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Therapeutic Potential of DNA-aptamers Raised Against AGE-RAGE Axis in Diabetes-related Complications
Sho-Ichi Yamagishi1, Takanori Matsui1
1Department of Pathophysiology and Therapeutics of Diabetic Vascular Complications, Kurume University School of Medicine, Kurume 830-0011, Japan.
Abstract:
Accumulating evidence has indicated that formation and accumulation of advanced glycation end products (AGEs) progress under diabetic conditions, thereby contributing to the development and progression of various diabetes- and aging-related disorders, such as diabetic nephropathy, diabetic retinopathy, atherosclerotic cardiovascular disease, insulin resistance, cancer growth and metastasis, osteoporosis, and Alzheimer's disease. Modification of proteins, lipids and nucleic acids by AGEs alter their structural integrity and function, and evoke oxidative stress generation and inflammatory reactions through the interaction with a receptor for AGEs (RAGE), being involved in the above-mentioned devastating disorders. These observations suggest that inhibition of the AGE-RAGE axis is a novel therapeutic target for diabetes- and aging-related complications. Aptamers are short single-stranded RNA or DNA oligonucleotides that can bind to numerous types of proteins with high specificity and affinity, and some type of aptamer raised against vascular endothelial growth factor has been approved for the treatment of patients with neovascular age-related macular degeneration. Since aptamers can be easily generated and highly penetrated into various organs with a low risk of allergic reactions, they may be superior to antibodies for neutralizing and/or blocking target proteins or cell surface receptors. Therefore, in this review, we describe the therapeutic potential of DNA-aptamers raised against the AGE-RAGE axis in diabetes-associated complications, especially focusing on vascular complications of diabetes and cancer.
Insights
Advanced glycation end products (AGEs) drive diabetes and aging complications by interacting with RAGE. DNA aptamers targeting the AGE-RAGE axis offer a promising therapeutic strategy for these conditions, particularly vascular issues and cancer.
Area of Science:
- Biochemistry
- Molecular Biology
- Pharmacology
Background:
- Advanced glycation end products (AGEs) accumulate in diabetes, contributing to complications like nephropathy, retinopathy, cardiovascular disease, insulin resistance, cancer, osteoporosis, and Alzheimer's disease.
- AGEs modify proteins, lipids, and nucleic acids, altering function and triggering oxidative stress and inflammation via the receptor for AGEs (RAGE).
- The AGE-RAGE axis is implicated in numerous disorders, making it a potential therapeutic target for diabetes- and aging-related conditions.
Purpose of the Study:
- To review the therapeutic potential of DNA aptamers targeting the AGE-RAGE axis.
- To focus on applications in diabetes-associated complications, particularly vascular complications and cancer.
Main Methods:
- Review of existing literature on AGEs, RAGE, and aptamer technology.
- Discussion of aptamer generation, specificity, affinity, and potential advantages over antibodies.
- Exploration of the therapeutic strategies involving DNA aptamers against the AGE-RAGE axis.
Main Results:
- Aptamers are short oligonucleotides with high specificity and affinity for target proteins.
- Aptamers offer advantages such as ease of generation, organ penetration, and low risk of allergic reactions compared to antibodies.
- DNA aptamers targeting the AGE-RAGE axis show therapeutic potential for diabetes-related vascular complications and cancer.
Conclusions:
- Inhibition of the AGE-RAGE axis is a viable therapeutic strategy for diabetes- and aging-related disorders.
- DNA aptamers represent a promising class of therapeutics for targeting the AGE-RAGE axis.
- Further research into DNA aptamers for AGE-RAGE related diseases, especially vascular complications and cancer, is warranted.
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