PMID- 25301674 OWN - NLM STAT- MEDLINE DCOM- 20151123 LR - 20220409 IS - 1437-4331 (Electronic) IS - 1434-6621 (Linking) VI - 53 IP - 4 DP - 2015 Mar TI - Weight loss reduces serum monocyte chemoattractant protein-1 concentrations in association with improvements in renal injury in obese men with metabolic syndrome. PG - 623-9 LID - 10.1515/cclm-2014-0468 [doi] AB - BACKGROUND: Monocyte chemoattractant protein-1 (MCP-1) is involved in obesity-related renal injury. The aim of the present study was to examine the effects of weight loss on changes in MCP-1 and markers of renal injury, specifically serum cystatin C (S-CysC) and urinary N-acetyl glucosaminidase (UNAG), in obese people. METHODS: In this prospective study, 40 obese men with metabolic syndrome (MetS) participated in a 3-month dietary and exercise intervention. Twenty-eight subjects completed the study with a >/=5% weight loss. Circulating MCP-1, S-CysC and UNAG to creatinine ratio (UNCR) were determined before and after the weight loss program. RESULTS: Obesity-associated components of MetS demonstrated significant improvements after the weight loss program. In addition, at baseline, circulating MCP-1 concentrations were positively correlated with UNCR and S-CysC levels. After weight loss, blood MCP-1 and UNCR levels were significantly decreased, but S-CysC was not affected. Using multiple linear regression analysis, there was a significant relationship between changes in UNCR and MCP-1 after adjusting for other potential confounding factors. CONCLUSIONS: Weight loss may improve renal tubular injury by ameliorating obesity-related inflammation in obese men with MetS. FAU - Fu, Chia-Po AU - Fu CP FAU - Sheu, Wayne H-H AU - Sheu WH FAU - Lee, I-Te AU - Lee IT FAU - Lee, Wen-Jane AU - Lee WJ FAU - Wang, Jun-Sing AU - Wang JS FAU - Liang, Kae-Woei AU - Liang KW FAU - Lee, Wen-Lieng AU - Lee WL FAU - Lin, Shih-Yi AU - Lin SY LA - eng PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Germany TA - Clin Chem Lab Med JT - Clinical chemistry and laboratory medicine JID - 9806306 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Cystatin C) RN - EC 3.2.1.50 (alpha-N-acetyl-D-glucosaminidase) RN - EC 3.2.1.52 (Acetylglucosaminidase) SB - IM MH - Acetylglucosaminidase/urine MH - Adult MH - Chemokine CCL2/*blood MH - Cystatin C/blood MH - Diet MH - Exercise MH - Humans MH - Kidney/*injuries/*physiopathology MH - Male MH - Metabolic Syndrome/*complications MH - Obesity/blood/*complications/*physiopathology/urine MH - *Weight Loss EDAT- 2014/10/11 06:00 MHDA- 2015/12/15 06:00 CRDT- 2014/10/11 06:00 PHST- 2014/05/01 00:00 [received] PHST- 2014/08/24 00:00 [accepted] PHST- 2014/10/11 06:00 [entrez] PHST- 2014/10/11 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] AID - /j/cclm.ahead-of-print/cclm-2014-0468/cclm-2014-0468.xml [pii] AID - 10.1515/cclm-2014-0468 [doi] PST - ppublish SO - Clin Chem Lab Med. 2015 Mar;53(4):623-9. doi: 10.1515/cclm-2014-0468.