Emerging Targets for Therapeutic Development in Diabetes and Its Complications: The RAGE Signaling Pathway
Ems Litwinoff1, C Hurtado Del Pozo1, R Ramasamy1
1Diabetes Research Program, Division of Endocrinology, Department of Medicine, New York University School of Medicine, New York, New York, USA.
Abstract:
Types 1 and 2 diabetes are on the rise worldwide. Although the treatment of hyperglycemia has benefited from recent advances, aggressive efforts to maintain euglycemia may be fraught with risk, especially in older subjects or in subjects vulnerable to hypoglycemic unawareness. Hence, strategies to prevent and treat the complications of hyperglycemia are essential. In this review we summarize recent updates on the biology of the receptor for advanced glycation endproducts (RAGE) in the pathogenesis of both micro- and macrovascular complications of diabetes, insights from the study of mouse models of obesity and diabetic complications, and from associative studies in human subjects. The study of the mechanisms and consequences of the interaction of the RAGE cytoplasmic domain with the formin, mDia1, in RAGE signal transduction, will be discussed. Lastly, we review the "state-of-the-art" on RAGE-directed therapeutics. Tackling RAGE/mDia1 may identify a novel class of therapeutics preventing diabetes and its complications.
Insights
Strategies targeting the receptor for advanced glycation endproducts (RAGE) and its interaction with mDia1 may offer new ways to prevent diabetes and its complications. This approach is crucial given the rising global diabetes rates.
Area of Science:
- Endocrinology
- Molecular Biology
- Pathogenesis of Diabetes
Background:
- Global rise in Type 1 and Type 2 diabetes.
- Hyperglycemia treatment advances exist, but risks like hypoglycemia persist.
- Preventing diabetes complications is essential.
Purpose of the Study:
- Review updates on the receptor for advanced glycation endproducts (RAGE) in diabetes pathogenesis.
- Discuss RAGE signaling mechanisms, including its interaction with mDia1.
- Evaluate RAGE-directed therapeutics for diabetes and its complications.
Main Methods:
- Literature review of RAGE biology in diabetic complications.
- Analysis of mouse models for obesity and diabetic complications.
- Examination of human associative studies.
- Discussion of RAGE/mDia1 interaction in signal transduction.
Main Results:
- RAGE is implicated in micro- and macrovascular complications of diabetes.
- The RAGE/mDia1 interaction influences RAGE signal transduction.
- Insights gained from animal models and human studies.
Conclusions:
- Targeting RAGE/mDia1 may yield novel therapeutics for diabetes prevention.
- RAGE-directed therapies hold promise for managing diabetic complications.
- Further research into RAGE signaling is warranted.
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