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Receptor for advanced glycation end as drug targets in diabetes-induced skin lesion
Xiang-Fang Chen1, Wei Tang1, Wei-Dong Lin2
1Department of Endocrinology, Changzheng Hospital, Second Military Medical University Shanghai 200003, China.
Abstract:
The involvement of the receptor for advanced glycation end (RAGE) in different diseases has been reviewed in great detail, previously, but the effects of diabetic drugs on RAGE-induced skin lesion during long course diabetes remains poorly understood. In the present study, we have shown that RAGE was overexpressed in both diabetic rats and human keratinocytes (HaCaT cells). Cell cycle arrest and apoptosis as well as alternations of relative protein levels were also found in diabetic rats and HaCaT cells with overexpression of RAGE that were rectified by metformin (Met) treatment. Moreover, overexpression of RAGE was also found to induce secretions of TNF-α, IL-1β, IL-6, ICAM-1 and COX-2 in HaCaT cells, and Met treatment corrected these inflammatory factor secretions. In addition, treatment with Met markedly reduced RAGE overexpression-induced p38 and NF-κB activation. Taken together, the findings of the present study have demonstrated, for the first time that Met protects HaCaT cells against diabetes-induced injuries and inflammatory responses through inhibiting activated RAGE.
Insights
Metformin protects skin cells from diabetes damage by inhibiting the receptor for advanced glycation end (RAGE). This study shows Metformin rectifies RAGE overexpression, reducing cell cycle arrest, apoptosis, and inflammation in diabetic conditions.
Area of Science:
- Biochemistry
- Dermatology
- Pharmacology
Background:
- The receptor for advanced glycation end (RAGE) is implicated in various diseases.
- The impact of diabetic medications on RAGE-mediated skin lesions in long-term diabetes is not well understood.
Purpose of the Study:
- To investigate the effects of metformin on RAGE-induced skin lesions in diabetic conditions.
- To elucidate the protective mechanisms of metformin against RAGE overexpression in diabetic rats and human keratinocytes (HaCaT cells).
Main Methods:
- Assessed RAGE expression in diabetic rat models and HaCaT cells.
- Evaluated the impact of metformin on cell cycle arrest, apoptosis, and protein levels.
- Measured the secretion of inflammatory factors (TNF-α, IL-1β, IL-6, ICAM-1, COX-2) in HaCaT cells.
- Analyzed the activation of p38 and NF-κB signaling pathways.
Main Results:
- RAGE was overexpressed in diabetic rats and HaCaT cells.
- Metformin treatment rectified RAGE overexpression-induced cell cycle arrest, apoptosis, and altered protein levels.
- Metformin corrected the secretion of inflammatory factors induced by RAGE overexpression.
- Metformin significantly reduced RAGE overexpression-induced p38 and NF-κB activation.
Conclusions:
- Metformin protects HaCaT cells against diabetes-induced injuries and inflammatory responses.
- The protective effect of metformin is mediated through the inhibition of activated RAGE.
- This study provides novel insights into the therapeutic potential of metformin in managing RAGE-related complications in diabetes.
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