Clinical/Translational Aspects of Advanced Glycation End-Products

Trends Endocrinol Metab. 2019 Dec;30(12):959-973. doi: 10.1016/j.tem.2019.08.005. Epub 2019 Oct 6.

Abstract

Advanced glycation end-products (AGEs) have been implicated in chronic hyperglycemia and age-related diseases. Endogenous AGEs produced by humans generate oxidative stress and activation of inflammatory signaling pathways via AGE-specific receptors. The present review summarizes current knowledge on the pathogenic role of AGEs in chronic noncommunicable diseases. Although correlations exist between glycation and the pathogenesis of these diseases, uncertainties remain in light of recurrent intervention failures of apparently promising animal models to be translated into clinically useful anti-AGE strategies. Future intervention of AGEs or their receptors should embrace more carefully executed clinical trials. Nevertheless, suppressing symptoms via lifetime drug application is unlikely to eliminate the burden of chronic diseases unless deep-rooted lifestyle issues that cause these diseases are simultaneously addressed.

Keywords: advanced glycation end-products; chronic diseases; glycation; lifestyle; receptor for advanced glycation end-products; α-dicarbonyls.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Chronic Disease
  • Glycation End Products, Advanced / metabolism*
  • Humans
  • Inflammation / metabolism
  • Oxidative Stress / physiology
  • Signal Transduction / physiology

Substances

  • Glycation End Products, Advanced