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Published on: August 24, 2018
Novel inhibitors of glycation and AGE formation
1Department of Diabetes, Endocrinology and Metabolism, Beckman Research Institute, City of Hope National Medical Center, Duarte, CA, USA. srahbar@coh.org
Abstract:
Accelerated formation of advanced glycation/lipoxidation and endproducts (AGEs/ALEs) has been implicated in the pathogenesis of various diabetic complications. Several natural and synthetic compounds have been proposed and tested as inhibitors of AGE/ALE formation. We have previously reported the therapeutic effects of several new AGE/ALE inhibitors on the prevention of nephropathy and dyslipidemia in streptozotocin (STZ)-induced diabetic rats. In this study, we investigated the effects of various concentrations of a compound, LR-90, on the progression of renal disease and its effects on AGE and receptor for AGE (RAGE) protein expression on the kidneys of diabetic STZ-rats. Diabetic male Sprague-Dawley rats were treated with or without LR-90 (0, 5, 20, 25, and 50 mg/l of drinking water). After 32 weeks, body weight, glycemic status, renal function, and plasma lipids were measured. Kidney histopathology and AGE/ALE accumulation and RAGE protein expression in tissues were also determined. In vitro studies were also performed to determine the possible mechanism of action of LR-90 in inhibiting AGE formation and AGE-protein cross-linking. LR-90 protected the diabetic kidneys by inhibiting the increase in urinary albumin-to-creatinine ratio and ameliorated hyperlipidemia in diabetic rats in a concentration-dependent fashion without any effects on hyperglycemia. LR-90 treatment also reduced kidney AGE/ALE accumulation and RAGE protein expression in a concentration-dependent manner. In vitro, LR-90 exhibited general antioxidant properties by inhibiting metal-catalyzed reactions and reactive oxygen species (OH radical) and reactive carbonyl species (methlyglyoxal, glyoxal) generations without any effect on pyridoxal 5' phosphate. The compound also prevents AGE-protein cross-linking reactions. These findings demonstrate the bioefficacy of LR-90 in treating nephropathy and hyperlipidemia in diabetic animals by inhibiting AGE accumulation, RAGE protein expression, and protein oxidation in the diabetic kidney. Additionally, our study suggests that LR-90 may be useful also to delay the onset and progression of diabetic atherosclerosis as the compound can inhibit the expression of RAGE and inflammation-related pathology, as well as prevent lipid peroxidation reactions.
Insights
LR-90, a novel compound, effectively treats diabetic kidney disease and hyperlipidemia by inhibiting advanced glycation endproducts (AGEs) and receptor for AGE (RAGE) expression. It shows promise in preventing diabetic atherosclerosis.
Area of Science:
- Biochemistry
- Pharmacology
- Nephrology
Background:
- Advanced glycation/lipoxidation endproducts (AGEs/ALEs) contribute to diabetic complications.
- Inhibitors of AGE/ALE formation are crucial for therapeutic development.
- Previous studies indicated therapeutic effects of novel AGE/ALE inhibitors.
Purpose of the Study:
- To investigate the effects of compound LR-90 on diabetic nephropathy progression.
- To assess LR-90's impact on AGE and RAGE protein expression in diabetic kidneys.
- To elucidate the in vitro mechanism of action of LR-90 in inhibiting AGE formation.
Main Methods:
- Diabetic rats induced by streptozotocin (STZ) were treated with varying concentrations of LR-90.
- Evaluated renal function, plasma lipids, kidney histopathology, and AGE/RAGE expression.
- Conducted in vitro studies to determine LR-90's mechanism against AGE formation and cross-linking.
Main Results:
- LR-90 protected kidneys by reducing albuminuria and ameliorated hyperlipidemia concentration-dependently.
- LR-90 significantly decreased kidney AGE/ALE accumulation and RAGE protein expression.
- In vitro, LR-90 demonstrated antioxidant properties and inhibited AGE-protein cross-linking.
Conclusions:
- LR-90 is effective in treating diabetic nephropathy and hyperlipidemia by inhibiting AGEs and RAGE.
- LR-90's antioxidant and anti-glycation properties contribute to its renoprotective effects.
- LR-90 may be beneficial in delaying diabetic atherosclerosis progression due to RAGE inhibition and anti-lipid peroxidation effects.
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