Can advanced glycation end-products and their receptors be affected by weight loss? A systematic review
Juliana F Tavares1, Priscila V M Ribeiro1, Olívia G L Coelho1
1Departamento de Nutrição e Saúde, Universidade Federal de Viçosa, Viçosa, Minas Gerais, Brazil.
Abstract:
Advanced glycation end products (AGEs) have been implicated in the pathogenesis of most chronic diseases. Therefore, identification of treatments that can attenuate the effects of these compounds and prevent cardiometabolic complications is of extreme public health interest. Recently, body weight management interventions showed positive results on reducing serum AGE concentrations. Moreover, the soluble receptor for advanced glycation end products (sRAGE) is considered to be a novel biomarker to identify patients with obesity most likely to benefit from weight management interventions. This systematic review aimed to critically analyze papers evaluating the effects of weight loss on serum AGEs and its receptors in adults with excess body weight. MEDLINE, Cochrane, Scopus, and Lilacs databases were searched. Three studies evaluating the response of AGEs to energy-restricted diets and six assessing sRAGE as the primary outcome were included. Energy-restricted diets and bariatric surgery reduced serum AGE concentrations, but effects on endogenous secretory RAGE (esRAGE) and sRAGE concentrations are conflicting. These results may be associated with mechanisms related to changes in dietary intake and limiting endogenous AGE formation. Therefore, the role of energy-restricted diets and bariatric surgery on lowering serum AGE concentrations, as well as its effects on AGEs receptors, deserves further investigation.
Insights
Weight loss interventions, including diets and bariatric surgery, can reduce advanced glycation end products (AGEs). However, their impact on AGEs receptors requires further study.
Area of Science:
- Metabolism and Endocrinology
- Biochemistry
- Cardiovascular Disease Research
Background:
- Advanced glycation end products (AGEs) are linked to chronic disease pathogenesis.
- Reducing AGEs and preventing cardiometabolic complications is a public health priority.
- Weight management interventions show promise in lowering serum AGE concentrations.
Purpose of the Study:
- To systematically review studies on the effects of weight loss on serum AGEs and their receptors in adults with excess body weight.
- To analyze the impact of energy-restricted diets and bariatric surgery on AGEs and soluble receptor for advanced glycation end products (sRAGE).
Main Methods:
- Systematic literature search of MEDLINE, Cochrane, Scopus, and Lilacs databases.
- Inclusion of three studies on AGEs response to energy-restricted diets.
- Inclusion of six studies assessing sRAGE as a primary outcome.
Main Results:
- Energy-restricted diets and bariatric surgery were found to reduce serum AGE concentrations.
- Conflicting results were observed regarding the effects of these interventions on endogenous secretory RAGE (esRAGE) and sRAGE concentrations.
- Observed effects may be linked to dietary changes and reduced endogenous AGE formation.
Conclusions:
- Weight loss interventions effectively lower serum AGE concentrations.
- The impact of weight loss on AGEs receptors (sRAGE and esRAGE) requires further investigation.
- Future research should explore the mechanisms underlying these effects.
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