PMID- 17378134 OWN - NLM STAT- MEDLINE DCOM- 20070613 LR - 20171116 IS - 1769-7255 (Print) IS - 1769-7255 (Linking) VI - 2 Suppl 1 DP - 2006 Jan TI - [Glycation, glycoxidation and diabetes mellitus]. PG - S8-16 AB - Advanced glycation end-products (AGEs) result from a reaction between carbohydrates and the free amino groups of proteins, lipids, and DNA. Non enzymatic glycation, glycoxidation with glucose auto-oxidation and the polyol pathway are involved in glycated protein formation. AGEs also named glycotoxins are found in excess in pathological situations such as diabetes mellitus, renal failure, and aging or after absorption of food containing glycated products. Three major pathophysiological mechanisms are described to explain AGE toxicity, first AGEs can accumulate in the vessel wall and in collagen of different tissues; second in situ glycation is possible; third, AGEs bind to cell receptors inducing deleterious consequences. AGE receptor RAGE is a multiligand member of the immunoglobulin superfamily of cell surface molecules. AGE-receptor interaction can alter, macrophage, endothelial cell, mesangial and mesothelial cell functions and can induce inflammation. Oxidant stress, vascular hyperpermeability, vascular cell adhesion molecule-1 (VCAM-1) overexpression and monocytes chemotactic Protein-1 (MCP-1) production have been observed after cell activation by AGEs. AGEs appear to be involved in the genesis of diabetic macro but also microangiopathy such as retinopathy and glomerulosclerosis. New drugs are tested to prevent or break the AGE-protein cross-linkage, or to control the AGE-receptor interaction and their consequences. Dietary treatment, strict glycemic control and preservation of renal function remain the best approach for preventing AGE formation and limiting their deleterious effects. FAU - Boulanger, Eric AU - Boulanger E AD - Clinique de nephrologie, hopital Albert-Calmette, CHRU, boulevard Jules-Leclerc, 59037 Lille, France. eboulanger@chru-lille.fr FAU - Wautier, Jean-Luc AU - Wautier JL FAU - Dequiedt, Philippe AU - Dequiedt P FAU - Schmidt, Anne-Marie AU - Schmidt AM LA - fre PT - Journal Article PT - Review TT - Glycation, glycoxydation et diabete. PL - France TA - Nephrol Ther JT - Nephrologie & therapeutique JID - 101248950 RN - 0 (Glycation End Products, Advanced) RN - 0 (Receptor for Advanced Glycation End Products) RN - 0 (Receptors, Immunologic) SB - IM MH - Diabetes Mellitus/*metabolism MH - Glycation End Products, Advanced/physiology MH - Glycosylation MH - Humans MH - Receptor for Advanced Glycation End Products MH - Receptors, Immunologic/physiology RF - 64 EDAT- 2007/03/24 09:00 MHDA- 2007/06/15 09:00 CRDT- 2007/03/24 09:00 PHST- 2007/03/24 09:00 [pubmed] PHST- 2007/06/15 09:00 [medline] PHST- 2007/03/24 09:00 [entrez] PST - ppublish SO - Nephrol Ther. 2006 Jan;2 Suppl 1:S8-16.