PMID- 36564084 OWN - NLM STAT- MEDLINE DCOM- 20221227 LR - 20230103 IS - 2052-4897 (Electronic) IS - 2052-4897 (Linking) VI - 10 IP - 6 DP - 2022 Dec TI - Ethnic differences in urinary monocyte chemoattractant protein-1 and heparanase-1 levels in individuals with type 2 diabetes: the HELIUS study. LID - 10.1136/bmjdrc-2022-003003 [doi] LID - e003003 AB - INTRODUCTION: We aimed to investigate ethnic differences in two urinary inflammatory markers in participants with type 2 diabetes mellitus (T2DM). RESEARCH DESIGN AND METHODS: We included 55 Dutch, 127 South-Asian Surinamese, 92 African Surinamese, 62 Ghanaian, 74 Turkish and 88 Moroccan origin participants with T2DM from the HEalthy LIfe in an Urban Setting study. Using linear regression analyses, we investigated differences in urinary monocyte chemoattractant protein-1 (MCP-1) and heparanase-1 (HPSE-1) levels across ethnic minorities compared with Dutch. Associations between the urinary markers and albuminuria (albumin:creatinine ratio (ACR)) was investigated per ethnicity. RESULTS: Urinary MCP-1 levels were higher in the Moroccan participants (0.15 log ng/mmol, 95% CI 0.05 to 0.26) compared with Dutch after multiple adjustments. Urinary HPSE-1 levels were lower in the African Surinamese and Ghanaian participants compared with the Dutch, with a difference of -0.16 log mU/mmol (95% CI -0.29 to -0.02) in African Surinamese and -0.16 log mU/mmol (95% CI -0.31 to -0.00) in Ghanaian after multiple adjustments. In all ethnic groups except the Dutch and Ghanaian participants, MCP-1 was associated with ACR. This association remained strongest after multiple adjustment in South-Asian and African Surinamese participants, with an increase in log ACR of 1.03% (95% CI 0.58 to 1.47) and 1.23% (95% CI 0.52 to 1.94) if log MCP-1 increased 1%. Only in the Dutch participants, an association between HPSE-1 and ACR was found, with increase in log ACR of 0.40% (95% CI 0.04 to 0.76) if log HPSE-1 increased 1%. CONCLUSIONS: We found ethnic differences in urinary MCP-1 and HPSE-1 levels, in a multi-ethnic cohort of participants with T2DM. In addition, we found ethnic differences in the association of MCP-1 and HPSE-1 levels with albuminuria. These findings suggest differences in renal inflammation across ethnic groups. CI - (c) Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. FAU - van der Velden, Anouk I M AU - van der Velden AIM AUID- ORCID: 0000-0001-7199-6026 AD - Department of Internal Medicine (Nephrology) and Einthoven Laboratory of Vascular and Regenerative Medicine, Leiden University Medical Center, Leiden, The Netherlands a.i.m.van_der_velden@lumc.nl. FAU - van den Berg, Bernard M AU - van den Berg BM AD - Department of Internal Medicine (Nephrology) and Einthoven Laboratory of Vascular and Regenerative Medicine, Leiden University Medical Center, Leiden, The Netherlands. FAU - van den Born, B J AU - van den Born BJ AD - Internal Medicine, Amsterdam UMC-Locatie AMC, Amsterdam, The Netherlands. FAU - Galenkamp, Henrike AU - Galenkamp H AD - Public and Occupational Health, Amsterdam UMC-Locatie AMC, Amsterdam, The Netherlands. FAU - Ijpelaar, Daphne H T AU - Ijpelaar DHT AD - Department of Internal Medicine (Nephrology) and Einthoven Laboratory of Vascular and Regenerative Medicine, Leiden University Medical Center, Leiden, The Netherlands. AD - Department of Internal Medicine and Nephrology, Groene Hart Hospital, Gouda, The Netherlands. FAU - Rabelink, Ton J AU - Rabelink TJ AUID- ORCID: 0000-0001-6780-5186 AD - Department of Internal Medicine (Nephrology) and Einthoven Laboratory of Vascular and Regenerative Medicine, Leiden University Medical Center, Leiden, The Netherlands. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - BMJ Open Diabetes Res Care JT - BMJ open diabetes research & care JID - 101641391 RN - EC 3.2.1.- (heparanase) RN - 0 (Chemokine CCL2) SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2 MH - Ghana MH - Albuminuria MH - Chemokine CCL2 PMC - PMC9791388 OTO - NOTNLM OT - MCP-1 OT - diabetes mellitus, type 2 OT - ethnicity OT - inflammation COIS- Competing interests: None declared. EDAT- 2022/12/24 06:00 MHDA- 2022/12/28 06:00 PMCR- 2022/12/23 CRDT- 2022/12/23 20:42 PHST- 2022/06/23 00:00 [received] PHST- 2022/11/05 00:00 [accepted] PHST- 2022/12/23 20:42 [entrez] PHST- 2022/12/24 06:00 [pubmed] PHST- 2022/12/28 06:00 [medline] PHST- 2022/12/23 00:00 [pmc-release] AID - 10/6/e003003 [pii] AID - bmjdrc-2022-003003 [pii] AID - 10.1136/bmjdrc-2022-003003 [doi] PST - ppublish SO - BMJ Open Diabetes Res Care. 2022 Dec;10(6):e003003. doi: 10.1136/bmjdrc-2022-003003.