PMID- 34541760 OWN - NLM STAT- MEDLINE DCOM- 20220331 LR - 20220401 IS - 1520-7560 (Electronic) IS - 1520-7552 (Linking) VI - 38 IP - 2 DP - 2022 Feb TI - Monocyte chemoattractant protein-1 predicts the development of diabetic nephropathy. PG - e3497 LID - 10.1002/dmrr.3497 [doi] AB - AIM: Diabetic nephropathy (DN) is a devastating complication of diabetes mellitus (DM). Therefore, screening strategies in order to prevent its development and/or retard its progression are of paramount importance. We investigated if monocyte chemoattractant protein-1 (MCP-1) was associated with new onset microalbuminuria-the earliest sign of the albuminuric phenotype of DN- in patients with type 2 DM and normoalbuminuria. METHODS: We measured MCP-1 in serum and urine samples from patients of the Randomized Olmesartan And Diabetes Microalbuminuria Prevention (ROADMAP) study and its Observational Follow-up (OFU) cohort. A case control design was used with inclusion of 172 patients who developed microalbuminuria (MA) and of 188 well matched controls who remained normoalbuminuric. RESULTS: The median duration of follow-up for the ROADMAP cohorts was 6.5 years, whereas the mean time until occurrence of MA was 53.2 months. In the multivariate analysis, serum and urine MCP-1 remained significant predictors of new onset MA. The risk for MA increased continuously with increasing serum and urine MCP-1 levels but reached statistical significance only in the highest quartiles. The risk associations were stronger with serum MCP-1. CONCLUSIONS: MCP-1 is a marker and possibly a mediator of early diabetic nephropathy. Further prospective studies are necessary to test whether diabetic patients with elevated MCP-1 levels would benefit from specific therapeutic interventions. CI - (c) 2021 The Authors. Diabetes/Metabolism Research and Reviews published by John Wiley & Sons Ltd. FAU - Scurt, Florian G AU - Scurt FG AUID- ORCID: 0000-0001-6197-4720 AD - Clinic of Nephrology, Hypertension, Diabetes and Endocrinology, Otto-von-Guericke University Magdeburg, Magdeburg, Germany. FAU - Menne, Jan AU - Menne J AD - Department of Nephrology, KRH Hospital Siloah, Klinikum Region Hannover GmbH, Hanover, Germany. FAU - Brandt, Sabine AU - Brandt S AD - Clinic of Nephrology, Hypertension, Diabetes and Endocrinology, Otto-von-Guericke University Magdeburg, Magdeburg, Germany. FAU - Bernhardt, Anja AU - Bernhardt A AD - Clinic of Nephrology, Hypertension, Diabetes and Endocrinology, Otto-von-Guericke University Magdeburg, Magdeburg, Germany. FAU - Mertens, Peter R AU - Mertens PR AD - Clinic of Nephrology, Hypertension, Diabetes and Endocrinology, Otto-von-Guericke University Magdeburg, Magdeburg, Germany. FAU - Haller, Hermann AU - Haller H AD - Nephrology Section, Hanover Medical School, Hanover, Germany. FAU - Chatzikyrkou, Christos AU - Chatzikyrkou C AD - Nephrology Section, Hanover Medical School, Hanover, Germany. AD - PHV-Dialysis Center, Halberstadt, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20211012 PL - England TA - Diabetes Metab Res Rev JT - Diabetes/metabolism research and reviews JID - 100883450 RN - 0 (Chemokine CCL2) SB - IM MH - Albuminuria/diagnosis MH - Chemokine CCL2/therapeutic use/urine MH - *Diabetes Mellitus, Type 2/drug therapy MH - *Diabetic Nephropathies/diagnosis/etiology MH - Humans MH - Prospective Studies OTO - NOTNLM OT - MCP-1 OT - ROADMAP OT - chronic kidney disease OT - diabetes mellitus OT - diabetic nephropathy OT - microalbuminuria EDAT- 2021/09/21 06:00 MHDA- 2022/04/01 06:00 CRDT- 2021/09/20 06:37 PHST- 2021/08/18 00:00 [revised] PHST- 2021/06/10 00:00 [received] PHST- 2021/08/22 00:00 [accepted] PHST- 2021/09/21 06:00 [pubmed] PHST- 2022/04/01 06:00 [medline] PHST- 2021/09/20 06:37 [entrez] AID - 10.1002/dmrr.3497 [doi] PST - ppublish SO - Diabetes Metab Res Rev. 2022 Feb;38(2):e3497. doi: 10.1002/dmrr.3497. Epub 2021 Oct 12.