Can grape polyphenols affect glycation markers? A systematic review.
Olívia G L Coelho1, Priscila V M Ribeiro1, Rita de Cássia G Alfenas1
1Departamento de Nutrição de Saúde, Universidade Federal de Viçosa, Viçosa, Brazil.
Grape polyphenols show potential in reducing early glycation markers like fructosamine and methylglyoxal (MGO). Further research is needed to confirm their impact on advanced glycation end-products (AGEs) and related receptors in chronic diseases.
Area of Science:
- Nutritional Science
- Biochemistry
- Molecular Biology
Background:
- Advanced glycation end-products (AGEs) are implicated in chronic disease pathogenesis due to their pro-inflammatory and oxidative stress-inducing properties.
- Grape polyphenols possess known antiglycative and antioxidant properties, suggesting a role in chronic disease prevention.
- Clinical evidence linking grape polyphenol modulation of glycation markers to chronic disease prevention and treatment remains limited.
Approach:
- A systematic review adhering to PRISMA guidelines was conducted to analyze existing studies.
- Searches included terms like "grape", "resveratrol", "quercetin", and "polyphenol extract".
- Seven studies were included in the final analysis.
Key Points:
- Grape polyphenols reduced fructosamine and methylglyoxal (MGO) concentrations.
- Gene expression of endogenous secretory RAGE (esRAGE) was increased, though serum concentrations remained unaffected.
- Resveratrol's antiglycative effects were linked to MGO trapping and RAGE downregulation.
Conclusions:
- Dietary grape polyphenols demonstrate a potential positive impact on early glycation products, AGEs, and esRAGE.
- Intervention durations in current studies may have been insufficient to observe changes in certain markers like glycated hemoglobin.
- Further investigation is required to elucidate the mechanisms by which grape polyphenols modulate AGEs and their receptors in the context of chronic diseases.
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