The Receptor for Advanced Glycation End Products (RAGE) and DIAPH1: Implications for vascular and neuroinflammatory dysfunction in disorders of the central nervous system
Open accessAbstract
The Receptor for Advanced Glycation End Products (RAGE) is expressed by multiple cell types in the brain and spinal cord that are linked to the pathogenesis of neurovascular and neurodegenerative disorders, including neurons, glia (microglia and astrocytes) and vascular cells (endothelial cells, smooth muscle cells and pericytes). Mounting structural and functional evidence implicates the interaction of the RAGE cytoplasmic domain with the formin, Diaphanous1 (DIAPH1), as the key cytoplasmic hub for RAGE ligand-mediated activation of cellular signaling. In aging and diabetes, the ligands of the receptor abound, both in the central nervous system (CNS) and in the periphery. Such accumulation of RAGE ligands triggers multiple downstream events, including upregulation of RAGE itself. Once set in motion, cell intrinsic and cell-cell communication mechanisms, at least in part via RAGE, trigger dysfunction in the CNS. A key outcome of endothelial dysfunction is reduction in cerebral blood flow and increased permeability of the blood brain barrier, conditions that facilitate entry of activated leukocytes into the CNS, thereby amplifying primary nodes of CNS cellular stress. This contribution details a review of the ligands of RAGE, the mechanisms and consequences of RAGE signal transduction, and cites multiple examples of published work in which RAGE contributes to the pathogenesis of neurovascular perturbation. Insights into potential therapeutic modalities targeting the RAGE signal transduction axis for disorders of CNS vascular dysfunction and neurodegeneration are also discussed.
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In aging and diabetes, levels of RAGE ligands are increased in both the CNS and the periphery, which upregulate expression of RAGE receptor and induce multiple downstream events.
“In aging and diabetes, the levels of RAGE ligands are increased in both the CNS and the periphery, which upregulate the expression of RAGE receptor and induces multiple downstream events.324”
From Role of neuroinflammation in neurodegeneration development (2023) · cites this paper as [324]
In the CNS, RAGE is expressed by multiple cell types, including microglia, astrocytes, neurons, pericytes and endothelial cells.
“In the CNS, RAGE is expressed by multiple cell types, including microglia, astrocytes, neurons, pericytes and endothelial cells.324”
From Role of neuroinflammation in neurodegeneration development (2023) · cites this paper as [324]
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Sorted by citations
Role of neuroinflammation in neurodegeneration development
Zhang, W., Xiao, D., Mao, Q., & Xia, H. (2023) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-023-01486-5 · Cited by 1,668 · see citing works
“In aging and diabetes, the levels of RAGE ligands are increased in both the CNS and the periphery, which upregulate the expression of RAGE receptor and induces multiple downstream events.(324) This may be a potential mechanism underlying the close association between aging/diabetes and neuroinflammation.”
BackgroundPaudel, Y. N., Angelopoulou, E., Piperi, C., Othman, I., Aamir, K., & Shaikh, M. F. (2020) · Cells · doi:10.3390/cells9020383 · Cited by 257 · see citing works
- Authors
- MacLean, M., Derk, J., Ruiz, H. H., Juranek, J. K., Ramasamy, R., & Schmidt, A. M.
- Affiliations
- New York University (US)
- NYU Langone Health (US)
- Corresponding author
- Schmidt, Ann Marie
- Venue
- Neurochemistry International
- Publisher
- Elsevier BV
- Published
- 2019-06
- Volume
- 126
- Pages
- 154-164
- ISSN
- 0197-0186 (ISSN-L)
- PMC
- PMC10976457
- OpenAlex
- W2923098009
- Cited by
- 69
- References
- 15
- Citations by year
- 2026: 12 · 2025: 7 · 2024: 7 · 2023: 8 · 2022: 8 · 2021: 14 · 2020: 10 · 2019: 3
- FWCI
- 1.14
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Neurochemistry International (acceptedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- United States Public Health Service
- American Heart Association
- JDRF
- American Diabetes Association
- Alzheimer's Association
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Advanced Glycation End Products research
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Neuroscience › Neurology › Barrier Structure and Function Studies
- Keywords
- receptor for advanced glycation end products, RAGE, formins, RAGE ligands, neurovascular dysfunction, neuroinflammation, neurodegeneration, endothelial dysfunction, blood-brain barrier permeability, cerebral blood flow, microglia, astrocytes, pericytes, aging, diabetes mellitus
- MeSH terms
- Receptor for Advanced Glycation End Products, Formins, Animals, Central Nervous System Diseases, Humans, Vascular Diseases, Glycation End Products, Advanced, Inflammation Mediators, Neurodegenerative Diseases
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