AI Article Synopsis

  • This study investigates the relationship between advanced glycation end-products (AGEs) and various risk factors for diabetes in a group primarily affected by type 2 diabetes (T2D).
  • Results showed that total AGEs were linked to kidney function and coronary artery health in the entire cohort, but not when focusing only on T2D patients; interestingly, higher AGEs correlated with various health metrics in non-T2D individuals.
  • The findings suggest AGEs could influence several health outcomes, but their role may differ in individuals with T2D, leading to a recommendation for further study into specific types of AGEs.

Article Abstract

Aims: Human studies of links between advanced glycation end-products (AGEs) and disease phenotypes are less common than studies of animal and cell models. Here, we examined the association of total AGEs with diabetes risk factors in a predominately type 2 diabetes (T2D) affected cohort.

Methods: AGEs were measured using an enzyme linked immunosorbant assay in 816 individuals from the DHS Mind Study (n=709 T2D affected), and association analyses were completed.

Results: Total AGEs were associated with estimated glomerular filtration rate (p=0.0054; β=-0.1291) and coronary artery calcification (p=0.0352; β=1.1489) in the entire cohort. No significant associations were observed when individuals with T2D were analyzed separately. In individuals without T2D, increased circulating AGEs were associated with increased BMI (p=0.02, β=0.138), low density lipoproteins (p=0.046, β=17.07) and triglycerides (p=0.0004, β=0.125), and decreased carotid artery calcification (p=0.0004, β=-1.2632) and estimated glomerular filtration rate (p=0.0018, β=-0.1405). Strong trends were also observed for an association between AGEs and poorer cognitive performance on the digit symbol substitution test (p=0.046, β=-6.64) and decreased grey matter volume (p=0.037, β=-14.87).

Conclusions: AGEs may play an important role in a number of phenotypes and diseases, although not necessarily in interindividual variation in people with T2D. Further evaluation of specific AGE molecules may shed more light on these relationships.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4761276PMC
http://dx.doi.org/10.1016/j.jdiacomp.2015.11.025DOI Listing

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