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.

Nutrients
|October 14, 2022
PubMed

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.

Related Concept Videos

Urine Studies I: Urinalysis01:29

Urine Studies I: Urinalysis

Urinalysis is a widely used diagnostic test that analyzes urine's physical, chemical, and microscopic characteristics. Healthcare providers use it to detect and monitor various health conditions, including renal disease, urinary tract infections (UTIs), diabetes, and metabolic or systemic disorders.Components of UrinalysisUrinalysis consists of three primary components: physical, chemical, and microscopic examination. Each provides unique insights into the urine sample and, by extension, the...
77
Diabetes: Symptoms, Diagnosis, and Complications01:15

Diabetes: Symptoms, Diagnosis, and Complications

For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
657
Diabetes Mellitus: Overview and Type I Subtype01:22

Diabetes Mellitus: Overview and Type I Subtype

Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.9K
Nephrotic Syndrome I : Introduction01:24

Nephrotic Syndrome I : Introduction

Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of...
19
Urinary Tract Infection II: Pathophysiology01:25

Urinary Tract Infection II: Pathophysiology

The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
31
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
32