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RAGE on the Toll Road?
1Laboratory of Cardiovascular Sciences, National Institute on Aging, 5600 Nathan Shock Drive, Baltimore, Maryland 21224, USA. linli@mail.nih.gov
Abstract:
Mammalian Toll-like receptors (TLRs) are cellular pattern-recognizing receptors (PRRs) that recognize the molecular patterns of pathogens. After engaging the pathogenic patterned ligands, the cytosolic portion of the TLRs in monocytes and macrophages, recruits adaptor proteins, via a receptor-driven signaling cascade, activates the transcription factor NF-kappaB, leading to the expression of proinflammatory cytokines, which trigger inflammation. Such rapid, innate cellular responses serve as the first line of host defense against infection by pathogens, and also stimulate the adaptive immune system to clear the invading microbes. Increasing evidence suggests that TLRs also recognize host-derived ligands, linking this group of PRRs to diseases that may not have an etiology that is associated directly with infections. Advanced glycation end products (AGEs) are nonenzymatically glycated or oxidated proteins, lipids and nucleic acids that are formed in the environment of oxidant stress and hyperglycemia. Binding of AGEs to their receptor RAGE initiates cellular signals that activate NF-kappaB, which results in transcription of proinflammatory factors. RAGE can also interact with other endogenous ligands generated by cell death and tissue injuries. RAGE has been implicated in chronic diseases such as diabetes, atherosclerosis, neurodisorders, cancers, as well as aging. This review discusses the possible role of RAGE as a PRR that may use signaling mechanisms parallel to TLRs', to solicit inflammatory reactions. Thus, in this scenario, RAGE may play a prominent role in the regulation of cellular homeostasis in the context of complex disease progression.
Insights
Receptor for Advanced Glycation End products (RAGE) may act as a pattern-recognizing receptor (PRR), similar to Toll-like receptors (TLRs), to trigger inflammation. This highlights RAGE
Area of Science:
- Immunology
- Cellular Biology
- Molecular Medicine
Background:
- Mammalian Toll-like receptors (TLRs) are pattern-recognizing receptors (PRRs) crucial for innate immunity, recognizing pathogen-associated molecular patterns.
- TLR activation triggers signaling cascades, activating NF-kappaB and leading to proinflammatory cytokine production, essential for host defense and adaptive immunity.
- Emerging evidence indicates PRRs, including TLRs, can recognize host-derived ligands, implicating them in non-infectious diseases.
Purpose of the Study:
- To review the potential role of the Receptor for Advanced Glycation End products (RAGE) as a PRR.
- To explore RAGE's signaling mechanisms in inflammation, potentially paralleling those of TLRs.
- To discuss RAGE's involvement in complex diseases beyond direct infection.
Main Methods:
- Literature review focusing on RAGE, TLRs, and their signaling pathways.
- Analysis of studies linking RAGE to advanced glycation end products (AGEs) and endogenous ligands.
- Examination of RAGE's role in NF-kappaB activation and inflammatory responses.
Main Results:
- Advanced glycation end products (AGEs) binding to RAGE activates NF-kappaB, inducing proinflammatory factors.
- RAGE interacts with endogenous ligands generated during cell death and tissue injury.
- RAGE activation elicits inflammatory reactions, similar to TLR signaling pathways.
Conclusions:
- RAGE may function as a PRR, utilizing signaling pathways analogous to TLRs to induce inflammation.
- RAGE's role in recognizing host-derived ligands links it to chronic inflammatory diseases like diabetes, atherosclerosis, and neurodegeneration.
- RAGE is implicated in regulating cellular homeostasis within the context of complex disease progression.
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