Inhibitors of advanced glycation end products (AGEs): potential utility for the treatment of cardiovascular disease.

Abstract:

:Accelerated atherosclerosis and microvascular complications are the leading causes of coronary heart disease, stroke, blindness, and end-stage renal failure, which could account for disabilities and high mortality rates in patients with diabetes. Recent clinical studies have substantiated the concept of "hyperglycemic memory" in the pathogenesis of cardiovascular disease (CVD) in diabetes. Indeed, the Diabetes Control and Complications Trial-Epidemiology of Diabetes Interventions and Complications (DCCT-EDIC) Research, has revealed that intensive therapy during the DCCT reduces the risk of cardiovascular events by about 50% in type 1 diabetic patients 11 years after the end of the trial. Among various biochemical pathways activated under diabetic conditions, the process of formation and accumulation of advanced glycation end products (AGEs) and their mode of action are most compatible with the theory "hyperglycemic memory." Further, there is a growing body of evidence that AGEs play an important role in CVD in diabetes. These observations suggest that the inhibition of AGEs formation may be a promising target for therapeutic intervention in diabetic vascular complications. Therefore, in this article, we review several agents with inhibitory effects on AGEs formation and their therapeutic implications in CVD in diabetes.

journal_name

Cardiovasc Ther

authors

Yamagishi S,Nakamura K,Matsui T,Ueda S,Noda Y,Imaizumi T

doi

10.1111/j.1527-3466.2007.00038.x

subject

Has Abstract

pub_date

2008-04-01 00:00:00

pages

50-8

issue

1

eissn

1755-5914

issn

1755-5922

pii

CDR038

journal_volume

26

pub_type

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