PMID- 20200310 OWN - NLM STAT- MEDLINE DCOM- 20100721 LR - 20220309 IS - 1935-5548 (Electronic) IS - 0149-5992 (Print) IS - 0149-5992 (Linking) VI - 33 IP - 5 DP - 2010 May TI - Suppressive effect of insulin infusion on chemokines and chemokine receptors. PG - 1103-8 LID - 10.2337/dc09-2193 [doi] AB - OBJECTIVE: In view of the previously described anti-inflammatory effects of insulin, we investigated the potential suppressive effect of insulin on plasma concentrations and expression of the chemokines, monocyte chemoattractant protein-1 (MCP-1) and regulated on activation normal T-cell expressed and secreted (RANTES) and their receptors, chemokine receptor (CCR)-2 and CCR-5, in mononuclear cells (MNCs). We also investigated the effect of insulin on other chemokines. RESEARCH DESIGN AND METHODS: Ten obese type 2 diabetic patients were infused with insulin (2 units/h with 100 ml of 5% dextrose/h) for 4 h. Another 8 and 6 type 2 diabetic patients were infused with 100 ml of 5% dextrose/h or saline for 4 h, respectively, and served as control subjects. Blood samples were obtained at 0, 2, 4, and 6 h. RESULTS: Insulin infusion significantly suppressed the plasma concentrations of MCP-1, eotaxin, and RANTES and the expression of RANTES, macrophage inflammatory protein (MIP)-1beta, CCR-2, and CCR-5 in MNCs at 2 and 4 h. Dextrose and saline infusions did not alter these indexes. CONCLUSIONS: A low-dose infusion of insulin suppresses the plasma concentration of key chemokines, MCP-1, and RANTES, and the expression of their respective receptors, CCR-2 and CCR-5, in MNCs. Insulin also suppresses the expression of RANTES and MIP-1beta in MNCs. These actions probably contribute to the comprehensive anti-inflammatory effect of insulin. FAU - Ghanim, Husam AU - Ghanim H AD - Division of Endocrinology, Diabetes and Metabolism, State University of New York at Buffalo, New York, USA. pdandona@kaleidahealth.org FAU - Korzeniewski, Kelly AU - Korzeniewski K FAU - Sia, Chang Ling AU - Sia CL FAU - Abuaysheh, Sanaa AU - Abuaysheh S FAU - Lohano, Teekam AU - Lohano T FAU - Chaudhuri, Ajay AU - Chaudhuri A FAU - Dandona, Paresh AU - Dandona P LA - eng GR - R01 DK069805/DK/NIDDK NIH HHS/United States GR - R01 DK075877/DK/NIDDK NIH HHS/United States GR - R01-DK-069805/DK/NIDDK NIH HHS/United States GR - R01-DK-075877/DK/NIDDK NIH HHS/United States PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20100303 PL - United States TA - Diabetes Care JT - Diabetes care JID - 7805975 RN - 0 (Blood Glucose) RN - 0 (CCL11 protein, human) RN - 0 (CCL4 protein, human) RN - 0 (CCR2 protein, human) RN - 0 (CX3C Chemokine Receptor 1) RN - 0 (CX3CL1 protein, human) RN - 0 (CX3CR1 protein, human) RN - 0 (CXCL12 protein, human) RN - 0 (CXCR4 protein, human) RN - 0 (Chemokine CCL11) RN - 0 (Chemokine CCL4) RN - 0 (Chemokine CCL5) RN - 0 (Chemokine CX3CL1) RN - 0 (Chemokine CXCL12) RN - 0 (Chemokines) RN - 0 (Hypoglycemic Agents) RN - 0 (Immunosuppressive Agents) RN - 0 (Insulin) RN - 0 (Interleukin-8) RN - 0 (Receptors, CCR2) RN - 0 (Receptors, CCR5) RN - 0 (Receptors, CXCR4) RN - 0 (Receptors, Chemokine) SB - IM MH - Adult MH - Blood Glucose/metabolism MH - CX3C Chemokine Receptor 1 MH - Chemokine CCL11/blood/genetics MH - Chemokine CCL4/blood/genetics MH - Chemokine CCL5/blood/genetics MH - Chemokine CX3CL1/blood/genetics MH - Chemokine CXCL12/blood/genetics MH - Chemokines/*blood/genetics MH - Diabetes Mellitus, Type 2/blood/*drug therapy/immunology MH - Gene Expression/immunology MH - Humans MH - Hypoglycemic Agents/administration & dosage/blood MH - Immunosuppressive Agents/administration & dosage MH - Inflammation/blood/drug therapy/immunology MH - Infusions, Intravenous MH - Insulin/*administration & dosage/blood MH - Interleukin-8/blood/genetics MH - Middle Aged MH - Obesity/blood/immunology MH - Receptors, CCR2/blood/genetics MH - Receptors, CCR5/blood/genetics MH - Receptors, CXCR4/blood/genetics MH - Receptors, Chemokine/*blood/genetics PMC - PMC2858184 EDAT- 2010/03/05 06:00 MHDA- 2010/07/22 06:00 PMCR- 2011/05/01 CRDT- 2010/03/05 06:00 PHST- 2010/03/05 06:00 [entrez] PHST- 2010/03/05 06:00 [pubmed] PHST- 2010/07/22 06:00 [medline] PHST- 2011/05/01 00:00 [pmc-release] AID - dc09-2193 [pii] AID - 2193 [pii] AID - 10.2337/dc09-2193 [doi] PST - ppublish SO - Diabetes Care. 2010 May;33(5):1103-8. doi: 10.2337/dc09-2193. Epub 2010 Mar 3.