Cited by 239Advanced Glycation End Products researchChronic Kidney Disease and DiabetesRenal Diseases and Glomerulopathies

Glucose, Glycation, and RAGE: Implications for Amplification of Cellular Dysfunction in Diabetic Nephropathy

Wendt, Thoralf, Tanji, Nozomu, Guo, Jiancheng, Hudson, Barry I., Bierhaus, Angelika, Ramasamy, Ravichandran, Arnold, Bernd, Nawroth, Peter P. +3 more·2003·Journal of the American Society of Nephrology

Abstract

Receptor for advanced glycation endproducts (RAGE) is a multi-ligand member of the immunoglobulin superfamily of cell surface molecules. Driven by rapid accumulation and expression of key ligands such as advanced glycation endproducts (AGE) and S100/calgranulins in diabetic tissues, upregulation and activation of RAGE magnifies cellular perturbation in tissues affected by hyperglycemia, such as the large blood vessels and the kidney. In the diabetic glomerulus, RAGE is expressed principally by glomerular visceral epithelial cells (podocytes). Blockade of RAGE in the hyperglycemic db/db mouse suppresses functional and structural alterations in the kidney, in the absence of alterations in blood glucose. Recent studies in homozygous RAGE null mice support a key role for RAGE in glomerular perturbation in diabetes. Importantly, beyond diabetes, studies in other settings of glomerulopathies support a critical RAGE-dependent pathway in podocytes linked to albuminuria, mesangial expansion, and glomerular sclerosis. A new paradigm is proposed in glomerular injury, and it is suggested that blockade of the RAGE axis may provide a novel means to prevent irreparable glomerular injury in diabetes and other sclerosing glomerulopathies.

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Crossref · 10.1097/01.asn.0000065100.17349.ca

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Authors
Wendt, T., Tanji, N., Guo, J., Hudson, B. I., Bierhaus, A., Ramasamy, R., Arnold, B., Nawroth, P. P., Yan, S. F., D’Agati, V., & Schmidt, A. M.
Affiliations
  • Columbia University (US)
  • Heidelberg University (DE)
  • German Cancer Research Center (DE)
Venue
Journal of the American Society of Nephrology
Published
2003-05
Volume
14
Issue
5
Pages
1383-1395
ISSN
1046-6673 (ISSN-L)
OpenAlex
W2130892097
Cited by
239
References
97
Citations by year
2026: 6 · 2025: 6 · 2024: 5 · 2023: 6 · 2022: 5 · 2021: 5 · 2020: 12 · 2019: 3 · 2018: 8 · 2017: 9 · 2016: 7 · 2015: 8 · 2014: 12 · 2013: 13 · 2012: 7
FWCI
9.85
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of the American Society of Nephrology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Burroughs Wellcome Fund
  • Juvenile Diabetes Research Foundation International
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Advanced Glycation End Products research
  • Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
  • Health Sciences › Medicine › Nephrology › Renal Diseases and Glomerulopathies
Keywords
receptor for advanced glycation end products, RAGE, advanced glycation end products, hyperglycemia, diabetes mellitus, diabetic nephropathy, podocytes, glomerular injury, glomerulosclerosis, albuminuria, mesangial expansion, S100/calgranulins, db/db mice
MeSH terms
Receptor for Advanced Glycation End Products, Animals, Blood Glucose, Diabetic Nephropathies, Humans, Receptors, Immunologic, Glycation End Products, Advanced

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