PMID- 31250339 OWN - NLM STAT- MEDLINE DCOM- 20200219 LR - 20200225 IS - 1573-2584 (Electronic) IS - 0301-1623 (Linking) VI - 51 IP - 8 DP - 2019 Aug TI - Association of urinary monocyte chemoattractant protein-1 (MCP-1) and kidney injury molecule-1 (KIM-1) with risk factors of diabetic kidney disease in type 2 diabetes patients. PG - 1379-1386 LID - 10.1007/s11255-019-02201-6 [doi] AB - PURPOSE: Urinary kidney injury molecule-1 and monocyte chemoattractant protein-1 are significance factors in the diagnosis and intervention of diabetic kidney diseases. This study determined levels of these proteins in diabetic patients with varying degrees of kidney disease and assessed their relationship with risk factors associated with diabetic kidney diseases. METHODS: A total of 185 patients with type 2 diabetes were divided into three groups [low risk (n = 47), moderate risk (n = 63), and high risk (n = 75)] based on the severity of diabetic kidney disease according to kidney disease: improving global outcomes guidelines. Both urinary kidney injury molecule-1 and monocyte chemoattractant protein-1 levels were measured by enzyme-linked immunosorbent assay. Student;s t test, analysis of variance, and Spearman's correlation were used for statistical analysis. RESULTS: The kidney injury molecule-1-to-creatinine ratio (P = 0.035) and monocyte chemoattractant protein-1-to-creatinine ratio (P < 0.001) increased significantly with the increase in kidney disease severity and varied according to different albuminuria statuses and estimated glomerular-filtration rates. The monocyte chemoattractant protein-1-to-creatinine ratio showed a significant correlation with hemoglobin A1c (P = 0.002) and inflammatory marker levels (interleukin-6, P = 0.005; tumor necrosis factor-alpha, P < 0.001). CONCLUSION: Urinary levels of both kidney injury molecule-1 and monocyte chemoattractant protein-1 represent distinguishing markers for the evaluation of diabetic kidney disease progression according to the associated degrees of albuminuria or/and the estimated glomerular-filtration rate. In addition, correlations between urinary monocyte chemoattractant protein-1 and glycemic and inflammatory marker levels revealed the role of hyperglycemia and chronic inflammation in the pathogenesis of diabetic kidney disease. FAU - Siddiqui, Khalid AU - Siddiqui K AUID- ORCID: 0000-0003-4860-1262 AD - Strategic Center for Diabetes Research, College of Medicine, King Saud University, Riyadh, Saudi Arabia. ksiddiqui@ksu.edu.sa. FAU - Joy, Salini Scaria AU - Joy SS AD - Strategic Center for Diabetes Research, College of Medicine, King Saud University, Riyadh, Saudi Arabia. FAU - Al-Rubeaan, Khalid AU - Al-Rubeaan K AD - University Diabetes Center, King Abdulaziz University Hospital, King Saud University, Riyadh, Saudi Arabia. LA - eng PT - Journal Article DEP - 20190619 PL - Netherlands TA - Int Urol Nephrol JT - International urology and nephrology JID - 0262521 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (HAVCR1 protein, human) RN - 0 (Hepatitis A Virus Cellular Receptor 1) SB - IM MH - Chemokine CCL2/*urine MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*urine MH - Diabetic Nephropathies/*urine MH - Female MH - Hepatitis A Virus Cellular Receptor 1/*metabolism MH - Humans MH - Male MH - Middle Aged MH - Risk Factors OTO - NOTNLM OT - Chronic inflammation OT - Diabetic kidney disease OT - Hyperglycemia OT - Kidney injury molecule-1 OT - Monocyte chemoattractant protein-1 OT - Type 2 diabetes EDAT- 2019/06/30 06:00 MHDA- 2020/02/20 06:00 CRDT- 2019/06/29 06:00 PHST- 2019/01/20 00:00 [received] PHST- 2019/06/10 00:00 [accepted] PHST- 2019/06/30 06:00 [pubmed] PHST- 2020/02/20 06:00 [medline] PHST- 2019/06/29 06:00 [entrez] AID - 10.1007/s11255-019-02201-6 [pii] AID - 10.1007/s11255-019-02201-6 [doi] PST - ppublish SO - Int Urol Nephrol. 2019 Aug;51(8):1379-1386. doi: 10.1007/s11255-019-02201-6. Epub 2019 Jun 19.