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The receptor for advanced glycation endproducts (RAGE) and cardiovascular disease

Published online by Cambridge University Press:  12 March 2009

Shi Fang Yan
Affiliation:
Division of Surgical Science, Department of Surgery, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA.
Ravichandran Ramasamy
Affiliation:
Division of Surgical Science, Department of Surgery, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA.
Ann Marie Schmidt*
Affiliation:
Division of Surgical Science, Department of Surgery, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA.
*
*Corresponding author: Ann Marie Schmidt, Division of Surgical Science, Department of Surgery, Columbia University, 630 West 168th Street, P&S 17-501, New York, NY 10032, USA. Tel: +1 212 305 6406; Fax: +1 212 3055337; E-mail: ams11@columbia.edu

Abstract

Recent and compelling investigation has expanded our view of the biological settings in which the products of nonenzymatic glycation and oxidation of proteins and lipids – the advanced glycation endproducts (AGEs) – form and accumulate. Beyond diabetes, natural ageing and renal failure, AGEs form in inflammation, oxidative stress and in ischaemia–reperfusion. The chief signal transduction receptor for AGEs – the receptor for AGEs (RAGE) – is a multiligand-binding member of the immunoglobulin superfamily. In addition to AGEs, RAGE binds certain members of the S100/calgranulin family, high-mobility group box 1 (HMGB1), and β-amyloid peptide and β-sheet fibrils. Recent studies demonstrate beneficial effects of RAGE antagonism and genetic deletion in rodent models of atherosclerosis and ischaemia–reperfusion injury in the heart and great vessels. Experimental evidence is accruing that RAGE ligand generation and release during ischaemia–reperfusion may signal through RAGE, thus suggesting that antagonism of this receptor might provide a novel form of therapeutic intervention in heart disease. However, it is plausible that innate, tissue-regenerative roles for these RAGE ligands may also impact the failing heart – perhaps through RAGE and/or distinct receptors. In this review, we focus on RAGE and the consequences of its activation in the cardiovasculature.

Type
Review Article
Copyright
Copyright © Cambridge University Press 2009

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References

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Further reading, resources and contacts

Yamagishi, S. et al. (2008) Agents that block advanced glycation end product (AGE)-RAGE (receptor for AGEs)-oxidative stress system: a novel therapeutic strategy for diabetic vascular complications. Expert Opinion on Investigational Drugs 17, 983-996CrossRefGoogle ScholarPubMed
Smit, A.J. et al. (2008) Advanced glycation end products in chronic heart failure. Annals of the New York Academy of Sciences 1126, 225-230Google Scholar