Advanced Glycation End Products: Sparking the Development of Diabetic Vascular Injury
Abstract
Advanced glycation end products (AGEs) are proteins or lipids that become glycated after exposure to sugars. AGEs are prevalent in the diabetic vasculature and contribute to the development of atherosclerosis. The presence and accumulation of AGEs in many different cell types affect extracellular and intracellular structure and function. AGEs contribute to a variety of microvascular and macrovascular complications through the formation of cross-links between molecules in the basement membrane of the extracellular matrix and by engaging the receptor for advanced glycation end products (RAGE). Activation of RAGE by AGEs causes upregulation of the transcription factor nuclear factor-κB and its target genes. Soluble AGEs activate monocytes, and AGEs in the basement membrane inhibit monocyte migration. AGE-bound RAGE increases endothelial permeability to macromolecules. AGEs block nitric oxide activity in the endothelium and cause the production of reactive oxygen species. Because of the emerging evidence about the adverse effects of AGEs on the vasculature of patients with diabetes, a number of different therapies to inhibit AGEs are under investigation.
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In blood vessels, accumulated AGEs interact with mononuclear, endothelial, and smooth muscle cells, resulting in cellular dysfunction, tissue damage, and atherosclerosis development.
“In blood vessels, accumulated AGEs also interact with mononuclear, endothelial, and smooth muscle cells, resulting in cellular dysfunction, tissue damage, and atherosclerosis development55–57,59.”
From Advanced glycation end products (AGEs) and other adducts in aging-related diseases and alcohol-mediated tissue injury (2021) · cites this paper as [59]
Accumulation and exposure to AGEs exacerbate oxidative stress and inflammation and initiate the oxidation of LDLs, which are harmful to cardiovascular function.
“The accumulation and exposure to AGEs exacerbate oxidative stress and inflammation and initiate the oxidation of low-density lipoproteins (LDLs), which are harmful to cardiovascular function.”
From Advanced glycation end products (AGEs) and other adducts in aging-related diseases and alcohol-mediated tissue injury (2021) · cites this paper as [59]
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- Authors
- Goldin, A., Beckman, J. A., Schmidt, A. M., & Creager, M. A.
- Affiliations
- Brigham and Women's Hospital (US)
- Venue
- Circulation
- Published
- 2006-08-08
- Volume
- 114
- Issue
- 6
- Pages
- 597-605
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2108762011
- Cited by
- 2,261
- References
- 136
- Citations by year
- 2026: 109 · 2025: 96 · 2024: 101 · 2023: 137 · 2022: 152 · 2021: 151 · 2020: 122 · 2019: 115 · 2018: 131 · 2017: 147 · 2016: 132 · 2015: 147 · 2014: 161 · 2013: 118 · 2012: 104
- FWCI
- 7.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (HL-48743, P01HL048743)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Advanced Glycation End Products research
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
- Keywords
- advanced glycation end products, receptor for advanced glycation end products, diabetes mellitus, atherosclerosis, diabetic vascular complications, extracellular matrix, nuclear factor-kappaB, monocyte migration, endothelial permeability, nitric oxide, reactive oxygen species, AGE inhibitors
- MeSH terms
- Receptor for Advanced Glycation End Products, Animals, Basement Membrane, Coronary Artery Disease, Diabetic Angiopathies, Endothelium, Vascular, Extracellular Matrix, Humans, Macrophages, Monocytes, Nitric Oxide, Protein Binding, Receptors, Immunologic, Signal Transduction, Up-Regulation, NF-kappa B, Glycation End Products, Advanced, Reactive Oxygen Species
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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