The role of RAGE in host pathology and crosstalk between RAGE and TLR4 in innate immune signal transduction pathways
Open accessAbstract
Although the innate immune receptor protein, Receptor for Advanced Glycation End products (RAGE), has been extensively studied, there has been renewed interest in RAGE for its potential role in sepsis, along with a host of other inflammatory diseases of chronic, noninfectious origin. In contrast to other innate immune receptors, for example, Toll‐like receptors (TLRs), that recognize ligands derived from pathogenic organisms that are collectively known as “pathogen‐associated molecular patterns” (PAMPs) or host‐derived “damage‐associated molecular patterns” (DAMPs), RAGE has been shown to recognize a broad collection of DAMPs exclusively. Historically, these DAMPs have been shown to be pro‐inflammatory in nature. Early studies indicated that the adaptor molecule, MyD88, might be important for this change. More recent studies have explored further the mechanisms underlying this inflammatory change. Overall, the newer results have shown that there is extensive crosstalk between RAGE and TLRs. The three canonical RAGE ligands, Advanced Glycation End products (AGEs), HMGB1, and S100 proteins, have all been shown to activate both TLRs and RAGE to varying degrees in order to induce inflammation in in vitro models. As with any field that delves deeply into innate signaling, obstacles of reagent purity may be a cause of some of the discrepancies in the literature, and we have found that commercial antibodies that have been widely used exhibit a high degree of nonspecificity. Nonetheless, the weight of published evidence has led us to speculate that RAGE may be physically interacting with TLRs on the cell surface to elicit inflammation via MyD88‐dependent signaling.
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- Authors
- Prantner, D., Nallar, S., & Vogel, S. N.
- Affiliations
- University of Maryland, Baltimore (US)
- Corresponding author
- Vogel, Stefanie N.
- Venue
- The FASEB Journal
- Publisher
- Wiley
- Published
- 2020-11
- Volume
- 34
- Issue
- 12
- Pages
- 15659-15674
- ISSN
- 0892-6638 (ISSN-L)
- 1530-6860
- PMC
- PMC8121140
- OpenAlex
- W3096351980
- Cited by
- 92
- References
- 160
- Citations by year
- 2026: 14 · 2025: 12 · 2024: 16 · 2023: 22 · 2022: 11 · 2021: 16
- FWCI
- 1.57
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The FASEB Journal (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (AI123371, AI125215, S10 OD025101)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Advanced Glycation End Products research
- Life Sciences › Immunology and Microbiology › Immunology › Immune Response and Inflammation
- Life Sciences › Immunology and Microbiology › Immunology › Inflammation biomarkers and pathways
- Keywords
- receptor for advanced glycation end products, RAGE, TLR4, innate immune signaling, damage-associated molecular patterns, advanced glycation end products, HMGB1, S-100 protein, MyD88, receptor cross-talk, sepsis, inflammation
- MeSH terms
- Receptor for Advanced Glycation End Products, Animals, Humans, Immunity, Innate, Inflammation, Signal Transduction, Toll-Like Receptor 4
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