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Updated: Jun 22, 2026

Screening Assays to Characterize Novel Endothelial Regulators Involved in the Inflammatory Response
Published on: September 15, 2017
RAGE: therapeutic target and biomarker of the inflammatory response--the evidence mounts
Ravichandran Ramasamy1, Shi Fang Yan, Ann Marie Schmidt
1Division of Surgical Science, Department of Surgery, College of Physicians and Surgeons, Columbia University, New York, New York 10032, USA
Abstract:
The RAGE binds multiple ligand families linked to hyperglycemia, aging, inflammation, neurodegeneration, and cancer. Activation of RAGE by its ligands stimulates diverse signaling cascades. The recent observation that the cytoplasmic domain of RAGE interacts with diaphanous or mDia-1 links RAGE signal transduction to cellular migration and activation of the Rho GTPases, cdc42 and rac-1. Pharmacological blockade of RAGE or genetic deletion of RAGE imparts significant protection in murine models of diabetes, inflammatory conditions, Alzheimer's disease, and tumors. Intriguingly, soluble forms of RAGE, including the splice variant-derived esRAGE, circulate in human plasma. Studies in human subjects suggest that sRAGE levels may be modulated by the diseases impacted by RAGE and its ligands. Thus, in addition to being a potential therapeutic target in chronic disease, monitoring of plasma sRAGE levels may provide a novel biomarker platform for tracking chronic inflammatory diseases, their severity, and response to therapeutic intervention.
Insights
The receptor for advanced glycation end products (RAGE) is implicated in chronic diseases. Blocking RAGE or using soluble RAGE (sRAGE) shows therapeutic potential and may serve as a disease biomarker.
Area of Science:
- Molecular Biology
- Immunology
- Biochemistry
Background:
- The receptor for advanced glycation end products (RAGE) is a multi-ligand receptor involved in various chronic inflammatory diseases.
- RAGE activation triggers signaling pathways linked to cellular migration and Rho GTPase activation (cdc42 and rac-1).
Purpose of the Study:
- To explore the role of RAGE in chronic diseases.
- To investigate the therapeutic potential of targeting RAGE.
- To assess the utility of soluble RAGE (sRAGE) as a biomarker.
Main Methods:
- Pharmacological blockade of RAGE.
- Genetic deletion of RAGE in murine models.
- Analysis of circulating soluble RAGE (sRAGE) levels in human subjects.
Main Results:
- RAGE blockade or deletion significantly protected against murine models of diabetes, inflammation, Alzheimer's disease, and tumors.
- Soluble RAGE (sRAGE) variants, including esRAGE, are found in human plasma.
- Plasma sRAGE levels appear to correlate with RAGE-associated diseases.
Conclusions:
- RAGE is a viable therapeutic target for multiple chronic diseases.
- Plasma sRAGE levels may serve as a novel biomarker for monitoring disease progression and treatment response in chronic inflammatory conditions.
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