Current Opinion in Lipidology:
NUTRITION AND METABOLISM: Edited by Paul Nestel and Ronald P. Mensink
Advanced glycation endproducts and its receptor for advanced glycation endproducts in obesity
Gaens, Katrien HJ.a,b; Stehouwer, Coen DA.a,b; Schalkwijk, Casper G.a,b
aDepartment of Internal Medicine
bCardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Center, Maastricht, the Netherlands.
Correspondence to Casper G. Schalkwijk, PhD, Department of Internal Medicine, Maastricht University Medical Center, Debeyelaan 25, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands. Tel: +31 433882186; fax: +31 433875006; e-mail: firstname.lastname@example.org
Purpose of review: To highlight the potential importance of advanced glycation endproducts (AGEs) and advanced-lipoxidation endproducts (ALEs) in obesity and obesity-related complications, and the contribution of the receptor for advanced glycation endproducts (RAGE) and the glyoxylase defense system therein.
Recent findings: Formation of AGEs/ALEs and its precursors, including methylglyoxal (MGO), are increased in conditions characterized by hyperglycemia, hyperlipidemia and enhanced oxidative stress. This metabolic profile is generally considered typical for obesity. Increased plasma and/or tissue levels of MGO and of specific AGEs/ALEs, such as Nε-(carboxymethyl)lysine (CML), in obesity have recently been described. In addition to increased formation, the suppressed defense system in obesity against AGEs/ALEs formation, that is, the glyoxylase system, will further contribute to AGEs/ALEs formation in obesity. AGEs/ALEs are not inert. In-vitro studies showed that AGEs induced the production of inflammatory mediators in adipocytes and macrophages via RAGE activation, which may subsequently contribute to the development of obesity-related complications.
Summary: The recognition of an enhanced AGEs/ALEs formation in adipose tissue and the biological consequences thereof may lead to a further understanding of underlying mechanisms in dysregulated production of adipokines in obesity.
Obesity is associated with an increased risk of developing insulin resistance, type 2 diabetes, fatty liver disease, hypertension and (cardio) vascular complications . Production and secretion of proinflammatory and anti-inflammatory cytokines from the adipose tissue, known as adipokines, contribute directly to the burden of obesity-related complications . However, the underlying mechanism by which obesity leads to dysregulation of adipokine secretion remains to be elucidated.
Increased formation of advanced glycation endproducts (AGEs)/advanced lipoxidation endproducts (ALEs) occurs in diverse settings, such as diabetes and aging. In the complex pathways of AGEs/ALEs formation, hyperlipidemia, hyperglycemia and oxidative stress, all characteristic features of obesity, play an important role. Therefore, AGEs/ALEs might accumulate under conditions of obesity. Various detrimental effects of AGEs/ALEs in multiple tissues have been described, such as induction of inflammatory responses and oxidative stress [3–5]. A key mechanism by which AGEs exert these maladaptive effects is via the activation of the receptor for advanced glycation endproducts (RAGE).
The role of AGEs/ALEs and RAGE in obesity and obesity-related complications is receiving increased attention. This review will focus primarily on the formation of AGEs/ALEs in obesity and their recently discovered obesity-related biological effects, notably dysregulation of adipokine secretion.
FORMATION OF ADVANCED GLYCATION ENDPRODUCTS
AGEs are stable endproducts of a nonenzymatic glycation reaction, also known as the Maillard reaction. The formation of these post-translational modifications of proteins starts with a nonenzymatic condensation reaction of the dicarbonyl group of sugar aldehydes, such as glucose, with the N-terminus of free-amino groups of proteins, resulting in the rapid formation of a Schiff base. These labile adducts then undergo rearrangements to more stable Amadori products. Only a small part of these Amadori products undergo further irreversible chemical reactions leading to the formation of AGEs [6,7]. Due to the possible variation in aldehydes and amines, and the variety and complexity of downstream reactions, AGEs represent a heterogeneous group of chemical modifications of proteins. Major AGEs are Nε-(carboxymethyl)lysine (CML), Nε-(carboxyethyl)lysine (CEL) and the crosslinker pentosidine. The formation of AGEs proceeds over a long time, and because of their slow formation, it was long believed that AGEs accumulate only on long-lived extracellular proteins . However, rapid AGE formation by reactive dicarbonyl compounds is currently believed to be one of the major routes in vivo. These reactive dicarbonyl compounds, such as methylglyoxal (MGO), glyoxal and 3-deoxyglucosone (3DG), are formed from glucose-derived glycolytic intermediates, such as glyceraldehydes-3-phosphate, and may react with proteins resulting in a very fast formation of specific AGEs within hours . Glucose-derived glycolytic intermediates not only form AGEs more rapidly, but also more abundantly as compared to glucose . Among the reactive dicarbonyl compounds, MGO is believed to be the most potent glycation agent [11,12].
FORMATION OF ADVANCED LIPOXIDATION ENDPRODUCTS
Beside sugars and glucose-derived glycolytic intermediates, other sources have been described as precursors in the formation of AGEs, including products derived from lipid peroxidation [13–16]. Lipid peroxidation of polyunsaturated fatty acids leads to the formation of dicarbonyl compounds, some of which are identical to those formed from glucose-derived glycolytic intermediates, such as MGO and glyoxal, and others are more specific for lipid peroxidation, such as malondialdehyde (MDA) and 4-hydroxynonenal (HNE) [17,18]. These reactive dicarbonyl compounds may react with amino acids in proteins resulting in the formation of ALEs. Modification of proteins originating from lipid peroxidation reactions produces characteristic ALEs, such as MDA-lysine and HNE-lysine, but also CML and CEL . Thus, some protein modifications, such as CML, can be regarded as AGEs and ALEs because they are formed on proteins by both glucose-derived glycolytic intermediates and lipid peroxidation products . The formation of identical reactive dicarbonyl compounds demonstrates the strong interplay between the formation of AGEs and ALEs. A schematic overview of the three major routes of AGE/ALE formation is given in Figure 1.
Formation of AGEs/ALEs is a naturally occurring process and is the result of normal metabolism. Increased formation of AGEs/ALEs occurs under physiological circumstances of aging, under hyperglycemic conditions as well as under conditions of increased oxidative stress and hyperlipidemia. Therefore, accelerated AGEs/ALEs formation is seen in diabetes, but also in age-related diseases, such as atherosclerosis and neurodegenerative disorders including Alzheimer's disease [3,7].
In addition to the endogenous formation of AGEs in the human body, a portion of AGEs in the body may be derived from exogenous sources, for example from food. However, it is not clear to what extent AGEs are intestinally absorbed and what the contribution is of exogenous sources of AGEs to the total concentration of AGEs in the body .
BIOLOGICAL EFFECTS OF ADVANCED GLYCATION ENDPRODUCTS
Several mechanisms have been proposed by which AGEs exert harmful effects and contribute to development of pathological conditions : intracellular glycation of proteins resulting in altered functions of proteins and impaired cell function; modification of extracellular matrix proteins by AGEs resulting in abnormal interactions between proteins and cells; and binding of circulating AGEs to AGE receptors on different cell types leading to activation of intracellular signaling pathways.
Research has identified a number of AGE-binding proteins, including the RAGE, which is the best-characterized and the best-studied receptor so far [21,22]. Readers interested in the AGE–RAGE axis are referred to excellent review articles [21–23,24▪]. In brief, binding of AGEs to RAGE causes oxidative stress and activation of nuclear factor-κB (NF-κB) via activation of the p21ras and the mitogen-activated protein (MAP) kinase signaling pathways . Numerous lines of evidence indicate that the AGE–RAGE axis results in generation of proinflammatory cytokines, expression of adhesion molecules and oxidative stress [24▪]. An important downstream gene of the AGE–RAGE axis is RAGE itself, that leads to a continued maintenance and amplifications of the signaling pathways and inflammatory events . Kislinger et al. elucidated that, among all AGEs/ALEs, CML adducts in modified proteins are major ligands for RAGE and that CML could trigger signal transduction mechanism upon binding. Recent research has shown that RAGE oligomerizes on plasma membranes of human cells and that this oligomerization provides a mechanism to increase the number of binding sites. Oligomerization of RAGE is required for the high-affinity binding of ligands  and plays a critical role in activation of RAGE and induction of downstream signaling pathways. Signals that trigger oligomerization of RAGE are unknown and need to be further investigated. Lack of oligomerization of RAGE at membranes of particular cell types could explain the unresponsiveness of some cells to CML [26,27].
DEFENSE MECHANISMS AGAINST THE FORMATION OF ADVANCED GLYCATION ENDPRODUCTS
To minimize the production of AGEs/ALEs, the human body has evolved a number of enzymatic and nonenzymatic defense mechanisms [28▪,29]. The glyoxalase system, which is composed of the enzymes glyoxalase-I (GLO1) and glyoxalase-II (GLO2), is the most important mechanism that protects against AGE formation. This system is responsible for the detoxification of the reactive dicarbonyl MGO, and to a lesser extent glyoxal, thereby depleting a major pool of AGE precursors and preventing AGE formation [29,30▪]. GLO1 is considered the key enzyme in the antiglycation defense .
As GLO1 is the major detoxification enzyme for reactive dicarbonyl compounds, it is plausible that alterations in expression, protein levels and activity of GLO1 influence AGE production and hence the development of diabetic complications and age-related diseases. Indeed, Brouwers et al.[30▪] recently demonstrated, in a diabetic rat model, that overexpression of GLO1 reduced the concentration of the dicarbonyls MGO and glyoxal, and AGE levels. Overexpression of GLO1 also diminished levels of oxidative stress [30▪]. Furthermore, they showed in an ex-vivo model that hyperglycemia-induced impairment of endothelium-dependent vasorelaxation in rat mesenteric arteries can be improved by GLO1 overexpression . Enhancement of the glyoxalase pathway along with a decrease in MGO-dependent protein glycation also prevents the development of several indices of late complications [28▪,33,34,35▪▪].
INCREASED ACCUMULATION OF ADVANCED GLYCATION ENDPRODUCTS/ADVANCED LIPOXIDATION ENDPRODUCTS IN ADIPOSE TISSUE
In obesity, the combined effects of enhanced food consumption, low-energy expenditure, hyperglycemia, hyperlipidemia and increased oxidative stress may augment the formation of reactive intermediates and the formation of specific AGEs/ALEs (Fig. 2).
Formation of advanced glycation endproducts/advanced lipoxidation endproducts is increased in obesity
Peroxidation of lipids leads to the formation of reactive dicarbonyl compounds, which can react further with amino acid residues in proteins to ALEs, such as CML. Fu et al. demonstrated that CML is formed during lipid peroxidation reactions, and, furthermore, showed that lipid peroxidation reactions are a more important source for CML formation than nonenzymatic glycation. Therefore, CML is mainly regarded as an ALE, rather than an AGE. As demonstrated in Figure 3, differentiation of human preadipocytes to adipocytes is accompanied by endogenous formation of CML, indicating that fat accumulation is associated with CML accumulation. As CML is a major ALE, and is an important ligand for RAGE that can activate RAGE-dependent signaling pathways , CML may be regarded as an important protein modification in obesity with significant effects on adipose tissue and adipocyte function. In addition to CML, it has been suggested that MGO is formed by lipid peroxidation .
Accelerated endogenous formation of both CML and MGO in obesity has been described in a few studies [36▪,37,38▪,39]. Recently, we demonstrated an increased CML accumulation in fatty livers of obese patients, and the CML accumulation progressively increased with the grade of steatosis [36▪]. Increased CML accumulation was also observed in skeletal muscles of obese patients, which was associated with weight gain . A recent study demonstrated a markedly increased MGO accumulation in fat tissue of obese rats at an age of 16 weeks [38▪,39]. In addition, MGO serum levels were increased in obese Zucker rats as compared to lean rats [38▪,39]. Increased accumulation of CML and MGO-derived AGEs in obesity may thus play an important role in adipose tissue dysfunction.
The role of receptor for advanced glycation endproducts in obesity
Although increased levels of CML in different tissues in obesity has been observed, CML plasma levels seem to be decreased in obesity. Sebekova et al. found significantly lower CML plasma levels in obese children compared to lean controls. Moreover, an inverse relationship between circulating CML and fat mass was recently reported , suggesting that enlargement of adipose tissue mass in obesity contributes to decreased CML plasma levels. This lack of reflection between tissue CML and circulating CML levels is unexpected. Although the underlying mechanism is unknown, RAGE may play a role in lowering circulating CML levels. Recently, it has been reported that AGE levels in kidneys from diabetic RAGE-deficient mice were reduced compared with levels in kidneys of wild-type mice, whereas CML blood concentrations were higher in RAGE-deficient mice . This suggests that RAGE plays a role in the local accumulation of AGEs in tissues in obesity and at the same time decrease AGEs plasma levels.
Recent research suggests that RAGE itself might be involved in adiposity. Ueno et al. demonstrated that RAGE deficiency was associated with decreased fat mass and smaller adipocyte size. This corresponds with data obtained from Song et al., who demonstrated that body weight gain and increased fasting glucose by high-fat feeding is significantly less in RAGE-deficient mice. In contrast, an opposing effect of RAGE on obesity was recently described by Leuner et al., by demonstrating that female RAGE-deficient mice were heavier than female wild-type mice, whereas this effect was not found in male mice. In addition to the possible involvement of RAGE in development of obesity, Cai et al. demonstrated that oral administration of MGO in mice resulted in adiposity and obesity-related complications.
Reduction of the detoxification glyoxalase system in obesity
In addition to the accelerated endogenous formation of AGEs/ALEs, a dysregulated glyoxalase system may also contribute to accumulation of AGEs/ALEs in obesity. In animal models of obesity, GLO1 was decreased in liver , in glomeruli  and in neuronal tissue . These data indicate that GLO1 is locally decreased in most tissues in obesity. Although we recently found that differentiation of human preadipocytes to mature adipocytes was associated with reduced GLO1 expression and activity, which were accompanied by an increase of endogenous MGO-derived AGE Nε-CEL concentrations, (K. Gaens and C. Schalkwijk; unpublished results), data of GLO1 in adipose tissue are missing. Thus, further research is needed to investigate the association between obesity and GLO1.
It has recently been described that activation of RAGE is associated with decreased expression of GLO1 . AGEs have been found to significantly reduce GLO1 expression and activity in cultured fibroblasts, endothelial cells and neuronal cells, whereas inhibition of RAGE restores GLO1 in these cells [21,22]. We recently found, in cultured human adipocytes, that CML downregulated the gene expression of GLO1 via RAGE. These findings suggest that RAGE is not only a signal transducing receptor which can lead to cell activation and inflammation, but can also directly interfere with the defense system for detoxification of AGE precursors.
BIOLOGICAL EFFECTS OF ADVANCED GLYCATION ENDPRODUCTS/ADVANCED LIPOXIDATION ENDPRODUCTS IN ADIPOSE TISSUE
Adipose tissue is a major endocrine organ, which produces and secretes many biologically active molecules, known as adipokines. It has been demonstrated that inflammatory adipokines play a role in obesity-related inflammation and development of insulin resistance and type 2 diabetes in obesity [1,2]. Recent data demonstrated that AGEs/ALEs affect adipose tissue function regarding production and secretion of inflammatory adipokines. In cultured mouse adipocytes, AGEs lead to the upregulation of plasminogen activator inhibitor (PAI)-1 and monocyte chemoattractant protein (MCP)-1 [50–52], which are both implicated in the development of obesity-associated glucose intolerance. In adipose tissue, AGEs stimulated PAI-1 and MCP-1 expression via RAGE-mediated generation of oxidative stress [50,52] In addition, an AGE-induced downregulation of leptin was observed in cultured adipocytes [51,53]. Adiponectin expression levels were also decreased upon AGE incubation in adipocytes, which was mediated via RAGE-induced NADPH oxidase-generated oxidative stress . In addition to the AGE-induced downregulation of adiponectin expression, which is generally seen in insulin resistance, adiponectin itself can also be structurally modified by glycation. Glycation of adiponectin affects its function, and as such contributes to the development of insulin resistance [55–57]. Besides adipocytes, other cell types in adipose tissue may contribute to the dysregulated production and secretion of adipokines. Obesity is associated with a significant infiltration of macrophages in adipose tissue. These macrophages are a potential source of secreted inflammatory factors, and it has been demonstrated in macrophages that AGEs stimulate the production of cytokines, such as TNF-α [58,59].
In addition, the adipose tissue is also a major organ for glucose and lipid metabolism. In 3T3-L1 adipocytes, AGEs cause insulin resistance by suppressing insulin-stimulated glucose uptake, which was reversed by anti-RAGE antibody . Furthermore, the AGE–RAGE interaction inhibits glucose uptake in these adipocytes through the generation of intracellular reactive oxygen species . In obese, type 2 diabetic mice, insulin sensitivity was ameliorated by the inhibitor of AGEs/ALEs formation, pyridoxamine . There is accumulating evidence that the AGE–RAGE axis affects these processes, thus contributing to insulin resistance.
In addition to indirect effect of AGEs/ALEs on glucose metabolism leading to insulin resistance, glycation of insulin itself may change the properties of insulin [39,62]. Jia et al.[62,63] showed that MGO modification of insulin-reduced glucose uptake in 3T3-L1 adipocytes compared with native insulin, indicating that abnormalities of the insulin molecule in structure and function induced by MGO can cause the actions of insulin. Moreover, it has been demonstrated that MGO induces structural changes to insulin receptor substrate proteins in adipocytes . Taken together, it is highly likely that the AGE–RAGE axis and intracellular MGO inhibit insulin signaling and lead to insulin resistance.
There is increasing evidence that the accumulation of AGEs/ALEs in adipose tissue contributes to obesity-related complications. Increased accumulation of CML in obesity and CML-RAGE mediated activation of intracellular signaling pathways in adipocytes may stimulate inflammatory signaling in adipose tissue. The resulting dysregulation of proinflammatory and anti-inflammatory cytokines may subsequently contribute to the development of obesity-related complications. In addition, AGEs/ALEs may also directly affect glucose metabolism in adipocytes. Further research is needed to investigate whether the CML–RAGE axis, MGO and GLO1 are implicated in the pathogenesis of obesity and obesity-related complications. Identification of this mechanism may provide an important strategy for novel therapeutic approaches against obesity and obesity-related complications.
This review and the research focusing on advanced glycation endproducts in obesity was performed was part of the PREDICCt project (grant 01C-104), within the framework of CTMM, the Dutch Center for Translational Molecular Medicine (http://www.ctmm.nl). It was supported by the Netherlands Heart Foundation, Dutch Diabetes Research Foundation (grant #2005.00.035), and the Dutch Kidney Foundation.
Conflicts of interest
There are no conflicts of interest.
REFERENCES AND RECOMMENDED READING
Papers of particular interest, published within the annual period of review, have been highlighted as:
▪ of special interest
▪▪ of outstanding interest
Additional references related to this topic can also be found in the Current World Literature section in this issue (pp. 86–88).
1. Hotamisligil GS. Inflammation and metabolic disorders. Nature 2006; 444:860–867.
2. Galic S, Oakhill JS, Steinberg GR. Adipose tissue as an endocrine organ. Mol Cell Endocrinol 2010; 316:129–139.
3. Brownlee M. Biochemistry and molecular cell biology of diabetic complications. Nature 2001; 414:813–820.
4. Vlassara H, Palace MR. Diabetes and advanced glycation endproducts. J Intern Med 2002; 251:87–101.
5. Fleming TH, Humpert PM, Nawroth PP, Bierhaus A. Reactive metabolites and AGE/RAGE-mediated cellular dysfunction affect the aging process: a mini-review. Gerontology 2011; 57:435–443.
6. Monnier VM, Cerami A. Nonenzymatic browning in vivo: possible process for aging of long-lived proteins. Science 1981; 211:491–493.
7. Singh R, Barden A, Mori T, Beilin L. Advanced glycation end-products: a review. Diabetologia 2001; 44:129–146.
8. Thornalley PJ. Dicarbonyl intermediates in the maillard reaction. Ann N Y Acad Sci 2005; 1043:111–117.
9. Thornalley PJ, Langborg A, Minhas HS. Formation of glyoxal, methylglyoxal and 3-deoxyglucosone in the glycation of proteins by glucose. Biochem J 1999; 344 (Pt 1):109–116.
10. Ruderman NB, Williamson JR, Brownlee M. Glucose and diabetic vascular disease. Faseb J 1992; 6:2905–2914.
11. Shinohara M, Thornalley PJ, Giardino I, et al. Overexpression of glyoxalase-I in bovine endothelial cells inhibits intracellular advanced glycation endproduct formation and prevents hyperglycemia-induced increases in macromolecular endocytosis. J Clin Invest 1998; 101:1142–1147.
12. Westwood ME, Thornalley PJ. Molecular characteristics of methylglyoxal-modified bovine and human serum albumins. Comparison with glucose-derived advanced glycation endproduct-modified serum albumins. J Protein Chem 1995; 14:359–372.
13. Baynes JW, Thorpe SR. Glycoxidation and lipoxidation in atherogenesis. Free Radic Biol Med 2000; 28:1708–1716.
14. Januszewski AS, Alderson NL, Jenkins AJ, et al. Chemical modification of proteins during peroxidation of phospholipids. J Lipid Res 2005; 46:1440–1449.
15. Januszewski AS, Jenkins AJ, Baynes JW, Thorpe SR. Lipid-derived modifications of plasma proteins in experimental and human diabetes. Ann N Y Acad Sci 2005; 1043:404–412.
16. Schleicher E, Weigert C, Rohrbach H, et al. Role of glucoxidation and lipid oxidation in the development of atherosclerosis. Ann N Y Acad Sci 2005; 1043:343–354.
17. Fu MX, Requena JR, Jenkins AJ, et al. The advanced glycation end product, Nepsilon-(carboxymethyl)lysine, is a product of both lipid peroxidation and glycoxidation reactions. J Biol Chem 1996; 271:9982–9986.
18. Miyata T, Inagi R, Asahi K, et al. Generation of protein carbonyls by glycoxidation and lipoxidation reactions with autoxidation products of ascorbic acid and polyunsaturated fatty acids. FEBS Lett 1998; 437:24–28.
19. Thornalley PJ. Dietary AGEs and ALEs and risk to human health by their interaction with the receptor for advanced glycation endproducts (RAGE)--an introduction. Mol Nutr Food Res 2007; 51:1107–1110.
20. Brownlee M. The pathobiology of diabetic complications: a unifying mechanism. Diabetes 2005; 54:1615–1625.
21. Bierhaus A, Humpert PM, Morcos M, et al. Understanding RAGE, the receptor for advanced glycation end products. J Mol Med (Berl) 2005; 83:876–886.
22. Bierhaus A, Nawroth PP. Multiple levels of regulation determine the role of the receptor for AGE (RAGE) as common soil in inflammation, immune responses and diabetes mellitus and its complications. Diabetologia 2009; 52:2251–2263.
23. Ramasamy R, Yan SF, Schmidt AM. Receptor for AGE (RAGE): signaling mechanisms in the pathogenesis of diabetes and its complications. Ann N Y Acad Sci 2011; 1243:88–102.
24▪. Ramasamy R, Yan SF, Schmidt AM. The diverse ligand repertoire of the receptor for advanced glycation endproducts and pathways to the complications of diabetes. Vascul Pharmacol 2012; 57:160–167.
This review article describes the role of RAGE and its ligands in diabetic complications and discusses latest (human) literature concerning het use of AGE–RAGE axis as a biomarker reflecting the state of diabetic complications.
25. Kislinger T, Fu C, Huber B, et al. N(epsilon)-(carboxymethyl)lysine adducts of proteins are ligands for receptor for advanced glycation end products that activate cell signaling pathways and modulate gene expression. J Biol Chem 1999; 274:31740–31749.
26. Xie J, Reverdatto S, Frolov A, et al. Structural basis for pattern recognition by the receptor for advanced glycation end products (RAGE). J Biol Chem 2008; 283:27255–27269.
27. Buetler TM, Leclerc E, Baumeyer A, et al. N(epsilon)-carboxymethyllysine-modified proteins are unable to bind to RAGE and activate an inflammatory response. Mol Nutr Food Res 2008; 52:370–378.
28▪. Rabbani N, Thornalley PJ. Glyoxalase in diabetes, obesity and related disorders. Semin Cell Dev Biol 2011; 22:309–317.
This article gives a historical overview of the literature and progressions about the involvement of the glyoxalase system in diabetes, vascular disease and related disorders.
29. Rabbani N, Thornalley PJ. Methylglyoxal, glyoxalase 1 and the dicarbonyl proteome. Amino Acids 2012; 42:1133–1142.
30▪. Brouwers O, Niessen PM, Ferreira I, et al. Overexpression of glyoxalase-I reduces hyperglycemia-induced levels of advanced glycation end products and oxidative stress in diabetic rats. J Biol Chem 2011; 286:1374–1380.
This article describes for the first time a trangenic rat model overexpressing glyoxalase-1. These authors nicely show that glyoxalase-1 overexpression reduces levels of advanced glycation endproducts.
31. Thornalley PJ. Glyoxalase I: structure, function and a critical role in the enzymatic defence against glycation. Biochem Soc Trans 2003; 31:1343–1348.
32. Brouwers O, Niessen PM, Haenen G, et al. Hyperglycaemia-induced impairment of endothelium-dependent vasorelaxation in rat mesenteric arteries is mediated by intracellular methylglyoxal levels in a pathway dependent on oxidative stress. Diabetologia 2010; 53:989–1000.
33. Jack M, Wright D. Role of advanced glycation endproducts and glyoxalase I in diabetic peripheral sensory neuropathy. Transl Res 2012; 159:355–365.
34. Berner AK, Brouwers O, Pringle R, et al. Protection against methylglyoxal-derived AGEs by regulation of glyoxalase 1 prevents retinal neuroglial and vasodegenerative pathology. Diabetologia 2012; 55:845–854.
35▪▪. Bierhaus A, Fleming T, Stoyanov S, et al. Methylglyoxal modification of Nav1.8 facilitates nociceptive neuron firing and causes hyperalgesia in diabetic neuropathy. Nat Med 2012; 18:926–933.
This important article describes for the first time the mechanism underlying diabetic neuropathy based on the glyolytic metabolite methylglyoxal. Methylglyoxal-induced posttranslational modifications of the voltage-gated sodium channel Nav1.8, which is associated with increased electrical exitability.
36▪. Gaens KH, Niessen PM, Rensen SS, et al. Endogenous formation of Nepsilon-(carboxymethyl)lysine is increased in fatty livers and induces inflammatory markers in an in vitro model of hepatic steatosis. J Hepatol 2012; 56:647–655.
This article demonstrates that obesity and fatty liver diseases are accompanied by accumulation of CML and that CML induces inflammation in hepatocytes.
37. de la Maza MP, Uribarri J, Olivares D, et al. Weight increase is associated with skeletal muscle immunostaining for advanced glycation end products, receptor for advanced glycation end products, and oxidation injury. Rejuvenation Res 2008; 11:1041–1048.
38▪. Jia X, Chang T, Wilson TW, Wu L. Methylglyoxal mediates adipocyte proliferation by increasing phosphorylation of Akt1. PLoS One 2012; 7:e36610.
This study nicely demonstrates for the first time that methylglyoxal stimulates adipogenesis by upregulation of Akt signaling.
39. Jia X, Wu L. Accumulation of endogenous methylglyoxal impaired insulin signaling in adipose tissue of fructose-fed rats. Mol Cell Biochem 2007; 306:133–139.
40. Sebekova K, Somoza V, Jarcuskova M, et al. Plasma advanced glycation end products are decreased in obese children compared with lean controls. Int J Pediatr Obes 2009; 4:112–118.
41. Semba RD, Arab L, Sun K, et al. Fat mass is inversely associated with serum carboxymethyl-lysine, an advanced glycation end product, in adults. J Nutr 2011; 141:1726–1730.
42. Myint KM, Yamamoto Y, Doi T, et al. RAGE control of diabetic nephropathy in a mouse model: effects of RAGE gene disruption and administration of low-molecular weight heparin. Diabetes 2006; 55:2510–2522.
43. Ueno H, Koyama H, Shoji T, et al. Receptor for advanced glycation end-products (RAGE) regulation of adiposity and adiponectin is associated with atherogenesis in apoE-deficient mouse. Atherosclerosis 2010; 211:431–436.
44. Song F, Lerner S, Rosario R, et al.
RAGE regulates obesity and hyperglycmia induced by high-fat feeding in mice. Diabetes 2007; 56:A451.
45. Leuner B, Max M, Thamm K, et al. RAGE influences obesity in mice. Effects of the presence of RAGE on weight gain, AGE accumulation, and insulin levels in mice on a high fat diet. Z Gerontol Geriatr 2012; 45:102–108.
46. Cai W, Ramdas M, Zhu L, et al.
Oral advanced glycation endproducts (AGEs) promote insulin resistance and diabetes by depleting the antioxidant defenses AGE receptor-1 and sirtuin 1. Proc Natl Acad Sci U S A 2012; 109:15888–15893.
47. Sanchez JC, Converset V, Nolan A, et al. Effect of rosiglitazone on the differential expression of diabetes-associated proteins in pancreatic islets of C57Bl/6 lep/lep mice. Mol Cell Proteomics 2002; 1:509–516.
48. Barati MT, Merchant ML, Kain AB, et al. Proteomic analysis defines altered cellular redox pathways and advanced glycation end-product metabolism in glomeruli of db/db diabetic mice. Am J Physiol Renal Physiol 2007; 293:F1157–1165.
49. Skapare E, Konrade I, Liepinsh E, et al.
Glyoxalase 1 and glyoxalase 2 activities in blood and neuronal tissue samples from experimental animal models of obesity and type 2 diabetes mellitus. J Physiol Sci 2012; 62:469–478.
50. Uchida Y, Ohba K, Yoshioka T, et al. Cellular carbonyl stress enhances the expression of plasminogen activator inhibitor-1 in rat white adipocytes via reactive oxygen species-dependent pathway. J Biol Chem 2004; 279:4075–4083.
51. Unno Y, Sakai M, Sakamoto Y, et al. Glycolaldehyde-modified bovine serum albumin downregulates leptin expression in mouse adipocytes via a CD36-mediated pathway. Ann N Y Acad Sci 2005; 1043:696–701.
52. Unoki H, Bujo H, Yamagishi S, et al. Advanced glycation end products attenuate cellular insulin sensitivity by increasing the generation of intracellular reactive oxygen species in adipocytes. Diabetes Res Clin Pract 2007; 76:236–244.
53. Horiuchi S, Unno Y, Usui H, et al. Pathological roles of advanced glycation end product receptors SR-A and CD36. Ann N Y Acad Sci 2005; 1043:671–675.
54. Maeda S, Matsui T, Takeuchi M, Yamagishi S. Pigment epithelium-derived factor (PEDF) blocks advanced glycation end products (AGEs)-RAGE-induced suppression of adiponectin mRNA level in adipocytes by inhibiting NADPH oxidase-mediated oxidative stress generation. Int J Cardiol 2011; 152:408–410.
55. Frizzell N, Lima M, Baynes JW. Succination of proteins in diabetes. Free Radic Res 2011; 45:101–109.
56. Frizzell N, Rajesh M, Jepson MJ, et al. Succination of thiol groups in adipose tissue proteins in diabetes: succination inhibits polymerization and secretion of adiponectin. J Biol Chem 2009; 284:25772–25781.
57. Nagai R, Brock JW, Blatnik M, et al. Succination of protein thiols during adipocyte maturation: a biomarker of mitochondrial stress. J Biol Chem 2007; 282:34219–34228.
58. Ichikawa K, Yoshinari M, Iwase M, et al. Advanced glycosylation end products induced tissue factor expression in human monocyte-like U937 cells and increased tissue factor expression in monocytes from diabetic patients. Atherosclerosis 1998; 136:281–287.
59. Rashid G, Luzon AA, Korzets Z, et al. The effect of advanced glycation end-products and aminoguanidine on TNFalpha production by rat peritoneal macrophages. Perit Dial Int 2001; 21:122–129.
60. Wu CH, Huang HW, Huang SM, et al. AGE-induced interference of glucose uptake and transport as a possible cause of insulin resistance in adipocytes. J Agric Food Chem 2011; 59:7978–7984.
61. Unoki-Kubota H, Yamagishi S, Takeuchi M, et al. Pyridoxamine, an inhibitor of advanced glycation end product (AGE) formation ameliorates insulin resistance in obese, type 2 diabetic mice. Protein Pept Lett 2010; 17:1177–1181.
62. Jia X, Olson DJ, Ross AR, Wu L. Structural and functional changes in human insulin induced by methylglyoxal. Faseb J 2006; 20:1555–1557.
63. Hagiwara S, Gohda T, Tanimoto M, et al. Effects of pyridoxamine (K-163) on glucose intolerance and obesity in high-fat diet C57BL/6J mice. Metab Clin Exp 2009; 58:934–945.
This article has been cited 2 time(s).
Netherlands Journal of Medicine
Obesity-associated low-grade inflammation in type 2 diabetes mellitus: causes and consequences
Netherlands Journal of Medicine, 71(4):
Archives of Dermatological ResearchSerum methylglyoxal level and its association with oxidative stress and disease severity in patients with psoriasisArchives of Dermatological Research
adipokines; advanced glycation/lipoxidation endproducts; glyoxalase; insulin resistance; obesity; receptor for advanced glycation endproducts
© 2013 Lippincott Williams & Wilkins, Inc.
What does "Remember me" mean?
By checking this box, you'll stay logged in until you logout. You'll get easier access to your articles, collections,
media, and all your other content, even if you close your browser or shut down your
To protect your most sensitive data and activities (like changing your password),
we'll ask you to re-enter your password when you access these services.
What if I'm on a computer that I share with others?
If you're using a public computer or you share this computer with others, we recommend
that you uncheck the "Remember me" box.
Highlight selected keywords in the article text.
Data is temporarily unavailable. Please try again soon.
Readers Of this Article Also Read