Berends Eline, Vangrieken Philippe, Amiri Naima, van de Waarenburg Marjo P H, Scheijen Jean L J M, Hermes Denise J H P, Wouters Kristiaan, van Oostenbrugge Robert J, Schalkwijk Casper G, Foulquier Sébastien
Faculty of Health Medicine and Life Sciences, Department of Internal Medicine, Maastricht University, Universiteitssingel 50, 6229 ER, Maastricht, the Netherlands.
CARIM, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, the Netherlands.
Mol Neurobiol. 2025 Apr;62(4):4190-4202. doi: 10.1007/s12035-024-04552-3. Epub 2024 Oct 17.
Diabetes and other age-related diseases are associated with an increased risk of cognitive impairment, but the underlying mechanisms remain poorly understood. Methylglyoxal (MGO), a by-product of glycolysis and a major precursor in the formation of advanced glycation end-products (AGEs), is increased in individuals with diabetes and other age-related diseases and is associated with microvascular dysfunction. We now investigated whether increased levels of circulating MGO can lead to cerebral microvascular dysfunction, blood-brain barrier (BBB) dysfunction, and cognitive impairment. Mice were supplemented or not with 50 mM MGO in drinking water for 13 weeks. Plasma and cortical MGO and MGO-derived AGEs were measured with UPLC-MS/MS. Peripheral and cerebral microvascular integrity and inflammation were investigated. Cerebral blood flow and neurovascular coupling were investigated with laser speckle contrast imaging, and cognitive tests were performed. We found a 2-fold increase in plasma MGO and an increase in MGO-derived AGEs in plasma and cortex. Increased plasma MGO did not lead to cerebral microvascular dysfunction, inflammation, or cognitive decline. This study shows that increased concentrations of plasma MGO are not associated with cerebral microvascular dysfunction and cognitive impairment in healthy mice. Future research should focus on the role of endogenously formed MGO in cognitive impairment.
糖尿病和其他与年龄相关的疾病与认知障碍风险增加有关,但其潜在机制仍知之甚少。甲基乙二醛(MGO)是糖酵解的副产物,也是晚期糖基化终产物(AGEs)形成的主要前体,在糖尿病患者和其他与年龄相关疾病的个体中含量升高,且与微血管功能障碍有关。我们现在研究了循环MGO水平升高是否会导致脑微血管功能障碍、血脑屏障(BBB)功能障碍和认知障碍。给小鼠饮用添加或不添加50 mM MGO的水,持续13周。用超高效液相色谱-串联质谱法(UPLC-MS/MS)测定血浆和皮质中的MGO以及MGO衍生的AGEs。研究外周和脑微血管的完整性及炎症情况。用激光散斑对比成像法研究脑血流量和神经血管耦合,并进行认知测试。我们发现血浆MGO增加了2倍,血浆和皮质中MGO衍生的AGEs也有所增加。血浆MGO升高并未导致脑微血管功能障碍、炎症或认知能力下降。这项研究表明,血浆MGO浓度升高与健康小鼠的脑微血管功能障碍和认知障碍无关。未来的研究应聚焦于内源性生成的MGO在认知障碍中的作用。