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Unlocking the biology of RAGE in diabetic microvascular complications
Michaele B Manigrasso1, Judyta Juranek1, Ravichandran Ramasamy1
1Diabetes Research Program, Division of Endocrinology, New York University School of Medicine, 550 First Avenue, New York, NY 10016, USA.
Abstract:
The discovery of the receptor for advanced glycation end-products (RAGE) set the stage for the elucidation of important mechanisms underpinning diabetic complications. RAGE transduces the signals of advanced glycation end-products (AGEs), proinflammatory S100/calgranulins, and high mobility group box 1 (HMGB1), and is a one of a family of receptors for lysophosphatidic acid (LPA). These ligand tales weave a theme of vascular perturbation and inflammation linked to the pathogenesis of the chronic complications of diabetes. Once deemed implausible, this concept of inflammatory cues participating in diabetic complications is now supported by a plethora of experimental evidence in the macro- and microvasculature. We review the biology of ligand-RAGE signal transduction and its roles in diabetic microvascular complications, from animal models to human subjects.
Insights
The receptor for advanced glycation end-products (RAGE) pathway is crucial for understanding diabetic complications. RAGE signals link inflammation and vascular issues, contributing to diabetes-related damage in blood vessels.
Area of Science:
- Biomedical Science
- Molecular Biology
- Endocrinology
Background:
- The receptor for advanced glycation end-products (RAGE) plays a key role in cellular signaling.
- RAGE ligands, including advanced glycation end-products (AGEs), S100/calgranulins, and high mobility group box 1 (HMGB1), are implicated in inflammatory processes.
- The involvement of inflammatory pathways in diabetic complications is increasingly recognized.
Purpose of the Study:
- To review the biological mechanisms of RAGE signal transduction.
- To elucidate the role of RAGE in the pathogenesis of diabetic microvascular complications.
- To synthesize evidence from animal models and human studies regarding RAGE and diabetes.
Main Methods:
- Literature review of studies on RAGE biology and diabetic complications.
- Analysis of experimental data from animal models and human subjects.
- Synthesis of findings related to ligand-RAGE interactions and vascular effects.
Main Results:
- RAGE transduces signals from various ligands, including AGEs, S100/calgranulins, and HMGB1.
- These ligand-RAGE interactions contribute to vascular perturbation and inflammation.
- Evidence supports the role of RAGE signaling in the development of diabetic microvascular complications.
Conclusions:
- RAGE signaling is a significant pathway in the development of diabetic complications.
- Understanding RAGE biology is essential for developing therapeutic strategies for diabetic vascular disease.
- Further research in both preclinical models and human studies is warranted to fully explore RAGE's role.
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