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Advanced Glycation End Products and Oxidative Stress in Type 2 Diabetes Mellitus
Open accessAbstract
Type 2 diabetes mellitus (T2DM) is a very complex and multifactorial metabolic disease characterized by insulin resistance and β cell failure leading to elevated blood glucose levels. Hyperglycemia is suggested to be the main cause of diabetic complications, which not only decrease life quality and expectancy, but are also becoming a problem regarding the financial burden for health care systems. Therefore, and to counteract the continually increasing prevalence of diabetes, understanding the pathogenesis, the main risk factors, and the underlying molecular mechanisms may establish a basis for prevention and therapy. In this regard, research was performed revealing further evidence that oxidative stress has an important role in hyperglycemia-induced tissue injury as well as in early events relevant for the development of T2DM. The formation of advanced glycation end products (AGEs), a group of modified proteins and/or lipids with damaging potential, is one contributing factor. On the one hand it has been reported that AGEs increase reactive oxygen species formation and impair antioxidant systems, on the other hand the formation of some AGEs is induced per se under oxidative conditions. Thus, AGEs contribute at least partly to chronic stress conditions in diabetes. As AGEs are not only formed endogenously, but also derive from exogenous sources, i.e., food, they have been assumed as risk factors for T2DM. However, the role of AGEs in the pathogenesis of T2DM and diabetic complications—if they are causal or simply an effect—is only partly understood. This review will highlight the involvement of AGEs in the development and progression of T2DM and their role in diabetic complications.
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“The formation and accumulation of glycoxidation products occurs during normal, but especially under certain physiological conditions, such as hyperglycemia, hyperlipidemia, and oxidative stress.”
From Protein oxidation - Formation mechanisms, detection and relevance as biomarkers in human diseases (2021) · cites this paper as [152]
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“This indicates their relevance in the progression of metabolic diseases, including neurodegenerative disease, chronic kidney disease (CDK), CVD, and cancer, but in particular, T2D and related complications as reviewed elsewhere [152].”
From Protein oxidation - Formation mechanisms, detection and relevance as biomarkers in human diseases (2021) · cites this paper as [152]
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“a growing body of evidence reveals that levels of glycoxidation products increase as a function of age in several tissues, dependent on the dietary intake and the presence of hyperglycemic conditions [152,153]”
From Protein oxidation - Formation mechanisms, detection and relevance as biomarkers in human diseases (2021) · cites this paper as [152]
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“These molecules can also be generated from glucose autoxidation, lipid peroxidation, and the polyol pathway.[18]”
From The Role of Dietary Advanced Glycation End Products in Metabolic Dysfunction (2021) · cites this paper as [18]
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“AGEs can contribute to both pathogenetic features of T2DM by promoting inflammation and oxidative stress in humans. [18]”
From The Role of Dietary Advanced Glycation End Products in Metabolic Dysfunction (2021) · cites this paper as [18]
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Metadata
- Authors
- Nowotny, K., Jung, T., Höhn, A., Weber, D., & Grune, T.
- Affiliations
- German Institute of Human Nutrition (DE)
- Corresponding author
- Grune, Tilman
- Venue
- Biomolecules
- Publisher
- MDPI AG
- Published
- 2015-03-16
- Volume
- 5
- Issue
- 1
- Pages
- 194-222
- ISSN
- 2218-273X (ISSN-L)
- PMC
- PMC4384119
- OpenAlex
- W1986014108
- Cited by
- 1,095
- References
- 172
- Citations by year
- 2026: 59 · 2025: 93 · 2024: 106 · 2023: 138 · 2022: 132 · 2021: 118 · 2020: 106 · 2019: 99 · 2018: 99 · 2017: 68 · 2016: 61 · 2015: 14
- FWCI
- 8.00
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- Biomolecules (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Informationszentrum Lebenswissenschaften (ZB MED) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Advanced Glycation End Products research
- Life Sciences › Agricultural and Biological Sciences › Food Science › Potato Plant Research
- Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
- Keywords
- advanced glycation end products, oxidative stress, type 2 diabetes, hyperglycemia, reactive oxygen species, antioxidant defense, diabetes complications, insulin resistance, beta-cell failure
- MeSH terms
- Animals, Diabetes Mellitus, Type 2, Humans, Insulin Resistance, Cell Death, Glycation End Products, Advanced, Oxidative Stress, Insulin-Secreting Cells
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