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Published on: March 28, 2013
Regulation of advanced glycation end product (AGE)-receptor (RAGE) system by PPAR-gamma agonists and its implication
Sho-ichi Yamagishi1, Kazuo Nakamura, Takanori Matsui
1Department of Pathophysiology and Therapeutics of Diabetic Vascular Complications, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan. shoichi@med.kurume-u.ac.jp
Abstract:
Non-enzymatic modification of proteins by reducing sugars leads to the formation of advanced glycation end products (AGEs), whose process has been reported to progress under physiological aging, oxidative stress or diabetic conditions. There is a growing body of evidence that AGEs and their receptor (RAGE) axis is involved in the pathogenesis of cardiovascular disease (CVD). Indeed, engagement of RAGE with AGEs is shown to elicit oxidative stress generation and subsequently evoke inflammatory and thrombogenic responses in various types of cells, including endothelial cells, smooth muscle cells, macrophages and renal cells, thus playing an important role in the development and progression of vascular injury in both diabetes and non-diabetes. These observations suggest that the inhibition of AGE formation, down-regulation of RAGE expression or blockade of the RAGE downstream signaling may be a promising therapeutic target for preventing CVD. Recently, peroxisome proliferator-activated receptor-gamma (PPARgamma) is involved in not only adipocyte differentiation, but also vascular homeostasis. Therefore, in this study, we review effects of PPARgamma agonists on the AGE-RAGE system and their implication in CVD.
Insights
Advanced glycation end products (AGEs) contribute to cardiovascular disease (CVD) by activating the receptor for AGEs (RAGE). PPARgamma agonists may offer a therapeutic strategy by modulating the AGE-RAGE system in CVD.
Area of Science:
- Biochemistry
- Cardiovascular Science
- Molecular Biology
Background:
- Non-enzymatic glycation forms advanced glycation end products (AGEs) under physiological aging, oxidative stress, and diabetes.
- The AGE-RAGE axis is implicated in cardiovascular disease (CVD) pathogenesis, driving oxidative stress, inflammation, and thrombotic responses.
- AGE-RAGE signaling contributes to vascular injury in both diabetic and non-diabetic conditions.
Purpose of the Study:
- To review the effects of peroxisome proliferator-activated receptor-gamma (PPARgamma) agonists on the AGE-RAGE system.
- To explore the therapeutic implications of PPARgamma agonists in preventing cardiovascular disease (CVD).
Main Methods:
- Literature review focusing on the AGE-RAGE axis in CVD.
- Analysis of studies investigating the role of PPARgamma agonists in modulating AGE-RAGE signaling.
- Synthesis of evidence regarding the impact of PPARgamma activation on vascular homeostasis.
Main Results:
- PPARgamma agonists demonstrate potential in influencing the AGE-RAGE pathway.
- Modulation of the AGE-RAGE system by PPARgamma agonists may mitigate CVD-related cellular responses.
- Evidence suggests PPARgamma agonists could be a therapeutic target for CVD.
Conclusions:
- Inhibition of AGE formation, RAGE expression, or downstream signaling are potential CVD therapeutic targets.
- PPARgamma agonists show promise in modulating the AGE-RAGE system and vascular homeostasis.
- Further research into PPARgamma agonists could lead to novel CVD prevention strategies.
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