RAGE (receptor for advanced glycation end products): a central player in the inflammatory response

Triantafyllos Chavakis1, Angelika Bierhaus, Peter P Nawroth

  • 1Department of Internal Medicine I, University Heidelberg, Im Neuenheimer Feld 410, 69120 Heidelberg, Germany. triantafyllos.chavakis@med.uni-heidelberg.de

Microbes and Infection
|October 19, 2004
PubMed

Insights

The receptor for advanced glycation end products (RAGE) is involved in inflammation. Upregulated RAGE propagates cellular dysfunction in diseases like diabetes and cancer, playing a dual role in inflammatory responses.

Area of Science:

  • Immunology
  • Cell Biology
  • Molecular Medicine

Background:

  • The receptor for advanced glycation end products (RAGE) is a key mediator in inflammatory processes.
  • RAGE is implicated in cellular dysfunction across various conditions, including inflammatory disorders, tumors, and diabetes.
  • RAGE expression is typically low in healthy tissues but significantly increases at sites of ligand accumulation.

Purpose of the Study:

  • To review the multifaceted role of RAGE in the inflammatory response.
  • To elucidate the mechanisms by which RAGE influences cellular activation and recruitment during inflammation.
  • To discuss the dual functions of RAGE as both a signaling receptor and an adhesion molecule.

Main Methods:

  • Literature review of studies investigating RAGE function in inflammatory contexts.
  • Analysis of RAGE's interaction with its ligands and downstream signaling pathways, such as NF-kappaB.
  • Examination of RAGE's role in leukocyte-endothelial cell interactions and inflammatory cell recruitment.

Main Results:

  • RAGE activation by its ligands triggers cellular responses, notably involving the transcription factor NF-kappaB.
  • RAGE expressed on endothelial cells can act as an adhesive receptor, directly binding to leukocyte ss2-integrins.
  • These interactions facilitate inflammatory cell recruitment to sites of inflammation.

Conclusions:

  • RAGE plays a critical and complex role in orchestrating inflammatory responses.
  • Its dual function in signal transduction and cell adhesion highlights its significance in disease pathogenesis.
  • Understanding RAGE's mechanisms is crucial for developing therapeutic strategies against inflammatory diseases, cancer, and diabetes.

Related Concept Videos

Inflammation01:38

Inflammation

Overview
Receptor Downregulation in MVBs01:15

Receptor Downregulation in MVBs

Multivesicular bodies (MVBs) are mature endosomes that sort ubiquitinated proteins and then fuse with lysosomes to degrade the sorted proteins. Epidermal growth factor (EGF) and its receptor (EGFR) form a complex that can be internalized through endocytosis, sorted into an MVB, and later degraded.
The EGFR can initiate signaling pathways that  lead to cell proliferation, migration, and differentiation. Overexpression of EGFR  stimulates cells to proliferate. Excessive  EGFR activation may...
Regulation of the Unfolded Protein Response01:31

Regulation of the Unfolded Protein Response

Inositol-requiring kinase one or IRE1 is the most conserved eukaryotic unfolded protein response (UPR) receptor. It is a type I transmembrane protein kinase receptor with a distinctive site-specific RNase activity. As the binding mechanics of the misfolded proteins with the N-terminal domain of IRE-1 are unclear, three binding models — direct, indirect, and allosteric -- are proposed for receptor activation. Nevertheless, it is known that once a misfolded protein associates with IRE1, it...
GPCRs Regulate Adenylyl Cylase Activity01:09

GPCRs Regulate Adenylyl Cylase Activity

Some GPCRs transmit signals through adenylyl cyclase (AC), a transmembrane enzyme. AC helps synthesize second messenger cyclic adenosine monophosphate (cAMP). AC catalyzes cyclization reaction and converts ATP to cAMP by releasing a pyrophosphate. The pyrophosphate is further hydrolyzed to phosphate by the enzyme pyrophosphatase, which drives cAMP synthesis to completion. However, cAMP is rapidly degraded to 5′ AMP by the enzymes phosphodiesterase (PDE), preventing overstimulation of cells.
Two...
Inflammatory Response01:28

Inflammatory Response

An inflammatory response is a localized, nonspecific immune reaction that occurs when a tissue is injured. It is characterized by redness, swelling, heat, and pain, which are commonly called the cardinal signs and symptoms of inflammation. Inflammation can sometimes result in a loss of function.
Inflammation can be triggered by various stimuli, such as impact, abrasion, chemical irritation, infections, and extreme hot or cold temperatures. These can damage cells and connective tissue fibers,...
Acute Inflammation I: Inflammatory Response01:26

Acute Inflammation I: Inflammatory Response

Acute inflammation is a rapid, short-lived physiological response to tissue injury or infection, designed to eliminate harmful agents and initiate repair. This tightly regulated process typically lasts from minutes to several days and is triggered by factors such as microbial invasion, physical trauma, or chemical injury.Recognition and Mediator ReleaseThe inflammatory response begins when resident immune cells—such as mast cells, macrophages, and dendritic cells—detect damage-associated...