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晚期糖基化终末产物(AGE)及其受体RAGE轴作为连接炎症和肥胖的关键介质的机制及影响

Mechanism and implications of advanced glycation end products (AGE) and its receptor RAGE axis as crucial mediators linking inflammation and obesity.

作者信息

Kavitha Sajani Arunkumar, Zainab Sara, Muthyalaiah Yadav Sangeeta, John Cordelia Mano, Arockiasamy Sumathy

机构信息

Department of Biomedical Sciences, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, India, 600116.

出版信息

Mol Biol Rep. 2025 Jun 5;52(1):556. doi: 10.1007/s11033-025-10632-x.


DOI:10.1007/s11033-025-10632-x
PMID:40474023
Abstract

Advanced glycation end products (AGEs) are heterogenous compounds that play a central role in various chronic diseases, such as diabetes, neurodegenerative disorders, cardiovascular diseases, and cancer. These are formed by non-enzymatic reaction between reducing sugar and amino group of proteins, lipids and nucleic acids. Elevated levels of AGEs are associated with obesity, which is linked to hyperglycemia, dyslipidemia and insulin resistance, contributing to metabolic syndrome and diabetes. Both dietary and endogenous AGEs contribute to persistent oxidative stress and inflammation directly through glycated biomolecules and indirectly through its receptor, receptor for advanced glycation end products, RAGE. In this context, inflammation is a sustained, systemic immune response with macrophage infiltration into adipose tissues, high pro- inflammatory cytokines leading to immune dysregulation, activation of key inflammatory pathways such as NF-kB and JNK signaling, increase oxidative stress, insulin resistance suggesting inflammation as both a cause and consequence of metabolic dysfunction. Persistent oxidative stress and inflammation accelerates AGEs formation, disrupt cellular signaling, alter extracellular matrix integrity, impair release of enzymes and hormones. Also, AGE-induced gut microbiome imbalance elicits conditions such as systemic inflammation, intestinal barrier dysfunction and metabolic imbalance, promoting obesity and its complications. This review explores the central role of AGEs in obesity-associated inflammation, emphasizing AGE-RAGE signaling, epigenetic regulation and gut microbiome dysfunction. Understanding this interplay mediated by AGEs is critical for identifying potential biomarkers of metabolic risk and strategize means to prevent AGEs formation, block AGE-RAGE interaction and signaling, thus mitigating the effects of obesity and its associated diseases.

摘要

晚期糖基化终末产物(AGEs)是一类异质性化合物,在多种慢性疾病中起核心作用,如糖尿病、神经退行性疾病、心血管疾病和癌症。它们由还原糖与蛋白质、脂质和核酸的氨基之间的非酶促反应形成。AGEs水平升高与肥胖相关,而肥胖又与高血糖、血脂异常和胰岛素抵抗有关,进而导致代谢综合征和糖尿病。膳食中的AGEs和内源性AGEs都直接通过糖化生物分子,以及间接通过其受体——晚期糖基化终末产物受体(RAGE),导致持续的氧化应激和炎症。在这种情况下,炎症是一种持续的全身性免疫反应,巨噬细胞浸润到脂肪组织中,高促炎细胞因子导致免疫失调,关键炎症途径如NF-κB和JNK信号通路被激活,氧化应激增加,胰岛素抵抗,这表明炎症既是代谢功能障碍的原因也是结果。持续的氧化应激和炎症会加速AGEs的形成,破坏细胞信号传导,改变细胞外基质的完整性,损害酶和激素的释放。此外,AGE诱导的肠道微生物群失衡会引发全身性炎症、肠道屏障功能障碍和代谢失衡等状况,促进肥胖及其并发症的发生。这篇综述探讨了AGEs在肥胖相关炎症中的核心作用,强调了AGE-RAGE信号传导、表观遗传调控和肠道微生物群功能障碍。了解由AGEs介导的这种相互作用对于识别代谢风险的潜在生物标志物以及制定预防AGEs形成、阻断AGE-RAGE相互作用和信号传导的策略至关重要,从而减轻肥胖及其相关疾病的影响。

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[2]
AGER-1 Long Non-Coding RNA Levels Correlate with the Expression of the Advanced Glycosylation End-Product Receptor, a Regulator of the Inflammatory Response in Visceral Adipose Tissue of Women with Obesity and Type 2 Diabetes Mellitus.

Int J Mol Sci. 2023-12-13

[3]
A Specialized Epithelial Cell Type Regulating Mucosal Immunity and Driving Human Crohn's Disease.

bioRxiv. 2023-10-2

[4]
Adipose Tissue Hyperplasia and Hypertrophy in Common and Syndromic Obesity-The Case of BBS Obesity.

Nutrients. 2023-8-4

[5]
Implications of receptor for advanced glycation end products for progression from obesity to diabetes and from diabetes to cancer.

World J Diabetes. 2023-7-15

[6]
Extracellular matrix remodelling in obesity and metabolic disorders.

Life Metab. 2023-8

[7]
Involvement of Intracellular TAGE and the TAGE-RAGE-ROS Axis in the Onset and Progression of NAFLD/NASH.

Antioxidants (Basel). 2023-3-19

[8]
Advanced glycation end products regulate the receptor of AGEs epigenetically.

Front Cell Dev Biol. 2023-2-14

[9]
Advanced Glycation End Products Effects on Adipocyte Niche Stiffness and Cell Signaling.

Int J Mol Sci. 2023-1-23

[10]
Intravenous AAV9 administration results in safe and widespread distribution of transgene in the brain of mini-pig.

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