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Role of advanced glycation end products and insulin resistance in diabetic nephropathy

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ARCHIVES OF PHYSIOLOGY AND BIOCHEMISTRY
卷 129, 期 1, 页码 95-107

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TAYLOR & FRANCIS LTD
DOI: 10.1080/13813455.2020.1797106

关键词

Advanced glycation end products; insulin resistance; receptor for advanced glycation end products; endoplasmic reticulum stress; diabetic nephropathy

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Metabolic syndrome can lead to diabetic nephropathy, and excess sugar can induce the formation of advanced glycation end products (AGEs), which activate pro-inflammatory markers and induce endoplasmic reticulum stress. Accumulation of AGEs, reactive oxygen species, and activation of protein kinase C are considered to contribute to the development and progression of diabetic nephropathy.
Metabolic syndrome (MetS), i.e. a cluster of physiological and biochemical abnormalities can lead to diabetic nephropathy (DN). Insulin resistance, impaired fasting glucose are the main signs and symptoms of MetS. Excess sugar can induce various substantial structural changes like formation of advanced glycation end products (AGEs). AGEs are formed due to reaction of reducing sugars with amino groups of proteins, lipids and nucleic acids. AGEs when bound to the receptor for advanced glycation end products (RAGE) activate increased production of pro-inflammatory markers like interleukin-6 (IL-6), tumour necrosis factor alpha (TNF-alpha) along with induction of endoplasmic reticulum (ER) stress. Accumulation of AGEs, enhanced reactive oxygen species (ROS) generation and activation of protein kinase C (PKC), are considered to induce glomerular hypertrophy, podocyte apoptosis, therefore contributing to the development and progression of DN. In this review, we decipher different biochemical and physiological factors that link AGEs and DN.

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