PMID- 28336215 OWN - NLM STAT- MEDLINE DCOM- 20180309 LR - 20221207 IS - 1873-460X (Electronic) IS - 1056-8727 (Linking) VI - 31 IP - 5 DP - 2017 May TI - Association of increased levels of MCP-1 and cathepsin-D in young onset type 2 diabetes patients (T2DM-Y) with severity of diabetic retinopathy. PG - 804-809 LID - S1056-8727(16)30839-X [pii] LID - 10.1016/j.jdiacomp.2017.02.017 [doi] AB - AIM: Young onset type 2 diabetes patients (T2DM-Y) have been shown to possess an increased risk of developing microvascular complications particularly diabetic retinopathy. However, the molecular mechanisms are not clearly understood. In this study, we investigated the serum levels of monocyte chemotactic protein 1 (MCP-1) and cathepsin-D in patients with T2DM-Y without and with diabetic retinopathy. METHODS: In this case-control study, participants comprised individuals with normal glucose tolerance (NGT=40), patients with type 2 diabetes mellitus (T2DM=35), non-proliferative diabetic retinopathy (NPDR=35) and proliferative diabetic retinopathy (PDR=35). Clinical characterization of the study subjects was done by standard procedures and MCP-1 and cathepsin-D were measured by ELISA. RESULTS: Compared to control individuals, patients with T2DM-Y, NPDR and PDR exhibited significantly (p<0.001) higher levels of MCP-1. Cathepsin-D levels were also significantly (p<0.001) higher in patients with T2DM-Y without and with diabetic retinopathy. Correlation analysis revealed a positive association (p<0.001) between MCP-1 and cathepsin-D levels. There was also a significant negative correlation of MCP1/cathepsin-D with C-peptide levels. The association of increased levels of MCP-1/cathepsin-D in patients with DR persisted even after adjusting for all the confounding factors. CONCLUSION: As both MCP-1 and cathepsin-D are molecular signatures of cellular senescence, we suggest that these biomarkers might be useful to predict the development of retinopathy in T2DM-Y patients. CI - Copyright (c) 2017 Elsevier Inc. All rights reserved. FAU - Reddy, Sruthi AU - Reddy S AD - Department of Cell and Molecular Biology and Dr. Rema Mohan High-Throughput Screening (HTS) Lab, Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialities Centre, Gopalapuram, Chennai 600086, India. FAU - Amutha, Anandakumar AU - Amutha A AD - Department of Cell and Molecular Biology and Dr. Rema Mohan High-Throughput Screening (HTS) Lab, Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialities Centre, Gopalapuram, Chennai 600086, India. FAU - Rajalakshmi, Ramachandran AU - Rajalakshmi R AD - Department of Cell and Molecular Biology and Dr. Rema Mohan High-Throughput Screening (HTS) Lab, Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialities Centre, Gopalapuram, Chennai 600086, India. FAU - Bhaskaran, Regin AU - Bhaskaran R AD - Department of Cell and Molecular Biology and Dr. Rema Mohan High-Throughput Screening (HTS) Lab, Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialities Centre, Gopalapuram, Chennai 600086, India. FAU - Monickaraj, Finny AU - Monickaraj F AD - Department of Surgery and Department of Cell Biology and Physiology, University of New Mexico School of Medicine, Albuquerque, NM, USA. FAU - Rangasamy, Sampathkumar AU - Rangasamy S AD - Neurogenomics Division, Translational Genomics Research Institute, (TGen), Phoenix, AZ, USA. FAU - Anjana, Ranjit Mohan AU - Anjana RM AD - Department of Cell and Molecular Biology and Dr. Rema Mohan High-Throughput Screening (HTS) Lab, Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialities Centre, Gopalapuram, Chennai 600086, India. FAU - Abhijit, Shiny AU - Abhijit S AD - Department of Cell and Molecular Biology and Dr. Rema Mohan High-Throughput Screening (HTS) Lab, Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialities Centre, Gopalapuram, Chennai 600086, India. FAU - Gokulakrishnan, Kuppan AU - Gokulakrishnan K AD - Department of Cell and Molecular Biology and Dr. Rema Mohan High-Throughput Screening (HTS) Lab, Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialities Centre, Gopalapuram, Chennai 600086, India. FAU - Das, Arup AU - Das A AD - Department of Surgery and Department of Cell Biology and Physiology, University of New Mexico School of Medicine, Albuquerque, NM, USA. FAU - Mohan, Viswanathan AU - Mohan V AD - Department of Cell and Molecular Biology and Dr. Rema Mohan High-Throughput Screening (HTS) Lab, Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialities Centre, Gopalapuram, Chennai 600086, India. FAU - Balasubramanyam, Muthuswamy AU - Balasubramanyam M AD - Department of Cell and Molecular Biology and Dr. Rema Mohan High-Throughput Screening (HTS) Lab, Madras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialities Centre, Gopalapuram, Chennai 600086, India.. Electronic address: balusignal@gmail.com. LA - eng PT - Comparative Study PT - Journal Article DEP - 20170310 PL - United States TA - J Diabetes Complications JT - Journal of diabetes and its complications JID - 9204583 RN - 0 (Biomarkers) RN - 0 (C-Peptide) RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Glycated Hemoglobin A) RN - 0 (hemoglobin A1c protein, human) RN - EC 3.4.23.5 (CTSD protein, human) RN - EC 3.4.23.5 (Cathepsin D) RN - Maturity-Onset Diabetes of the Young, Type 2 SB - IM MH - Adult MH - Biomarkers/blood MH - C-Peptide/blood MH - Case-Control Studies MH - Cathepsin D/*blood MH - Chemokine CCL2/*blood MH - Confounding Factors, Epidemiologic MH - Diabetes Mellitus, Type 2/*complications MH - Diabetic Retinopathy/*blood/epidemiology/physiopathology MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Glycated Hemoglobin/analysis MH - Humans MH - India MH - Male MH - Reproducibility of Results MH - Risk Factors MH - Severity of Illness Index MH - *Up-Regulation MH - Young Adult OTO - NOTNLM OT - Biomarkers OT - Cathepsin-D OT - Diabetic Retinopathy OT - MCP-1 OT - T2DM-Y EDAT- 2017/03/25 06:00 MHDA- 2018/03/10 06:00 CRDT- 2017/03/25 06:00 PHST- 2016/11/12 00:00 [received] PHST- 2017/01/25 00:00 [revised] PHST- 2017/02/13 00:00 [accepted] PHST- 2017/03/25 06:00 [pubmed] PHST- 2018/03/10 06:00 [medline] PHST- 2017/03/25 06:00 [entrez] AID - S1056-8727(16)30839-X [pii] AID - 10.1016/j.jdiacomp.2017.02.017 [doi] PST - ppublish SO - J Diabetes Complications. 2017 May;31(5):804-809. doi: 10.1016/j.jdiacomp.2017.02.017. Epub 2017 Mar 10.