PMID- 26894024 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160219 LR - 20200930 IS - 2211-9132 (Print) IS - 2211-9140 (Electronic) IS - 2211-9132 (Linking) VI - 31 IP - 3 DP - 2012 Sep TI - Plasma leptin concentrations are greater in type II diabetic patients and stimulate monocyte chemotactic peptide-1 synthesis via the mitogen-activated protein kinase/extracellular signal-regulated kinase pathway. PG - 177-85 LID - 10.1016/j.krcp.2012.06.004 [doi] AB - BACKGROUND: Leptin is an adipokine that is recently reported to be a biomarker of systemic inflammation. Although atherosclerosis causes cardiovascular diseases, it is not clear whether leptin contributes to the acceleration of this process. In this study, we investigated whether alterations of plasma leptin levels were related to diabetic nephropathy and systemic inflammation. In addition, we examined the physiologic action of leptin in cultured vascular smooth muscle cells (VSMCs). METHODS: A total of 126 type 2 diabetic participants and 37 healthy controls were studied. The diabetic participants were divided into three groups according to stage of nephropathy. We investigated whether leptin induced monocyte chemotactic peptide-1 (MCP-1) synthesis through the mitogen-activated protein kinase (MAPK) pathway using cultured VSMCs. RESULTS: Plasma leptin concentrations were significantly higher in the diabetic group than in the controls. Plasma leptin levels were positively correlated with body mass index, fasting and postprandial blood glucose, hemoglobin A1c, total cholesterol, urinary albumin excretion, high-sensitivity C-reactive protein (hsCRP), and MCP-1 plasma levels, and negatively correlated with creatinine clearance values. In cultured VSMCs, leptin increased MCP-1 production in a dose-dependent manner, and this stimulating effect of leptin on MCP-1 expression was reversed by the MAPK (MEK) inhibitor PD98059. In addition, leptin stimulated the phosphorylation of MEK, extracellular signal-regulated kinase, and E26-like transcription factor, which are components of the MAPK pathway. CONCLUSIONS: Overall, these findings suggest that activation of leptin synthesis may promote MCP-1 activation in a diabetic environment via the MAPK pathway in VSMCs and that it possibly contributes to the acceleration of atherosclerosis. FAU - Cha, Jin Joo AU - Cha JJ AD - Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea. FAU - Hyun, Young Youl AU - Hyun YY AD - Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea. FAU - Jee, Yi Hwa AU - Jee YH AD - Medical Research Institute, Korea University, Ansan, Korea. FAU - Lee, Mi Jin AU - Lee MJ AD - Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea. FAU - Han, Kum Hyun AU - Han KH AD - Department of Internal Medicine, Inje University Ilsan-Paik Hospital, Ilsan, Korea. FAU - Kang, Young Sun AU - Kang YS AD - Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea. FAU - Han, Sang Youb AU - Han SY AD - Department of Internal Medicine, Inje University Ilsan-Paik Hospital, Ilsan, Korea. FAU - Cha, Dae Ryong AU - Cha DR AD - Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea. LA - eng PT - Journal Article DEP - 20120626 PL - Korea (South) TA - Kidney Res Clin Pract JT - Kidney research and clinical practice JID - 101586778 PMC - PMC4716089 OTO - NOTNLM OT - Atherosclerosis OT - Diabetes mellitus OT - Leptin OT - Monocyte chemotactic peptide-1 OT - Vascular smooth muscle cell EDAT- 2012/09/01 00:00 MHDA- 2012/09/01 00:01 PMCR- 2012/06/26 CRDT- 2016/02/20 06:00 PHST- 2012/04/15 00:00 [received] PHST- 2012/05/02 00:00 [revised] PHST- 2012/05/15 00:00 [accepted] PHST- 2016/02/20 06:00 [entrez] PHST- 2012/09/01 00:00 [pubmed] PHST- 2012/09/01 00:01 [medline] PHST- 2012/06/26 00:00 [pmc-release] AID - S2211-9132(12)00698-5 [pii] AID - 10.1016/j.krcp.2012.06.004 [doi] PST - ppublish SO - Kidney Res Clin Pract. 2012 Sep;31(3):177-85. doi: 10.1016/j.krcp.2012.06.004. Epub 2012 Jun 26.