Abstract

Diets are currently characterized by elevated sugar intake, mainly due to the increased consumption of processed sweetened foods and drinks during the last 40 years. Diet is the main source of advanced glycation endproducts (AGEs). These are toxic compounds formed during the Maillard reaction, which takes place both in vivo, in tissues and fluids under physiological conditions, favored by sugar intake, and ex vivo during food preparation such as baking, cooking, frying or storage. Protein glycation occurs slowly and continuously through life, driving AGE accumulation in tissues during aging. For this reason, AGEs have been proposed as a risk factor in the pathogenesis of diet-related diseases such as diabetes, insulin resistance, cardiovascular diseases, kidney injury, and age-related and neurodegenerative diseases. AGEs are associated with an increase in oxidative stress since they mediate the production of reactive oxygen species (ROS), increasing the intracellular levels of hydrogen peroxide (H2O2), superoxide (O2−), and nitric oxide (NO). The interaction of AGEs with the receptor for AGEs (RAGE) enhances oxidative stress through ROS production by NADPH oxidases inside the mitochondria. This affects mitochondrial function and ultimately influences cell metabolism under various pathological conditions. This short review will summarize all evidence that relates AGEs and ROS production, their relationship with diet-related diseases, as well as the latest research about the use of natural compounds with antioxidant properties to prevent the harmful effects of AGEs on health.

Highlights

  • General Aspects of Advanced Glycation EndproductsAdvanced glycation endproducts (AGEs) are toxic compounds that are formed during the spontaneous reaction initiated by a nucleophilic addition between the free amino group of a protein, aminophospholipid or nucleic acid and the carbonyl group of a reducing sugar, called the Maillard reaction (Figure 1)

  • Regarding the role that advanced glycation endproducts (AGEs) play in reactive oxygen species (ROS) production and oxidative stress, and since diet is the main source of AGEs, the use of natural compounds with antioxidant properties is gaining importance

  • The implication of diet in AGE formation and the consequent role that AGEs play in oxidative stress, inflammation, and protein modification are irrefutable

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Summary

Introduction

Advanced glycation endproducts (AGEs) are toxic compounds that are formed during the spontaneous reaction initiated by a nucleophilic addition between the free amino group of a protein, aminophospholipid or nucleic acid and the carbonyl group of a reducing sugar, called the Maillard reaction (Figure 1) In this reaction, a reversible Schiff base is formed, which is spontaneously transformed at physiological pH and room temperature into an Amadori product after some rearrangement. Protein glycation can take place ex vivo, since this reaction fructose [6] This sugar is the most common in the human diet due to the high-fructose syrups usually occurs during added food preparation such baking, cooking, or frying as well as 7.5-fold duringmore storage [4]. The accumulation of AGEs both in plasma and tissues has been reported in animal models of high fructose consumption, [9,10]

Advanced Glycation Endproducts Drive Cell Signaling and Inflammation
AGEs Produce Reactive Oxygen Species by a NOX-Mediated Mechanism
The Increasing Relevance of AGEs in Age-Associated Diseases
Use of Natural Compounds as Therapeutic Strategies
Conclusions
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