PMID- 21412218 OWN - NLM STAT- MEDLINE DCOM- 20111229 LR - 20171116 IS - 1523-1755 (Electronic) IS - 0085-2538 (Linking) VI - 80 IP - 2 DP - 2011 Jul TI - Targeted reduction of advanced glycation improves renal function in obesity. PG - 190-8 LID - 10.1038/ki.2011.57 [doi] AB - Obesity is highly prevalent in Western populations and is considered a risk factor for the development of renal impairment. Interventions that reduce the tissue burden of advanced glycation end-products (AGEs) have shown promise in stemming the progression of chronic disease. Here we tested if treatments that lower tissue AGE burden in patients and mice would improve obesity-related renal dysfunction. Overweight and obese individuals (body mass index (BMI) 26-39 kg/m(2)) were recruited to a randomized, crossover clinical trial involving 2 weeks each on a low- and a high-AGE-containing diet. Renal function and an inflammatory profile (monocyte chemoattractant protein-1 (MCP-1) and macrophage migration inhibitory factor (MIF)) were improved following the low-AGE diet. Mechanisms of advanced glycation-related renal damage were investigated in a mouse model of obesity using the AGE-lowering pharmaceutical, alagebrium, and mice in which the receptor for AGE (RAGE) was deleted. Obesity, resulting from a diet high in both fat and AGE, caused renal impairment; however, treatment of the RAGE knockout mice with alagebrium improved urinary albumin excretion, creatinine clearance, the inflammatory profile, and renal oxidative stress. Alagebrium treatment, however, resulted in decreased weight gain and improved glycemic control compared with wild-type mice on a high-fat Western diet. Thus, targeted reduction of the advanced glycation pathway improved renal function in obesity. FAU - Harcourt, Brooke E AU - Harcourt BE AD - Baker IDI Heart and Diabetes Research Institute, Melbourne, Victoria, Australia. brooke.harcourt@bakeridi.edu.au FAU - Sourris, Karly C AU - Sourris KC FAU - Coughlan, Melinda T AU - Coughlan MT FAU - Walker, Karen Z AU - Walker KZ FAU - Dougherty, Sonia L AU - Dougherty SL FAU - Andrikopoulos, Sofianos AU - Andrikopoulos S FAU - Morley, Amy L AU - Morley AL FAU - Thallas-Bonke, Vicki AU - Thallas-Bonke V FAU - Chand, Vibhasha AU - Chand V FAU - Penfold, Sally A AU - Penfold SA FAU - de Courten, Maximilian P J AU - de Courten MP FAU - Thomas, Merlin C AU - Thomas MC FAU - Kingwell, Bronwyn A AU - Kingwell BA FAU - Bierhaus, Angelika AU - Bierhaus A FAU - Cooper, Mark E AU - Cooper ME FAU - de Courten, Barbora AU - de Courten B FAU - Forbes, Josephine M AU - Forbes JM LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20110316 PL - United States TA - Kidney Int JT - Kidney international JID - 0323470 RN - 0 (Glycation End Products, Advanced) RN - 0 (Receptor for Advanced Glycation End Products) RN - 0 (Receptors, Immunologic) RN - 0 (Thiazoles) RN - DGH49JXB1F (alagebrium) SB - IM CIN - Kidney Int. 2011 Jul;80(2):133-5. PMID: 21720304 MH - Adolescent MH - Adult MH - Animals MH - Cross-Over Studies MH - Diet MH - Glycation End Products, Advanced/administration & dosage/*adverse effects MH - Humans MH - Inflammation/prevention & control MH - Kidney/drug effects/*physiopathology MH - Kidney Diseases/chemically induced/*diet therapy/drug therapy MH - Male MH - Mice MH - Mice, Knockout MH - Middle Aged MH - Obesity/*diet therapy/drug therapy/*physiopathology MH - Receptor for Advanced Glycation End Products MH - Receptors, Immunologic/deficiency/*drug effects MH - Thiazoles/pharmacology/therapeutic use MH - Young Adult EDAT- 2011/03/18 06:00 MHDA- 2011/12/30 06:00 CRDT- 2011/03/18 06:00 PHST- 2011/03/18 06:00 [entrez] PHST- 2011/03/18 06:00 [pubmed] PHST- 2011/12/30 06:00 [medline] AID - S0085-2538(15)55018-7 [pii] AID - 10.1038/ki.2011.57 [doi] PST - ppublish SO - Kidney Int. 2011 Jul;80(2):190-8. doi: 10.1038/ki.2011.57. Epub 2011 Mar 16.