Serum levels of soluble form of receptor for advanced glycation end products (sRAGE) are positively associated with circulating AGEs and soluble form of VCAM-1 in patients with type 2 diabetes |
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Authors: | Nakamura Kazuo Yamagishi Sho-ichi Adachi Hisashi Matsui Takanori Kurita-Nakamura Yayoi Takeuchi Masayoshi Inoue Hiroyoshi Imaizumi Tsutomu |
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Institution: | aNakamura Clinic, Kita-Kyushu, Kurume University School of Medicine, Kurume, Japan;bDepartment of Medicine, Kurume University School of Medicine, Kurume, Japan;cDepartment of Pathophysiological Science, Faculty of Pharmaceutical Science, Hokuriku University, Kanazawa, Japan;dRadioisotope Institute for Basic and Clinical Medicine, Kurume University School of Medicine, Kurume, Japan |
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Abstract: | We have recently found that soluble form of receptor for advanced glycation end products (sRAGE) levels are positively associated with inflammatory biomarkers and the presence of coronary artery disease (CAD) in type 2 diabetic patients. Since advanced glycation end products (AGEs) up-regulate RAGE expression and endogenous sRAGE could be generated from the cleavage of cell surface RAGE, it is conceivable that sRAGE is positively associated with circulating AGEs levels in diabetes. In this study, we examined whether sRAGE were correlated to circulating levels of AGEs and soluble forms of vascular cell adhesion molecule-1 (sVCAM-1) and intercellular adhesion molecule-1 (sICAM-1) in patients with type 2 diabetes. Eighty-two Japanese type 2 diabetic patients underwent a complete history and physical examination, determination of blood chemistries, sRAGE, AGEs, sVCAM-1 and sICAM-1. Multiple regression analysis revealed that serum levels of AGEs and sVCAM-1 were independently correlated with sRAGE. This study demonstrated that serum levels of sRAGE were positively associated with circulating AGEs and sVCAM-1 levels in type 2 diabetic patients. Our present observations suggest sRAGE level may be elevated in response to circulating AGEs, thus being a novel marker of vascular injury in patients with type 2 diabetes. |
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Keywords: | AGEs sRAGE sVCAM-1 Diabetes Atherosclerosis |
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