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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
Abstract:
The present review focuses on the role of RAGE, the "receptor for advanced glycation end products", in the inflammatory response. RAGE is a multiligand receptor that propagates cellular dysfunction in several inflammatory disorders, in tumors and in diabetes. RAGE is expressed at low levels in normal tissues, but becomes upregulated at sites where its ligands accumulate. RAGE may play a dual role in the inflammatory response: (i) interaction of RAGE on leukocytes or endothelial cells (ECs) with its ligands results in cellular activation involving the transcription factor NF-kappaB; (ii) on the other hand, RAGE on ECs may function as an adhesive receptor that directly interacts with leukocyte ss2-integrins, thereby directly being involved in inflammatory cell recruitment. These different aspects are discussed in the present review.
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.
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