The Advanced Glycation End-Products (AGE)-Receptor for AGE System (RAGE): An Inflammatory Pathway Linking Obesity and Cardiovascular Diseases

Int J Mol Sci. 2025 Apr 14;26(8):3707. doi: 10.3390/ijms26083707.

Abstract

The AGE (advanced glycation end-products)-RAGE (receptor for AGE) system is a pro-inflammatory pathway that contributes to the pathogenesis of obesity and obesity-related cardiovascular disorders (CVD). Circulating AGE and the soluble form of RAGE (sRAGE) has been suggested as a potential biomarker of CVD related to obesity. In this study, we aim to (1) summarize the current knowledge about the role of obesity in the onset and progression of CVD, (2) discuss the role of the AGE-RAGE system as a pathway promoting obesity and linking obesity to CVD, and (3) highlight available strategies for reducing AGE-RAGE system activation and the associated beneficial effects.

Keywords: adipose tissue; advanced glycation end-products; apoptosis; atherosclerosis; cardiovascular diseases; cardiovascular risk; heart failure; inflammation; obesity; oxidative stress; receptor for advanced glycation end-products.

Publication types

  • Review

MeSH terms

  • Animals
  • Biomarkers / metabolism
  • Cardiovascular Diseases* / etiology
  • Cardiovascular Diseases* / metabolism
  • Cardiovascular Diseases* / pathology
  • Glycation End Products, Advanced* / metabolism
  • Humans
  • Inflammation* / metabolism
  • Obesity* / complications
  • Obesity* / metabolism
  • Receptor for Advanced Glycation End Products* / metabolism
  • Signal Transduction

Substances

  • Receptor for Advanced Glycation End Products
  • Glycation End Products, Advanced
  • Biomarkers