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Assessment of Kidney Function in Mouse Models of Glomerular Disease
Published on: June 30, 2018
Receptor for advanced glycation end products is a promising target of diabetic nephropathy
Yasuhiko Yamamoto1, Toshio Doi, Ichiro Kato
1Department of Biochemistry and Molecular Vascular Biology, Kanazawa University Graduate School of Medical Science, 13-1 Takara-machi, Kanazawa 920-8640, Japan. yamamoto@med.kanazawa-u.ac.jp
Abstract:
Advanced glycation end products (AGEs) and the receptor for AGE (RAGE) interactions have been implicated in the development of diabetic vascular complications, which cause various disabilities and shortened life expectancy, and reduced quality of life in patients with diabetes. Diabetes-induced RAGE-overexpressing transgenic mice exhibited the exacerbation of the indices of nephropathy, and this was prevented by the inhibition of AGE formation. We also created RAGE-deficient mice by homologous recombination. They showed marked amelioration of diabetic nephropathy as compared with wild-type mice. Through an analysis of vascular polysomal poly(A)+ RNA, we identified a novel splice variant coding for a soluble RAGE protein and named it endogenous secretory RAGE (esRAGE). esRAGE was able to protect AGE-induced vascular cell injuries as a decoy receptor and was actually detected in human circulation. We conclude that RAGE plays an active role in the development of diabetic vascular complications, especially nephropathy, and is a promising target for overcoming this disease. The esRAGE, an endogenous decoy receptor, may be related to individual variations in resistance to the development of diabetic vascular complications.
Insights
Advanced glycation end products (AGEs) interacting with the receptor for AGE (RAGE) worsen diabetic kidney disease. Inhibiting AGEs or RAGE, and a soluble form called esRAGE, show promise for treating these vascular complications.
Area of Science:
- Biomedical Science
- Vascular Biology
- Diabetology
Background:
- Advanced glycation end products (AGEs) and receptor for AGE (RAGE) interactions are linked to diabetic vascular complications, impacting quality of life and longevity.
- Diabetic nephropathy is a significant complication leading to disability and reduced life expectancy.
Purpose of the Study:
- To investigate the role of RAGE in diabetic nephropathy.
- To identify and characterize a novel soluble form of RAGE as a potential therapeutic target.
Main Methods:
- Utilized RAGE-overexpressing and RAGE-deficient transgenic mice models.
- Analyzed vascular polysomal poly(A)+ RNA to identify splice variants.
- Assessed the protective effects of soluble RAGE (esRAGE) against AGE-induced vascular cell injury.
Main Results:
- Diabetes-induced RAGE overexpression exacerbated nephropathy indices in mice.
- RAGE deficiency markedly ameliorated diabetic nephropathy.
- Identified a novel splice variant, endogenous secretory RAGE (esRAGE), a soluble decoy receptor detected in human circulation.
- esRAGE demonstrated protection against AGE-induced vascular cell injuries.
Conclusions:
- RAGE plays a critical role in the pathogenesis of diabetic vascular complications, particularly nephropathy.
- RAGE is a promising therapeutic target for managing diabetic vascular disease.
- Endogenous secretory RAGE (esRAGE) may contribute to individual resistance against diabetic vascular complications.
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