4 DP - 2008 Apr TI - MCP-1/CCL2: a new diagnostic marker and therapeutic target for progressive renal injury in diabetic nephropathy. PG - F697-701 LID - 10.1152/ajprenal.00016.2008 [doi] AB - Despite current therapies, many diabetic patients will suffer from declining renal function in association with progressive kidney inflammation. Recently, animal model studies have demonstrated that kidney macrophage accumulation is a critical factor in the development of diabetic nephropathy. However, specific anti-inflammatory strategies are not yet being considered for the treatment of patients with diabetic renal injury. This review highlights the chemokine monocyte chemoattractant protein-1 (MCP-1)/CC-chemokine ligand 2 as a major promoter of inflammation, renal injury, and fibrosis in diabetic nephropathy. Researchers have found that diabetes induces kidney MCP-1 production and that urine MCP-1 levels can be used to assess renal inflammation in this disease. In addition, genetic deletion and molecular blocking studies in rodents have identified MCP-1 as an important therapeutic target for treating diabetic nephropathy. Evidence also suggests that a polymorphism in the human MCP-1 gene is associated with progressive kidney failure in type 2 diabetes, which may identify patients at higher risk who need additional therapy. These findings provide a strong rationale for developing specific therapies against MCP-1 and inflammation in diabetic nephropathy. FAU - Tesch, G H AU - Tesch GH AD - Dept. of Nephrology, Monash Medical Centre, 246 Clayton Rd., Clayton, Victoria 3168, Australia. greg.tesch@med.monash.edu.au LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20080213 PL - United States TA - Am J Physiol Renal Physiol JT - American journal of physiology. Renal physiology JID - 100901990 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (RNA, Messenger) SB - IM MH - Animals MH - Chemokine CCL2/antagonists & inhibitors/deficiency/genetics/*physiology MH - Diabetes Mellitus, Type 2/genetics MH - Diabetic Nephropathies/genetics/*metabolism/therapy/urine MH - Disease Models, Animal MH - Humans MH - Macrophages/physiology MH - RNA, Messenger/genetics RF - 55 EDAT- 2008/02/15 09:00 MHDA- 2008/06/14 09:00 CRDT- 2008/02/15 09:00 PHST- 2008/02/15 09:00 [pubmed] PHST- 2008/06/14 09:00 [medline] PHST- 2008/02/15 09:00 [entrez] AID - 00016.2008 [pii] AID - 10.1152/ajprenal.00016.2008 [doi] PST - ppublish SO - Am J Physiol Renal Physiol. 2008 Apr;294(4):F697-701. doi: 10.1152/ajprenal.00016.2008. Epub 2008 Feb 13.