Association between Urinary Advanced Glycation End Products and Subclinical Inflammation in Children and Adolescents:
Margherita Borriello1,2, Fabio Lauria1, Ivana Sirangelo1,2
1Institute of Food Sciences, National Research Council, Via Roma 64, 83100 Avellino, Italy.
Insights
Advanced Glycation End Products (AGEs) are linked to inflammation in children. This study shows urinary AGEs correlate with inflammation biomarkers, suggesting they can indicate subclinical inflammation in youth.
Area of Science:
- Pediatric Health
- Biochemistry
- Inflammation Research
Background:
- Advanced Glycation End Products (AGEs) are linked to inflammation in adults.
- Evidence for this association in children is inconsistent.
- Subclinical inflammation is a growing concern in pediatric populations.
Purpose of the Study:
- To investigate the association between urinary AGEs and subclinical inflammation biomarkers in healthy children and adolescents.
- To determine if fluorescent AGEs can serve as a non-invasive marker for inflammation in pediatric populations.
- To explore correlations between AGEs and specific inflammatory markers like hs-CRP, IL-15, IP-10, and IL-1Ra.
Main Methods:
- Analysis of urinary AGEs using fluorescence spectroscopy in 676 Italian children/adolescents.
- Measurement of high-sensitivity C-reactive protein (hs-CRP) as the primary inflammation biomarker.
- Assessment of secondary inflammation biomarkers including IL-15, IP-10, and IL-1Ra.
Main Results:
- Children with higher urinary AGEs had significantly elevated hs-CRP levels (p=0.002).
- Positive correlations were observed between urinary AGEs and hs-CRP (p=0.0001), IL-15 (p=0.001), IP-10 (p=0.006), and IL-1Ra (p=0.001).
- Urinary AGEs, age, and BMI Z-score independently predicted hs-CRP levels in multiple regression analysis.
Conclusions:
- Urinary AGEs measurement is a simple, non-invasive method to assess inflammation in children and adolescents.
- The findings support a role for AGEs as biomarkers of subclinical inflammation in healthy youth.
- This research highlights the potential of AGEs as early indicators of inflammatory processes in pediatric populations.
Abstract:
Advanced Glycation End Products (AGEs) have been positively correlated with inflammation in adults, while inconsistent evidence is available in children. We evaluated the association between urinary AGEs, measured by fluorescence spectroscopy, and biomarkers of subclinical inflammation in 676 healthy children/adolescents (age 11.8 ± 1.6 years, M ± SD) from the Italian cohort of the I.Family project. Urinary fluorescent AGEs were used as independent variable and high-sensitivity C-reactive protein (hs-CRP) was the primary outcome, while other biomarkers of inflammation were investigated as secondary outcomes. Participants with urinary AGEs above the median of the study population showed statistically significantly higher hs-CRP levels as compared to those below the median (hs-CRP 0.44 ± 1.1 vs. 0.24 ± 0.6 mg/dL, M ± SD p = 0.002). We found significant positive correlations between urinary AGEs and hs-CRP (p = 0.0001), IL-15 (p = 0.001), IP-10 (p = 0.006), and IL-1Ra (p = 0.001). At multiple regression analysis, urinary AGEs, age, and BMI Z-score were independent variables predicting hs-CRP levels. We demonstrated for the first time, in a large cohort of children and adolescents, that the measurement of fluorescent urinary AGEs may represent a simple, noninvasive, and rapid technique to evaluate the association between AGEs and biomarkers of inflammation. Our data support a role of AGEs as biomarkers of subclinical inflammation in otherwise healthy children and adolescents.
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