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.

Abstract

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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