Methods to assess advanced glycation end-products

Curr Opin Clin Nutr Metab Care. 2021 Sep 1;24(5):411-415. doi: 10.1097/MCO.0000000000000774.

Abstract

Purpose of review: Advanced glycation end-products (AGEs) resulting from protein glycoxidation constitute biomarkers of interest in different pathological situations. Several methods for quantifying AGEs in biological fluids or tissues have been developed without any real consensus on a gold standard method. The aim of this review is to provide an overview of recent publications in the field helping to decide if these markers could find their place as diagnostic tools in clinical practice.

Recent findings: This update shows that new AGEs are regularly discovered and new analytical methods (especially mass spectrometry-based methods) regularly described. Skin autofluorescence measurement is increasingly performed due to the practicability of the dedicated devices, in spite of its questionable specificity. In biological fluids, carboxymethyllysine remains the most frequently measured AGE. However, to date, it is still difficult to compare results obtained from different studies because measured AGEs and modes of expression are different and because no method standardization has been initiated.

Summary: Despite their potential interest as biomarkers and the availability of unfortunately non-standardized assay methods, AGEs remain confined to clinical research studies without really being used in daily clinical practice. These challenges must be addressed in order to allow their implementation.

Publication types

  • Review

MeSH terms

  • Biomarkers
  • Glycation End Products, Advanced*
  • Humans
  • Mass Spectrometry
  • Proteins*

Substances

  • Biomarkers
  • Glycation End Products, Advanced
  • Proteins