PMID- 38332001 OWN - NLM STAT- MEDLINE DCOM- 20240215 LR - 20240215 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 14 IP - 1 DP - 2024 Feb 8 TI - Exploring the relations of NLR, hsCRP and MCP-1 with type 2 diabetic kidney disease: a cross-sectional study. PG - 3211 LID - 10.1038/s41598-024-53567-2 [doi] LID - 3211 AB - Type 2 diabetic kidney disease (T2DKD) is a common microvascular complication of type 2 diabetes mellitus (T2DM), and its incidence is significantly increasing. Microinflammation plays an important role in the development of T2DKD. Based on this, this study investigated the value of inflammatory markers including neutrophil-lymphocyte ratio (NLR), high-sensitivity C-reactive protein (hs-CRP), monocyte chemoattractant protein-1 (MCP-1) in the prediction of T2DKD. This was a cross-sectional survey study. A total of 90 patients with T2DM, who were hospitalized in the nephrology and endocrinology departments of the First Teaching Hospital of Tianjin University of Traditional Chinese Medicine from June 2021 to January 2022, were included and divided into three groups (A1, A2, A3) according to the urinary albumin-to-creatinine ratio (UACR). Observe and compare the basic information, clinical and laboratory data, and the inflammatory markers NLR, hs-CRP, MCP-1. Results revealed that high levels of NLR (OR = 6.562, 95% CI 2.060-20.902, P = 0.001) and MCP-1 (OR = 1.060, 95% CI 1.026-1.095, P < 0.001) were risk factors in the development of T2DKD. Receiver operating characteristic curve analysis showed that the area under curve of NLR and MCP-1 in diagnosing T2DKD were 0.760 (95% CI 0.6577-0.863, P < 0.001) and 0.862 (95% CI 0.7787-0.937, P < 0.001). Therefore, the inflammatory markers NLR and MCP-1 are risk factors affecting the development of T2DKD, which of clinical value may be used as novel markers of T2DKD. CI - (c) 2024. The Author(s). FAU - Fang, Yaxuan AU - Fang Y AD - Department of Nephrology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Liqizhuang Street, Xiqing District, Tianjin, 300380, China. AD - Department of Nephrology, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China. FAU - Wang, Bin AU - Wang B AD - Department of Endocrinology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China. AD - Department of Endocrinology, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China. FAU - Pang, Bo AU - Pang B AD - Tianjin University of Traditional Chinese Medicine, Tianjin, China. FAU - Zhou, Zijun AU - Zhou Z AD - Department of Nephrology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Liqizhuang Street, Xiqing District, Tianjin, 300380, China. AD - Department of Nephrology, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China. FAU - Xing, Yunze AU - Xing Y AD - Department of Nephrology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Liqizhuang Street, Xiqing District, Tianjin, 300380, China. AD - Department of Nephrology, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China. FAU - Pang, Pai AU - Pang P AD - Department of Endocrinology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China. AD - Department of Endocrinology, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China. FAU - Zheng, Dingyuan AU - Zheng D AD - Department of Nephrology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Liqizhuang Street, Xiqing District, Tianjin, 300380, China. AD - Department of Nephrology, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China. FAU - Zhang, Gang AU - Zhang G AD - The Community Health Service Center of Hangzhou Road Street in Tianjin Binhai New Area, Tianjin, China. FAU - Yang, Bo AU - Yang B AD - Department of Nephrology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Liqizhuang Street, Xiqing District, Tianjin, 300380, China. yb8203@126.com. AD - Department of Nephrology, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China. yb8203@126.com. LA - eng GR - 20JCZXJC00060/Beijing-Tianjin-Hebei Basic Research Cooperative Project/ GR - 2019BWKJ039/Grassroots Health Science and Technology Project of Tianjin Binhai New Area Health Commission/ PT - Journal Article DEP - 20240208 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 9007-41-4 (C-Reactive Protein) RN - 0 (Chemokine CCL2) RN - 0 (CCL2 protein, human) RN - 0 (CRP protein, human) SB - IM MH - Humans MH - C-Reactive Protein/analysis MH - Chemokine CCL2/urine MH - Cross-Sectional Studies MH - *Diabetes Mellitus, Type 2/complications MH - *Diabetic Nephropathies/urine MH - Lymphocytes/chemistry MH - Neutrophils/chemistry MH - Retrospective Studies MH - ROC Curve PMC - PMC10853504 COIS- The authors declare no competing interests. EDAT- 2024/02/09 00:42 MHDA- 2024/02/10 10:47 PMCR- 2024/02/08 CRDT- 2024/02/08 23:49 PHST- 2023/09/14 00:00 [received] PHST- 2024/02/02 00:00 [accepted] PHST- 2024/02/10 10:47 [medline] PHST- 2024/02/09 00:42 [pubmed] PHST- 2024/02/08 23:49 [entrez] PHST- 2024/02/08 00:00 [pmc-release] AID - 10.1038/s41598-024-53567-2 [pii] AID - 53567 [pii] AID - 10.1038/s41598-024-53567-2 [doi] PST - epublish SO - Sci Rep. 2024 Feb 8;14(1):3211. doi: 10.1038/s41598-024-53567-2.