The possible therapeutic role of advanced glycation end-product inhibitors in ischemic stroke
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Updated: May 29, 2025

Assessing Neuroprotective Effects of Glycyrrhizae Radix et Rhizoma Extract Using a Transient Middle Cerebral Artery Occlusion Mouse Model
Published on: December 9, 2018
Nada H Aljarba1, Hayder M Al-Kuraishy2, Ali I Al-Gareeb3
1Department of Biology, College of science, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia.
Abstract:
The advanced glycation end-products (AGEs) are toxic molecules result from non-enzymatic interactions of sugar with lipids or proteins. AGEs promote the generation of reactive oxygen species that induce the release of pro-inflammatory cytokines, and alter the intracellular signaling leading to progressive biochemical and metabolic derangements. AGEs-induced cellular aging is implicated in the development and progression of different neurological disorders such as dementia, neuropsychiatric disorders, and cerebrovascular diseases. Particularly, AGEs-induced microangiopathy and macroangiopathy trigger the induction of prothrombotic/thrombotic cascades with subsequent increase risk of acute ischemic stroke (AIS). Many studies highlighted that AGEs serum levels are correlated with the incidence, pathogenicity, and severity of AIS. However, the relationship between AGEs and AIS is not elucidated completely. Therefore, this review aims to discuss how AGEs promote the development and progression of AIS, and how AGEs inhibitors could be effective in the management of AIS.
Insights
Advanced glycation end-products (AGEs) contribute to cellular aging and neurological disorders. This review explores how AGEs promote acute ischemic stroke (AIS) and the potential of AGEs inhibitors in managing this condition.
Area of Science:
- Biochemistry
- Neuroscience
- Pathology
Background:
- Advanced glycation end-products (AGEs) are toxic molecules formed from sugar interactions.
- AGEs induce oxidative stress, inflammation, and cellular aging, contributing to neurological disorders.
- AGEs are linked to microvascular and macrovascular damage, increasing the risk of acute ischemic stroke (AIS).
Purpose of the Study:
- To elucidate the role of AGEs in the development and progression of AIS.
- To discuss the potential therapeutic benefits of AGEs inhibitors in AIS management.
Main Methods:
- Literature review of studies on AGEs and neurological disorders.
- Analysis of research linking AGEs to vascular damage and stroke pathogenesis.
- Examination of evidence for AGEs inhibitors in preclinical and clinical settings.
Main Results:
- AGEs promote reactive oxygen species generation and pro-inflammatory cytokine release.
- AGEs-induced vascular damage triggers prothrombotic cascades, elevating AIS risk.
- Elevated serum AGEs levels correlate with AIS incidence, severity, and pathogenicity.
Conclusions:
- AGEs play a significant role in promoting AIS development and progression.
- Targeting AGEs formation or action with inhibitors may offer a novel therapeutic strategy for AIS.
- Further research is needed to fully understand the AGEs-AIS relationship and validate therapeutic interventions.
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