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Receptor for advanced glycation end products (RAGE) deficiency attenuates the development of atherosclerosis in
Aino Soro-Paavonen1, Anna M D Watson, Jiaze Li
1Albert Einstein Juvenile Diabetes Research Foundation Centre for Diabetes Complications, Diabetes Metabolism Division, Baker Heart Research Institute, Melbourne, Australia.
Objective:
Activation of the receptor for advanced glycation end products (RAGE) in diabetic vasculature is considered to be a key mediator of atherogenesis. This study examines the effects of deletion of RAGE on the development of atherosclerosis in the diabetic apoE(-/-) model of accelerated atherosclerosis.
Research Design And Methods:
ApoE(-/-) and RAGE(-/-)/apoE(-/-) double knockout mice were rendered diabetic with streptozotocin and followed for 20 weeks, at which time plaque accumulation was assessed by en face analysis.
Results:
Although diabetic apoE(-/-) mice showed increased plaque accumulation (14.9 +/- 1.7%), diabetic RAGE(-/-)/apoE(-/-) mice had significantly reduced atherosclerotic plaque area (4.9 +/- 0.4%) to levels not significantly different from control apoE(-/-) mice (4.3 +/- 0.4%). These beneficial effects on the vasculature were associated with attenuation of leukocyte recruitment; decreased expression of proinflammatory mediators, including the nuclear factor-kappaB subunit p65, VCAM-1, and MCP-1; and reduced oxidative stress, as reflected by staining for nitrotyrosine and reduced expression of various NADPH oxidase subunits, gp91phox, p47phox, and rac-1. Both RAGE and RAGE ligands, including S100A8/A9, high mobility group box 1 (HMGB1), and the advanced glycation end product (AGE) carboxymethyllysine were increased in plaques from diabetic apoE(-/-) mice. Furthermore, the accumulation of AGEs and other ligands to RAGE was reduced in diabetic RAGE(-/-)/apoE(-/-) mice.
Conclusions:
This study provides evidence for RAGE playing a central role in the development of accelerated atherosclerosis associated with diabetes. These findings emphasize the potential utility of strategies targeting RAGE activation in the prevention and treatment of diabetic macrovascular complications.
Insights
Deleting the receptor for advanced glycation end products (RAGE) significantly reduced atherosclerosis in diabetic mice. This highlights RAGE as a key factor in diabetic vascular disease and a potential therapeutic target.
Area of Science:
- Vascular Biology
- Diabetic Complications
- Atherosclerosis Research
Background:
- Receptor for advanced glycation end products (RAGE) activation is implicated in diabetic vasculature and atherogenesis.
- Diabetic macrovascular complications represent a significant health burden.
Purpose of the Study:
- To investigate the role of RAGE in the development of atherosclerosis in a diabetic mouse model.
- To assess the therapeutic potential of targeting RAGE in diabetic atherosclerosis.
Main Methods:
- Utilized a diabetic apolipoprotein E knockout (apoE-/-) mouse model.
- Generated RAGE-/-/apoE-/- double knockout mice and induced diabetes using streptozotocin.
- Assessed atherosclerotic plaque accumulation after 20 weeks.
Main Results:
- Diabetic RAGE-/-/apoE-/- mice exhibited significantly reduced atherosclerotic plaque area compared to diabetic apoE-/- mice.
- RAGE deletion attenuated leukocyte recruitment, decreased proinflammatory mediators (NF-κB, VCAM-1, MCP-1), and reduced oxidative stress.
- RAGE and its ligands (S100A8/A9, HMGB1, AGEs) were elevated in plaques of diabetic apoE-/- mice.
Conclusions:
- RAGE plays a pivotal role in accelerated atherosclerosis associated with diabetes.
- Targeting RAGE activation may offer a promising strategy for preventing and treating diabetic macrovascular complications.
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