AI Article Synopsis
- The study investigates the role of monocyte chemoattractant protein-1 (MCP-1) and other inflammatory markers (IL-6, IL-8, TGF-β) in patients with diabetic neuropathy (DNP) and type 2 diabetes mellitus (T2DM).
- Conducted at University Hospital Sharjah, the research involved 102 T2DM patients, comparing those with confirmed DNP against those without, to analyze inflammatory marker levels.
- Results indicated significantly higher MCP-1 levels in DNP patients, alongside notable changes in IL-8 and TGF-β, suggesting these markers could be linked to the severity of diabetic neuropathy.
Article Abstract
Introduction: Previous studies have suggested the involvement of chronic low-grade inflammation in the pathogenesis of diabetic neuropathy (DNP). However, none of these studies have examined the levels of monocyte chemoattractant protein-1 (MCP-1) in type 2 diabetes mellitus (T2DM) patients with confirmed diagnosis of neuropathy. Therefore, the present study aims to investigate the levels of MCP-1 along with IL-6, IL-8 and TGF-β in patients with T2DM and confirmed neuropathy and identify correlations, if any, between MCP-1 and other parameters.
Methods: A single center cross-sectional clinical study was conducted at University Hospital Sharjah (UHS) and University of Sharjah. One hundred and two patients with T2DM were recruited from diabetes clinics at UHS and were stratified into different groups based on diagnosis of DNP and other parameters. Several analyses were conducted to evaluate and compare the levels of MCP-1, IL-6, IL-8, and TGF-β across these groups of patients and identify correlations, if any, between MCP-1 and other variables.
Results: A significant increase was found in the levels of MCP-1 in T2DM patients with DNP compared to the patients without DNP (p=0.002, p-adj=0.007). Further analysis has shown that levels of IL-8 (p=0.008) and TGF-β (p=0.06) were increased and decreased, respectively, in patients with DNP compared to patients without DNP. Moreover, strong correlations were found between MCP-1, IL-8 and TGF-β levels.
Conclusion: The key finding of the present study is the significant elevation in levels of MCP-1 in T2DM patients with DNP compared to the patients without DNP and IL-8 and TGF-β were strong predictors of MCP-1 increased levels.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8323777 | PMC |
| http://dx.doi.org/10.2147/DMSO.S319863 | DOI Listing |
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