Center for Genomics and Proteomics, Lee Gil Ya Cancer and Diabetes Institute, Gachon University, Incheon 406-840, Republic of Korea; Department of Anatomy and Cell Biology, Gachon University Graduate School of Medicine, Incheon 406-799, Republic of Korea.
Center for Cognition and Sociality, Institute for Basic Science (IBS), Daejeon 305-811, Republic of Korea.
Pharmacol Ther. 2017 Sep;177:44-55. doi: 10.1016/j.pharmthera.2017.02.030. Epub 2017 Feb 13.
Advanced glycation end products (AGEs) and their receptor have been implicated in the progressions of many intractable diseases, such as diabetes and atherosclerosis, and are also critical for pathologic changes in chronic degenerative diseases, such as Alzheimer's disease, Parkinson's disease, and alcoholic brain damage. Recently activated macrophages were found to be a source of AGEs, and the most abundant form of AGEs, AGE-albumin excreted by macrophages has been implicated in these diseases and to act through common pathways. AGEs inhibition has been shown to prevent the pathogenesis of AGEs-related diseases in human, and therapeutic advances have resulted in several agents that prevent their adverse effects. Recently, anti-inflammatory molecules that inhibit AGEs have been shown to be good candidates for ameliorating diabetic complications as well as degenerative diseases. This review was undertaken to present, discuss, and clarify current understanding regarding AGEs formation in association with macrophages, different diseases, therapeutic and diagnostic strategy and links with RAGE inhibition.
晚期糖基化终产物(AGEs)及其受体与许多难治性疾病的进展有关,如糖尿病和动脉粥样硬化,也与阿尔茨海默病、帕金森病和酒精性脑损伤等慢性退行性疾病的病理变化密切相关。最近发现活化的巨噬细胞是 AGEs 的来源,而巨噬细胞分泌的最丰富的 AGEs 形式——AGE-白蛋白,与这些疾病有关,并通过共同途径发挥作用。AGEs 抑制已被证明可预防与 AGEs 相关疾病的发病机制,治疗进展导致了几种可预防其不良影响的药物。最近,抑制 AGEs 的抗炎分子已被证明是改善糖尿病并发症和退行性疾病的良好候选药物。本文综述了与巨噬细胞、不同疾病、治疗和诊断策略以及与 RAGE 抑制相关的 AGEs 形成的最新认识。