Advanced Glycation End-Products (AGEs): Receptors, Signalling Pathways, and Anti-AGE Therapies

A special issue of Biomolecules (ISSN 2218-273X). This special issue belongs to the section "Biomacromolecules: Proteins, Nucleic Acids and Carbohydrates".

Deadline for manuscript submissions: closed (31 March 2025) | Viewed by 9181

Special Issue Editors


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Guest Editor
Institute of Molecular and Industrial Biotechnology, Faculty of Biotechnology and Food Sciences, Lodz University of Technology, Stefanowskiego 2/22, 90-537 Lodz, Poland
Interests: nutrigenomics, cell signaling, receptors, GPCR-receptors, chemistry and biochemistry of nucleic acids

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Guest Editor
Institute of Molecular and Industrial Biotechnology, Lodz University of Technology, Stefanowskiego 2/22, 90-537 Lodz, Poland
Interests: Stab2 receptor, advanced glycation end-products, protein-ligand interactions, structural biology, Stab2 receptor, advanced glycation end-products, psychrophilic enzymes

Special Issue Information

Dear Colleagues,

Advanced glycation end-products (AGEs) constitute a complex, chemically diverse group of biomolecules formed endogenously on the course of various pathways in the human body or absorbed exogenously from diet. They are formed non-enzymatically by condensation of the carbonyl group of reducing saccharides and the free amine group of nucleic acids, proteins, or lipids. Unstable intermediates are further rearranged, yielding a group of reactive carbonyls and irreversible, stable end-products. The most investigated examples of AGEs include Nε-(carboxymethyl)lysine (CML), Nε-(1-carboxyethyl)lysine (CEL), pentosidine, crossline, arginine pyrimidine, and others. Levels of specific glycated proteins, such as circulating glycated hemoglobin (HbA1c), serve as reliable biomarkers of adverse states like hyperglycemic states, insulin resistance, and diabetes mellitus (DM).

AGEs are recognized by several cellular receptors, including the Receptor for AGEs (RAGE), AGE-R1/OST-48, AGE-R2/80K-H, AGE-R3/galectin-3, and scavenger receptors (Stab1, Stab2, LOX1, CD36, SR-AI, SR-BI). The insight into structural aspects of AGE binding is minimal, and no receptor-ligand crystal structures are known. Only one solution NMR structure with CEL peptide for the primary receptor, RAGE, is currently available.

Upon binding to the receptor, AGEs trigger many signalling pathways related to inflammation and oxidative stress. The number of publications reporting the evidence of their involvement in many physiological and pathological processes is steadily growing. They have been implicated in several lifestyle-related diseases, including DM and its complications, cancer, renal, neurodegenerative, and cardiovascular diseases.

The strategies against the deleterious impact of AGEs rely either on natural products or synthetic compounds and can have diverse mechanisms of action. One of the approaches is the scavenging of AGEs; the others aim to block the receptors of these biomolecules or reduce their formation in the human body. Although many pharmacologic anti-AGE treatments have been recently reported, their efficacy remains to be evaluated in clinical trials.

The goal of this Special Issue is to collect experimental papers and reviews that enhance the understanding of AGE-receptor binding, the signalling pathways they activate, and anti-AGE therapies. We look forward to receiving your contributions.

Prof. Dr. Maria Koziołkiewicz
Dr. Aleksandra Twarda-Clapa
Guest Editors

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Keywords

  • advanced glycation end-products
  • AGEs, AGE receptors
  • anti-AGE therapies
  • RAGE
  • scavenger receptors
  • AGE-related diseases
  • signalling pathways

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Published Papers (4 papers)

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Research

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13 pages, 3802 KiB  
Article
Success of an Inpatient Rehabilitation Program in Subjects with Type 2 Diabetes Mellitus with or Without Metabolic Syndrome
by Bettina Thauerer, Anna Odrovicsné Tóth, Andreas Salzer and Bibiane Steinecker-Frohnwieser
Biomolecules 2024, 14(12), 1527; https://doi.org/10.3390/biom14121527 - 28 Nov 2024
Viewed by 822
Abstract
Introduction: Type 2 diabetes mellitus (T2DM) comprises heterogeneous disorders, which have an increase in blood glucose concentrations in common. Metabolic syndrome (MetS) describes the simultaneous occurrence of several clinical symptoms that increase the risk of cardiovascular disease and T2DM, although T2DM itself is [...] Read more.
Introduction: Type 2 diabetes mellitus (T2DM) comprises heterogeneous disorders, which have an increase in blood glucose concentrations in common. Metabolic syndrome (MetS) describes the simultaneous occurrence of several clinical symptoms that increase the risk of cardiovascular disease and T2DM, although T2DM itself is also considered a risk factor for developing MetS. Objective: This study aimed to identify parameters related to rehabilitation success and relevant to MetS in T2DM patients. Methods: T2DM patients were divided into two subgroups based on the NHLBI/AHA and IDF guidelines for characterizing MetS. Serum samples were analyzed for T2DM-specific parameters, lipid metabolism, oxidative processes, AGE activity (AAct), and uric acid to HDL ratio (UHR) at admission and discharge after a 3-week inpatient rehabilitation stay. Logistic regression and before–after comparisons were performed showing the importance of multidisciplinary rehabilitation. Results: Among eighty-six patients, 59.3% had MetS. Significant differences between subgroups were found in fasting glucose (FBS), hemoglobin A1c (HbA1c), high-density lipoprotein cholesterol (HDL), triglycerides (TGLs), soluble receptor for AGE (sRAGE), UHR, and AAct. Rehabilitation-induced changes in disease-related parameters were influenced by the presence of MetS. The predictive capacity from all parameters together could be reduced within the three weeks. Conclusion: Rehabilitative measures have a major influence on MetS-relevant factors and can change the course of the disease in patients with T2DM. Identifying these factors can be of great importance for future diagnoses and treatments of T2DM and MetS. Full article
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21 pages, 2166 KiB  
Article
Diabetic Glycation of Human Serum Albumin Affects Its Immunogenicity
by Cresci-Anne C. C. Croes, Marialena Chrysanthou, Tamara Hoppenbrouwers, Harry Wichers, Jaap Keijer, Huub F. J. Savelkoul and Malgorzata Teodorowicz
Biomolecules 2024, 14(12), 1492; https://doi.org/10.3390/biom14121492 - 23 Nov 2024
Cited by 1 | Viewed by 1313
Abstract
Advanced glycation end-products (AGEs) are products of a non-enzymatic reaction between amino acids and reducing sugars. Glycated human serum albumin (HSA) increases in diabetics as a consequence of elevated blood glucose levels and glycating metabolites like methylglyoxal (MGO). The impact of different types [...] Read more.
Advanced glycation end-products (AGEs) are products of a non-enzymatic reaction between amino acids and reducing sugars. Glycated human serum albumin (HSA) increases in diabetics as a consequence of elevated blood glucose levels and glycating metabolites like methylglyoxal (MGO). The impact of different types of glycation on the immunomodulatory properties of HSA is poorly understood and is studied here. HSA was glycated with D-glucose, MGO, or glyoxylic acid (CML). Glycation-related biochemical changes were characterized using various biochemical methods. The binding of differentially glycated HSA to AGE receptors was determined with inhibition ELISAs, and the impact on inflammatory markers in macrophage cell line THP-1 and adherent monocytes isolated from human peripheral blood mononuclear cells (PBMCs) was studied. All glycation methods led to unique AGE profiles and had a distinct impact on protein structure. Glycation resulted in increased binding of HSA to the AGE receptors, with MGO modification showing the highest binding, followed by glucose and, lastly, CML. Additionally, modification of HSA with MGO led to the increased expression of pro-inflammatory markers in THP-1 macrophages and enhanced phosphorylation of NF-κB p65. The same pattern, although less prominent, was observed for HSA glycated with glucose and CML, respectively. An increase in pro-inflammatory markers was also observed in PBMC-derived monocytes exposed to all glycated forms of HSA, although HSA–CML led to a significantly higher inflammatory response. In conclusion, the type of HSA glycation impacts immune functional readouts with potential relevance for diabetes. Full article
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Review

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24 pages, 1175 KiB  
Review
The RAGE Axis: A Relevant Inflammatory Hub in Human Diseases
by Armando Rojas, Cristian Lindner, Ivan Schneider, Ileana Gonzalez and Jaime Uribarri
Biomolecules 2024, 14(4), 412; https://doi.org/10.3390/biom14040412 - 28 Mar 2024
Cited by 14 | Viewed by 3467
Abstract
In 1992, a transcendental report suggested that the receptor of advanced glycation end-products (RAGE) functions as a cell surface receptor for a wide and diverse group of compounds, commonly referred to as advanced glycation end-products (AGEs), resulting from the non-enzymatic glycation of lipids [...] Read more.
In 1992, a transcendental report suggested that the receptor of advanced glycation end-products (RAGE) functions as a cell surface receptor for a wide and diverse group of compounds, commonly referred to as advanced glycation end-products (AGEs), resulting from the non-enzymatic glycation of lipids and proteins in response to hyperglycemia. The interaction of these compounds with RAGE represents an essential element in triggering the cellular response to proteins or lipids that become glycated. Although initially demonstrated for diabetes complications, a growing body of evidence clearly supports RAGE’s role in human diseases. Moreover, the recognizing capacities of this receptor have been extended to a plethora of structurally diverse ligands. As a result, it has been acknowledged as a pattern recognition receptor (PRR) and functionally categorized as the RAGE axis. The ligation to RAGE leads the initiation of a complex signaling cascade and thus triggering crucial cellular events in the pathophysiology of many human diseases. In the present review, we intend to summarize basic features of the RAGE axis biology as well as its contribution to some relevant human diseases such as metabolic diseases, neurodegenerative, cardiovascular, autoimmune, and chronic airways diseases, and cancer as a result of exposure to AGEs, as well as many other ligands. Full article
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15 pages, 1019 KiB  
Review
Structures of Toxic Advanced Glycation End-Products Derived from Glyceraldehyde, A Sugar Metabolite
by Akiko Sakai-Sakasai, Kenji Takeda, Hirokazu Suzuki and Masayoshi Takeuchi
Biomolecules 2024, 14(2), 202; https://doi.org/10.3390/biom14020202 - 8 Feb 2024
Cited by 9 | Viewed by 2684
Abstract
Advanced glycation end-products (AGEs) have recently been implicated in the onset/progression of lifestyle-related diseases (LSRDs); therefore, the suppression of AGE-induced effects may be used in both the prevention and treatment of these diseases. Various AGEs are produced by different biological pathways in the [...] Read more.
Advanced glycation end-products (AGEs) have recently been implicated in the onset/progression of lifestyle-related diseases (LSRDs); therefore, the suppression of AGE-induced effects may be used in both the prevention and treatment of these diseases. Various AGEs are produced by different biological pathways in the body. Glyceraldehyde (GA) is an intermediate of glucose and fructose metabolism, and GA-derived AGEs (GA-AGEs), cytotoxic compounds that accumulate and induce damage in mammalian cells, contribute to the onset/progression of LSRDs. The following GA-AGE structures have been detected to date: triosidines, GA-derived pyridinium compounds, GA-derived pyrrolopyridinium lysine dimers, methylglyoxal-derived hydroimidazolone 1, and argpyrimidine. GA-AGEs are a key contributor to the formation of toxic AGEs (TAGE) in many cells. The extracellular leakage of TAGE affects the surrounding cells via interactions with the receptor for AGEs. Elevated serum levels of TAGE, which trigger different types of cell damage, may be used as a novel biomarker for the prevention and early diagnosis of LSRDs as well as in evaluations of treatment efficacy. This review provides an overview of the structures of GA-AGEs. Full article
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