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Weight loss reduces serum monocyte chemoattractant protein-1 concentrations in association with improvements in renal injury in obese men with metabolic syndrome

  • Chia-Po Fu , Wayne H.-H. Sheu , I.-Te Lee , Wen-Jane Lee , Jun-Sing Wang , Kae-Woei Liang , Wen-Lieng Lee and Shih-Yi Lin EMAIL logo
Published/Copyright: October 10, 2014

Abstract

Background: Monocyte chemoattractant protein-1 (MCP-1) is involved in obesity-related renal injury. The aim of the present study was to examine the effects of weight loss on changes in MCP-1 and markers of renal injury, specifically serum cystatin C (S-CysC) and urinary N-acetyl glucosaminidase (UNAG), in obese people.

Methods: In this prospective study, 40 obese men with metabolic syndrome (MetS) participated in a 3-month dietary and exercise intervention. Twenty-eight subjects completed the study with a ≥5% weight loss. Circulating MCP-1, S-CysC and UNAG to creatinine ratio (UNCR) were determined before and after the weight loss program.

Results: Obesity-associated components of MetS demonstrated significant improvements after the weight loss program. In addition, at baseline, circulating MCP-1 concentrations were positively correlated with UNCR and S-CysC levels. After weight loss, blood MCP-1 and UNCR levels were significantly decreased, but S-CysC was not affected. Using multiple linear regression analysis, there was a significant relationship between changes in UNCR and MCP-1 after adjusting for other potential confounding factors.

Conclusions: Weight loss may improve renal tubular injury by ameliorating obesity-related inflammation in obese men with MetS.


Corresponding author: Shih-Yi Lin, MD, PhD, Division of Endocrinology and Metabolism, Department of Medicine, Taichung Veterans General Hospital, No. 1650, Sec. 4, Taiwan Boulevard, Taichung 407, Taiwan, Phone: +886 4 23592525 3036, E-mail:

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Received: 2014-5-1
Accepted: 2014-8-24
Published Online: 2014-10-10
Published in Print: 2015-3-1

©2015 by De Gruyter

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