Serum Monocyte Chemoattractant Protein-1 (MCP-1) Concentrations Associate with Diabetes Status but not Arterial Stiffness in Children with Type 1 Diabetes

  1. Issam Zineh, PharmD1,
  2. Amber L. Beitelshees, PharmD, MPH1,
  3. Janet H. Silverstein, MD2 and
  4. Michael J. Haller, MD, MS (hallemj{at}peds.ufl.edu)2
  1. 1Department of Pharmacy Practice and Center for Pharmacogenomics, University of Florida College of Pharmacy, Gainesville, FL USA
  2. 2Division of Pediatric Endocrinology, Department of Pediatrics, University of Florida College of Medicine

    Abstract

    Objective: The relationship between circulating markers of inflammation and arterial stiffness in children with type 1 diabetes (T1D) is not well-studied. We tested whether inflammatory MCP-1 concentrations correlate with arterial stiffness or T1D status.

    Research Design and Methods: MCP-1 concentrations and radial tonometry data were available for 98 children with T1D and 55 healthy controls. Arterial stiffness was calculated as heart rate-corrected augmentation index (AI75). Correlation between MCP-1 and AI75, and differences in MCP-1 concentrations between cases and controls were tested.

    Results: MCP-1 was significantly higher in children with T1D than controls (p<0.001). However, there were no correlations between MCP-1 and AI75 in the overall sample or upon stratification by T1D status (range p=0.28-0.66).

    Conclusion: Circulating MCP-1 was not associated with arterial stiffness but was significantly elevated in children with T1D, indicating a pro-inflammatory state as young as 10 years. The clinical significance MCP-1 elevation in T1D needs further investigation.

    Footnotes

      • Received October 10, 2008.
      • Accepted December 2, 2008.