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Published on: May 2, 2025
Fructose causes endothelial cell damage via activation of advanced glycation end products-receptor system
Ami Sotokawauchi1, Takanori Matsui1, Yuichiro Higashimoto2
1Department of Pathophysiology and Therapeutics of Diabetic Vascular Complications, Kurume University School of Medicine, Kurume, Japan.
Objective:
Advanced glycation end products and their receptor - RAGE - in the adipose tissues contribute to metabolic derangements in fructose-fed rats. However, it remains unclear whether fructose could cause endothelial cell damage via the activation of AGE-RAGE.
Methods:
Intracellular advanced glycation end products were evaluated by dot blot analysis. Fructose-derived advanced glycation end products (Fruc-AGEs) were prepared by incubating bovine serum albumin with fructose for 8 weeks. Reactive oxygen species generation was measured using a fluorescent probe. Vascular cell adhesion molecule-1 gene expression was analysed by reverse transcription-polymerase chain reaction. Binding affinities of Fruc-AGEs to DNA-aptamer raised against Fruc-AGEs (Fruc-AGE-aptamer) or RAGE were measured with a quartz crystal microbalance.
Results:
Fructose increased the advanced glycation end product-specific fluorescence intensity in assay medium, while it stimulated intracellular formation of advanced glycation end products in human umbilical vein endothelial cells. Furthermore, 0.3 mM fructose for 4 days significantly increased reactive oxygen species generation and vascular cell adhesion molecule-1 gene expression in human umbilical vein endothelial cells. Fruc-AGE-aptamer, but not Control-aptamer, bound to Fruc-AGEs with K value of 5.60 × 10-6 M and dose-dependently inhibited the binding of Fruc-AGEs to RAGE. Moreover, Fruc-AGE-aptamer prevented the Fruc-AGE- and fructose-induced reactive oxygen species generation and vascular cell adhesion molecule-1 gene expression in human umbilical vein endothelial cells.
Conclusion:
This study suggests that fructose may elicit endothelial cell damage partly via the activation of AGE-RAGE axis.
Insights
Fructose consumption may harm endothelial cells by activating the advanced glycation end product-receptor for advanced glycation end product (AGE-RAGE) pathway. This study demonstrates fructose-induced oxidative stress and inflammation in endothelial cells.
Area of Science:
- Biochemistry
- Cell Biology
- Metabolic Research
Background:
- Advanced glycation end products (AGEs) and their receptor (RAGE) are implicated in metabolic disorders.
- The role of fructose in endothelial cell damage via AGE-RAGE activation is not fully understood.
Purpose of the Study:
- To investigate whether fructose can induce endothelial cell damage through the activation of the AGE-RAGE axis.
- To explore the mechanisms of fructose-induced endothelial dysfunction.
Main Methods:
- Preparation of fructose-derived AGEs (Fruc-AGEs).
- Evaluation of intracellular AGEs, reactive oxygen species (ROS) generation, and vascular cell adhesion molecule-1 (VCAM-1) gene expression in human umbilical vein endothelial cells (HUVECs).
- Measurement of binding affinities using quartz crystal microbalance and aptamer inhibition assays.
Main Results:
- Fructose increased intracellular AGEs and ROS generation in HUVECs.
- Fructose exposure led to increased VCAM-1 gene expression.
- A specific aptamer (Fruc-AGE-aptamer) inhibited Fruc-AGE binding to RAGE and prevented fructose-induced ROS and VCAM-1 upregulation.
Conclusions:
- Fructose may contribute to endothelial cell damage by activating the AGE-RAGE pathway.
- Fructose-induced oxidative stress and inflammation in endothelial cells are partly mediated by AGE-RAGE signaling.
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