PMID- 21337348 OWN - NLM STAT- MEDLINE DCOM- 20110714 LR - 20211020 IS - 1932-8737 (Electronic) IS - 0160-9289 (Print) IS - 0160-9289 (Linking) VI - 34 IP - 3 DP - 2011 Mar TI - High white blood cell count and low estimated glomerular filtration rate are independently associated with serum level of monocyte chemoattractant protein-1 in a general population. PG - 189-94 LID - 10.1002/clc.20834 [doi] AB - BACKGROUND: Monocyte chemoattractant protein-1 (MCP-1) plays a role in cardiovascular disease (CVD) and renal injury. Recent clinical studies have suggested that circulating levels of MCP-1 could be a biomarker of atherosclerosis and future cardiovascular events in humans. Because chronic kidney disease (CKD) is one of the risk factors of CVD, it is conceivable that elevated MCP-1 levels may link the increased risk of CVD in CKD patients. However, as far as we know, in addition to well-known traditional risk factors for atherosclerosis, whether renal dysfunction could be independently associated with the elevation of MCP-1 levels in a general population remains unknown. Therefore, we examined here which anthropometric and metabolic variables, including renal function, could be independent correlates of circulating levels of MCP-1 in a general population. HYPOTHESIS: We hypothesized that renal function was one of the independent correlates of serum MCP-1 levels. METHODS: A total of 860 Japanese residents (318 males and 542 females, mean age 65.4 +/- 9.8 years) in a small fishing community underwent a complete history and physical examination with determination of blood chemistries, including serum levels of MCP-1. RESULTS: Mean MCP-1 levels were 281.4 pg/mL. Multiple stepwise regression analyses revealed that male sex (P<0.0001), age (P=0.03), estimated glomerular filtration rate (eGFR) (P<0.0001, inversely), and white blood cell count (P=0.037) were independently associated with MCP-1 levels. CONCLUSIONS: The present study demonstrated for the first time that other than white blood cell count, eGFR was an independent correlate of serum levels of MCP-1 in a Japanese general population. Elevated MCP-1 levels may partly explain the increased risk of CVD in CKD patients. CI - (c) 2011 Wiley Periodicals, Inc. FAU - Fukami, Ako AU - Fukami A AD - Department of Internal Medicine, Division of Cardio-Vascular Medicine, Kurume University School of Medicine, Fukuoka, Japan. FAU - Yamagishi, Sho-ichi AU - Yamagishi S FAU - Adachi, Hisashi AU - Adachi H FAU - Matsui, Takanori AU - Matsui T FAU - Yoshikawa, Kuniko AU - Yoshikawa K FAU - Ogata, Kinuka AU - Ogata K FAU - Kasahara, Akiko AU - Kasahara A FAU - Tsukagawa, Eri AU - Tsukagawa E FAU - Yokoi, Kanako AU - Yokoi K FAU - Imaizumi, Tsutomu AU - Imaizumi T LA - eng PT - Journal Article DEP - 20110217 PL - United States TA - Clin Cardiol JT - Clinical cardiology JID - 7903272 RN - 0 (Chemokine CCL2) SB - IM MH - Age Factors MH - Aged MH - Atherosclerosis/blood MH - Chemokine CCL2/*blood MH - Epidemiologic Studies MH - Female MH - *Glomerular Filtration Rate MH - Humans MH - Japan/epidemiology MH - Kidney Failure, Chronic/blood MH - *Leukocyte Count MH - Male MH - Middle Aged MH - Sex Factors MH - Statistics as Topic PMC - PMC6652339 EDAT- 2011/02/22 06:00 MHDA- 2011/07/16 06:00 PMCR- 2011/02/17 CRDT- 2011/02/22 06:00 PHST- 2010/07/15 00:00 [received] PHST- 2010/07/30 00:00 [accepted] PHST- 2011/02/22 06:00 [entrez] PHST- 2011/02/22 06:00 [pubmed] PHST- 2011/07/16 06:00 [medline] PHST- 2011/02/17 00:00 [pmc-release] AID - CLC20834 [pii] AID - 10.1002/clc.20834 [doi] PST - ppublish SO - Clin Cardiol. 2011 Mar;34(3):189-94. doi: 10.1002/clc.20834. Epub 2011 Feb 17.