PMID- 22609259 OWN - NLM STAT- MEDLINE DCOM- 20121128 LR - 20151119 IS - 1873-3492 (Electronic) IS - 0009-8981 (Linking) VI - 413 IP - 19-20 DP - 2012 Oct 9 TI - The levels of circulating and urinary monocyte chemoattractant protein-1 are associated with chronic renal injury in obese men. PG - 1647-51 LID - 10.1016/j.cca.2012.05.008 [doi] AB - BACKGROUND: Monocyte chemoattractant protein-1 (MCP-1) is a vital inflammatory marker of obesity. Whether obesity by itself increases the risk of chronic kidney injury and accelerates its progression is unknown. More importantly, it is unknown whether obesity could induce kidney injury by MCP-1. METHODS: We enrolled 40 obese men and 26 healthy volunteers who served as controls. The degree of insulin resistance was evaluated by the homeostasis model assessment (HOMA-IR) method, and kidney function was determined based on the estimated glomerular filtration rate (eGFR), albuminuria, the concentration of serum cystatin C (S-CysC), and the urinary cystatin C to creatinine ratio (UCCR). RESULTS: The obese subjects had significantly higher S-CysC concentration (1114+/-288 vs.962+/-169 mg/L, p=0.021) and a higher UCCR (3.5+/-1.6 vs. 2.5+/-0.8 mug/g, p=0.002) than those of controls. The concentration of circulating MCP-1 and the urinary MCP-1 to creatinine ratio (UMCR) were higher in the obese group and were correlated with fat mass and HOMA-IR. Using stepwise multiple linear regression analysis, circulating MCP-1 concentration was found to be independently associated with the amount of S-CysC. In addition, the UMCR was independently associated with the UCCR. CONCLUSION: The concentrations of circulating and urinary monocyte chemoattractant protein-1 are associated with chronic renal injury in obese men. CI - Copyright (c) 2012 Elsevier B.V. All rights reserved. FAU - Fu, Chia-Po AU - Fu CP AD - Division of Endocrinology and Metabolism, Department of Medicine, Taichung Veterans General Hospital, Taichung, Taiwan. FAU - Lee, I-Te AU - Lee IT FAU - Sheu, Wayne H-H AU - Sheu WH FAU - Lee, Wen-Jane AU - Lee WJ FAU - Liang, Kae-Woei AU - Liang KW FAU - Lee, Wen-Lieng AU - Lee WL FAU - Lin, Shih-Yi AU - Lin SY LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120515 PL - Netherlands TA - Clin Chim Acta JT - Clinica chimica acta; international journal of clinical chemistry JID - 1302422 RN - 0 (Biomarkers) RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Cystatin C) RN - AYI8EX34EU (Creatinine) SB - IM MH - Adipose Tissue/metabolism/pathology MH - Adult MH - Albuminuria/*blood/complications/*urine MH - Biomarkers/blood/urine MH - Body Mass Index MH - *Chemokine CCL2/blood/urine MH - Creatinine/blood/urine MH - Cystatin C/blood/urine MH - Glomerular Filtration Rate MH - Humans MH - Insulin Resistance MH - Kidney/metabolism/pathology MH - Male MH - Middle Aged MH - Monocytes/metabolism/pathology MH - Obesity/*blood/complications/*urine MH - Renal Insufficiency, Chronic/*blood/complications/*urine EDAT- 2012/05/23 06:00 MHDA- 2012/12/10 06:00 CRDT- 2012/05/22 06:00 PHST- 2012/02/24 00:00 [received] PHST- 2012/04/23 00:00 [revised] PHST- 2012/05/09 00:00 [accepted] PHST- 2012/05/22 06:00 [entrez] PHST- 2012/05/23 06:00 [pubmed] PHST- 2012/12/10 06:00 [medline] AID - S0009-8981(12)00234-3 [pii] AID - 10.1016/j.cca.2012.05.008 [doi] PST - ppublish SO - Clin Chim Acta. 2012 Oct 9;413(19-20):1647-51. doi: 10.1016/j.cca.2012.05.008. Epub 2012 May 15.